Three Different FDG Patterns in Periventricular Nodular Heterotopia Correlated to Video Stereoelectroencephalography

被引：2
作者：
Bund, Caroline [1 ,2 ]
Hirsch, Maria Paola Valenti [3 ]
Ollivier, Irene [4 ]
Hirsch, Edouard [3 ]
Namer, Izzie Jacques [1 ,2 ]
机构：
[1] Inst Cancerol Strasbourg Europe ICANS, Serv Med Nucl & Imagerie Mol, 17 Rue Albert Calmette, F-67033 Strasbourg, France
[2] Univ Strasbourg, CNRS, ICube, UMR 7357, Strasbourg, France
[3] Hop Univ Strasbourgand, Hop Hautepierre, Serv Neurol, Strasbourg, France
[4] Hop Univ Strasbourg, Hop Hautepierre, Serv Neurochirurg, Strasbourg, France
来源：
CLINICAL NUCLEAR MEDICINE | 2021年 / 46卷 / 07期
关键词：
epilepsy; FDG PET; heterotopia; MRI; stereoelectroencephalography (SEEG); PET; MRI; EPILEPSY; PATIENT; EEG;
D O I：
10.1097/RLU.0000000000003573
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
A 40-year-old woman with a drug-resistant focal epilepsy underwent cerebral FDG PET in phase 1 presurgical epilepsy study. MRI essentially showed multiple periventricular nodular heterotopias. The stereoelectroencephalography coupled to MRI and FDG PET helped to define the anatomofunctional correlation of the epileptogenic zone network. This procedure brought to light 3 distinct patterns of FDG consumption, corresponding to different anatomoelectroclinical features. This pattern was already found in a previous FDG PET reflecting a "stable" permanent intralesional intercritical stereoelectroencephalography activity, an electrical "signature" of the lesion. Finally, functional imaging improved thermocoagulation in this patient and emphasized the use of FDG in drug-resistant epilepsy.
引用
收藏
页码：586 / 588
页数：3
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