Self-injection ictal SPECT during partial seizures

Van Paesschen W. ; Dupont P. ; Van Heerden B. ; Vanbilloen H. ; Mesotten L. ; Maes A. ; Van Driel G. ; Mortelmans L. (2000)


The authors compared ictal SPECT injection performed by medical personnel with self-injection ictal SPECT in six patients with refractory temporal lobe epilepsy. Self-injection was safe and started faster Self- injection subtraction ictal SPECT coregistered to MRI (SISCOM) was localizing in three patients who had a complex partial seizure, but only one or three patients who had a simple partial seizure, which may limit its usefulness in clinical practice. The localizing information of self-injection was better in three patients, and obviated the need for depth-EEG studies in one patient.

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