The Lennox-Gastaut syndrome: metabolic subtypes determined by
2-deoxy- 2[18F]fluoro-D-glucose positron emission tomography
Source: Ann Neurol
1987 Jan;21(1):4-13.
Author: Chugani HT;Mazziotta JC;Engel J;Phelps ME PubMed ID: 3103528
Abstract:
We employed positron emission tomography (PET) with 2-deoxy-
2[18F]fluoro-D-glucose (FDG) to study local cerebral glucose utilization
in 15 children who had Lennox-Gastaut syndrome. Our results show that
LGS can be classified into four predominant subtypes, each with a
distinct metabolic pattern: unilateral focal hypometabolism, unilateral
diffuse hypometabolism, bilateral diffuse hypometabolism, and normal.
Functional disturbances seen on FDG-PET did not always correlate with
abnormalities revealed by x-ray computed tomographic scan. This
classification of Lennox-Gastaut syndrome into four major metabolic
subtypes not only provides a new perspective toward understanding
cerebral function in this complex syndrome, but may also prove useful in
the clinical management of these patients