| Japanese |
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| Title | てんかん患者に対する123I-IMP SPECT検査の有用性について |
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| Subtitle | ≪原著≫ |
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| Authors | 清水勅君* |
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| Authors(kana) | |
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| Organization | *宮崎医科大学医学部放射線科 |
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| Journal | 核医学 |
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| Volume | 28 |
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| Number | 4 |
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| Page | 401-409 |
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| Year/Month | 1991/4 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| 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. |
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| Practice | 臨床医学：一般 |
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| Keywords | Epilepsy, 123I-IMP SPECT, Electroencephalography. |
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| English |
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| Title | Usefulness of 123I-IMP SPECT in Patients with Epilepsy |
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| Subtitle | - Original Articles - |
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| Authors | Tokiyoshi SHIMIZU*, Hiroaki HOSHI*, Takashi OHNISHI*, Shigeki NAGAMACHI*, Seishi JINNOUCHI**, Katsushi WATANABE* |
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| Authors(kana) | |
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| Organization | *Department Of Radiology, Miyazaki Medical College, **Department Of Radiology, Miyazaki Prefectural Hospital |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 28 |
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| Number | 4 |
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| Page | 401-409 |
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| Year/Month | 1991/4 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| 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. |
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| Practice | Clinical medicine |
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| Keywords | Epilepsy, 123I-IMP SPECT, Electroencephalography. |
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