RT Journal Article SR Electronic T1 Paradoxical hyperfixation of hexamethylpropyleneamine oxime in cerebral infarction. JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 1905 OP 1908 VO 18 IS 10 A1 S Shintani A1 S Tsuruoka A1 T Shiigai YR 1997 UL http://www.ajnr.org/content/18/10/1905.abstract AB We describe four patients with cerebral infarction and 99mTc-hexamethylpropyleneamine oxime (HMPAO) hyperfixation in distributions corresponding to the infarctions seen at CT and/or MR imaging. Increased HMPAO extraction due to hyperpermeability across the blood-brain barrier and increased retention due to reduced back diffusion of the tracer probably accounted for the increased fractional fixation in infarcts seen in our patients.