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Translocator protein positron emission tomography (TSPO-PET) is a novel imaging modality that leverages the high expression of TSPO in activated microglia and other cells within seizure foci. It has been increasingly applied in the preoperative evaluation of drug-resistant epilepsy (DRE) to aid in the localization of these foci. With advances in tracer development, TSPO-PET has achieved higher signal-to-noise ratios and broader clinical utility. Clinical studies indicate that TSPO-PET yields significantly higher positive detection rates for seizure foci compared to magnetic resonance imaging and fluorodeoxyglucose positron emission tomography. This review summarizes recent progress in TSPO-PET radiotracer technology, its mechanism of action, and its clinical applications for managing DRE.
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http://dx.doi.org/10.1186/s42494-025-00234-2 | DOI Listing |
Cureus
August 2025
Department of Respiratory Medicine, Kamagaya General Hospital, Chiba, JPN.
Cerebral air embolism (CAE) is a rare and potentially fatal event. While most cases result from iatrogenic causes, such as central venous catheterization, pulmonary sources, especially infected cysts, are scarcely reported. We describe a case of a previously healthy 61‑year‑old man who lost consciousness immediately after a flight.
View Article and Find Full Text PDFWorld J Clin Cases
October 2025
Department of Radiology, Dr Rajendra Prasad Government Medical College, Kangra 176001, Himachal Pradesh, India.
Background: Acute hemorrhagic leukoencephalitis (AHLE), also known as Weston-Hurst syndrome, is a very rare and fulminant form of demyelinating disorder. It is considered a hyperacute and severe variant of acute disseminated encephalomyelitis. Clinically, patients present with fever, headache, seizures, and altered sensorium, which can rapidly progress to coma or death.
View Article and Find Full Text PDFBMJ Case Rep
August 2025
Department of Radiodiagnosis, All India Institute of Medical Sciences Patna, Patna, Bihar, India.
A term neonate with no significant perinatal events presented to us with sudden onset seizures and altered sensorium in the second week of life. The seizures were initially managed with antiepileptic drugs and antibiotics for suspected sepsis. The initial investigations did not reveal meningitis.
View Article and Find Full Text PDFActa Epileptol
August 2025
Department of Neurology, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Translocator protein positron emission tomography (TSPO-PET) is a novel imaging modality that leverages the high expression of TSPO in activated microglia and other cells within seizure foci. It has been increasingly applied in the preoperative evaluation of drug-resistant epilepsy (DRE) to aid in the localization of these foci. With advances in tracer development, TSPO-PET has achieved higher signal-to-noise ratios and broader clinical utility.
View Article and Find Full Text PDFEpilepsy Behav Rep
September 2025
Department of Neurosurgery, Rutgers University, New Brunswick, NJ, United States.
The temporal pole (TP) is an under-investigated region in temporal lobe epilepsy, often overlooked during stereoEEG (sEEG) due to the lack of characteristic Phase 1 findings and technical limitations in implanting using traditional orthogonal trajectories. We retrospectively reviewed consecutive patients with TP-onset seizures confirmed on sEEG. Two non-orthogonal trajectories were utilized targeting the inferior (iTP) and superior (sTP) aspects of TP.
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