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Clinical Nuclear Medicine:
December 2006 - Volume 31 - Issue 12 - pp 826-828
doi: 10.1097/01.rlu.0000246874.74375.de
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Parietal Lobe Epileptic Focus Identified on SPECT-MRI Fusion Imaging in a Case of Epilepsia Partialis Continua

Matthews, Robert MD; Franceschi, Dinko MD; Xia, Wenlang MD; Cabahug, Corazon MD; Schuman, Gail DO; Bernstein, Robert MD, PhD; Peyster, Robert MD

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Abstract

Epilepsia partialis continua, or Kozhevnikov syndrome, is a rare condition characterized by persistent localized motor seizures usually localized in a distant limb. It is most often seen in children under 16 years old without gender preference. We report a 12-year-old girl with epilepsia partialis continua who presented to the emergency room after the onset of seizures. Routine electroencephalography (EEG) was performed with no clear ictal localization. Magnetic resonance imaging (MRI) was unremarkable. Ictal single photon emission computed tomography (SPECT) images with Tc-99m exametazime fused with MRI images revealed a parietal lobe epileptic focus within the superior segment of the postcentral gyrus. This case illustrates a rare disorder with an unusual epileptic localization identified by SPECT-MRI fusion.

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© 2006 Lippincott Williams & Wilkins, Inc.

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