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Ictal Hyperperfusion of Cerebellum and Basal Ganglia in Temporal Lobe Epilepsy: SPECT Subtraction with MRI Coregistration

Epilepsy Program, Department of Neurology, and Department of Nuclear Medicine, Samsung Medical Center, and Center for Clinical Research, Samsung Biomedical Research Institute, Sungkyunkwan University School of Medicine, Seoul, Korea

View larger version (59K): [in a new window]   FIGURE 1. Images of SPECT subtraction with MRI coregistration. (A) Ictal hyperperfusion on left temporal lobe and left cerebellar hemisphere (CH ipsilateral to epileptic focus) in 37-y-old man with left TLE. (B) Ictal hyperperfusion on left temporal lobe and right cerebellar hemisphere (CH contralateral to epileptic focus) in 27-y-old man with left TLE. (C) Ictal hyperperfusion on left temporal lobe with no CH in 22-y-old woman with left TLE. (D) Ictal hyperperfusion on left temporal lobe, left basal ganglia, left frontal region, and right cerebellar hemisphere in 25-y-old woman with left TLE.