Focal cerebral lesions found by magnetic resonance imaging in cryptogenic nonrefractory temporal lobe epilepsy patients.

Abstract:

:Brain magnetic resonance imaging (MRI) was studied in patients with mild-to-moderate temporal lobe epilepsy (TLE), well controlled by pharmacotherapy, and with normal computed tomographic (CT) scans. Magnetic resonance imaging abnormalities were found in 19 patients; of these, nine had abnormalities in temporomesial regions and four in temporobasal regions. Six patients had white matter MRI lesions of nonspecific significance. The temporomesial MRI lesions were compatible with sclerosis of Ammonis cornu. Patients with this MRI finding had more severe and longer lasting TLE than those without MRI abnormalities. The temporobasal lesions were interpreted as potentially developing brain lesions. Correlation between EEG and MRI findings was good. We conclude that MRI is more useful than CT for diagnosis of patients with mild-to-moderate TLE.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Franceschi M,Triulzi F,Ferini-Strambi L,Giusti MC,Minicucci F,Fazio F,Smirne S,Del Maschio A

doi

10.1111/j.1528-1157.1989.tb05469.x

subject

Has Abstract

pub_date

1989-09-01 00:00:00

pages

540-6

issue

5

eissn

0013-9580

issn

1528-1167

journal_volume

30

pub_type

杂志文章
  • Lesion localization in periodic lateralized epileptiform discharges: gray or white matter.

    abstract::We analyzed the results of neuroimaging studies in patients with periodic lateralized epileptiform discharges (PLEDs) or bilateral independent periodic lateralized epileptiform discharges (BIPLEDs) for localization of lesions in gray or white matter to determine if "cortical isolation" is a critical mechanism in the p...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb01666.x

    authors: Raroque HG Jr,Purdy P

    更新日期:1995-01-01 00:00:00

  • Postictal ammonia as a biomarker for electrographic convulsive seizures: A prospective study.

    abstract:OBJECTIVE:Transient hyperammonemia (THA) was reported to follow generalized convulsions without sufficient evidence to confirm the epileptic nature of those events. We aimed to determine if postictal THA can differentiate between different types of events as confirmed electroencephalographically using video-electroence...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13426

    authors: Albadareen R,Gronseth G,Landazuri P,He J,Hammond N,Uysal U

    更新日期:2016-08-01 00:00:00

  • Pharmacokinetic considerations in prescribing antiepileptic drugs.

    abstract::Each antiepileptic drug has a characteristic pharmacokinetic profile, and the unique properties of each must be considered when selecting the optimal agent for a particular patient. Detailed pharmacologic data are obtained during the preapproval evaluation of a drug, particularly in early phase studies in healthy volu...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:

    authors: Faught E

    更新日期:2001-01-01 00:00:00

  • Hippocampal volume assessment in temporal lobe epilepsy: How good is automated segmentation?

    abstract:PURPOSE:Quantitative measurement of hippocampal volume using structural magnetic resonance imaging (MRI) is a valuable tool for detection and lateralization of mesial temporal lobe epilepsy with hippocampal sclerosis (mTLE). We compare two automated hippocampal volume methodologies and manual hippocampal volumetry to d...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02243.x

    authors: Pardoe HR,Pell GS,Abbott DF,Jackson GD

    更新日期:2009-12-01 00:00:00

  • Kentuckians' attitudes toward children with epilepsy.

    abstract::We explored Kentuckians' attitudes toward children with epilepsy. Questions compared respondents' attitudes about children with epilepsy, asthma, hyperactivity, and AIDS. Random digit dialing led to 617 completed interviews. The key questions asked concerned (a) how a pupil with each illness would alter the classroom ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb00959.x

    authors: Baumann RJ,Wilson JF,Wiese HJ

    更新日期:1995-10-01 00:00:00

  • Suspected new-onset autoimmune temporal lobe epilepsy with amygdala enlargement.

    abstract:OBJECTIVE:Recent reports define temporal lobe epilepsy with amygdala enlargement (TLE-AE) as a distinct electroclinical syndrome comparable to TLE with hippocampal sclerosis. In this retrospective observational study, we present the largest consecutive series of patients with new-onset TLE-AE to date and describe clini...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13471

    authors: Malter MP,Widman G,Galldiks N,Stoecker W,Helmstaedter C,Elger CE,Wagner J

    更新日期:2016-09-01 00:00:00

  • SCN2A mutations and benign familial neonatal-infantile seizures: the phenotypic spectrum.

