複雑な身振り自動症を呈し, 発作時SPECTにて前頭葉眼窩面および内側面に高集積像を示した1症例  [in Japanese] A Case Report of Epilepsy with Complex Gestural Automatisms witch Showed Regional Hyperperfusion in the Orbitofrontal and Medial Frontal Lobe in Ictal SPECT  [in Japanese]

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Abstract

症例は20歳、男性。日中覚醒時の動悸や上腹部不快感を伴う単純部分発作と、早朝睡眠時の複雑な身振り自動症を呈する複雑部分発作が頻回に出現した。入院の上、発作時ビデオ脳波同時記録検査、発作時SPECT検査を施行した。発作時SPECT検査では、複雑部分発作の開始と同時に<SUP>99m</SUP>Tc-ECDを静脈内投与し、得られた画像をUNIXプログラムによりMRI画像と重ね合せ処理した。その結果、複雑部分発作開始直後の両側前頭葉、特に右前頭葉眼窩面および内側面の高集積像を鮮明にとらえることができた。

The case of a 20-year-old man with frequent simple partial seizures characterized by palpitations and/or epigastric sensations while awake as well as complex partial seizures characterized by complex gestural automatisms in the early morning, is reported. After admission, video/EEG monitoring and ictal SPECT were conducted. For ictal SPECT, <SUP>99m</SUP>Tc-ECD was injected immediately after the complex partial seizure onset. Five minutes after the tracer injection, SPECT images of the brain was acquired. Acquired SPECT images were superimposed upon MRI images with the UNIX program. As a result, regional hyperperfusion in the frontal lobe, particularly in the orbitofrontal and medial frontal regions on the right side was demonstrated clearly.

Journal

  • Journal of the Japan Epilepsy Society

    Journal of the Japan Epilepsy Society 18(1), 15-20, 2000-02-29

    JAPAN EPILEPSY SOCIETY

References:  18

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008556150
  • NII NACSIS-CAT ID (NCID)
    AN10043823
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    09120890
  • Data Source
    CJP  CJPref  J-STAGE 
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