The development of an epileptogenic focus. A case study with 99mTc-HMPAO SPECT.

Abstract:

:A patient is described who developed complex partial seizures with secondary generalization 3 years after a severe viral encephalitis with a CT and EEG identified lesion in the left insular cortex and its surrounding structures. When the seizures first occurred CT and MRI as well as repeated interictal conventional EEG recordings were entirely normal. Single photon emission computed tomography (SPECT), however, revealed an area of increased 99mTc-hexamethyl propyleneamine oxime (HMPAO) uptake in the left insular cortex. After anticonvulsive therapy the seizures and the SPECT findings disappeared. 99mTc-HMPAO SPECT is a highly sensitive method for the demonstration of functional alterations in brain tissue. It can improve diagnosis of epilepsy and may provide additional information to monitor anticonvulsive therapy.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Dressler D,Voth E,Feldmann M,Henze T,Felgenhauer K

doi

10.1007/BF00314461

subject

Has Abstract

pub_date

1989-07-01 00:00:00

pages

300-2

issue

5

eissn

0340-5354

issn

1432-1459

journal_volume

236

pub_type

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