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额筛部脑膨出病例的发作间期氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描脑部影像

Interictal F- FDG PET/computed tomography brain in a case of frontoethmoidal encephalocele.

作者信息

Kousik Vankadari, Satish Kandraju Sai, Rao Sai Sripada, Rajesh Boyina Jagadeshwar

机构信息

Department of Nuclear Medicine, Yashoda Hospital, Secunderabad, Telangana, India.

Department of Neurology, Yashoda Hospital, Secunderabad, Telangana, India.

出版信息

World J Nucl Med. 2021 Aug 20;20(4):398-400. doi: 10.4103/wjnm.wjnm_25_21. eCollection 2021 Oct-Dec.

DOI:10.4103/wjnm.wjnm_25_21
PMID:35018161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8686748/
Abstract

Encephaloceles, also known as meningoencephaloceles, are a group of neurological disorders characterized by herniation of the cerebral parenchyma along with overlying meninges through openings in the skull bone. They can be seen following congenital defect in neural tube closure or acquired defect in the skull bone. We report a case of acquired frontoethmoidal encephalocele presenting with drug-refractory epilepsy. Interictal FDG PET-computed tomography done for lateralization and localization of seizure focus showed right-sided frontoethmoidal encephalocele associated with hypometabolism in the adjacent right frontopolar cortex, concordant with ictal onset on electroencephalogram.

摘要

脑膨出,也称为脑膜脑膨出,是一组神经系统疾病,其特征是脑实质连同覆盖其上的脑膜通过颅骨的开口疝出。它们可在神经管闭合的先天性缺陷或颅骨的后天性缺陷后出现。我们报告一例获得性额筛脑膨出伴药物难治性癫痫的病例。为癫痫灶的定位和定侧进行的发作间期氟代脱氧葡萄糖正电子发射断层扫描计算机断层扫描显示右侧额筛脑膨出,伴有相邻右侧额极皮质代谢减低,与脑电图上的发作起始一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbc/8686748/658acb257f21/WJNM-20-398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbc/8686748/c2434aae506b/WJNM-20-398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbc/8686748/658acb257f21/WJNM-20-398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbc/8686748/c2434aae506b/WJNM-20-398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bbc/8686748/658acb257f21/WJNM-20-398-g002.jpg

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本文引用的文献

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Transalar transsphenoidal meningoencephalocele presenting in the form of recurrent meningitis: Report of two cases and discussion of the diagnosis and treatment.以复发性脑膜炎形式出现的经翼状经蝶窦脑膜脑膨出:两例报告及诊断与治疗讨论
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Epilepsy surgery for refractory epilepsy due to encephalocele: a case report and review of the literature.脑膨出致耐药性癫痫的癫痫外科手术治疗:病例报告及文献复习。
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Small temporal pole encephaloceles: a treatable cause of "lesion negative" temporal lobe epilepsy.小型颞极脑膨出:一种可治疗的“病变阴性”颞叶癫痫病因。
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