http://journals.lww.com/nuclearmed/Abstract/2011/12000/Unilateral_Diffusely_Increased_Muscle_Uptake_of.22.aspx
Abstract
Although normal muscles accumulate less F-18 fluorodeoxyglucose (FDG) under normoglycemic conditions, FDG muscle uptake is frequently encountered on PET scans. However, diffusely elevated unilateral muscle uptake is not frequently seen. In this report, we demonstrate a case of unilateral muscle uptake in a patient with a remote history of stroke, possibly explained by increased spasticity, a shift toward fast twitch (type II) muscle fibers, and inflammatory changes that are all seen post–upper motor neuron injury. Thus, FDG PET may serve as a functional biomarker of the extent of upper motor neuron injury after stroke.
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