EPILEPSIA PARTIALIS CONTINUA - FOLLOW-UP WITH TC-99M-HMPAO-SPECT

A three-year-old girl with epilepsia partialis continua involving the left side of the face and the left arm and leg was followed-up by Tc-9 9m-HMPAO-SPECT in addition to EEG and CT. Increased regional cerebral blood now was found in the right Rolandic area in the early stage of t he disease, when the CT was normal and the EEG showed marked right hem ispheric slowing. Seven months later severe hypoperfusion, extending t o the right frontotemporal region, and localised hyperperfusion in the right parietal area were observed by the (99)mTc-HMPAO-SPECT when CT detected right hemispheric atrophy and EEG recorded severe epileptic a ctivity, involving even the contralateral areas. The (99)mTc-HMPAO-SPE CT proved to be useful for the follow-up of the dynamics of the diseas e process.