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Parietal Lobe Epilepsy:Clinical Features and Seizure Localization by Ictal SPECT Neurol 44:2277-2284, Ho,S.S.,et al, 1994 See this aricle in Pubmed Article Abstract We studied clinical and ictal single-photon emission computed tomography (SPECT)features in 14 patients with parietal lobe epilepsy,nine of whom had structural parietal lobe lesions.Thirteen patients had simple partial seizures of somatosensory(eight),psychic(four),and motor(nine)types.Ictal SPECT localization correlated with two main clinical seizure patterns:An anterior syndrome characterized by sensorimotor manifestations and a posterior syndrome characterized by CPS of the psychoparetic type.Ictal SPECT is helpful for localization of parietal seizures.Parietal hyperperfusion is discrete and short-lived,demanding true ictal injections for diagnostic studies.

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