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Cited by 614

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Infantile spasms: I. PET identifies focal cortical dysgenesis in cryptogenic cases for surgical treatment

Chugani, Harry T., Shields, W. Donald, Shewmon, D. Alan, Olson, Donald M., Phelps, Michael E., Peacock, Warwick J.·1990·Annals of Neurology

Abstract

Positron emission tomography (PET) of local cerebral glucose metabolism in 13 children with infantile spasms of undetermined cause (cryptogenic spasms) revealed unilateral hypometabolism involving the parieto‐occipito‐temporal region in 5 female infants. Cranial computed tomography showed normal findings in all infants. Magnetic resonance imaging (MRI) demonstrated a normal appearance in 4 of the 5 infants; in 1 infant, MRI revealed a subtle abnormality consisting of poor demarcation between occipital gray and white matter. Surface electroencephalography (EEG) in 4 showed hypsarrythmia at some time in the patients' courses, but at other times showed localized or lateralized abnormalities corresponding to areas of PET‐detected hypometabolism. Because of poor seizure control, 4 infants underwent surgical removal of the cortical focus guided by intraoperative electrocorticography and were seizure free postoperatively. Neuropathological examination of resected tissue in each showed microscopic cortical dysplasia. Our findings indicate that in infants with cryptogenic spasms, PET can effectively identify those due to unsuspected focal cortical dysplasia, for which resective surgery offers improved prognosis.

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Metadata

Authors
Chugani, H. T., Shields, W. D., Shewmon, D. A., Olson, D. M., Phelps, M. E., & Peacock, W. J.
Venue
Annals of Neurology
Publisher
Wiley
Published
1990-04
Volume
27
Issue
4
Pages
406-413
ISSN
  • 0364-5134 (ISSN-L)
  • 1531-8249
OpenAlex
W1964011929
Cited by
614
References
9
FWCI
22.45
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Infantile spasms: I. PET identifies focal cortical dysgenesis in cryptogenic cases for surgical treatment. https://app.cochat.ai/papers/10.1002/ana.410270408
The paper
Chugani, H. T., Shields, W. D., Shewmon, D. A., Olson, D. M., Phelps, M. E., & Peacock, W. J. (1990). Infantile spasms: I. PET identifies focal cortical dysgenesis in cryptogenic cases for surgical treatment. Annals of Neurology. https://doi.org/10.1002/ana.410270408

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