2009
Clinical use of ictal SPECT in secondarily generalized tonic–clonic seizures
Varghese GI, Purcaro MJ, Motelow JE, Enev M, McNally KA, Levin AR, Hirsch LJ, Tikofsky R, Paige AL, Zubal IG, Spencer SS, Blumenfeld H. Clinical use of ictal SPECT in secondarily generalized tonic–clonic seizures. Brain 2009, 132: 2102-2113. PMID: 19339251, PMCID: PMC2714057, DOI: 10.1093/brain/awp027.Peer-Reviewed Original ResearchConceptsCerebral blood flow increasesBlood flow increasesGeneralized tonic-clonic seizuresIctal SPECTTonic-clonic seizuresPartial seizuresPost-ictal periodSeizure onsetGeneralized seizuresSecondary generalizationCerebral blood flow decreasesRegional cerebral blood flow increasesPropagation of seizuresBlood flow decreaseCerebral blood flowEpilepsy surgery evaluationUseful clinical toolSingle photon emissionFlow increasesSeizure localizationSurgery evaluationBlood flowSeizuresClinical toolClinical use
2004
The hazards of lack of co-registration of ictal brain SPECT with MRI: A case report of sinusitis mimicking a brainstem seizure focus
Butler T, Hirsch LJ, Claassen J. The hazards of lack of co-registration of ictal brain SPECT with MRI: A case report of sinusitis mimicking a brainstem seizure focus. BMC Medical Physics 2004, 4: 2. PMID: 15569392, PMCID: PMC535895, DOI: 10.1186/1471-2385-4-2.Peer-Reviewed Original ResearchSeizure-like episodesSeizure focusBrain SPECTBackgroundSingle photon emissionIctal brain SPECTIctal SPECT studiesSeizure-free periodInterictal studiesInjection of radiotracerRefractory seizuresIctal SPECTCase reportSphenoid sinusRadiotracer uptakeHigh-resolution structural imagesSPECT studiesYoung womenSPECTFocal areasSeizuresPhoton emissionMRIEpisodesSinusitisEncephalitis