Fokal EEG Anormalliği Olan Epilepsi Hastalarında Manyetik Rezonans Görüntüleme ve İnteriktal 99mtc-Hmpao Spect Bulguları Arasındaki İlişki

Elektroensefalografide fokal anormalliği olan 25 epileptik hastada, retrospektif olarak elektroensefalografi bulguları ile manyetik rezonans görüntüleme ve interiktal 99mTc-HMPAO single foton emisyon bilgisayarlı tomografi (SPECT) bulguları karşılaştırıldı. Sonuçlar, interiktal elektroensefalografi bulguları ile, manyetik rezonans görüntüleme bulgularından ziyade 99mTc-HMPAO SPECT'in bulgularının daha uyumlu olduğunu gösterdi. Anahtar kelimeler: Epilepsi; Elektroensefalografi; Single Foton Emisyon Komputarize Tomografi; Manyetik Rezonans Görüntüleme.

Relationship between Magnetic Resonance Imaging and Interictal 99mtc-Hmpao Spect Findings in Epilepsy Patients with Focal EEG Abnormalities

We studied the relationship between single photon emission computed tomography (SPECT), magnetic resonance imaging (MRI) and focal electroencephalographic (EEG) findings in 25 epileptic patients. Our results showed SPECT was more consistent than MRI on detection of localized abnormalities corresponding to epileptic EEG foci. Key words: Epilepsy; Electroencephalography; Single Photon Emission Computed Tomography; Magnetic Resonance İmaging.

