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Usefulness of pulsed arterial spin-labeling MRI for localizing a seizure focus: A surgical case  Kenji Sugita, Tohru Kamida, Hiroyuki Matsuta, Tsuyoshi.

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Presentation on theme: "Usefulness of pulsed arterial spin-labeling MRI for localizing a seizure focus: A surgical case  Kenji Sugita, Tohru Kamida, Hiroyuki Matsuta, Tsuyoshi."— Presentation transcript:

1 Usefulness of pulsed arterial spin-labeling MRI for localizing a seizure focus: A surgical case 
Kenji Sugita, Tohru Kamida, Hiroyuki Matsuta, Tsuyoshi Shimomura, Minoru Fujiki  Seizure - European Journal of Epilepsy  Volume 23, Issue 4, Pages (April 2014) DOI: /j.seizure Copyright © 2014 British Epilepsy Association Terms and Conditions

2 Fig. 1 Brain MRI revealed a mass lesion in the right frontal lobe with hyper-intensity on diffusion-weighted imaging (DWI) (a) and fluid attenuated inversion recovery (FLAIR) images (b), and without enhancement by gadolinium on T1-weighted images (c) at the time of admission. Pulsed arterial spin-labeling (PASL) (d) showed hyperperfusion in the same area as the MRI lesion. Ictal scalp video-EEG (e) showed some ictal discharges following high amplitude sharp waves in the right fronto-temporal region. Seizure - European Journal of Epilepsy  , DOI: ( /j.seizure ) Copyright © 2014 British Epilepsy Association Terms and Conditions

3 Fig. 2 Peri-ictal PASL (a) and ECD-SPECT (c) showed hyperperfusion in the lesion of the right frontal lobe. Inter-ictal PASL (b) and ECD-SPECT (d) showed slight hyperperfusion in the same area, compared with the opposite frontal lobe. Seizure - European Journal of Epilepsy  , DOI: ( /j.seizure ) Copyright © 2014 British Epilepsy Association Terms and Conditions


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