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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/1273

Title: ORIGINAL ARTICLE - Correlation of Ictal EEG and SPECT Studies in Patients of Intractable Epilepsy with Normal MRI
Authors: Thomas, R.
Bhatia, M.
Bal, C. S.
Gaikwad, S. B.
Singh, V. P.
Jain, S.
Issue Date: Dec-2002
Publisher: Medknow Publications on behalf of the Neurological Society of India
Citation: Neurology India 50(4)
Abstract: Identification of the epileptic focus is the most important requirement for a successful surgical outcome in intractable epilepsy. Patients with normal MRI on high-resolution imaging pose a significant challenge in this regard. We tried to identify the epileptic focus using interictal / ictal SPECT and ictal EEG patterns in 14 patients with normal MRI. Rhythmic ictal onset activity helped to identify a single focus in 10 patients (71.43%). Inter ictal SPECT detected a focus corresponding to ictal EEG in 6 out of 10 patients (60%) in whom the test was performed. Ictal SPECT done in 5 patients correctly identified the focus in all patients (100%). Our data indicate that it is possible to obtain localization in patients with normal MRI using a combination of ictal EEG patterns and an ictal SPECT study.
URI: http://bioline.utsc.utoronto.ca/archive/00000402/01/ni02119.pdf
Appears in Collections:Bioline International Legacy Collection

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