Clinical nuclear medicine
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Clinical nuclear medicine · Nov 2014
Case ReportsHypermetabolism during resting-state FDG-PET suggesting intrinsic epileptogenicity in focal cortical dysplasia.
We report the case of a 21-year-old man who presented drug-resistant epilepsy since the age of 3 years. The underlying type Ia left prefrontal focal cortical dysplasia was revealed by focal hypermetabolism of FDG-PET several years later. ⋯ The surgical limits of resection were defined based on interictal activity, spontaneous and induced seizures. The patient is seizure-free, with normal electroencephalography and clear improvement of neuropsychological performance, without functional deficit at 3 years postsurgery.