title: (11)C-Methionine uptake in secondary brain epilepsy.
abstract: Carbon-11 methionine ((11)C-Methionine) is a radio-labeled amino acid currently utilized in Positron Emission Tomography (PET) for imaging primary and metastatic brain tumors. Its clinical use relies mostly on oncologic applications, but the tracer has the potential to investigate other non-malignant conditions. So far, very limited evidence concerns the use of (11)C-Methionine in patients suffering from seizure; however, the tracer can find a proper utilization in this setting especially as a diagnostic complement to (18)F-Fluorodeoxyglucose ((18)F-FDG). Herein we report the case of a 57-year-old patient presenting with epileptic crises secondary to a brain metastasis from bladder carcinoma, who was investigated in our institution with (11)C-Methionine PET. The scan documented the disease recurrence in the left parietal lobe associated with a diffused tracer uptake in the surrounding cerebral circumvolutions, derived from the comitial status. After surgical removal of the metastatic lesion, the patient experienced a complete recovery of symptoms and no further onset of secondary seizure.
authors.affiliation: Nuclear Medicine, Humanitas Clinical and Research Center, Rozzano, MI, Italy. Electronic address: egesta.lopci@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Lopci
authors.affiliation: Neurosurgery, Humanitas Clinical and Research Center, Rozzano, MI, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Bello
authors.affiliation: Nuclear Medicine, Humanitas Clinical and Research Center, Rozzano, MI, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Chiti
mesh_terms: D001932:Brain Neoplasms / Q000000981:diagnostic imaging* / Q000378:metabolism / Q000556:secondary; D004827:Epilepsy / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D008715:Methionine / Q000493:pharmacokinetics; D008875:Middle Aged; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals
chemical_list: D019275:Radiopharmaceuticals; C086242:carbon-11 methionine; D008715:Methionine
keywords: (11)C-Methionine; (11)C-metionina; Brain metastasis; Crisis convulsiva; Epilepsia; Epilepsy; Metástasis cerebral; PET; Positron Emission Tomography; Seizure; Tomografía por emisión de positrones