急性腦中風後亞急性期


(B)第二次區域灌注SPECT(在卒中後第63天進行)仍顯示右側大腦半球灌注不足(用白色箭頭表示),但左小腦半球血流量更多(白色箭頭)
(B) The second regional perfusion SPECT (conducted on poststroke day 63) still showed hypoperfusion in the right cerebral hemisphere (indicated by white arrow), but more blood flow in the left cerebellar hemisphere (indicated by white arrow head). SPECT = single-photon emission computed tomography.
根據臨床表現和影像學表現,他被診斷為中風。 一旦患者處於穩定狀態,他在中風後亞急性期間連續10天接受每天一小時的ILIB(He-Ne激光)。We adopted the helium–neon (HeNe) laser (YJ-ILIB-5, Bio-ILIB Human Energy Ltd, Taiwan) in this study. The patient assigned to ILIB was treated with 632.8 nm wavelength HeNe, power output 3.5 to 4.0 w/cm2, power intensity 1.79 to 2.04 w/cm2,
我們在血管內激光照射之前和之後使用單光子發射計算機斷層掃描(SPECT)來檢測腦和小腦灌注的變化。 然後,我們比較了兩個圖像。 使用第一SPECT檢測CCD。 在ILIB干預後,第二個SPECT在受影響的小腦半球中顯示出更大的灌注。
我們發現ILIB有助於在急性腦中風後亞急性期,中風患者可以從ILIB中獲益。
He was diagnosed as stroke based on the clinical presentations and imaging findings. Once the patient was in stable condition, he underwent a daily hour-long ILIB (He-Ne laser) for ten consecutive days during the sub-acute post-stroke stage.
We used single-photon emission computed tomography (SPECT) before and after intravascular laser irradiation to detect changes in cerebral and cerebellar perfusion. Then, we compared the two images. CCD was detected using the first SPECT. After intervention by ILIB, the second SPECT showed greater perfusion in the affected cerebellar hemisphere.

We found that ILIB helped eliminate CCD, which was previously shown to be an untreatable condition using any intervention during the sub-acute post-stroke stage. Stroke patients could therefore greatly benefit from ILIB.
Yang, Wan-Hua, Shiou-Ping Lin, and Shin-Tsu Chang. "Case report: Rapid improvement of crossed cerebellar diaschisis after intravascular laser irradiation of blood in a case of stroke." Medicine 96.2 (2017).

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