Single Photon Emission Computed Tomography (SPECT) in a Patient with Bilateral Temporal Seizures: Correlation Between Ictal EEG and Postictal/Ictal SPECT

We report a patient with bilateral independent temporal lobe seizures in whom two [99mTc]HMPAO single photon emission computed tomograph (SPECT) scans were performed during two different seizures. In the first perüctal SPECT, [99mTc]HMPAO was injected in the interval between two closely spaced seizu...

Full description

Saved in:
Bibliographic Details
Published inEpilepsia (Copenhagen) Vol. 39; no. 9; pp. 1001 - 1005
Main Authors Setoain, F. J., Arroyo, S., Lomeñia, F., Pavía, J., Martinez, I., Fuster, D., Herranz, R., Setoain, J.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Publishing Ltd 01.09.1998
Blackwell
Subjects
Adult
Biological and medical sciences
Complex partial seizures
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Electroencephalography
Epilepsy
Epilepsy, Temporal Lobe - diagnosis
Epilepsy, Temporal Lobe - diagnostic imaging
Epilepsy, Temporal Lobe - physiopathology
Female
Functional Laterality - physiology
HMPAO
Humans
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Single photon emission computed tomography
Technetium Tc 99m Exametazime
Temporal Lobe - blood supply
Temporal Lobe - diagnostic imaging
Temporal Lobe - physiopathology
Temporal lobe seizures
Tomography, Emission-Computed, Single-Photon
Radionuclide study
Human
Regional perfusion
Nervous system diseases
Correlation
Complex partial epilepsy
Bilateral
Interictus
Electroencephalography
Interpretation
Photon
Cerebral disorder
Crisis
Case study
Electrodiagnosis
Central nervous system disease
Adult
Temporal lobe epilepsy
Female
Hemodynamics
Emission tomography
Online AccessGet full text

Cover

Abstract We report a patient with bilateral independent temporal lobe seizures in whom two [99mTc]HMPAO single photon emission computed tomograph (SPECT) scans were performed during two different seizures. In the first perüctal SPECT, [99mTc]HMPAO was injected in the interval between two closely spaced seizures (one localized in the left temporal lobe and the other in the right temporal lobe). SPECT images showed hypoperfusion in the left lateral temporal lobe, hyper‐perfusion of the left mesial temporal region, and pronounced hyperperfusion in the right anterior temporal lobe. These results suggest both a postictal left temporal SPECT pattern and an ictal right temporal pattern. In the second periictal SPECT, [99mTc]HMPA was injected immediately after a right temporal lobe seizure and showed right lateral temporal lobe hypoperfusion and right mesial hyperperfusion, suggesting a postictal right temporal SPECT pattern. Interpretation of the periictal SPECT should take into account EEG changes at the time or in the minutes immediately after injection of [99mTc] HMPAO.
AbstractList We report a patient with bilateral independent temporal lobe seizures in whom two [99mTc]HMPAO single photon emission computed tomograph (SPECT) scans were performed during two different seizures. In the first periictal SPECT, [99mTc]HMPAO was injected in the interval between two closely spaced seizures (one localized in the left temporal lobe and the other in the right temporal lobe). SPECT images showed hypoperfusion in the left lateral temporal lobe, hyperperfusion of the left mesial temporal region, and pronounced hyperperfusion in the right anterior temporal lobe. These results suggest both a postictal left temporal SPECT pattern and an ictal right temporal pattern. In the second periictal SPECT, [99mTc]HMPAO was injected immediately after a right temporal lobe seizure and showed right lateral temporal lobe hypoperfusion and right mesial hyperperfusion, suggesting a postictal right temporal SPECT pattern. Interpretation of the periictal SPECT should take into account EEG changes at the time or in the minutes immediately after injection of [99mTc]HMPAO.
