Usefulness of pulsed arterial spin-labeling MRI for localizing a seizure focus: a surgical case
Usefulness of pulsed arterial spin-labeling MRI for localizing a seizure focus: a surgical case
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脉冲动脉自旋标记 MRI 在定位癫痫病灶中的作用：一个手术病例
DOI：
10.1016/j.seizure.2014.01.005
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Fujiki M
中科院分区：
文献类型：
--
作者：
Sugita K;Kamida T;Matsuta H;Shimomura T;Fujiki M
脉冲动脉自旋标记（PASL）MRI（磁共振成像）是一种新近发展起来的无创性脑血流测量技术。在部分性癫痫的情况下，有一些报告指出PASL MRI在发作间期、2和发作3状态中的价值。然而，没有关于发作状态的报告是在手术病例中进行的。此外，他们没有参考发作间期或发作期CBF研究，这通常用于定位致痫区。我们在此报告一例皮质发育不良伴癫痫持续状态的手术病例，与发作间期和发作周ECD-SPECT相比，PASL MRI可用于定位癫痫灶。
Pulsed arterial spin-labeling (PASL) MRI (magnetic resonance imaging) is a recently developed, 1 non-invasive technique for measuring the cerebral blood flow (CBF) in patients with cerebrovascular disease. In the case of partial epilepsy, there have been some reports indicating the value of PASL MRI in the interictal, 2 and ictal 3 states. However, none of the reports on the ictal state were conducted in surgical cases. Moreover, they did not refer to interictal or ictal CBF studies, which are commonly used for the localization of the epileptogenic zone. We herein report a surgical case of cortical dysplasia with status epilepticus in which PASL MRI was useful for localizing the epileptic focus, compared with interictal and peri-ictal ECD-SPECT.