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Statistical mapping analysis of brain metabolism in patients with subcortical aphasia after intracerebral hemorrhage: a pilot study of F-18 FDG PET images

Authors
 Yong Wook Kim  ;  Hyoung Seop Kim  ;  Young-Sil An 
Citation
 YONSEI MEDICAL JOURNAL, Vol.53(1) : 43-52, 2012 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2012
MeSH
Adult ; Aged ; Aphasia/diagnostic imaging* ; Aphasia/etiology ; Aphasia/metabolism ; Brain/diagnostic imaging* ; Brain/metabolism ; Brain Mapping/methods* ; Cerebral Hemorrhage/complications ; Cerebral Hemorrhage/diagnostic imaging* ; Cerebral Hemorrhage/metabolism ; Female ; Fluorodeoxyglucose F18* ; Humans ; Male ; Middle Aged ; Pilot Projects ; Positron-Emission Tomography/methods*
Keywords
Brain metabolism ; subcortical aphasia after intracerebral hemorrhage ; statistical mapping analysis
Abstract
PURPOSE: This study was aimed to evaluate the brain metabolism in patients with subcortical aphasia after intracerebral hemorrhage (ICH) and the relationship between the severity of aphasia and regional brain metabolism, by using statistical mapping analysis of F-18 fluorodeoxyglucose positron emission tomography (F-18 FDG PET) images. MATERIALS AND METHODS: Sixteen right-handed Korean speaking patients with subcortical aphasia following ICH were enrolled. All patients underwent Korean version of the Western Aphasia Battery and the brain F-18 FDG PET study. Using statistical parametric mapping analysis, we compared the brain metabolisms shown on F-18 FDG PET from 16 patients with subcortical aphasia and 16 normal controls. In addition, we investigated the relationship between regional brain metabolism and the severity of aphasia using covariance model. RESULTS: Compared to the normal controls, subcortical aphasia after ICH showed diffuse hypometabolism in the ipsilateral cerebrum (frontal, parietal, temporal, occipital, putamen, thalamus) and in the contralateral cerebellum (P (corrected)<0.001), and showed diffuse hypermetabolism in the contralateral cerebrum (frontal, parietal, temporal) and in the ipsilateral cerebellum (P (FDR corrected)<0.001). In the covariance analysis, increase of aphasia quotient was significantly correlated with increased brain metabolism in the both orbitofrontal cortices, the right hippocampal and the right parahippocampal cortices (P (uncorrected)<0.01). CONCLUSION: Our findings suggest that frontal, parietal, and temporal cortices, which are parts of neural network for cognition, may have a supportive role for language performance in patients with subcortical aphasia after ICH.
Files in This Item:
T201200405.pdf Download
DOI
22187231
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Wook(김용욱) ORCID logo https://orcid.org/0000-0002-5234-2454
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92057
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