Local cerebral metabolism during partial seizures.

Abstract:

:Interictal and ictal fluorodeoxyglucose scans were obtained with positron CT from four patients with spontaneous recurrent partial seizures, one with epilepsia partialis continua, and one with a single partial seizure induced by electrical stimulation of the hippocampus. Ictal metabolic patterns were different for each patient studied. Focal and generalized increased and decreased metabolism were observed. Ictal hypermetabolism may exceed six times the interictal rate and could represent activation of excitatory or inhibitory synapses in the epileptogenic region and its projection fields. Hypometabolism seen on ictal scans most likely reflects postictal depression and may indicate projection fields of inhibited neurons. No quantitative relationship between alterations in metabolism and EEG or behavioral measurements of ictal events could be demonstrated.

journal_name

Neurology

journal_title

Neurology

authors

Engel J Jr,Kuhl DE,Phelps ME,Rausch R,Nuwer M

doi

10.1212/wnl.33.4.400

subject

Has Abstract

pub_date

1983-04-01 00:00:00

pages

400-13

issue

4

eissn

0028-3878

issn

1526-632X

journal_volume

33

pub_type

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