We report a patient with bilateral independent temporal lobe seizures in whom two [99mTc]HMPAO single photon emission computed tomograph (SPECT) scans were performed during two different seizures. In the first perüctal SPECT, [99mTc]HMPAO was injected in the interval between two closely spaced seizures (one localized in the left temporal lobe and the other in the right temporal lobe). SPECT images showed hypoperfusion in the left lateral temporal lobe, hyper‐perfusion of the left mesial temporal region, and pronounced hyperperfusion in the right anterior temporal lobe. These results suggest both a postictal left temporal SPECT pattern and an ictal right temporal pattern. In the second periictal SPECT, [99mTc]HMPA was injected immediately after a right temporal lobe seizure and showed right lateral temporal lobe hypoperfusion and right mesial hyperperfusion, suggesting a postictal right temporal SPECT pattern. Interpretation of the periictal SPECT should take into account EEG changes at the time or in the minutes immediately after injection of [99mTc] HMPAO.
We report a patient with bilateral independent temporal lobe seizures in whom two [ 99m Tc]HMPAO single photon emission computed tomograph (SPECT) scans were performed during two different seizures. In the first perüctal SPECT, [ 99m Tc]HMPAO was injected in the interval between two closely spaced seizures (one localized in the left temporal lobe and the other in the right temporal lobe). SPECT images showed hypoperfusion in the left lateral temporal lobe, hyper‐perfusion of the left mesial temporal region, and pronounced hyperperfusion in the right anterior temporal lobe. These results suggest both a postictal left temporal SPECT pattern and an ictal right temporal pattern. In the second periictal SPECT, [ 99m Tc]HMPA was injected immediately after a right temporal lobe seizure and showed right lateral temporal lobe hypoperfusion and right mesial hyperperfusion, suggesting a postictal right temporal SPECT pattern. Interpretation of the periictal SPECT should take into account EEG changes at the time or in the minutes immediately after injection of [ 99m Tc] HMPAO.
Author Arroyo, S.
Fuster, D.
Setoain, J.
Martinez, I.
Lomeñia, F.
Herranz, R.
Setoain, F. J.
Pavía, J.
Author_xml – sequence: 1
  givenname: F. J.
  surname: Setoain
  fullname: Setoain, F. J.
– sequence: 2
  givenname: S.
  surname: Arroyo
  fullname: Arroyo, S.
– sequence: 3
  givenname: F.
  surname: Lomeñia
  fullname: Lomeñia, F.
– sequence: 4
  givenname: J.
  surname: Pavía
  fullname: Pavía, J.
– sequence: 5
  givenname: I.
  surname: Martinez
  fullname: Martinez, I.
– sequence: 6
  givenname: D.
  surname: Fuster
  fullname: Fuster, D.
– sequence: 7
  givenname: R.
  surname: Herranz
  fullname: Herranz, R.
– sequence: 8
  givenname: J.
  surname: Setoain
  fullname: Setoain, J.
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2371525$$DView record in Pascal Francis
https://www.ncbi.nlm.nih.gov/pubmed/9738681$$D View this record in MEDLINE/PubMed
BookMark eNqVUl1r2zAUFaOjS7v9hIEYY2wPdiV_yHJfxhq8LlCYIdmzUOzrRsGWUkkmzf7J_u3kxfR9etHlnnPPFefoCl1oowGhD5TENJybfUzzhEeU5kVMy5LHfktoltP4-RVazBArLtCCEJpGZc7JG3Tl3J4QUrAivUSXZZFyxukC_Vkr_dgDrnfGG42rQTmnQrE0w2H00OKNGcyjlYfdCX9e19Vy8wUrjSWupVegPT4qv8N3qpcerOzxBoaDmYo1qN-jBXcbpKyFgE-yd-CPABqvGh84VXWPpW5xbZxXU-fm3P-35y163cnewbv5vka_vleb5Y_o4ef9avntIWoyTmgE2zaFrm1px1iWllmRcMlyTnlCmoQVMm8L2UHGGTQZSRjtSkZAQpcApMC3SXqNPp11D9Y8jeC8CB400PdSgxmdCE6VJMvSQLw9ExtrnLPQiYNVg7QnQYmYchF7MZkvplzElIuYcxHPYfj9vGXcDtC-jM5BBPzjjEvXyL6zUjfKvdCStAjSeaB9PdOOqofTfzxAVPWKTt_hL0OcrPA
