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Nuclear medicine

Nuclear medicine. Case conference 3/31/2011 Matt Rose. FIRST CASE. Pt ME 60 yo male, PET/CT to evaluate SCC of scalp s/p excision Additional history witheld. `. … rest of history. Remote R MCA vascular insult in 1970’s. Findings.

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Nuclear medicine

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  1. Nuclear medicine Case conference 3/31/2011 Matt Rose

  2. FIRST CASE • Pt ME • 60 yo male, PET/CT to evaluate SCC of scalp s/p excision • Additional history witheld

  3. `

  4. … rest of history • Remote R MCA vascular insult in 1970’s

  5. Findings • Encephalomalacia in R MCA distribution with decreased FDG uptake. • Subtle atrophy of L cerebellar hemisphere with decreased FDG uptake. • … no evidence of local or distant disease from SCC.

  6. Teaching points • Crossed CerebellarDiaschisis: • Atrophy/metabolic decrease in CONTRALATERAL cerebellum after MCA CVA. • Due to disruption of cortico-ponto-cerebellar tracts.

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