Unexpected Finding on I-123 FP-CIT SPECT Leading to the Diagnosis of Cerebral Meningioma

A 69-year-old woman with a 20-year history of psychiatric disorders was referred to our Nuclear Medicine Department because of an extrapyramidal syndrome. Because the differential diagnosis between neuroleptic-induced parkinsonism and Parkinson disease was difficult, I-123 FP-CIT brain SPECT was per...

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Bibliographic Details
Published in:Clinical nuclear medicine 2011-02, Vol.36 (2), p.156-157
Main Authors: Biancheri-Mounicq, Ingrid, Colombié, Mathilde, Pin, Jean-Christophe, Lecoanet, Aurélien, Adam-Tariel, Frédérique
Format: Article
Language:English
Subjects:
Aged
Brain Neoplasms - diagnostic imaging
Brain Neoplasms - pathology
Brain Neoplasms - physiopathology
Female
Humans
Incidental Findings
Meningioma - diagnostic imaging
Meningioma - pathology
Meningioma - physiopathology
Tomography, Emission-Computed, Single-Photon
Tropanes
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Summary:A 69-year-old woman with a 20-year history of psychiatric disorders was referred to our Nuclear Medicine Department because of an extrapyramidal syndrome. Because the differential diagnosis between neuroleptic-induced parkinsonism and Parkinson disease was difficult, I-123 FP-CIT brain SPECT was performed. The transverse slices demonstrated an unexpected image of the left striatum which seemed moved backward and toward the midline. A space occupying lesion was suspected and later confirmed by CT. This case highlights the significance of structural neuroimaging and of careful check of the striatum morphology.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0b013e318203bebf