PREOPERATIVE EVALUATION OF MEDICALLY INTRACTABLE PARTIAL SEIZURES USING I-123 IOMAZENIL SPECT

被引:0
作者
VENZ, S [1 ]
CORDES, M [1 ]
STRAUB, HB [1 ]
HIERHOLZER, J [1 ]
SCHRODER, R [1 ]
RICHTER, W [1 ]
SCHMITZ, B [1 ]
MEENCKE, H [1 ]
FELIX, R [1 ]
机构
[1] FREE UNIV BERLIN,KLINIKUM RUDOLF VIRCHOW W,NEUROL KLIN & POLIKLIN,D-13353 BERLIN,GERMANY
关键词
FOCAL EPILEPSY; I-123-LOMAZENIL; VIDO EEG MONITORING; SPECT; MRI; EPILEPSY SURGERY;
D O I
暂无
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
SPECT with the benzodiazepine receptor antagonist I-123-Iomazenil was performed in 33 patients with intractable partial seizures for pre-operative evaluation. The results combined with MRI and 99mTc-HMPAO-SPECT findings were com-pared with the video-assisted EEG monitoring (''gold standard'') which localised the focus in 25 patients. 11 patients underwent surgical resection of the epileptogenic area and became seizure-free for a period up to 13 months. The Iomazenil SPECT had a significantly higher sensitivity compared to 99mTc-HMPAO in the visualization of an epileptogenic area and should be regularly used in the diagnostic of medically intractable partial seizures.
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页码:189 / 193
页数:5
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