CODEN EPILAK
CitedBy_id crossref_primary_10_1684_j_1950_6945_2000_tb00447_x
crossref_primary_10_1016_j_eplepsyres_2021_106691
crossref_primary_10_1046_j_1528_1157_2001_41900_x
crossref_primary_10_1016_j_remnie_2014_03_010
crossref_primary_10_1016_j_eplepsyres_2009_12_002
crossref_primary_10_2217_iim_12_39
crossref_primary_10_2967_jnumed_111_093211
crossref_primary_10_1016_j_remn_2014_01_001
crossref_primary_10_1212_WNL_62_12_2241
crossref_primary_10_1097_00004691_199909000_00002
crossref_primary_10_1097_00006231_200107000_00017
Cites_doi 10.1002/ana.410260512
10.1002/ana.410300107
10.1016/S0001-2998(05)80237-5
10.1097/00006231-198607090-00002
10.1136/jnnp.56.2.141
10.1016/0013-4694(93)90158-R
10.1016/0013-4694(92)90068-S
10.1111/j.1528-1157.1994.tb05990.x
10.1007/BF02426693
ContentType Journal Article
Copyright 1998 INIST-CNRS
Copyright_xml – notice: 1998 INIST-CNRS
DBID IQODW
CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7X8
DOI 10.1111/j.1528-1157.1998.tb01451.x
DatabaseName Pascal-Francis
Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
MEDLINE - Academic
DatabaseTitleList MEDLINE

CrossRef
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 1528-1167
EndPage 1005
ExternalDocumentID 10_1111_j_1528_1157_1998_tb01451_x
9738681
2371525
EPI1001
Genre shortCommunication
Journal Article
Case Reports
GroupedDBID ---
.3N
.55
.GA
.GJ
.Y3
05W
0R~
10A
1OB
1OC
24P
29G
2WC
31~
33P
36B
3SF
4.4
50Y
50Z
51W
51X
52M
52N
52O
52P
52R
52S
52T
52U
52V
52W
52X
53G
5GY
5HH
5LA
5RE
5VS
66C
702
7PT
8-0
8-1
8-3
8-4
8-5
8UM
930
A01
A03
AAESR
AAEVG
AAGKA
AAHHS
AANLZ
AAONW
AASGY
AAXRX
AAZKR
ABCQN
ABCUV
ABEML
ABIVO
ABJNI
ABLJU
ABPVW
ABQWH
ABXGK
ACAHQ
ACBWZ
ACCFJ
ACCZN
ACGFO
ACGFS
ACGOF
ACMXC
ACPOU
ACPRK
ACSCC
ACXBN
ACXQS
ADBBV
ADBTR
ADEOM
ADIZJ
ADKYN
ADMGS
ADOZA
ADXAS
ADZMN
ADZOD
AEEZP
AEIGN
AEIMD
AENEX
AEQDE
AEUQT
AEUYR
AFBPY
AFEBI
AFFPM
AFGKR
AFPWT
AFZJQ
AHBTC
AHEFC
AI.
AIACR
AIAGR
AITYG
AIURR
AIWBW
AJBDE
ALAGY
ALMA_UNASSIGNED_HOLDINGS
ALUQN
AMBMR
AMYDB
ASPBG
ATUGU
AVWKF
AZBYB
AZFZN
AZVAB
BAFTC
BAWUL
BDRZF
BFHJK
BHBCM
BMXJE
BROTX
BRXPI
BY8
C45
CAG
COF
CS3
D-6
D-7
D-E
D-F
DCZOG
DIK
DPXWK
DR2
DRFUL
DRMAN
DRSTM
DU5
E3Z
EBS
EJD
EMOBN
ESX
EX3
F00
F01
F04
F5P
FEDTE
FIJ
FUBAC
FYBCS
G-S
G.N
GODZA
H.X
HF~
HGLYW
HVGLF
HZI
HZ~
IHE
IPNFZ
IX1
J0M
K48
KBYEO
LATKE
LC2
LC3
LEEKS
LH4
LITHE
LOXES
LP6
LP7
LUTES
LW6
LYRES
MEWTI
MK4
MRFUL
MRMAN
MRSTM
MSFUL
MSMAN
MSSTM
MXFUL
MXMAN
MXSTM
N04
N05
N9A
NF~
O66
O9-
OHT
OIG
OK1
OVD
P2P
P2W
P2X
P2Z
P4B
P4D
PALCI
Q.N
Q11
QB0
R.K
RIWAO
RJQFR
ROL
RX1
SAMSI
SUPJJ
TEORI
TR2
UB1
V8K
V9Y
VH1
W8V
W99
WBKPD
WHWMO
WIH
WIJ
WIK
WIN
WOHZO
WOW
WQJ
WRC
WUP
WVDHM
WXI
WXSBR
X7M
XG1
YFH
YOC
YUY
ZGI
ZXP
ZZTAW
~IA
~WT
08R
AAJUZ
AAPBV
AAVGM
ABCVL
ABFLS
ABHUG
ABPTK
ACSMX
ACXME
ADAWD
ADDAD
ADGIM
AFVGU
AGJLS
IQODW
UMP
ZA5
CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7X8
ID FETCH-LOGICAL-c4801-ebd3efdd1f664394728a6581820c267a5d7afe486ec40261f960eaef2ee3e8b23
IEDL.DBID DR2
ISSN 0013-9580
IngestDate Fri Aug 16 04:28:52 EDT 2024
Fri Aug 23 02:42:06 EDT 2024
Sat Sep 28 08:37:32 EDT 2024
Thu Nov 24 18:37:19 EST 2022
Sat Aug 24 00:54:16 EDT 2024
