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The cerebrovascular response to traditional acupuncture after stroke

Authors
 J. D. Lee  ;  J. S. Chon  ;  H. S. Yoo  ;  C. I. Park  ;  D. I. Kim  ;  D. Y. Kim  ;  M. Yun  ;  H. J. Kim  ;  H. K. Jeong 
Citation
 NEURORADIOLOGY, Vol.45(11) : 780-784, 2003 
Journal Title
NEURORADIOLOGY
ISSN
 0028-3940 
Issue Date
2003
MeSH
Acupuncture Therapy* ; Brain/diagnostic imaging* ; Brain/pathology* ; Case-Control Studies ; Cerebrovascular Circulation* ; Female ; Humans ; Image Processing, Computer-Assisted ; Magnetic Resonance Imaging* ; Male ; Middle Aged ; Stroke/physiopathology* ; Tomography, Emission-Computed, Single-Photon*
Keywords
Acupuncture ; Stroke ; Cerebral blood flow ; Brain reorganisation
Abstract
Acupuncture is useful in treating the nausea and vomiting related to chemotherapy, adult postoperative surgery pain and postoperative dental pain. We obtained single-photon emission computed tomography (SPECT) brain perfusion images of six patients with middle cerebral artery occlusion obtained before and after acupuncture and compared the changes in regional cerebral blood flow (rCBF) to those in normal control. Images were obtained before and after acupuncture at six traditional acupoints (LI 4, 10, 11, 15 and 16 and TE5) in the affected arm. The baseline image was subtracted from the postacupuncture image, to produce a subtraction image displaying only voxels with values >2 SD from the mean and those voxels were coregistered to the baseline SPECT or T2-weighted MRI. Similar images were obtained before and after acupuncture of eight normal volunteers. Statistical parametric mapping with a threshold of P =0.001 and a corrected P of 0.05 was performed for group comparison between postacupuncture and baseline SPECT. Focally increased CBF was seen in all patients especially in the hypoperfused zone surrounding the ischaemic lesion, the ipsilateral or contralateral sensorimotor area, or both. Normal subjects showed increased rCBF mainly in the parahippocampal gyrus, premotor area, frontal and temporal areas bilaterally and ipsilateral globus pallidus. Acupuncture stimulation after stroke patients appears to activate perilesional or use-dependent reorganised sites and might be a way of looking at brain reorganisation.
Full Text
http://link.springer.com/article/10.1007%2Fs00234-003-1080-3
DOI
10.1007/s00234-003-1080-3
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Deog Young(김덕용) ORCID logo https://orcid.org/0000-0001-7622-6311
Lee, Jong Doo(이종두)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/113719
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