ICTAL SINGLE-PHOTON EMISSION COMPUTED-TOMOGRAPHY DEMONSTRATES LOCALIZED EPILEPTOGENESIS IN CORTICAL DYSPLASIA

被引:69
作者
KUZNIECKY, R
MOUNTZ, JM
WHEATLEY, G
MORAWETZ, R
机构
[1] UNIV ALABAMA,DEPT NEUROSURG,BIRMINGHAM,AL 35294
[2] UNIV ALABAMA,DEPT RADIOL,BIRMINGHAM,AL 35294
关键词
D O I
10.1002/ana.410340421
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We investigated the use of ictal single-photon emission computed tomography (SPECT) in 2 children with intractable epilepsy. Ictal scalp electroencephalographic studies failed to localize the epileptic focus and interictal data demonstrated widespread lateralized abnormalities. Ictal SPECT studies with technetium 99m-hexamethylpropyleneamineoxime demonstrated focal areas of hyperperfusion in the frontal lobes. Resection of the abnormal areas shown by SPECT was carried out despite evidence of large areas of epileptogenesis demonstrated by scalp and subdural electroencephalographic studies. Pathological material revealed cortical dysplasia. Ictal SPECT provides functional evidence for localized epileptogenesis in focal cortical dysplasia.
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收藏
页码:627 / 631
页数:5
相关论文
共 15 条
[1]   MR OF NEURONAL MIGRATION ANOMALIES [J].
BARKOVICH, AJ ;
CHUANG, SH ;
NORMAN, D .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1988, 150 (01) :179-187
[3]   INFANTILE SPASMS .1. PET IDENTIFIES FOCAL CORTICAL DYSGENESIS IN CRYPTOGENIC CASES FOR SURGICAL-TREATMENT [J].
CHUGANI, HT ;
SHIELDS, WD ;
SHEWMON, DA ;
OLSON, DM ;
PHELPS, ME ;
PEACOCK, WJ .
ANNALS OF NEUROLOGY, 1990, 27 (04) :406-413
[4]  
FRIEDE RL, 1975, DEV NEUROPATHOLOGY, P297
[5]  
Gloor P., 1975, NEUROSURGICAL MANAGE, P59
[6]   RETENTION OF [TC-99M] D,L-HM-PAO IN RAT-BRAIN - AN AUTORADIOGRAPHIC STUDY [J].
HOFFMAN, TJ ;
CORLIJA, M ;
CHAPLIN, SB ;
VOLKERT, WA ;
HOLMES, RA .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 1988, 8 (06) :S38-S43
[7]   LOCALIZATION OF SEIZURE FOCI - PITFALLS AND CAVEATS [J].
JAYAKAR, P ;
DUCHOWNY, M ;
RESNICK, TJ ;
ALVAREZ, LA .
JOURNAL OF CLINICAL NEUROPHYSIOLOGY, 1991, 8 (04) :414-431
[8]   FOCAL CORTICAL MYOCLONUS AND ROLANDIC CORTICAL DYSPLASIA - CLARIFICATION BY MAGNETIC-RESONANCE IMAGING [J].
KUZNIECKY, R ;
BERKOVIC, S ;
ANDERMANN, F ;
MELANSON, D ;
OLIVIER, A ;
ROBITAILLE, Y .
ANNALS OF NEUROLOGY, 1988, 23 (04) :317-325
[9]   BILATERAL CENTRAL MACROGYRIA - EPILEPSY, PSEUDOBULBAR PALSY, AND MENTAL-RETARDATION - A RECOGNIZABLE NEURONAL MIGRATION DISORDER [J].
KUZNIECKY, R ;
ANDERMANN, F ;
TAMPIERI, D ;
MELANSON, D ;
OLIVIER, A ;
LEPPIK, I .
ANNALS OF NEUROLOGY, 1989, 25 (06) :547-554
[10]   LOCALIZATION OF EXTRATEMPORAL EPILEPTIC FOCI DURING ICTAL SINGLE PHOTON-EMISSION COMPUTED-TOMOGRAPHY [J].
MARKS, DA ;
KATZ, A ;
HOFFER, P ;
SPENCER, SS .
ANNALS OF NEUROLOGY, 1992, 31 (03) :250-255