Brain Single Photon Emission Computed Tomography in Anosmic Subjects after Closed Head Trauma

Anosmia following head trauma is relatively common and in many cases is persistent and irreversible. The ability to objectively measure such a decline in smelling, for both clinical and medicolegal goals, is very important. The aim of this study was to find results of brain Single Photon Emission Co...

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Main Authors: Hooshang Gerami, Shadman Nemati, Farzad Abbaspour, Roozbeh Banan
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2011-01-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/3683
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author Hooshang Gerami
Shadman Nemati
Farzad Abbaspour
Roozbeh Banan
author_facet Hooshang Gerami
Shadman Nemati
Farzad Abbaspour
Roozbeh Banan
author_sort Hooshang Gerami
collection DOAJ
description Anosmia following head trauma is relatively common and in many cases is persistent and irreversible. The ability to objectively measure such a decline in smelling, for both clinical and medicolegal goals, is very important. The aim of this study was to find results of brain Single Photon Emission Computed Tomography (SPECT) in anosmic subjects after closed head trauma. This case-control cross sectional study was conducted in a tertiary referral University Hospital. The brain perfusion state of nineteen anosmic patients and thirteen normal controls was evaluated by means of the SPECT with 99mtc- ECD infusion- before and after olfactory stimulation. The orbitofrontal lobe of the brain was assumed as the region of interest and changes in perfusion of this area before and after the stimulations were compared in two groups. The mean of brain perfusion in controls before and after the stimulation was 8.26% ± 0.19% and 9.89% ± 0.54%, respectively (P < 0.0001). Among patients group, these quantities were 7.97% ± 1.05% and 8.49% ± 1.5%, respectively (P < 0.004). The difference between all the measures in cases and controls were statistically significant (P < 0.0001). There were no differences in age and sex between two groups. The brain SPECT is an objective technique suitable for evaluating anosmia following the head trauma and it may be used with other diagnostic modalities.
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spelling doaj.art-5a35608e97fb4734a648163745d0f5412022-12-22T00:45:35ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942011-01-01491Brain Single Photon Emission Computed Tomography in Anosmic Subjects after Closed Head TraumaHooshang Gerami0Shadman Nemati1Farzad Abbaspour2Roozbeh Banan3Department of Otolaryngology- Head & Neck Surgery, Guilan University of Medical Sciences, Guilan, Iran.Department of Otolaryngology- Head & Neck Surgery, Guilan University of Medical Sciences, Guilan, Iran.Department of Nuclear medicine, School of Medicine, Guilan University of Medical Sciences, Guilan, Iran.Department of Otolaryngology- Head & Neck Surgery, Guilan University of Medical Sciences, Guilan, Iran.Anosmia following head trauma is relatively common and in many cases is persistent and irreversible. The ability to objectively measure such a decline in smelling, for both clinical and medicolegal goals, is very important. The aim of this study was to find results of brain Single Photon Emission Computed Tomography (SPECT) in anosmic subjects after closed head trauma. This case-control cross sectional study was conducted in a tertiary referral University Hospital. The brain perfusion state of nineteen anosmic patients and thirteen normal controls was evaluated by means of the SPECT with 99mtc- ECD infusion- before and after olfactory stimulation. The orbitofrontal lobe of the brain was assumed as the region of interest and changes in perfusion of this area before and after the stimulations were compared in two groups. The mean of brain perfusion in controls before and after the stimulation was 8.26% ± 0.19% and 9.89% ± 0.54%, respectively (P < 0.0001). Among patients group, these quantities were 7.97% ± 1.05% and 8.49% ± 1.5%, respectively (P < 0.004). The difference between all the measures in cases and controls were statistically significant (P < 0.0001). There were no differences in age and sex between two groups. The brain SPECT is an objective technique suitable for evaluating anosmia following the head trauma and it may be used with other diagnostic modalities.https://acta.tums.ac.ir/index.php/acta/article/view/3683AnosmiaTomographyemission-computedsingle-photonBrainPerfusion
spellingShingle Hooshang Gerami
Shadman Nemati
Farzad Abbaspour
Roozbeh Banan
Brain Single Photon Emission Computed Tomography in Anosmic Subjects after Closed Head Trauma
Acta Medica Iranica
Anosmia
Tomography
emission-computed
single-photon
Brain
Perfusion
title Brain Single Photon Emission Computed Tomography in Anosmic Subjects after Closed Head Trauma
title_full Brain Single Photon Emission Computed Tomography in Anosmic Subjects after Closed Head Trauma
title_fullStr Brain Single Photon Emission Computed Tomography in Anosmic Subjects after Closed Head Trauma
title_full_unstemmed Brain Single Photon Emission Computed Tomography in Anosmic Subjects after Closed Head Trauma
title_short Brain Single Photon Emission Computed Tomography in Anosmic Subjects after Closed Head Trauma
title_sort brain single photon emission computed tomography in anosmic subjects after closed head trauma
topic Anosmia
Tomography
emission-computed
single-photon
Brain
Perfusion
url https://acta.tums.ac.ir/index.php/acta/article/view/3683
work_keys_str_mv AT hooshanggerami brainsinglephotonemissioncomputedtomographyinanosmicsubjectsafterclosedheadtrauma
AT shadmannemati brainsinglephotonemissioncomputedtomographyinanosmicsubjectsafterclosedheadtrauma
AT farzadabbaspour brainsinglephotonemissioncomputedtomographyinanosmicsubjectsafterclosedheadtrauma
AT roozbehbanan brainsinglephotonemissioncomputedtomographyinanosmicsubjectsafterclosedheadtrauma