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 9
Keywords Radionuclide study
Human
Regional perfusion
Nervous system diseases
Correlation
Complex partial epilepsy
Bilateral
Interictus
Electroencephalography
Interpretation
Photon
Cerebral disorder
Crisis
Case study
Electrodiagnosis
Central nervous system disease
Adult
Temporal lobe epilepsy
Female
Hemodynamics
Emission tomography
Language English
License CC BY 4.0
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c4801-ebd3efdd1f664394728a6581820c267a5d7afe486ec40261f960eaef2ee3e8b23
Notes ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
OpenAccessLink https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/j.1528-1157.1998.tb01451.x
PMID 9738681
PQID 73890443
PQPubID 23479
PageCount 5
ParticipantIDs proquest_miscellaneous_73890443
crossref_primary_10_1111_j_1528_1157_1998_tb01451_x
pubmed_primary_9738681
pascalfrancis_primary_2371525
wiley_primary_10_1111_j_1528_1157_1998_tb01451_x_EPI1001
PublicationCentury 1900
PublicationDate September 1998
PublicationDateYYYYMMDD 1998-09-01
PublicationDate_xml – month: 09
  year: 1998
  text: September 1998
PublicationDecade 1990
PublicationPlace Oxford, UK
PublicationPlace_xml – name: Oxford, UK
– name: Malden, MA
– name: United States
PublicationTitle Epilepsia (Copenhagen)
PublicationTitleAlternate Epilepsia
PublicationYear 1998
Publisher Blackwell Publishing Ltd
Blackwell
Publisher_xml – name: Blackwell Publishing Ltd
– name: Blackwell
References 1990; 31
1990; 20
1993; 34
1993; 56
1987; 8
1986; 7
1995; 36
1993; 87
1986; 27
1994; 35
1989; 26
1992; 83
1994; 21
1992; 30
Zubal IG (e_1_2_1_10_2) 1995; 36
Anderson AR (e_1_2_1_12_2) 1987; 8
Newton MR (e_1_2_1_8_2) 1993; 34
Sperling MR (e_1_2_1_4_2) 1990; 31
e_1_2_1_6_2
e_1_2_1_7_2
e_1_2_1_5_2
e_1_2_1_2_2
e_1_2_1_3_2
Sharp PF (e_1_2_1_11_2) 1986; 27
e_1_2_1_15_2
e_1_2_1_13_2
e_1_2_1_14_2
e_1_2_1_9_2
References_xml – volume: 26
  start-page: 660
  year: 1989
  end-page: 8
  article-title: Localization of epileptic foci with postictal single photon emission computed tomography
  publication-title: Ann Neurol
– volume: 8
  start-page: 549
  year: 1987
  end-page: 57
  article-title: Serial studies of cerebral blood flow using Tc‐HMPAO: comparison with Xe
  publication-title: Nucl Med Commun
– volume: 56
  start-page: 141
  year: 1993
  end-page: 8
  article-title: Ictal/postictal SPFCT in the presurgical localization of complex partial seizures
  publication-title: J Neurol Neurosurg Psychiatry
– volume: 83
  start-page: 333
  year: 1992
  end-page: 8
  article-title: Anterior “cheek” electrodes are comparable to sphenoidal electrodes for the identification of ictal activity
  publication-title: Electroencephalogr Clin Neurophysiol
– volume: 20
  start-page: 325
  year: 1990
  end-page: 41
  article-title: Single photon emission computed tomography in epilepsy
  publication-title: Semin Nucl Med
– volume: 31
  start-page: 1839
  year: 1990
  end-page: 43
  article-title: Complex partial epilepsy: the role of neuroimaging in localizing a seizure focus for surgical intervention
  publication-title: J Nucl Med
– volume: 27
  start-page: 171
  year: 1986
  end-page: 7
  article-title: Technetium‐99m HMPAO stereoisomers as potential agents for imaging regional cerebral blood flow: human volunteer studies
  publication-title: J Nucl Med
