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09 July 2020: Articles

Follow-Up of Brain Single-Photon Emission Computed Tomography (SPECT) and Magnetic Resonance Imaging (MRI) in a Case of Seizure Caused by Osmotic Demyelination Syndrome

Challenging differential diagnosis

Ari Chong B , Jung-min Ha A* , Ji Yeon Chung B , Hoowon Kim B , Yong Soo Cho B

DOI: 10.12659/AJCR.923406

Am J Case Rep 2020; 21:e923406

Figure 1. Brain perfusion SPECT (Tc-99m HMPAO) images. 3D Talairach cortical perfusion images of the perfusion SPECTs (A) on the day of seizure (4 hours after seizure onset), and (B) after 2 months. (A) On the day of the seizure, hyperperfusion was observed in the right lateral parietal and in the right occipital and right lateral temporal lobes. The patient was sedated during the scan. (B) On follow-up after 2 months, except for mild hypoperfusion in the frontal lobes, the previous perfusion abnormality had disappeared. There was not second seizure attack.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923