Parietal lobe epileptic focus identified on SPECT-MRI fusion imaging in a case of epilepsia partialis continua.
Epilepsia partialis continua, or "Kozhevnikov syndrome," is a rare condition characterized by persistent localized motor seizures usually localized in a distant limb. It is most often seen in children under 16 years old without gender preference. We report a 12-year-old girl with epilepsia partialis continua who presented to the emergency room after the onset of seizures. Routine electroencephalography (EEG) was performed with no clear ictal localization. Magnetic resonance imaging (MRI) was unremarkable. Ictal single photon emission computed tomography (SPECT) images with Tc-99m exametazime fused with MRI images revealed a parietal lobe epileptic focus within the superior segment of the postcentral gyrus. This case illustrates a rare disorder with an unusual epileptic localization identified by SPECT-MRI fusion.
Matthews
Robert
R
Department of Radiology, Stony Brook University Hospital, Stony Brook, New York 11794, USA. robert.matthews@stonybrook.edu
Franceschi
Dinko
D
Xia
Wenlang
W
Cabahug
Corazon
C
Schuman
Gail
G
Bernstein
Robert
R
Peyster
Robert
R
D000293:Adolescent; D002648:Child; D017036:Epilepsia Partialis Continua / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D010296:Parietal Lobe / Q000000981:diagnostic imaging* / Q000473:pathology*; D013382:Subtraction Technique; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods*