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FIG 1. Concordance among MR imaging, ictal SPECT, and PET in a 51-year-old woman with right temporal lobe epilepsy.
A, Oblique coronal fast spin-echo T2-weighted MR image (4000/120/4 [TR/TE/excitations]) shows atrophy and hyperintensity of right hippocampus (arrow).
B, Ictal SPECT scan shows hyperperfusion in right temporal lobe (arrows). Radioactivity ratio between right temporal cortex/left temporal cortex was 2.4:1.
C, FDG-PET scan shows hypometabolism in right temporal lobe (arrows). Radioactivity ratio between right temporal cortex/left temporal cortex was 0.4:1.
After anterior temporal lobectomy, pathologic diagnosis was hippocampal sclerosis. Engel's outcome was class I.
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