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Titolo:
Localizing and prognosis value of 99Tc(m)-ECD spect in patients with refractory temporal lobe epilepsies.
Autore:
Crespel, A; Baldy-Moulinier, M; Coubes, P; Chevallier, J;
Indirizzi:
Hop Gui De Chauliac, Serv Explorat Neurol & Epileptol, F-34295 Montpellier5, France Hop Gui De Chauliac Montpellier France 5 l, F-34295 Montpellier5, France Hop Gui De Chauliac, Serv Neurochirurg, F-34295 Montpellier, France Hop Gui De Chauliac Montpellier France F-34295 34295 Montpellier, France Hop Gui De Chauliac, Nucl Med Serv, F-34295 Montpellier 5, France Hop Gui De Chauliac Montpellier France 5 , F-34295 Montpellier 5, France
Titolo Testata:
REVUE NEUROLOGIQUE
fascicolo: 6-7, volume: 157, anno: 2001,
pagine: 639 - 648
SICI:
0035-3787(200107)157:6-7<639:LAPVO9>2.0.ZU;2-5
Fonte:
ISI
Lingua:
FRE
Soggetto:
CEREBRAL BLOOD-FLOW; EMISSION COMPUTED-TOMOGRAPHY; ICTAL SPECT; PARTIAL SEIZURES; BRAIN SPECT; LOCALIZATION; PERFUSION; LATERALIZATION; LOBECTOMY; DYSTONIA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
41
Recensione:
Indirizzi per estratti:
Indirizzo: Crespel, A Hop Gui De Chauliac, Serv Explorat Neurol & Epileptol, F-34295 Montpellier5, France Hop Gui De Chauliac Montpellier France 5 Montpellier5, France
Citazione:
A. Crespel et al., "Localizing and prognosis value of 99Tc(m)-ECD spect in patients with refractory temporal lobe epilepsies.", REV NEUROL, 157(6-7), 2001, pp. 639-648

Abstract

Interictal and ictal 99Tc(m) ECD-SPECT were retrospectively studied in 46 patients with refractory temporal lobe epilepsy, Forty two of these patients underwent an anterior temporal lobectomy with amygdalo-hippocampectomy ora cortical resection. SPECT findings as indicator of localization for the epileptogenic zone (EZ) and surgical prognosis were validated by comparisonwith other investigations including video-EEG monitoring with surface electrodes in all the patients, intracranial electrodes in 18 patients and the results of post-surgery outcome. Reliability of SPECT for localizing the epileptogenic zone (EZ) was found for mesial temporal epilepsy (28 patients) and the presumed bilateral temporal epilepsies (7 patients). In these latter cases, ECD-SPECT findings may serve to replace invasive methods with use of intracranial electrodes. SPECTs were unreliable when EZ was undeterminedwhether mesial or lateral by other non invasive investigations. Unilateralmesial temporal hyperperfusion associated with hypoperfusion of contralateral mesial structures evidenced by ictal SPECTs appear to be preoperative criteria for a successful outcome after surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 10:58:47