The "hot nose" sign on brain death nuclear scintigraphy: Where does the flow really go?

Clinical Nuclear Medicine

Volumn 33, Issue 1, 2008, Pages 55-57

  Appelt, Eric A ^a   Song, Won S ^a   Phillips, William T ^a   Metter, Darlene F ^a   Salman, Umber A ^a   Blumhardt, Ralph ^a  

^a UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

Author keywords

"Hot nose"; Brain death; HMPAO

Indexed keywords

TECHNETIUM 99M;

ARTERY BLOOD FLOW; ARTICLE; BRAIN DEATH; BRAIN SCINTISCANNING; CLINICAL ARTICLE; CLINICAL FEATURE; EXTERNAL CAROTID ARTERY; HOT NOSE; HUMAN; INTERNAL CAROTID ARTERY OCCLUSION; NOSE;

BRAIN DEATH; HUMANS; NOSE; PREDICTIVE VALUE OF TESTS; RADIOPHARMACEUTICALS; TECHNETIUM TC 99M EXAMETAZIME;

EID: 37549042359     PISSN: 03639762     EISSN: None     Source Type: Journal    
DOI: 10.1097/RLU.0b013e31815c4fbf     Document Type: Article

References (13)

1. Miskin FS, Dyken ML. Increased early radionuclide activity in the nasopharyngeal area in patients with internal carotid artery occlusion: "Hot Nose." Radiology. 1970;96:77-80.
2. Huang AH. The hot nose sign. Radiology. 2005;235:216-217.
3. Abdel-Dayem HM, Bahar RH, Sigurdsson GH, et al. The hollow skull: a sign of brain death in Tc-99m HM-PAO brain scintigraphy. Clin Nucl Med. 1989;14:912-916.
4. Tien RD, Lin DS, Kutka N. The "Hot Nose" sign in the cerebral radionuclide angiogram. Semin Nucl Med. 1992;4:295-296.
5. Joe SH, Watts G, Mena I. The significance of increased nasopharyngeal flow in cerebral radionuclide angiogram: the "hot nose" phenomenon. Clin Nucl Med. 1977;2:135-137.
6. Wilson K, Gordon L, Selby JB. The diagnosis of brain death with Tc-99m HMPAO. Clin Nucl Med. 1993;18:428-434.
7. Lu G, Shih WJ, Ryo UY. Findings on Tc-99m HMPAO brain imaging in brain death. Clin Nucl Med. 1996;21:891-893.
8. Spieth M, Abella E, Sutter C, et al. Importance of lateral view in the evaluation of suspected brain death. Clin Nucl Med. 1995;20:965-968.
9. Kurtek RW, Lai KK, Tauxe N, et al. Tc-99m hexamethylpropylene amine oxime scintigraphy in the diagnosis of brain death and its implications for harvesting of organs used for transplantation. Clin Nucl Med. 2000;25:7-10.
10. Monsein LH. The imaging of brain death. Anaesth Intens Care. 1995;23:44-50.
11. Baron MB, Brasfield J. A 37-year-old man with severe head trauma, and a "Hot Nose" sign on brain flow study. Chest. 1999;116:1468-1470.
12. Ziessman HA, O'Malley JP, Thrall JH, eds. Nuclear Medicine: The Requisites. 3rd ed. St. Louis, MO: Mosby Inc.; 2005.
13. Mettler FA, Guiberteau MJ, eds. Essentials of Nuclear Medicine. 5th ed. Philadelphia, PA: WB Saunders; 2006:55-57.