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OtherTeaching Case Studies

18F-FDG PET imaging predicts the epileptogenic zone prospectively in recurrent cryptogenic meningoencephalitis and with subsequent simple partial visual seizures

Mehdi Djekidel
Journal of Nuclear Medicine Technology November 2020, jnmt.120.252866; DOI: https://doi.org/10.2967/jnmt.120.252866
Mehdi Djekidel
Sidra Medicine, Qatar
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Abstract

18F-FDG PET scans have proven to be useful in the diagnosis and management of encephalitis patients. 18F-FDG PET scans are also standard of care in the evaluation of the pre-surgical epilepsy patient. Encephalitis patients that later on develop epilepsy may have useful imaging findings at the time of diagnosis. We present a case of 18F-FDG PET imaging in a patient with recurrent cryptogenic meningoencephalitis. 18F-FDG PET imaging after resolution of the encephalitis revealed hypometabolism in previous hypermetabolic areas. Hence, the initial 18F-FDG PET scan prospectively predicted the epileptogenic zone/seizure onset zone (EZ/SOZ)

  • Neurology
  • PET/CT
  • Statistical Analysis
  • 18F-FDG PET
  • epilepsy
  • epileptogenic zone
  • meningoencephalitis
  • seizure onset zone

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Journal of Nuclear Medicine Technology: 48 (4)
Journal of Nuclear Medicine Technology
Vol. 48, Issue 4
December 1, 2020
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18F-FDG PET imaging predicts the epileptogenic zone prospectively in recurrent cryptogenic meningoencephalitis and with subsequent simple partial visual seizures
Mehdi Djekidel
Journal of Nuclear Medicine Technology Nov 2020, jnmt.120.252866; DOI: 10.2967/jnmt.120.252866

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18F-FDG PET imaging predicts the epileptogenic zone prospectively in recurrent cryptogenic meningoencephalitis and with subsequent simple partial visual seizures
Mehdi Djekidel
Journal of Nuclear Medicine Technology Nov 2020, jnmt.120.252866; DOI: 10.2967/jnmt.120.252866
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Keywords

  • Neurology
  • PET/CT
  • Statistical Analysis
  • 18F-FDG PET
  • Epilepsy
  • epileptogenic zone
  • meningoencephalitis
  • seizure onset zone
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