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Demonstration of Frontal Hypoperfusion in Benign Exertional Headache by Teclmetium-99m-HMPAO SPECT

Tarik Bacoglu, Taner Özbenli, Irem Bernay, Murathan ahin, Aysun Onur, Arif E. Demirçali, Candan Cockun and Tuncay Önen

Departments of Nuclear Medicine and Neurology, Ondokuz Mayis University Hospital, Samsun, Turkey

Correspondence: For correspondence or reprints contact: Tank Bacoglu, MD, Department of Nuclear Medicine, Faculty of Medicine, Ondokuz Mayis University Hospital, Samsun 55139, Turkey.

ABSTRACT

We present a case of benign exertional headache (BEH) in a 15-yr-old boy. The patient suffered from exclusively exercise-induced headaches with migraine-like accompanying symptoms. No pathology could be detected by routine cardiovascular or neurological examinations by CT. The postexercise ^99mTc-HMPAO brain SPECT performed during the provoked headache attack showed asymmetric bifrontal hypoperfusion. A second ^99mTc-HMPAO study during a symptom-free phase under resting conditions was normal. The detection of impaired regional cerebral blood flow (rCBF) by ^99mTc-HMPAO brain SPECT indicates a perfusion-related pathology in this type of headache. Analysis of rCBF with ^99mTc-HMPAO in larger studies could be helpful in the clarification of BEH pathogenesis.

Key Words: benign exertional headache • technetium-99m-HMPAO • SPECT

This article has been cited by other articles:

				M. Razavi, B. Razavi, D. Fattal, A. Afifi, and H. P. Adams Jr Hemiplegic Migraine Induced by Exertion Arch Neurol, September 1, 2000; 57(9): 1363 - 1365. [Abstract] [Full Text] [PDF]