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Focal cerebral metabolic abnormality in a patient with continuous spike waves during slow-wave sleep.

Publication ,  Journal Article
Park, YD; Hoffman, JM; Radtke, RA; DeLong, GR
Published in: J Child Neurol
April 1994

We report an 11-year-old boy with continuous spike-wave discharges during sleep accompanied by partial motor and atypical absence seizures, psychomotor regression, and severe behavior problems. During wakefulness, epileptiform discharges occurred over the right parietal region, suggesting that the continuous spike-wave discharges during sleep were a manifestation of secondary bilateral synchrony. Bilateral suppression of the spike-and-wave activity was observed after right-sided intracarotid amobarbital injection, further supporting the impression of secondary bilateral synchrony. The right superior temporoparietal increase in metabolic activity during continuous spike-wave discharges and noncontinuous spike-wave discharges was seen on [18F]fluorodeoxyglucose positron emission tomography and supports a right temporoparietal focus in our case. The presence of a focal abnormality suggests that surgical therapy may be effective.

Duke Scholars

Published In

J Child Neurol

DOI

ISSN

0883-0738

Publication Date

April 1994

Volume

9

Issue

2

Start / End Page

139 / 143

Location

United States

Related Subject Headings

  • Tomography, Emission-Computed
  • Status Epilepticus
  • Sleep Stages
  • Polysomnography
  • Neurology & Neurosurgery
  • Neurocognitive Disorders
  • Male
  • Intellectual Disability
  • Humans
  • Fluorodeoxyglucose F18
 

Citation

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Park, Y. D., Hoffman, J. M., Radtke, R. A., & DeLong, G. R. (1994). Focal cerebral metabolic abnormality in a patient with continuous spike waves during slow-wave sleep. J Child Neurol, 9(2), 139–143. https://doi.org/10.1177/088307389400900207
Park, Y. D., J. M. Hoffman, R. A. Radtke, and G. R. DeLong. “Focal cerebral metabolic abnormality in a patient with continuous spike waves during slow-wave sleep.J Child Neurol 9, no. 2 (April 1994): 139–43. https://doi.org/10.1177/088307389400900207.
Park YD, Hoffman JM, Radtke RA, DeLong GR. Focal cerebral metabolic abnormality in a patient with continuous spike waves during slow-wave sleep. J Child Neurol. 1994 Apr;9(2):139–43.
Park, Y. D., et al. “Focal cerebral metabolic abnormality in a patient with continuous spike waves during slow-wave sleep.J Child Neurol, vol. 9, no. 2, Apr. 1994, pp. 139–43. Pubmed, doi:10.1177/088307389400900207.
Park YD, Hoffman JM, Radtke RA, DeLong GR. Focal cerebral metabolic abnormality in a patient with continuous spike waves during slow-wave sleep. J Child Neurol. 1994 Apr;9(2):139–143.
Journal cover image

Published In

J Child Neurol

DOI

ISSN

0883-0738

Publication Date

April 1994

Volume

9

Issue

2

Start / End Page

139 / 143

Location

United States

Related Subject Headings

  • Tomography, Emission-Computed
  • Status Epilepticus
  • Sleep Stages
  • Polysomnography
  • Neurology & Neurosurgery
  • Neurocognitive Disorders
  • Male
  • Intellectual Disability
  • Humans
  • Fluorodeoxyglucose F18