Gorham’s Disease of the Skull Demonstrated by Bone SPECT-CT

Received 6/8/2004; revised 8/10/2004; accepted 8/15/2004. For correspondence and reprints contact: Shiou-Chi Cherng, M.D., Department of Nuclear Medicine, Tri-Service General Hospital, 325 Section 2, Cheng-Kung Road, Neihu, Taipei 114, Taiwan. Tel: (886)2-87927121, Fax: (886)2-87927217, E-mail: [email protected] We present a case of Gorham’s disease of the skull by using Tc-MDP bone SPECT-CT to demonstrate simultaneously a large defect of the skull corresponding to the photon-deficient area in the left parietal skull. An important advantage of the combined SPECT-CT is that it can be acquired without moving the patient, and thus this imaging modality is virtually a fusion image(s). This patient illustrated this advantage of structural skull defect by CT to match physiological “cold” skull lesion by bone scintigraphy.