By Dr. med. Anisah el Helou (auth.)
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16. Brain scan in a young leukemic patient with multiple neurologie symptoms shows multiple areas of increased uptake as a manifestation of leukemic involvement of the CNS Fig. 17. This patient was evaluated for recurring headaches after trauma. Brain scan shows increased frontal uptake as a result of cerebra I tissue injury. 1 Brain 37 o Fig. 18. SPECT brain scan. Unreconstructed image acquired by the step-and-shoot technique 38 1 Head and Neck Fig. 19 a,b. This young woman was examined for headaches of three days' duration.
23 a-c. Incidental finding in a 41-year-old man who told his brother that he feit as if his eye "bulged out" when he leaned forward. He had no other complaints. His brother, a patient, mentioned the complaint during an examination. Radionuclide scan shows a massive, hypervascular frontal tumor extending to the retrobulbar level. Immediate neurosurgical intervention was required to prevent impending blindness. The tumor was identified as a WHO grade-li bifrontal falx meningioma that was infiltrating the sinuses and both carotids 42 1 Head and Neck Brain/Early a Fig.
The scan shows slightly increased activity in the paramedian and basal area, raising suspicion of a hormone-producing neoplasm. This was confirmed bya prolactin assay of 1250 Ilg/L « 15 Ilg/L is normal). The patient was treated and achieved pregnancy (bearing a healthy child). - • • u o 1 a Fig. 24 a,b. A 31-year-old woman wanted to conceive but had been amenorrheic for years. She had anormal gynecologic examination and no other complaints. a Radionuclide imaging was performed to exclude a brain tumor.