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Fig. 5 | BMC Neurology

Fig. 5

From: The role of hybrid FDG-PET/MRI on decision-making in presurgical evaluation of drug-resistant epilepsy

Fig. 5

(Case 43, Table 2, group pp.+, decision type 3.) A drug-resistant epileptic patient with the electroclinical features of a bitemporal lobe epilepsy. a Video-EEG monitoring. During her habitual seizure, a right frontotemporal seizure rapid activity was seen (marked with red arrows). Meanwhile, original cranial MRI (made before this study) showed an FCD along the left collateral sulcus. b Cranial MRI made in this study (coronal FLAIR images): horizontal arrows show the originally detected FCD along the left collateral sulcus while the oblique arrows show the newly observed FCD along the right collateral sulcus. The vertical arrows show the typical configuration of bilateral hippocampal malrotation, while c and d 18F-FDG PET and PET/MRI presented a hypometabolism in the right and left frontotemporal lobe, with a right predominance (red boxes). In summary, this patient was considered as not eligible for any further invasive procedures instead of iEEG

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