Skip to main content
SpringerLink
Log in

Putaminal hyperperfusion in dystonic posturing on subtracted SPECT: A case report

  • Case Report
  • Published:
Annals of Nuclear Medicine Aims and scope Submit manuscript

Abstract

Dystonic posturing (DP) is one of the most reliable lateralizing symptoms for mesial temporal lobe epilepsy, although the mechanism remains unclear. We demonstrated a hyperperfusion area in the right putamen on subtracted postictal SPECT by using the automatic registration technique in one patient with ictal DP of the left hand. The putamen may play a key role in DP, similar to other diseases with dystonia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bleasel A, Kotagal P, Kankirawatana P, Rybicki L. Lateralizing value and semiology of ictal limb posturing and version in temporal lobe and extratemporal epilepsy.Epilepsia 1997; 38: 168–174.

    Article  CAS  PubMed  Google Scholar 

  2. Dupont S, Semah F, Boon P, Saint-Hilaire JM, Adam C, Broglin D, et al. Association of ipsilateral motor automatisms and contralateral dystonic posturing.Arch Neurol 1999; 56: 927–932.

    Article  CAS  PubMed  Google Scholar 

  3. Newton MR, Berkovic SF, Austin MC, Reutens DC, McKay WJ, Bladin PF. Dystonia, clinical lateralization, and regional blood flow changes in temporal lobe seizures.Neurology 1992; 42: 371–377.

    CAS  PubMed  Google Scholar 

  4. Véra P, Kaminska A, Cieuta C, Hollo A, Stiévenart JL, Gardin I, et al. Use of subtraction ictal SPECT co-registered to MRI for optimizing the localization of seizure foci in children.J Nucl Med 1999; 40: 786–792.

    PubMed  Google Scholar 

  5. Brinkmann BH, O’Brien TJ, Aharon S, O’Connor MK, Mullan BP, Hanson DP, et al. Quantitative and clinical analysis of SPECT image registration for epilepsy studies.J Nucl Med 1999; 40: 1098–1105.

    CAS  PubMed  Google Scholar 

  6. Paesschen WV, Dupont P, Van Heerden B, Vanbilloen H, Mesotten L, Maes A, et al. Self-injection ictal SPECT during partial seizures.Neurology 2000; 54: 1994–1997.

    PubMed  Google Scholar 

  7. So EL, O’Brien TJ, Brinkmann BH, Mullan BP. The EEG evaluation of single photon emission computed tomography abnormalities in epilepsy.J Clin Neurophysiol 2000; 17: 10–28.

    Article  CAS  PubMed  Google Scholar 

  8. Lee HW, Hong SB, Tae WS. Opposite ictal perfusion patterns of subtracted SPECT hyperperfusion and hypoperfusion.Brain 2000; 123: 2150–2159.

    Article  PubMed  Google Scholar 

  9. Ardekani BA, Braun M, Hutton BF, Kanno I, Iida H. A fully automatic multimodality image registration algorithm.J Comput Assist Tomogr 1995; 19: 615–623.

    Article  CAS  PubMed  Google Scholar 

  10. Lehéricy S, Vidailhet M, Dormont D, Piérot L, Chiras J, Mazetti P, et al. Striatopallidal and thalamic dystonia.Arch Neurol 1996; 53: 241–250.

    PubMed  Google Scholar 

  11. Black KJ, Öngür D, Perlmutter JS. Putamen volume in idiopathic focal dystonia.Neurology 1998; 51: 819–824.

    CAS  PubMed  Google Scholar 

  12. Blum B, Liban E. Experimental basotemporal epilepsy in the cat.Neurology 1960; 10: 546–554.

    CAS  PubMed  Google Scholar 

  13. Penfield W, Jasper H. II Autonomic responses. InEpilepsy and the Functional Anatomy of the Human Brain. Boston; Little Brown, Inc., 1954: 106–108.

    Google Scholar 

  14. O’Brien TJ, So EL, Mullan BP, Hauser MF, Brinkmann BH, Jack CR, et al. Subtraction SPECT co-registered to MRI improves postictal SPECT localization of seizure foci.Neurology 1999; 52: 137–146.

    CAS  PubMed  Google Scholar 

  15. Ichise M, Golan H, Ballinger JR, Vines D, Blackman A, Moldofsky H. Regional differences in technetium-99m-ECD clearance on brain SPECT in healthy subjects.J Nucl Med 1997; 38: 1253–1260.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Nakamura Memorial Hospital, Minami-1, Nishi-14, Chuo-ku, 060-8570, Sapporo, Japan

    Yoshihiro Sumi

  2. Department of Neuroradiology, Nakamura Memorial Hospital, Minami-1, Nishi-14, Chuo-ku, 060-8570, Sapporo, Japan

    Jyoji Nakagawara

  3. Department of Neurology, Nakamura Memorial Hospital, Minami-1, Nishi-14, Chuo-ku, 060-8570, Sapporo, Japan

    Masahiro Mizobuchi, Kazuya Sako & Atsuko Nihira

Authors
  1. Masahiro Mizobuchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yoshihiro Sumi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Kazuya Sako
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Atsuko Nihira
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jyoji Nakagawara
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Masahiro Mizobuchi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mizobuchi, M., Sumi, Y., Sako, K. et al. Putaminal hyperperfusion in dystonic posturing on subtracted SPECT: A case report. Ann Nucl Med 15, 255–257 (2001). https://doi.org/10.1007/BF02987841

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02987841

Key words

Search

Navigation