– volume: 34
  start-page: 666
  year: 1993
  end-page: 70
  article-title: Ictal SPECT using HMPAO‐Tc99m: methods for rapid preparation and optimal deployment of tracer during spontaneous seizures
  publication-title: J Nucl Med
– volume: 36
  start-page: 684
  year: 1995
  end-page: 9
  article-title: Difference images calculated from ictal and interictal HMPAO‐99mTc SPECT scans of epilepsy
  publication-title: J Nucl Med
– volume: 21
  start-page: 1298
  year: 1994
  end-page: 302
  article-title: 3‐D Realignment of activation brain SPECT studies
  publication-title: Eur J Nucl Med
– volume: 7
  start-page: 647
  year: 1986
  end-page: 58
  article-title: The in vivo distribution of Tc‐HMPAO in normal man
  publication-title: Nucl Med Commun
– volume: 35
  start-page: S72
  issue: suppl
  year: 1994
  end-page: 89
  article-title: The relative contributions of MRI, SPECT and PET imaging in epilepsy
  publication-title: Epilepsia
– volume: 30
  start-page: 31
  year: 1992
  end-page: 6
  article-title: Magnetic resonance imaging‐based volume studies in temporal lobe epilepsy: pathological correlations
  publication-title: Ann Neurol
– volume: 87
  start-page: 437
  year: 1993
  end-page: 58
  article-title: Long‐term monitoring for epilepsy. Report of an IFCN committee
  publication-title: Electroencephalogr Clin Neurophysiol
– volume: 27
  start-page: 171
  year: 1986
  ident: e_1_2_1_11_2
  article-title: Technetium‐99m HMPAO stereoisomers as potential agents for imaging regional cerebral blood flow: human volunteer studies
  publication-title: J Nucl Med
  contributor:
    fullname: Sharp PF
– ident: e_1_2_1_6_2
  doi: 10.1002/ana.410260512
– ident: e_1_2_1_7_2
  doi: 10.1002/ana.410300107
– volume: 8
  start-page: 549
  year: 1987
  ident: e_1_2_1_12_2
  article-title: Serial studies of cerebral blood flow using 99mTc‐HMPAO: comparison with 133Xe
  publication-title: Nucl Med Commun
  contributor:
    fullname: Anderson AR
– volume: 31
  start-page: 1839
  year: 1990
  ident: e_1_2_1_4_2
  article-title: Complex partial epilepsy: the role of neuroimaging in localizing a seizure focus for surgical intervention
  publication-title: J Nucl Med
  contributor:
    fullname: Sperling MR
– ident: e_1_2_1_5_2
  doi: 10.1016/S0001-2998(05)80237-5
– volume: 34
  start-page: 666
  year: 1993
  ident: e_1_2_1_8_2
  article-title: Ictal SPECT using HMPAO‐Tc99m: methods for rapid preparation and optimal deployment of tracer during spontaneous seizures
  publication-title: J Nucl Med
  contributor:
    fullname: Newton MR
– volume: 36
  start-page: 684
  year: 1995
  ident: e_1_2_1_10_2
  article-title: Difference images calculated from ictal and interictal HMPAO‐99mTc SPECT scans of epilepsy
  publication-title: J Nucl Med
  contributor:
    fullname: Zubal IG
– ident: e_1_2_1_13_2
  doi: 10.1097/00006231-198607090-00002
– ident: e_1_2_1_14_2
  doi: 10.1136/jnnp.56.2.141
– ident: e_1_2_1_2_2
  doi: 10.1016/0013-4694(93)90158-R
– ident: e_1_2_1_15_2
  doi: 10.1016/0013-4694(92)90068-S
– ident: e_1_2_1_3_2
  doi: 10.1111/j.1528-1157.1994.tb05990.x
– ident: e_1_2_1_9_2
  doi: 10.1007/BF02426693
SSID ssj0007673
Score 1.6678317
Snippet We report a patient with bilateral independent temporal lobe seizures in whom two [99mTc]HMPAO single photon emission computed tomograph (SPECT) scans were...
