1. “Magnetic Resonance Imaging Negative Positron Emission Tomography Positive” Temporal Lobe Epilepsy: FDG-PET Pattern Differs from Mesial Temporal Lobe Epilepsy.
- Author
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R. P. Carne, M. J. Cook, L. R. MacGregor, C. J. Kilpatrick, R. J. Hicks, and T. J. O’Brien
- Subjects
MAGNETIC resonance imaging ,HIPPOCAMPUS (Brain) ,POSITRON emission tomography ,METABOLISM ,EPILEPSY - Abstract
AbstractPurpose??Some patients with temporal lobe epilepsy (TLE) lack evidence of hippocampal sclerosis (HS) on MRI (HS-ve). We hypothesized that this group would have a different pattern of 2-deoxy-2-[F-18]fluoro-d-glucose (FDG)-positron emission tomography (PET) hypometabolism than typical mesial TLE/HS patients with evidence of hippocampal atrophy on magnetic resonance imaging (MRI) (HS+ve), with a lateral temporal neocortical rather than mesial focus.Procedures??Thirty consecutive HS-ve patients and 30 age- and sex-matched HS+ve patients with well-lateralized EEG were identified. FDG-PET was performed on 28 HS-ve patients and 24 HS+ve patients. Both groups were compared using statistical parametric mapping (SPM), directly and with FDG-PET from 20 healthy controls.Results??Both groups showed lateralized temporal hypometabolism compared to controls. In HS+ve, this was antero?infero?mesial (T?=?17.13); in HS-ve the main clustering was inferolateral (T?=?17.63). When directly compared, HS+ve had greater hypometabolism inmesial temporal/hippocampal regions (T?=?4.86); HS-ve had greater inferolateral temporal hypometabolism (T?=?4.18).Conclusions??These data support the hypothesis that focal hypometabolism involves primarily lateal neocortical rather than mesial temporal structures in ?MRI-negative PET-positive TLE.? [ABSTRACT FROM AUTHOR]
- Published
- 2007
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