Application of ictal brain SPECT for differentiating epileptic from nonepileptic seizures.
The authors report 2 clinical cases that illustrate the difficulties with video-monitored EEG and the advantages of brain SPECT in differential diagnosis of true epileptic seizures and nonepileptic seizures. Injection of [99mTc]HMPAO at the time of the ictal event provides a means to obtain a SPECT image postictally for comparison with interictal examinations so that an epileptic or nonepileptic focus may be localized.
De León
O A
OA
Department of Psychiatry, University of Illinois College of Medicine, Chicago 60612, USA.
Blend
M J
MJ
Jobe
T H
TH
Pontón
M
M
Gaviria
M
M
D000328:Adult; D002560:Cerebrovascular Circulation / Q000502:physiology; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004827:Epilepsy / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D008297:Male; D015609:Organotechnetium Compounds; D010091:Oximes; D012640:Seizures / Q000000981:diagnostic imaging* / Q000503:physiopathology; D019690:Technetium Tc 99m Exametazime; D015899:Tomography, Emission-Computed, Single-Photon
D015609:Organotechnetium Compounds; D010091:Oximes; D019690:Technetium Tc 99m Exametazime