Mesial temporal sclerosis

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FACTS

 

HPI

 

PHYSICAL EXAM

IMAGING

SPECT imaging:
  • inter-ictal: hypoperfusion
  • ictal: HYPER-perfusion
notion image
A/P
 
 

References

Desai A, Bekelis K, Thadani VM, et al. Interictal PET and ictal subtraction SPECT: sensitivity in the detection of seizure foci in patients with medically intractable epilepsy. Epilepsia. 2013 Feb;54(2):341-350.