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A case of parietal lobe epilepsy with distinctive clinical and neuroradiological features
Affiliation:1. Dept. of Radiology, University of California, San Francisco, CA, USA;2. Dept. of Neurology, Columbia University, NY, USA;3. Dept. of Neurology, Thomas Jefferson University, Philadelphia, PA, USA;4. Dept. of Neurology, Baylor Medical College, Houston, TX, USA;5. Pacific Epilepsy Program, California Pacific Medical Center, San Francisco, CA, USA;1. Department of Pediatric Neurology, Xi''an Children’ Hospital, No. 69, Xijuyuan Lane, Lianhu District, Xi''an, Shaanxi 710003, China;2. Department of Pediatric Radiology, Xi''an Children’ Hospital, No. 69, Xijuyuan Lane, Lianhu District, Xi''an, Shaanxi 710003, China
Abstract:We present a case of parietal lobe epilepsy, the epileptogenic focus of which was conspicuously demonstrated on magnetoencephalography (MEG). The remarkable fluctuation in the seizure frequency and the presence of atonic seizures were suggestive of atypical partial benign epilepsy of childhood (APBEC). An interictal positron emission tomography (PET) scan performed during the cluster of fits revealed hypermetabolism around the epileptogenic focus, which might be related to the marked tendency of clustering of seizures in this patient.
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