Cerebral glucose metabolic abnormality in patients with congenital scoliosis.
A possible association between congenital scoliosis and low mental status has been recognized, but there are no reports describing the mental status or cerebral metabolism in patients with congenital scoliosis in detail. We investigated the mental status using a mini-mental status exam as well as the cerebral glucose metabolism using F-18 fluorodeoxyglucose brain positron emission tomography in 12 patients with congenital scoliosis and compared them with those of 14 age-matched patients with adolescent idiopathic scoliosis. The mean mini-mental status exam score in the congenital scoliosis group was significantly lower than that in the adolescent idiopathic scoliosis group. Group analysis found that various brain areas of patients with congenital scoliosis showed glucose hypometabolisms in the left prefrontal cortex (Brodmann area 10), right orbitofrontal cortex (Brodmann area 11), left dorsolateral prefrontal cortex (Brodmann area 9), left anterior cingulate gyrus (Brodmann area 24) and pulvinar of the left thalamus. From this study, we could find the metabolic abnormalities of brain in patients with congenital scoliosis and suggest the possible role of voxel-based analysis of brain fluorodeoxyglucose positron emission tomography.
Park
Weon Wook
WW
Department of Orthopaedic Surgery, Korea Hospital, Pusan, South Korea.
Suh
Kuen Tak
KT
Kim
Jeung Il
JI
Ku
Ja Gyung
JG
Lee
Hong Seok
HS
Kim
Seong-Jang
SJ
Kim
In-Ju
IJ
Kim
Yong-Ki
YK
Lee
Jung Sub
JS
D000293:Adolescent; D001921:Brain / Q000378:metabolism*; D002648:Child; D005260:Female; D019788:Fluorodeoxyglucose F18; D005947:Glucose / Q000378:metabolism*; D006801:Humans; D007360:Intelligence / Q000502:physiology; D008297:Male; D001523:Mental Disorders / Q000150:complications; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D012600:Scoliosis / Q000150:complications / Q000151:congenital*
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18; D005947:Glucose