We report a patient with bilateral independent temporal lobe seizures in whom two [ 99m Tc]HMPAO single photon emission computed tomograph (SPECT) scans were...
SourceID proquest
crossref
pubmed
pascalfrancis
wiley
SourceType Aggregation Database
Index Database
Publisher
StartPage 1001
SubjectTerms Adult
Biological and medical sciences
Complex partial seizures
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Electroencephalography
Epilepsy
Epilepsy, Temporal Lobe - diagnosis
Epilepsy, Temporal Lobe - diagnostic imaging
Epilepsy, Temporal Lobe - physiopathology
Female
Functional Laterality - physiology
HMPAO
Humans
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Single photon emission computed tomography
Technetium Tc 99m Exametazime
Temporal Lobe - blood supply
Temporal Lobe - diagnostic imaging
Temporal Lobe - physiopathology
Temporal lobe seizures
Tomography, Emission-Computed, Single-Photon
Title Single Photon Emission Computed Tomography (SPECT) in a Patient with Bilateral Temporal Seizures: Correlation Between Ictal EEG and Postictal/Ictal SPECT
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1528-1157.1998.tb01451.x
https://www.ncbi.nlm.nih.gov/pubmed/9738681
https://search.proquest.com/docview/73890443
Volume 39
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZQDwgJ8a4IUJgDBzhk2cRx4nCjJaVFAq3YrdSb5cdErNhmq31IqP-Ef4sn9i4sggOIW-TITjwZx9-MZ75h7LnlZqil1mnWapEWaDGtNfqr3FhnXK39fYq2-FienBXvz8V5TI-mXJjAD7F1uNHK6P_XtMC1We4ucpF7CygTFaXcSfJxUtnZASHKjFcU3_X20w8uqaqMx80ZT2shNwykMaznD0Pt7FY3L_XSC64NFS9-B0l3EW6_RR3fZhebyYXIlC-D9coM7NUvvI__a_Z32K2IZeFNUL677Bp299j1D_G0_j77Nvb74gxh9HnuESY0XqXINwexkoSDyfwiMmbDi_GoOZq8hGkHGkaB7BXISQyH05mmNOkZTAKN1gzGOL1aL3D52g-1WMRwPjgMIWdwar1BAU3zDnTngKoRT6nlVWjvn_OAnR03k6OTNJaCSC3x26RoHMfWuawtCUIVVS61x07EPm_zstLCVbrFQpZoC7IqW2-YocY2R-QoTc732V437_Ahg6F1wxq5MIS0HDrTEjOqyKTltqoFJoxvPrm6DIwf6idLyUtdkdQVSV1FqauvCTvY0Y5t15xXVGIqYc822qK8tOlURnc4Xy9V5SHjsCh4wvaDEm271lSQVWYJk70m_MXbqGZ0SuRaj_6962N2I6RfUjjdE7a3WqzxwOOvlXnar6vvDKgj1Q
link.rule.ids 315,783,787,1378,27936,27937,46306,46730
linkProvider Wiley-Blackwell
