Summary
We performed Tc99m-ECD interictal SPET in 26 children with severe therapy-resistant epilepsy. All children underwent detailed clinical examination, EEG investigation and brain MRI. In 21/26 children, SPET demonstrated brain blood flow abnormalities, 13 of them in the same territories with EEG alterations. MRI showed structural lesions in 6/26 children. These data confirm that brain SPET is considerably sensitive in detecting and localizing hypoperfused areas that could be associated with epileptic foci in these patients, even when the MRI pattern is normal.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ryvlin P, Philippon B, Cinotti L, Froment JC, Le Bars D, Mauguiere F: Functional neuroimaging strategy in temporal lobe epilepsy: a comparative study of 18FDG-PET and 99mTc-HMPAO-SPECT. Ann Neurol 1992; 31: 650–6.
Rowe CC, Berkovic SF, Austin MC, Saling M, Kalnins RM, McKay WJ, Bladin PF: Visual and quantitative analisys of interictal SPECT with Technetium99m-HMPAO in temporal epilepsy. J Nucl Med 1991; 32: 1688–94.
Ho SS, Berkovic SF, Newton MR, Austin MC, McKay WJ, Bladin PF: Parietal lobe epilepsy: clinical features and seizure localization by ictal SPECT. Neurology 1994; 44: 2277–84.
Vattimo A, Burroni L, Bertelli P, Vella A, Volterrani D: Brain SPECT with 99mTc-HMPAO in children with therapy-resistant epilepsy. J Nucl Biol Med 1994; 38: 373–4.
Grunwald F, Durwen HF, Bockisch A, Hotze A, Kersjes W, Elger CE, Biersack HJ: Technetium-99m-HMPAO brain SPECT in medically intractable temporal lobe epilepsy: a post-operative evaluation. J Nucl Med 1991; 32: 388–94.
Abdel-Dayem HM, Nawaz MK, Bassoon MM, Abdel-Rahman M, Olofsson OE: Cerebral perfusion abnormalities in therapy-resistant epilepsy in mentally retarded pediatric patients: comparison between EEG, X-ray CT, and Tc-99m HMPAO. Clin Nucl Med 1991; 16: 557–61.
Knudsen GM, Andersen AR, Somnier FE, Videbaek C, Hasselbalch S, Paulson OB: Brain extraction and distribution of 99mTc- Bicisate in humans and in rats. J Cereb Blood Flow Metab 1994; 14 suppl.l: S12–8.
Vallbhajosula S, Zimmerman RE, Picard M, Stritze P, Mena I, Hellman RS, Tikofsky RS, Stabin MG, Morgan RA, Goldsmith: Technetium-99m ECD: a new brain imaging agent: in vivo kinetics and biodistribution studies in normal human subjects. J Nucl Med 1989; 30: 599–604.
Leveille J, Demonceau G, Walovitch RC: Intrasubject comparison between Technetium-99m-ECD and Technetium-99m-HMPAO in healthy human subjects. J Nucl Med 1992; 33: 480–4.
Heiskala H, Launes J, Pihko H, Nikkinen P, Santavuori P: Brain perfusion in children with frequent fits. Brain Dev 1993; 15: 214–8.
Mitsuyoshi I, Tamaki K, Okuno T, Mutoh K, Iwasaki Y, Konishi J, Mikawa H: Regional cerebral blood flow in diagnosis of childhood onset partial epilepsy. Brain Dev 1993; 15: 97–102.
Valmier J, Touchon J, Daures P, Zanca M, Baldy-Moulinier M: Correlation between cerebral blood flow variations and clinical parameters in temoporal lobe epilepsy: an interictal study. J Neurol Neurosurg Psych 1987; 50: 1306–11.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1997 Springer Basel AG
About this chapter
Cite this chapter
Vattimo, A., Burroni, L., Bertelli, P., Volterrani, D., Vella, A. (1997). Tc99m-ECD Brain SPET in Diagnosis of Cerebral Perfusion Abnormalities in Children with Therapy-Resistant Epilepsy. In: Bergmann, H., Kroiss, A., Sinzinger, H. (eds) Radioactive Isotopes in Clinical Medicine and Research. Advances in Pharmacological Sciences. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-7772-5_18
Download citation
DOI: https://doi.org/10.1007/978-3-0348-7772-5_18
Publisher Name: Birkhäuser, Basel
Print ISBN: 978-3-0348-7774-9
Online ISBN: 978-3-0348-7772-5
eBook Packages: Springer Book Archive