Regional cerebral blood flow assessed by single photon emission computed tomography (SPECT) in dogs with congenital portosystemic shunt and hepatic encephalopathy

Vet J. 2017 Feb:220:40-42. doi: 10.1016/j.tvjl.2016.12.009. Epub 2016 Dec 21.

Abstract

Regional cerebral blood flow (rCBF) in eight dogs with congenital portosystemic shunt (PSS) and hepatic encephalopathy (HE) was compared with rCBF in eight healthy control dogs using single photon emission computed tomography (SPECT) with a 99mtechnetium-hexamethylpropylene amine oxime (99mTc-HMPAO) tracer. SPECT scans were abnormal in all PSS dogs. Compared to the control group, rCBF in PSS dogs was significantly decreased in the temporal lobes and increased in the subcortical (thalamic and striatal) area. Brain perfusion imaging alterations observed in the dogs with PSS and HE are similar to those in human patients with HE. These findings suggest that dogs with HE and PSS have altered perfusion of mainly the subcortical and the temporal regions of the brain.

Keywords: (99m)Technetium-hexamethylpropylene amine oxime; Canine; Hepatic encephalopathy; Portosystemic shunt; Single photon emission computed tomography.

MeSH terms

  • Animals
  • Brain / blood supply*
  • Brain / diagnostic imaging
  • Cerebrovascular Circulation*
  • Dog Diseases / etiology*
  • Dogs / abnormalities*
  • Female
  • Hepatic Encephalopathy / etiology
  • Hepatic Encephalopathy / veterinary*
  • Male
  • Portal Vein / abnormalities*
  • Tomography, Emission-Computed, Single-Photon / veterinary
  • Vascular Malformations

Supplementary concepts

  • Patent Ductus Venosus