Ictal SPECT in Sturge-Weber syndrome

Bilgin, O; Vollmar, C; Peraud, A; la Fougere, C; Beleza, P; Noachtar, S

http://hdl.handle.net/10400.23/447

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Abstract(s)

We report on a patient with right-sided Sturge-Weber syndrome (SWS), in whom earlier functional hemispherectomy failed. Subtraction of ictal and interictal single-photon-emission-computed-tomography (SPECT) superimposed on individual MRI showed a right fronto-orbital hyperperfusion, with a left-sided EEG seizure pattern. Ictal SPECT supported our assumption that right frontal originated seizure pattern propagated to left hemisphere via the remaining right frontal bridge. Right orbito-frontal resection and disconnection from corpus callosum resulted in seizure freedom.