Aurasız migrende interiktal dönemde SPECT etkinliğinin değerlendirilmesi

Abstract

ÖZET Aurasız migrenli hastalarda, interiktal dönemde, SPECT etkinliğini araştırmak amacıyla yaptığımız bu çalışmada: IHS kriterlerine uygun olarak, aurasız migren tanısı olan 30 olguya (20 kadın, 10 erkek), interiktal dönemde, SPECT uygulandı. Çalışmaya 15 olguluk (10 kadın, 5 erkek) kontrol grubu dahil edildi. Hastaların %46'sında, kontrol grubunun %13'ünde perfüzyon defekti (hipoperfüzyon) saptandı. Çalışmamızda saptanan perfüzyon defekti oranı, kontrol grubuna göre anlamlı olarak yüksek bulundu (p<0.05). Çalışmamızda SPECT etkinliği açısından cinsler arasında anlamlı bir fark bulunmadı (p>0.05). Bu bulgular, aurasız migrenli hastalarda, interiktal dönemde uygulanan serebral SPECT'in, rutinde önemli bir yardımcı tanı yöntemi olarak kullanılabileceği fikrini desteklemiştir. 32SUMMARY Our study is about effectiveness of SPECT in interiktal period of patients with migraine without aura. For the criters of IHS we study on 30 patients. These are 20 women and 10 men which were in interiktal period. Then we add 15 patient (10 women, 5 men) called control group. There is perfusion defect (hipoperfusion) in 46% of the patients with migraine, 1 3% of control group. In our study perfusion defect ratio is staticaly higher tothe control group (p<0.05). In our study there is no statical differences between males and females for the effectiveness of the SPECT (p>0.05) we conclusion that when we use SPECT in the interiktal period of the patients with migraine without aura. It is an important diagnostic method and we can use this method in routin. 33

SUMMARY Our study is about effectiveness of SPECT in interiktal period of patients with migraine without aura. For the criters of IHS we study on 30 patients. These are 20 women and 10 men which were in interiktal period. Then we add 15 patient (10 women, 5 men) called control group. There is perfusion defect (hipoperfusion) in 46% of the patients with migraine, 1 3% of control group. In our study perfusion defect ratio is staticaly higher tothe control group (p<0.05). In our study there is no statical differences between males and females for the effectiveness of the SPECT (p>0.05) we conclusion that when we use SPECT in the interiktal period of the patients with migraine without aura. It is an important diagnostic method and we can use this method in routin. 33