Interictal cerebral metabolism in partial epilepsies of
neocortical origin
Source: Epilepsy Res
1991 Nov;10(2-3):174-182.
Author: Henry TR;Sutherling WW;Engel J;Risinger MW;Levesque MF;Mazziotta
JC;Phelps ME PubMed ID: 1817957
Abstract:
We performed interictal [18F]fluorodeoxyglucose positron emission
tomography (FDG PET) in 24 patients with partial epilepsy of neocortical
origin. Two-thirds of patients had regions of hypometabolism. The zone
of intracranially recorded electrographic ictal onset was always located
in a region of hypometabolism, in those with hypometabolism.
Hypometabolic regions in partial epilepsies of neocortical origin were
usually associated with structural imaging abnormalities. Regional
hypometabolism occasionally occurred without localizing ictal scalp EEG
and cerebral magnetic resonance imaging findings, however. FDG PET may
be useful in directing placement of intracranial electrodes for
presurgical evaluation of refractory neocortical seizures