    abstract::Mutations of the sodium channel subunit gene SCN2A have been described in families with benign familial neonatal-infantile seizure (BFNIS). We describe two large families with BFNIS and novel SCN2A mutations. The families had 12 and 9 affected individuals, respectively, with phenotypes consistent with BFNIS. Two mutat...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2007.01049.x

    authors: Herlenius E,Heron SE,Grinton BE,Keay D,Scheffer IE,Mulley JC,Berkovic SF

    更新日期:2007-06-01 00:00:00

  • Further evidence that pathologic high-frequency oscillations are bursts of population spikes derived from recordings of identified cells in dentate gyrus.

    abstract:PURPOSE:To analyze activity of identified dentate gyrus granular cells and interneurons during pathologic high-frequency oscillations (pHFOs). METHODS:Pilocarpine-treated epileptic mice were anesthetized with urethane and ketamine. Their heads were fixed in a stereotaxic frame. Extracellular unit activity was recoded ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02896.x

    authors: Bragin A,Benassi SK,Kheiri F,Engel J Jr

    更新日期:2011-01-01 00:00:00

  • Sodium channel SCN1A and epilepsy: mutations and mechanisms.

    abstract::Mutations in a number of genes encoding voltage-gated sodium channels cause a variety of epilepsy syndromes in humans, including genetic (generalized) epilepsy with febrile seizures plus (GEFS+) and Dravet syndrome (DS, severe myoclonic epilepsy of infancy). Most of these mutations are in the SCN1A gene, and all are d...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2010.02640.x

    authors: Escayg A,Goldin AL

    更新日期:2010-09-01 00:00:00

  • Postmarketing experience with topiramate and cognition.

    abstract::Ideal antiepileptic drugs (AEDs) are designed to stop seizures with limited central nervous system (CNS) side effects. However, CNS-related treatment-emergent adverse events (TEAEs) often occur in patients receiving AEDs. Topiramate (TPM) is an AED proven to be safe and effective as adjunctive treatment for epilepsy p...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.41700.x

    authors: Tatum WO 4th,French JA,Faught E,Morris GL 3rd,Liporace J,Kanner A,Goff SL,Winters L,Fix A,PADS Investigators. Post-marketing antiepileptic drug survey.

    更新日期:2001-09-01 00:00:00

  • Functional and morphological changes in the hippocampal neuronal circuits associated with epileptic seizures.

    abstract:PURPOSE:We review what is currently known about functional and morphologic plasticity of hippocampal neuronal circuits in animal epilepsy models. RESULTS:Perforant-path kindling has been shown to enhance excitatory synaptic transmission in the dentate gyrus significantly, and this enhancement has lasted for > or =1 mo...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1528-1157.43.s.9.11.x

    authors: Maru E,Kanda M,Ashida H

    更新日期:2002-01-01 00:00:00

  • Hyperexcitability of CA3 pyramidal cells in mice lacking the potassium channel subunit Kv1.1.

    abstract:PURPOSE:To investigate further the membrane properties and postsynaptic potentials of the CA3 pyramidal cells in mice that display spontaneous seizures because of a targeted deletion of the Kcna1 potassium channel gene (encoding the Kv1.1 protein subunit). METHODS:Intracellular recordings were obtained from CA3 pyrami...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2003.44602.x

    authors: Lopantsev V,Tempel BL,Schwartzkroin PA

    更新日期:2003-12-01 00:00:00

  • Good outcome is possible after months of refractory convulsive status epilepticus: lesson learned.

    abstract::Determining a prognosis for functional recovery after prolonged status epilepticus can be difficult. Prior case studies have shown that despite seizure control, functional outcomes are typically poor unless a reversible cause is identified. Herein we present a case of idiopathic status epilepticus with a surprisingly ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03327.x

    authors: Standley K,Abdulmassih R,Benbadis S

    更新日期:2012-01-01 00:00:00

  • Prospective validation study of an epilepsy seizure risk system for outpatient evaluation.

    abstract:OBJECTIVE:We conducted clinical testing of an automated Bayesian machine learning algorithm (Epilepsy Seizure Assessment Tool [EpiSAT]) for outpatient seizure risk assessment using seizure counting data, and validated performance against specialized epilepsy clinician experts. METHODS:We conducted a prospective longit...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16397

    authors: Chiang S,Goldenholz DM,Moss R,Rao VR,Haneef Z,Theodore WH,Kleen JK,Gavvala J,Vannucci M,Stern JM

