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CC BY 4.0 · World J Nucl Med 2023; 22(01): 052-054
DOI: 10.1055/s-0042-1757287
Case Report

18F-FDG PET Brain Findings in a Case of Idiopathic Benign Rolandic Epilepsy of Childhood

Kousik Vankadari 
1   Department of Nuclear Medicine, Yashoda Hospital, Secunderabad, Telangana, India
,
Rajender Kumar
2   Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Bhagwant Rai Mittal
2   Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Naveen Sankhyan 
3   Department of Pediatric Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Abstract

Idiopathic benign rolandic epilepsy, also known as benign childhood epilepsy with centrotemporal spikes (BCECTS), is one of the commonly seen electroclinical epilepsy syndromes of childhood with a generally favorable long-term prognosis. We describe a 5-year-old female child who presented with recurrent focal seizures involving right side of face since the age of 6 months. She had no perinatal or postnatal insults, had normal development, and her neurological examination was unremarkable. Electroencephalogram showed rolandic spikes, suggesting BCETCS. Her seizures remained refractory to two appropriately dosed antiepileptic drugs. Magnetic resonance imaging of the brain did not reveal any structural lesion. Interictal fluorodeoxyglucose 18F-positron emission tomography brain showed hypometabolism in the left lower rolandic region.

Keywords

18F-FDG - BCECTS - rolandic epilepsy - centrotemporal spikes - childhood epilepsy

Informed Consent

Appropriate patient consent is obtained for publishing the images and clinical information regarding the patient without revealing patient identity.




Publication History

Article published online:
28 October 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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