发作期功能经颅多普勒超声用于癫痫发作起始区的定位——两例报告

Ictal functional TCD for the lateralization of the seizure onset zone--a report of two cases.

作者信息

Knake Susanne, Haag Anja, Pilgramm Guido, Reis Janine, Klein Karl M, Hoeffken Helmut, Bartenstein Peter, Oertel Wolfgang H, Hamer Hajo M, Rosenow Felix

机构信息

Department of Neurology, Interdisciplinary Epilepsy Center, Philipps-University Marburg, Germany.

出版信息

Epilepsy Res. 2004 Nov;62(1):89-93. doi: 10.1016/j.eplepsyres.2004.08.004.

DOI:10.1016/j.eplepsyres.2004.08.004

PMID:15519135

Abstract

Ictal functional transcranial Doppler sonography (I-fTCD) was used to lateralize the ictal onset zone in the presurgical evaluation of two patients with temporal lobe epilepsy. In one patient, I-fTCD and ictal SPECT were performed simultaneously during EEG-monitoring. In both patients, results were concordant with the ictal SPECT findings, PET and semiology. I-fTCD seems to be an interesting new method to non-invasively lateralize the seizure onset zone with high temporal resolution. I-fTCD and SPECT may give complementary information to lateralize the seizure onset zone.

摘要

发作期功能性经颅多普勒超声检查（I-fTCD）用于在两名颞叶癫痫患者的术前评估中确定发作起始区的位置。在一名患者中，在脑电图监测期间同时进行了I-fTCD和发作期单光子发射计算机断层扫描（ictal SPECT）。在两名患者中，结果均与发作期SPECT检查结果、正电子发射断层扫描（PET）和症状学一致。I-fTCD似乎是一种有趣的新方法，可用于以高时间分辨率无创地确定癫痫发作起始区的位置。I-fTCD和SPECT可能为确定癫痫发作起始区提供互补信息。