Abstract
Fourteen children with various seizure disorders were studied using a cerebral blood flow tracer, 123I iodoamphetamine (0.05 mCi/kg), and single photon emission computed tomography (SPECT). In the five patients with radiological lesions, SPECT showed congruent or more extensive abnormalities. Five of the nine children with a normal scan on computed tomography had abnormal SPECT studies consisting of focal hypoperfusion, diffuse hemispheric hypoperfusion, multifocal and bilateral hypoperfusion, or focal hyperperfusion. A focal lesion seen on SPECT has been found in children with tonic-clonic seizures suggesting secondarily generalised seizures. Moreover the pattern seen on SPECT seemed to be related to the clinical status. An extensive impairment found on SPECT was associated with a poor evolution in terms of intellectual performance and seizure frequency. Conversely all children with a normal result on SPECT had less than two seizures per year and normal neurological and intellectual development.
Full text
PDF




Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bonte F. J., Stokely E. M., Devous M. D., Sr, Homan R. W. Single-proton tomographic study of regional cerebral blood flow in epilepsy. A preliminary report. Arch Neurol. 1983 May;40(5):267–270. doi: 10.1001/archneur.1983.04050050035003. [DOI] [PubMed] [Google Scholar]
- Chugani H. T., Mazziotta J. C., Engel J., Jr, Phelps M. E. The Lennox-Gastaut syndrome: metabolic subtypes determined by 2-deoxy-2[18F]fluoro-D-glucose positron emission tomography. Ann Neurol. 1987 Jan;21(1):4–13. doi: 10.1002/ana.410210104. [DOI] [PubMed] [Google Scholar]
- Chugani H. T., Phelps M. E., Mazziotta J. C. Positron emission tomography study of human brain functional development. Ann Neurol. 1987 Oct;22(4):487–497. doi: 10.1002/ana.410220408. [DOI] [PubMed] [Google Scholar]
- Gastaut H., Gastaut J. L. Computerized transverse axial tomography in epilepsy. Epilepsia. 1976 Sep;17(3):325–336. doi: 10.1111/j.1528-1157.1976.tb03411.x. [DOI] [PubMed] [Google Scholar]
- Hill T. C., Holman B. L., Lovett R., O'Leary D. H., Front D., Magistretti P., Zimmerman R. E., Moore S., Clouse M. E., Wu J. L. Initial experience with SPECT (single-photon computerized tomography) of the brain using N-isopropyl I-123 p-iodoamphetamine: concise communication. J Nucl Med. 1982 Mar;23(3):191–195. [PubMed] [Google Scholar]
- Kuhl D. E., Engel J., Jr, Phelps M. E., Selin C. Epileptic patterns of local cerebral metabolism and perfusion in humans determined by emission computed tomography of 18FDG and 13NH3. Ann Neurol. 1980 Oct;8(4):348–360. doi: 10.1002/ana.410080403. [DOI] [PubMed] [Google Scholar]
- Lee B. I., Markand O. N., Siddiqui A. R., Park H. M., Mock B., Wellman H. H., Worth R. M., Edwards M. K. Single photon emission computed tomography (SPECT) brain imaging using N,N,N'-trimethyl-N'-(2 hydroxy-3-methyl-5-123I-iodobenzyl)-1,3-propanediamine 2 HCl (HIPDM): intractable complex partial seizures. Neurology. 1986 Nov;36(11):1471–1477. doi: 10.1212/wnl.36.11.1471. [DOI] [PubMed] [Google Scholar]
- Lucignani G., Nehlig A., Blasberg R., Patlak C. S., Anderson L., Fieschi C., Fazio F., Sokoloff L. Metabolic and kinetic considerations in the use of [125I]HIPDM for quantitative measurement of regional cerebral blood flow. J Cereb Blood Flow Metab. 1985 Mar;5(1):86–96. doi: 10.1038/jcbfm.1985.12. [DOI] [PubMed] [Google Scholar]
- Magistretti P. L., Uren R. F., Parker J. A., Royal H. D., Front D., Kolodny G. M. Monitoring of regional cerebral blood flow by single photon emission tomography of I123-N-isopropyl-iodoamphetamine in epileptics. Ann Radiol (Paris) 1983 Jan;26(1):68–71. [PubMed] [Google Scholar]
- Perlman J. M., Herscovitch P., Kreusser K. L., Raichle M. E., Volpe J. J. Positron emission tomography in the newborn: effect of seizure on regional cerebral blood flow in an asphyxiated infant. Neurology. 1985 Feb;35(2):244–247. doi: 10.1212/wnl.35.2.244. [DOI] [PubMed] [Google Scholar]
- Plum F., Posner J. B., Troy B. Cerebral metabolic and circulatory responses to induced convulsions in animals. Arch Neurol. 1968 Jan;18(1):1–13. doi: 10.1001/archneur.1968.00470310015001. [DOI] [PubMed] [Google Scholar]
- Podreka I., Suess E., Goldenberg G., Steiner M., Brücke T., Müller C., Lang W., Neirinckx R. D., Deecke L. Initial experience with technetium-99m HM-PAO brain SPECT. J Nucl Med. 1987 Nov;28(11):1657–1666. [PubMed] [Google Scholar]
- Smith A. L., Wollman H. Cerebral blood flow and metabolism: effects of anesthetic drugs and techniques. Anesthesiology. 1972 Apr;36(4):378–400. doi: 10.1097/00000542-197204000-00015. [DOI] [PubMed] [Google Scholar]
- Spencer S. S., Spencer D. D., Williamson P. D., Mattson R. H. The localizing value of depth electroencephalography in 32 patients with refractory epilepsy. Ann Neurol. 1982 Sep;12(3):248–253. doi: 10.1002/ana.410120306. [DOI] [PubMed] [Google Scholar]
- Theodore W. H., DiChiro G., Margolin R., Fishbein D., Porter R. J., Brooks R. A. Barbiturates reduce human cerebral glucose metabolism. Neurology. 1986 Jan;36(1):60–64. doi: 10.1212/wnl.36.1.60. [DOI] [PubMed] [Google Scholar]
- Theodore W. H., Holmes M. D., Dorwart R. H., Porter R. J., Di Chiro G., Sato S., Rose D. Complex partial seizures: cerebral structure and cerebral function. Epilepsia. 1986 Sep-Oct;27(5):576–582. doi: 10.1111/j.1528-1157.1986.tb03587.x. [DOI] [PubMed] [Google Scholar]
- WECHSLER R. L., DRIPPS R. D., KETY S. S. Blood flow and oxygen consumption of the human brain during anesthesia produced by thiopental. Anesthesiology. 1951 May;12(3):308–314. doi: 10.1097/00000542-195105000-00006. [DOI] [PubMed] [Google Scholar]

