The use of positron emission tomography in the clinical assessment of epilepsy.

Abstract:

:Positron emission tomography (PET) of local cerebral glucose utilization is highly sensitive in detecting epileptogenic regions that correspond to electrographic localization in patients with epilepsy. In medically refractory temporal lobe epilepsy for which surgical resection of the epileptogenic zone is a therapeutic option, the application of PET enables more than 50% of adults and older children to be successfully operated on without the necessity for chronic intracranial electrographic monitoring. In infants with intractable infantile spasms and various types of partial epilepsy, PET has uncovered focal areas of cortical dysplasia and other anatomic abnormalities, which, after resection, have resulted in cessation of seizures and developmental improvement. The distribution of PET abnormality is in excellent agreement with the extent of the epileptogenic zone as determined by intraoperative electrocorticography, thus avoiding the necessity for chronic intracranial electrographic monitoring in 90% of these infants. As a result of PET, the preoperative evaluation of intractable epilepsy in both adults and children has become less invasive and less costly.

journal_name

Semin Nucl Med

authors

Chugani HT

doi

10.1016/s0001-2998(05)80119-9

subject

Has Abstract

pub_date

1992-10-01 00:00:00

pages

247-53

issue

4

eissn

0001-2998

issn

1558-4623

pii

S0001-2998(05)80119-9

journal_volume

22

pub_type

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