We performed functional MRI (fMRI) on a patient with a mass lesion while sh
e happened to experience a simple partial seizure. We used regional T2* sig
nal changes to localize seizure-related hemodynamic changes. Seizure activi
ty was associated with changes in MR signal in different regions that showe
d sequential activation and deactivation. Our study has shown that epilepti
c activity leads to changes in cerebral hemodynamics. In selected patients,
therefore, it might be possible to use fMRI as a noninvasive tool to detec
t and investigate cortical patterns of activation associated with seizure a
ctivity.