linkToHtml http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELaqIgES4l2RQukcOMAhyybOkxstKbvQrVZsKvVm-TERK7bZah8S6j_h3-KJk4VFcABxixzZiScz8Tfj8TeMvdBc9WUmpR9UMvYj1OjnEu1VqLRRJpf2PmVbnCWD8-jDRXyxw0bdWRjHD7EJuJFlNP9rMnAKSG9beRxaFyiIUzpzl1GQk-rO9iykvGHtn1Mlh3effrBJpUm74RxwP4-zjoO0Tez5w1hb69WdK7m0oqtczYvfgdJtjNssUif3WN1Nz-WmfOmtV6qnr39hfvxv87_P7rZwFt46_XvAdrB-yG6O2g37R-zbxC6NM4Tx57kFmVBYraLwHLTFJAyU88uWNBteTsbFcfkKpjVIGDu-V6A4MRxNZ5JOSs-gdExaM5jg9Hq9wOUbO9Ri0Wb0wZHLOoOhtj4FFMV7kLUBKkg8pZbXrr15zmN2flKUxwO_rQbha6K48VEZjpUxQZUQiorSMJMWPhEBvQ6TVMYmlRVGWYI6Iseysr4ZSqxCRI6ZCvke263nNT5h0NemnyOPFYEtg0ZVRI4aB5nmOs1j9Bjvvrm4cqQf4idnyUpdkNQFSV20UhdfPXawpR6briFPqcqUxw47dRFW2rQxI2ucr5citaixH0XcY3tOizZdc6rJmgUeyxpV-Iu3EcV4SPxa-__e9ZDdGpSjU3E6PPv4lN12pzEpu-4Z210t1nhg4dhKPW-M7Ds3zSft
linkToPdf http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lj9MwELbQIq2QEO8VAZadAwc4pDRxntzYJWXLYxXRrrQ3y4-JqOimVR8S2n_Cv8UTu4UiOIC4RY7sxJNx_M145hvGnmmu-rKQMowamYYJagxLifYqVtooU0p7n6ItzrLT8-TdRXrh06MpF8bxQ2wdbrQyuv81LfC5aXYXeRpbCyhKc0q5K8jHSWVnexZRXk8yC4UJIn36QSaVZ_68OeJhmRYbClIf1_OHsXa2q5tzubSSa1zJi99h0l2I2-1Rg9vscjM7F5rypbdeqZ6--oX48X9N_w675cEsvHbad5ddw_Ye2__oj-vvs28juzFOEerPMwsxobI6Rc458KUkDIxnl54yG56P6upk_AImLUioHdsrkJcYjidTSXnSUxg7Hq0pjHBytV7g8pUdarHw8Xxw7GLOYKitRQFV9RZka4DKEU-o5aVr757zgJ0PqvHJaehrQYSaCG5CVIZjY0zUZIShkjwupAVPRD-v4yyXqcllg0mRoU7IrGysZYYSmxiRY6FifsD22lmLDxn0temXyFNFUMugUQ1Ro6ZRobnOyxQDxjefXMwd5Yf4yVSyUhckdUFSF17q4mvADne0Y9s15jnVmArY0UZbhJU2HcvIFmfrpcgtZuwnCQ_YgVOibdeSKrIWUcCKThP-4m1EVQ-JXevRv3c9Yvv1m4H4MDx7_5jdcKmYFFr3hO2tFms8tFhspZ52S-w7lX8mnA
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Single+Photon+Emission+Computed+Tomography+%28SPECT%29+in+a+Patient+with+Bilateral+Temporal+Seizures%3A+Correlation+Between+Ictal+EEG+and+Postictal%2FIctal+SPECT&rft.jtitle=Epilepsia+%28Copenhagen%29&rft.au=Setoain%2C+F.+J.&rft.au=Arroyo%2C+S.&rft.au=Lome%C3%B1ia%2C+F.&rft.au=Pav%C3%ADa%2C+J.&rft.date=1998-09-01&rft.pub=Blackwell+Publishing+Ltd&rft.issn=0013-9580&rft.eissn=1528-1167&rft.volume=39&rft.issue=9&rft.spage=1001&rft.epage=1005&rft_id=info:doi/10.1111%2Fj.1528-1157.1998.tb01451.x&rft.externalDBID=10.1111%252Fj.1528-1157.1998.tb01451.x&rft.externalDocID=EPI1001
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0013-9580&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0013-9580&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0013-9580&client=summon