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Journal of Nuclear Medicine

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OtherClinical Investigations

The Relative Localizing Value of Interictal and Immediate Postictal SPECT in Seizures of Temporal Lobe Origin

Kalarickal J. Oommen, Sadia Saba, Joseph A. Oommen, Paul C. Francel, Charles D. Arnold and Don A. Wilson
Journal of Nuclear Medicine December 2004, 45 (12) 2021-2025;
Kalarickal J. Oommen
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Sadia Saba
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Joseph A. Oommen
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Paul C. Francel
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Charles D. Arnold
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Don A. Wilson
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  • FIGURE 1.
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    FIGURE 1.

    Pattern 1: Focal interictal hypoperfusion (left) and immediate postictal hyperperfusion in same temporal lobe.

  • FIGURE 2.
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    FIGURE 2.

    Pattern 2: Symmetric bilateral interictal hypoperfusion and asymmetric unilateral (right) immediate postictal hyperperfusion.

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    FIGURE 3.

    Pattern 3: Bilateral interictal hypoperfusion and unilateral (right) immediate postictal accentuation of hypoperfusion in temporal lobe.

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    TABLE 1

    SPECT Findings

    SPECT findingTotal (n)Ipsilateral to EEG focus*Contralateral to EEG focus*
    IISPECT
        Hypoperfusion3632 (88.9)4 (11.1)
        Hyperperfusion000
    PISPECT
        Hyperperfusion1918 (94.7)1 (5.3)
        Hypoperfusion109 (90)1 (10)
    • ↵* Data are presented as number (%).

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    TABLE 2

    Relationship of Perfusion Patterns to EEG Localization

    SPECT patternTotal (n)Localization by SPECT pattern
    Ipsilateral to EEG focus*Contralateral to EEG focus*
    Pattern 11413 (92.9)1 (7.1)
    Pattern 211 (100)0
    Pattern 3109 (90)1 (10)
    • ↵* Data are presented as number (%).

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Journal of Nuclear Medicine: 45 (12)
Journal of Nuclear Medicine
Vol. 45, Issue 12
December 1, 2004
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The Relative Localizing Value of Interictal and Immediate Postictal SPECT in Seizures of Temporal Lobe Origin
Kalarickal J. Oommen, Sadia Saba, Joseph A. Oommen, Paul C. Francel, Charles D. Arnold, Don A. Wilson
Journal of Nuclear Medicine Dec 2004, 45 (12) 2021-2025;

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The Relative Localizing Value of Interictal and Immediate Postictal SPECT in Seizures of Temporal Lobe Origin
Kalarickal J. Oommen, Sadia Saba, Joseph A. Oommen, Paul C. Francel, Charles D. Arnold, Don A. Wilson
Journal of Nuclear Medicine Dec 2004, 45 (12) 2021-2025;
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