Diffuse Cerebral Hypoperfusion in Epileptic Patients Observed from Quantitative Assessment with Single Photon Emission Computed Tomography Using N-Isopropyl-(Iodine-123)-p-lodoamphetamine
作者:
Itsuki Jibiki,
Hideki Kido,
Hiroshi Matsuda,
Hisakazu Furuta,
Nariyoshi Yamaguchi,
Kinichi Hisada,
期刊:
European Neurology
(Karger Available online 1993)
卷期:
Volume 33,
issue 5
页码: 366-372
ISSN:0014-3022
年代: 1993
DOI:10.1159/000116973
出版商: S. Karger AG
关键词: Epilepsy;Single photon emission computed Tomography;N-isopropyl-(iodine-123)-p-iodoamphetamine;Regional cerebral blood flow;Complication of antiepileptic drugs
数据来源: Karger
摘要:
Quantitative assessment of regional cerebral blood flow (rCBF) in the bilateral cerebral and cerebellar cortices was performed in 15 epileptic adult patients receiving chronic high-dose antiepileptic drug therapy and 22 normal volunteers matched for sex and age, using single photon emission computed tomography with N-isopropyl-(iodine-123)-p-iodoamphetamine. The entire averaged rCBF value in the epileptic patients, i.e. 52.8 ± 13.7 ml/100 g/min (range: 25-78 ml/100 g/min), was significantly lower as compared with that in the normal subjects, i.e. 69.1 ± 14.2 ml/100 g/min (range: 46-102 ml/100 g/min). Six of the 15 patients showed absolute rCBF values less than the minimum of the normal range, i.e. 46 ml/100 g/min, in all or most of the measured brain tissues. There was a significant correlation between the diffuse cerebral hypoperfusion and simultaneous ingestion of phenytoin and phenobarbital. The possible effects of antiepileptic drugs on rCBF are discusse
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