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Neurological Disorders

Why SPECT Brain Imaging: Details Live on CorePsych Radio

by Dr Charles Parker on July 28, 2009 · 2 comments

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Multiple Variables

SPECT Brain Imaging Is An Indispensable Brain Diagnostic Tool

On Thursday [7-30-09] at CorePsych Radio I’ll give you as many basic details about ‘how and why’ as I can cover in a well-organized hour [4PM EDT, 1PM PDT]. This will begin a program series on the many aspects of SPECT imaging – as the SPECT evaluation processes differ with different providers, and you will appreciate some of the important process details. Some nuclear med SPECT brain reports are less than one page, some psychiatric SPECT reports offer an array of multiple choice options.

Imagine a field filled with beautiful variables – many flowers, many details: This specific CorePsych Radio program is a landscape shot, an essential starting place for anyone considering the next steps in a more complete look at brain function and the SPECT evaluation process.

Program Notes and References: pdf on Why SPECT Brain Imaging here.

Important Program Note:

I’ll be changing the time of the Live CorePsych Radio Program starting next week to Tuesday 5-6 PM EDT – to keep it live. Speaking out of town on Thursdays so often precludes the live show, and I have been recording – thus the confusion with the program time this week.

Hope to see you there Thurs.

cp

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Gluten/Celiac, Migraine, & ADD/ADHD Connections 1

by Dr Charles Parker on November 8, 2008 · 2 comments

Blood Vessels Diminished in Function Contribute to Migraines and to ADD.
- One cause for all these problems, often over-looked, is gluten sensitivity. I have posted many notes here on this topic, but with the last post at CorePsychBlog added the migraine interest. Celiac Disease, ‘CD’ in some of these abstracts, is end stage gluten sensitivity.

When we do SPECT imaging at CorePsych we measure rCBF – regional cerebral blood flow, and there you can see the brain vascular problems often associated with migraines on the SPECT image.

These are some additional reference links you will appreciate on migraine, blood flow and gluten sensitivity:

  1. Hadjivassiliou M, Gibson A, Davies-Jones GA, et al. Does cryptic gluten sensitivity play a part in neurological illness?. Lancet 1996;347:369–71.  “Our data suggest that gluten sensitivity is common in patients with neurological disease of unknown cause and may have aetiological [causal] significance.”
  2. Hadjivassiliou et al. Headache and CNS white matter abnormalities associated with gluten sensitivity Neurology 2001; 56: 385-388  “The authors describe 10 patients with gluten sensitivity and abnormal
    MRI. All experienced episodic headache, six had unsteadiness, and four
    had gait ataxia. MRI abnormalities varied from confluent areas of high
    signal throughout the white matter to foci of high signal scattered in
    both hemispheres. Symptomatic response to gluten-free diet was seen in
    nine patients.”
  3. This excellent link at Celiac.com has several references on migraines including one regarding migraines in children.
  4. This link will take you to several articles at Celiac.com that address the ADD/Gluten connection.
  5. Mirza M, et al Interictal SPECT with Tc-99m HMPAO studies in migraine patients, Acta Neurol Belg. 1998 Jun;98(2):190-4. “The SPECT images revealed clear interhemispheric asymmetry in the upper frontal and occipital parts of the brain in migraineurs. It is suggested that an impaired regional cerebral vascular autoregulation may exist even during headache-free intervals in patients suffering from migraine.” [SPECT Imaging shows impaired vascular activity even when not having a migraine.]

I’ll have some more soon – interesting how migraine and ADD can similarly impaired problems with cerebral blood flow

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Pictures Tell the Story on Temporal Lobe Injuries

December 4, 2006 Bipolar

Temporal lobe injury can look in the office like bipolar:
So let’s take a quick look at SPECT pictures that can make a difference for your family or your patient for the rest of their lives. No need to loose a kidney getting this one wrong.
These are two pictures of brain injury taken from presentations I [...]

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