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  • Sarıkaya A, Kaya M, Karasalihoglu S, Alemdar A, Altun G, Berkarda S. Comparison between semiquantitative interictal Tc- 99m HMPAO SPECT and clinical parameters in children with partial seizures. Brain & Development 1999;21:179-83.
  • Theodore WH, DiChiro G, Margolin R, Fishbein D, Porter RJ, Brooks RA. Neuroimaging in refractory partial seizures: comparison of PET, CT, and MRI. Neurology 1986;36(6):750-9.
  • Swartz BE, Halgren E, Delgado-Escueta AV, Mandelkern M, Gee M, Quinones N, Blahd WH, Repchan J. Neuroimaging in patients with seizures of probable frontal lobe origin. Epilepsia 1989;30(5):547-8.
  • Smith BJ, Karvelis KC, Cronan S, Porter W, Smith L, Pantelic MV, Elisevich K. Developing an effective program to complete ictal SPECT in the epilepsy monitoring unit. Epilepsy Research 1999;33:189-97.
  • Yılmaz H, Mavioğlu H, Tosun C, Okudur İ. Epilepsi olgularımızın demografik ve klinik özellikleri: poliklinik tabanlı bir çalışma. Düşünen Adam 2000;13(3):180-4.
  • Reynolds EH. ILAE/IBE/WHO epilepsy global campaign history. Epilepsia 2002;43:9-11.
  • Chugani HT, Shewmon DA, Peacock WJ, Shields WD, Mazziotta JC, Phelps ME. Surgical treatment of intractable neonatal onset seizures: the role of positron emission tomography. Neurology 1988;38:1178-88.
  • Engel J. The use of positron emission tomography scanning in epilepsy. Ann Neurol 1984;15 (Suppl):180–91.
  • Kuhl DE, Engel J, Phelps ME, Selin C. Epileptic patterns of local cerebral metabolism and perfusion in humans determined by emission computed tomography of 18-FDG and 13-NH3. Ann Neurol 1980;8:348-60.
  • Ryvlin P, Philippon B, Cinotti L, Froment JC, Le Bars D, Mauguiere F. Functional neuroimaging strategy in temporal lob epilepsy: a comparative study of 18FDG-PET and 99m Tc- HMPAO-SPECT. Ann Neurol 1992;31:650-6.
  • Joo EY, Tae WS, Hong SB. Cerebral blood flow abnormality in patients with idiopathic generalized epilepsy. J Neurol 2008;255(4):520-5.
  • Benbadis SR, Pallagi J, Morris GL, Collier BD, Hellman RS. Ictal SPECT findings in typical absence seizures. J Epilepsy 1998;11:187-90.
  • Iannetti P, Spalice A, De Luca PF, Boemi S, Festa A, Maini CL. Ictal single photon emission computed tomography in absence seizures: apparent implication of different neuronal mechanisms. J Child Neurol 2001;16(5):339-44.
  • Yeni SN, Kabasakal L, Yalçinkaya C, Nişli C, Dervent A. Ictal and interictal SPECT findings in childhood absence epilepsy. Seizure 2000;9(4):265-9.
  • Odabaşı Z, Demirkaya Ş, Gökçil Z, Atilla S, Vural O, Yardım M. SPECT and MRI findings in a case of extensive neuronal migration disorder. Clinical Neurology and Neurosurgery 1997;99:276-9.
  • Iannetti P, Spalice A, Raucci U, Atzei G, Cipriani C. Gelastic epilepsy: video-EEG, MRI and SPECT characteristics. Brain and Development 1997;19: 418-21.
  • Spanaki MV, Spencer SS, Wisniewski G, MacMullan J, Seibyl J, Zubal GI. Evolution and localization of postictal blood flow changes in partial seizures demonstrated by SPECT: Use of quantitative difference images. J Epilepsy 1998;11:25-33.
  • Rowe CC, Berkovic SF, Austin MC, Saling M, Kalnins RM, McKay WJ, Bladin PF. Visual and quantitative analysis of interictal SPECT with technetium-99m-HMPAO in temporal lobe epilepsy. J Nucl Med 1991;32(9):1688-94.
  • Rowe CC, Berkovic SF, Austin MC, McKay WJ, Bladin PF. Patterns of postictal cerebral blood flow in temporal lobe epilepsy: qualitative and quantitative analysis. Neurology 1991;41(7):1096-103.
  • O’Brien TJ, Zupanc ML, Mullan BP, O’Connor MK, Brinkmann BH, Cicora KM, So EL. The practical utiliy of performing peri- ictal SPECT in evaluation of Children with partial epilepsy. Pediatric Neurology 1998;19(1):15-22.
  • Matsumura A, Enomoto T, Yoshizawa T, Anno I, Isobe T, Fujimoto A, Muraki S, Nose T. Localization of focus in intractable epilepsy with pharmacological (bemegride) SPECT and pharmacological functional MRI. International Congress Series 2002;1232:443-51.
  • Quintana JC, Lasso J, Olea E, Godoy J, Mesa T, Santin J, Oreliana P. Mediation of cerebral blood flow with SPECT in partial complex seizures, using Tc 99m-ECD. EEG Clin Neurophysiol 1997;103(1):173.
  • Shimizu T, Yoshikawa J, Miyasaka M, Nakano T, Ohmori K.-i. A study on relationship between longitudinal changes of spect, focal EEG, MRI and seizures in temporal lobe epilepsy. EEG Clin Neurophysiol 1997;103(1):173.
  • Marrosu F, Puligheddu M, Giagheddu, Cossu G, Piga M. Correlation between cerebral perfusion and hyperventilation enhanced focal spiking activity. Epilepsy Research 2000;40:79-86.
  • Recio MV, Gallagher MJ, McLean MJ, Abou-Khalil B. Clinical features of epilepsy in patients with cerebellar structural abnormalities in a referral center. Epilepsy Research 2007;76(1):1-5.
  • Thomas R, Bhatia M, Bal CS, Gaikwad S, Singh VP, Jain S. Correlation of ictal EEG and SPECT studies in patients of intractable epilepsy with normal MRI. Neurol India 2002;50(4):440-3.
  • Vidal JA, Salas-Puig J, Fernández-Raigoso P, Roiz C, Fernández JM, Suárez-Cuervo A, Lahoz CH. Intercritical SPECT in drug- resistant partial epilepsy with normal MRI: a study of 33 cases. Rev Neurol 1997;25(137):48-55.
Turgut Özal Tıp Merkezi Dergisi-Cover
  • ISSN: 1300-1744
  • Başlangıç: 1994
  • Yayıncı: -
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