Ictal SPECT in Sturge-Weber syndrome

We report on a patient with right-sided Sturge-Weber syndrome (SWS), in whom earlier functional hemispherectomy failed. Subtraction of ictal and interictal single-photon-emission-computed-tomography (SPECT) superimposed on individual MRI showed a right fronto-orbital hyperperfusion, with a left-side...

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Bibliographic Details
Main Author: Bilgin, O (author)
Other Authors: Vollmar, C (author), Peraud, A (author), la Fougere, C (author), Beleza, P (author), Noachtar, S (author)
Format: article
Language:eng
Published: 2013
Subjects:
Síndrome de Sturge-Weber
Convulsões
Tomografia de Emissão de Fotão Único
Online Access:http://hdl.handle.net/10400.23/447
Country:Portugal
Oai:oai:repositorio.hospitaldebraga.pt:10400.23/447
Description
Summary:We report on a patient with right-sided Sturge-Weber syndrome (SWS), in whom earlier functional hemispherectomy failed. Subtraction of ictal and interictal single-photon-emission-computed-tomography (SPECT) superimposed on individual MRI showed a right fronto-orbital hyperperfusion, with a left-sided EEG seizure pattern. Ictal SPECT supported our assumption that right frontal originated seizure pattern propagated to left hemisphere via the remaining right frontal bridge. Right orbito-frontal resection and disconnection from corpus callosum resulted in seizure freedom.

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