Japanese
Titleてんかん患者に対する123I-IMP SPECT検査の有用性について
Subtitle≪原著≫
Authors清水勅君*
Authors(kana)
Organization*宮崎医科大学医学部放射線科
Journal核医学
Volume28
Number4
Page401-409
Year/Month1991/4
Article原著
Publisher日本核医学会
Abstract「要旨」非発作時のてんかん患者21例に123I-IMP SPECT検査を施行し臨床症状や脳波所見との比較検討を行った. 123I-IMP SPECTで限局性異常低集積部位が, 部分発作では85%の症例に, 全般発作では75%の症例にそれぞれ認められた. 陽性例では1例平均約3.2か所に低集積を認め, 異常高集積を認めた症例はなかった. 部分発作13例において臨床症状から推定したてんかん焦点と123I-IMP SPECTでの低集積部位は8例(62%)で一致, 3例(23%)で不一致, 2例(15%)で検定不能であった. 脳波の異常所見陽性率57%に対し123I-IMP SPECTのそれは81%と高率で, 21症例中1例のみが123I-IMP SPECT陰性で脳波陽性であった. 123I-IMP SPECT検査はてんかん患者の補助検査として有用と思われた.
Practice臨床医学:一般
KeywordsEpilepsy, 123I-IMP SPECT, Electroencephalography.
English
TitleUsefulness of 123I-IMP SPECT in Patients with Epilepsy
Subtitle- Original Articles -
AuthorsTokiyoshi SHIMIZU*, Hiroaki HOSHI*, Takashi OHNISHI*, Shigeki NAGAMACHI*, Seishi JINNOUCHI**, Katsushi WATANABE*
Authors(kana)
Organization*Department Of Radiology, Miyazaki Medical College, **Department Of Radiology, Miyazaki Prefectural Hospital
JournalThe Japanese Journal of nuclear medicine
Volume28
Number4
Page401-409
Year/Month1991/4
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] N-isopropyl-p-[123I] iodoamphetamine (123I-IMP) SPECT and electroencephalography (EEG) were evaluated in 21 epileptic patients at interictal stage. The findings of 123I-IMP were compared with those of clinical symptoms and EEG. In 11 cases (85%) of 13 patients with the partial seizure, and 6 cases (75%) of 8 patients with the generalized seizure had focal decreased perfusion of 123I-IMP. The mean number of focal decreased perfusion areas were 3.2 locations 1 case. There were no cases that was observed focal increased perfusion. Focal decreased perfusion area of 123I-IMP SPECT findings agreed with the focuses those were inferred from clinical findings in 8 cases (62%) out of 13 patients with the partial seizure, did not agree in 3 cases (23%) and did not detected in 2 cases (15%). Overall abnormality of 123I-IMP SPECT was observed in 17 cases (81%) out of 21 patients, on the other hand abnormality of EEG was observed in 12 cases (57%). 123I-IMP SPECT may provide useful information for evaluating foci in patients with epilepsy.
PracticeClinical medicine
KeywordsEpilepsy, 123I-IMP SPECT, Electroencephalography.

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