Korean J Otorhinolaryngol-Head Neck Surg.  2009 Sep;52(9):724-729. 10.3342/kjorl-hns.2009.52.9.724.

Changes in the Regional Cerebral Blood Flow in Postlingual Deaf Patients Measured by ECD-SPECT: Preliminary Study

Affiliations
  • 1Department of Otolaryngology-HNS, The Catholic University of Korea College of Medicine, Seoul, Korea. snparkmd@catholic.ac.kr
  • 2Department of Neurology, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 3Department of Nuclear Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.

Abstract

BACKGROUND AND OBJECTIVES: Cochlear implantation improves hearing ability in adults with profound deafness. Using non-invasive functional brain imaging methods, it is now possible to assess regional blood flow and activity of auditory cortex which might be correlated to the outcome of cochlear implantation. The aim of this study was to measure the regional cerebral blood flow in patients with postlingual deafness utilizing controls in a variety of methods.
SUBJECTS AND METHOD
Six postlingual deaf adults who were planned to undertake cochlear implantation and 12 normal controls were examined with technetium-99m-labeled ethyl cysteinate dimer single-photon emission computed tomography (99mTc-ECD-SPECT). Images of the regional cerebral blood flow were processed by statistical parametric mapping and analyzed by unpaired t-test.
RESULTS
The analysis of the SPECT images of the 6 deaf patients showed decreased cerebral blood flow in both superior, middle temporal and inferior prefrontal lobes compared with controls (p<0.001). Also this decreased auditory cortical blood flow was greater in left hemisphere in all patients.
CONCLUSION
The degree of remaining activity of auditory cortex and the lateralization of the dominant auditory hemisphere, which may influence on the outcome of cochlear implantation, could be measured by ECD-SPECT.

Keyword

Auditory cortex; Deaf; Postlingual; ECD-SPECT; Cochlear implantation

MeSH Terms

Adult
Auditory Cortex
Cochlear Implantation
Cochlear Implants
Cystine
Deafness
Functional Neuroimaging
Hearing
Humans
Regional Blood Flow
Tomography, Emission-Computed
Tomography, Emission-Computed, Single-Photon
Cystine
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