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Diagnostic Value of Single-Photon Emission Computed Tomography/Computed Tomography Scans with Tc-99m HDP in Cervicogenic Headache

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dc.contributor.author신동아-
dc.contributor.author윤미진-
dc.date.accessioned2020-12-01T17:45:40Z-
dc.date.available2020-12-01T17:45:40Z-
dc.date.issued2020-02-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/180433-
dc.description.abstractA cervicogenic headache (CEH) is difficult to diagnose due to its varied pathology. We evaluated the usefulness of single-photon emission computed tomography/computed tomography (SPECT/CT) in diagnosing CEH and its interventional treatment. Retrospectively, 23 patients diagnosed with CEH between March 2016 to August 2018 were allocated to SPECT/CT (n = 11) and control (n = 12) groups. The SPECT/CT group was further stratified into SPECT/CT(+) and SPECT/CT(-) groups according to the presence of positive findings. Patients in the SPECT/CT group underwent an intra-articular injection at a radiologically verified lesion site, whereas those in the control group underwent third occipital nerve block. Clinical outcomes were evaluated with the visual analog scale (VAS), neck disability index (NDI), and global perceived effect (GPE) scale at baseline, and at one, three, and six months postoperatively. The SPECT/CT group showed less VAS, NDI, and GPE scores at six months postoperatively (2.91 ± 2.30 vs. 4.42 ± 1.62, p = 0.08; 38.00 ± 16.54 vs. 48.7 ± 12.40, p = 0.093; 2.00 ± 1.41 vs. 3.17 ± 1.11, p = 0.039). Successful responders at six months postoperatively were higher in the SPECT/CT(+) group than in the control group (75% vs. 0%). SPECT/CT can identify arthritic changes and accurately define therapeutic targets.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherMDPI AG-
dc.relation.isPartOfJOURNAL OF CLINICAL MEDICINE-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleDiagnostic Value of Single-Photon Emission Computed Tomography/Computed Tomography Scans with Tc-99m HDP in Cervicogenic Headache-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.googleauthorPyung Goo Cho-
dc.contributor.googleauthorTae Woo Kim-
dc.contributor.googleauthorGyu Yeul Ji-
dc.contributor.googleauthorSang Hyuk Park-
dc.contributor.googleauthorMi Jin Yun-
dc.contributor.googleauthorDong Ah Shin-
dc.identifier.doi10.3390/jcm9020399-
dc.contributor.localIdA02092-
dc.contributor.localIdA02550-
dc.relation.journalcodeJ03556-
dc.identifier.eissn2077-0383-
dc.identifier.pmid32024217-
dc.subject.keywordcervicogenic headache-
dc.subject.keywordcomputed tomography-
dc.subject.keyworddiagnosis-
dc.subject.keywordsingle-photon emission computed tomography/computed tomography-
dc.subject.keywordspinal injection-
dc.contributor.alternativeNameShin, Dong A-
dc.contributor.affiliatedAuthor신동아-
dc.contributor.affiliatedAuthor윤미진-
dc.citation.volume9-
dc.citation.number2-
dc.citation.startPage399-
dc.identifier.bibliographicCitationJOURNAL OF CLINICAL MEDICINE, Vol.9(2) : 399, 2020-02-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학교실) > 1. Journal Papers

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