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Correlation between special brain area and blood perfusion in patients with cerebral infarction at convalescent period Feasibility for quantitative determination and estimation of learning and memory function

中国神经再生研究(英文版)2007,Vol.2Issue(8):461-465,5.
中国神经再生研究(英文版)2007,Vol.2Issue(8):461-465,5.

Correlation between special brain area and blood perfusion in patients with cerebral infarction at convalescent period Feasibility for quantitative determination and estimation of learning and memory function

Correlation between special brain area and blood perfusion in patients with cerebral infarction at convalescent period Feasibility for quantitative determination and estimation of learning and memory function

1

作者信息

  • 1. Department of Nuclear Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430032, Hubei Province, China;Department of Nuclear Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430032, Hubei Province, China;Jining Medical College, Shandong Institute for Behavioral Medicine, Jining 272013, Shandong Province, China
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摘要

Abstract

BACKGROUND: Presently, clinic memory scale is used to evaluate learning memory ability in most studies,and the influence of difference in measurement condition of individuals exists.OBJECTIVE: To study the correlation between regional cerebral blood flow (rCBF) perfusion and learning memory function in special brain regions of patients with cerebral infarction at convalescent period,and to try to find out a method which can quantitatively evaluate learning ability.DESIGN: Case observation, and correlation analysis.SETTINGS: Shandong Institute for Behavioral Medicine; the Affiliated Hospital of Jining Medical College.PARTICIPANTS: Totally 70 patients with cerebral infarction admitted to Departtment of Neurology, Jining Medical College between January 2004 and December 2005 were involved. The involved patients, 58 male and 12 female, were averaged (52±3) years, and they were all right handed. They all met the diagnosis criteria instituted by the Fourth National Conference on Cerebrovascular Disease, and were confirmed as cerebral infarction by skull CT or MRI. Informed consents of detected items were obtained from all the patients and relatives.METHODS: When the patients were at convalescent period, their learning and memory ability were measured with" clinic memory scale (set A)". The 18 patients whose total mark over 100 were regarded as good learning memory function group; The 23 cases whose total mark less than 70 were regarded as poor learning memory function group. RCBF of hippocampus, nucleus amygdalae, temporal cortex and prefrontal lobe of patients between two groups were measured and compared by single photon emission computed tomography (SPECT). The total scores of the 18 good learning memory patients and 23 poor learning memory patients were taken as dependent variable Y, and their rCBFs of hippocampus, nucleus amygdale,temporal cortex and prefrontal lobe respectively as independent variable X for linear correlation analysis.MAIN OUTCOME MEASURES: Correlation of rCBF in different brain regions and learning memory ability in patients with cerebral infarction.RESULTS: ① The rCBF of hippocampus, nucleus amygdale, temportal cortex and prefrontal cortex of good learning memory function group were significantly higher than those of poor learning memory function group (P < 0.05). ②In the good learning memory function group, rCBF of hippocampus, nucleus amygdale,temportal cortex and prefrontal cortex were significantly positively correlated with memory scale scores ( r =0.961, 0.926, 0.954, 0.907, P < 0.05 ) , and also in the poor learning memory function group ( r = 0.979,0.976, 0.991, 0.953, P < 0.05) .CONCLUSION: The rCBF of hippocampus, nucleus amygdale, temportal cortex and prefrontal cortex of patients with cerebral infarction are significantly positively correlated with memory scale scores. Predicting learning memory ability of patients by quantitative determination of rCBF provides a quantitative and objective method for evaluating learning memory ability.

关键词

hippocampus/ nucleus amygdale/ temporal cortex, prefrontal lobe/ regional cerebral blood flow/learning memory function/ relativity

Key words

hippocampus/ nucleus amygdale/ temporal cortex, prefrontal lobe/ regional cerebral blood flow/learning memory function/ relativity

分类

医药卫生

引用本文复制引用

..Correlation between special brain area and blood perfusion in patients with cerebral infarction at convalescent period Feasibility for quantitative determination and estimation of learning and memory function[J].中国神经再生研究(英文版),2007,2(8):461-465,5.

基金项目

the Grant from Bureau of Science and Technology of Jining City, No.2004JH006 ()

中国神经再生研究(英文版)

OACSCD

1673-5374

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