J Korean Epilepsy Soc.
2004 Jun;8(1):61-64.
Simple Partial Status Epilepticus Localized by SPECT Subtraction in Chronic Cerebral Paragonimiasis
- Affiliations
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- 1Department of Neurology, Samsung Medical Center & Center for Clinical Research, SBRI, Sungkyunkwan University School of Medicine, Seoul, APCTP/NCSL, Korea. hongsb@samsung.co.kr
- 2Department of Physics, POSTECH, Pohang, Korea.
Abstract
- A patient with chronic cerebral paragonimiasis began to have new motor seizures of the right face clonic contractions that occurred several hundred times a day resulting in the simple partial status epilepticus. The ictal EEG discharge started from the left frontal region and then spread to the left hemisphere. The ictal discharges were limited clearly to the left hemisphere. The brain MRI showed the multiple conglomerated round nodules with encephalomalacia in the left temporo-occipital lobes. Applying the ictal-interictal subtracted SPECT, we were able to localize the focal ictal hyperperfusion on the left precentral cortex adjacent to the lesions that correspond to the anatomical distribution of the left face motor area.
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