    更新日期:2020-01-01 00:00:00

  • From clinical observation to long-term monitoring: diagnostic developments in conservative epileptology.

    abstract::The diagnostic goals in nonsurgical (conservative) epileptology differ from presurgical diagnostic aims. The resulting development of diagnostic methods in a tertiary-level epilepsy center is shown and the major technical and organizational consequences of this difference for diagnostic long-term monitoring (LTM) as o...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb01528.x

    authors: Ried S,Hilfiker P,Mothersill IW,Krämer G

    更新日期:2000-01-01 00:00:00

  • Cognitive, psychosocial, and family function one year after pediatric epilepsy surgery.

    abstract:PURPOSE:Assumptions regarding the benefits of seizure control after pediatric epilepsy surgery for cognitive, psychosocial, and family function were explored in a prospective study of 51 children with intractable epilepsy. METHODS:Thirty children who underwent surgery were studied before and 1 year after surgery, and ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.21903.x

    authors: Smith ML,Elliott IM,Lach L

    更新日期:2004-06-01 00:00:00

  • The medical treatment of epilepsy in the elderly: A systematic review and meta-analysis.

    abstract:OBJECTIVE:To evaluate the efficacy and tolerability of antiepileptic drugs (AEDs) in elderly individuals with epilepsy. METHODS:We searched four electronic databases as well as bibliographies and conference abstracts. Published and unpublished, randomized, or quasirandomized trials reporting the use of AEDs in people ...

    journal_title:Epilepsia

    pub_type: 杂志文章,meta分析

    doi:10.1111/epi.16068

    authors: Lezaic N,Gore G,Josephson CB,Wiebe S,Jetté N,Keezer MR

    更新日期:2019-07-01 00:00:00

  • Is inpatient ictal video-electroencephalographic monitoring mandatory in mesial temporal lobe epilepsy with unilateral hippocampal sclerosis? A prospective study.

    abstract:OBJECTIVE:To compare surgical outcome in mesial temporal lobe epilepsy (MTLE) patients with unilateral hippocampal sclerosis (MTLE-HS) who had or did not have preoperative video-electroencephalographic monitoring (VEEG). METHODS:A prospective study was undertaken with 166 consecutive pharmacoresistant unilateral MTLE-...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13977

    authors: Alvim MKM,Morita ME,Yasuda CL,Damasceno BP,Lopes TM,Coan AC,Ghizoni E,Tedeschi H,Cendes F

    更新日期:2018-02-01 00:00:00

  • HIPDM single photon emission computed tomography brain imaging in partial onset secondarily generalized tonic-clonic seizures.

    abstract::HIPDM-Single photon emission computed tomography brain imaging was performed during interictal and ictal stages in three patients with complex partial seizures and secondarily generalized tonic-clonic seizures. In all three patients, interictal studies demonstrated decreased regional cerebral perfusion (rCP) and ictal...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb04223.x

    authors: Lee BI,Markand ON,Wellman HN,Siddiqui AR,Mock B,Krepshaw J,Kung H

    更新日期:1987-05-01 00:00:00

  • In vivo inhibition of incorporation of [U-14C]glucose into proteins in experimental focal epilepsy.

    abstract::The in vivo incorporation of [14C] from [U-14C]-glucose into rat brain proteins from different cortical areas was examined in three different experimental focal epilepsies: cobalt, freeze-lesions, and tityustoxin. When [U-14C]-glucose was injected intraperitoneally into awake and unrestrained animals with marked signs...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1982.tb05424.x

    authors: Coutinho-Netto J,Boyar MM,Abdul-Ghani AS,Bradford HF

    更新日期:1982-08-01 00:00:00

  • Sodium valproate associated with phenobarbital: effects on ammonia metabolism in humans.

    abstract::Treatment with sodium valproate (VPA) in association with phenobarbital (PB) is accompanied by a greater systemic hyperammonemia than treatment by VPA alone. The anatomical origins of this difference were studied by injecting a dose of 1,500 mg VPA i.v. into six unmedicated patients and six epileptics chronically trea...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1983.tb03428.x

    authors: Warter JM,Marescaux C,Brandt C,Rumbach L,Micheletti G,Chabrier G,Imler M,Kurtz D

    更新日期:1983-10-01 00:00:00

  • Immunologic aspects of carbamazepine treatment in epileptic patients.

    abstract::Immune abnormalities have been found in epileptic patients receiving antiepileptic drugs (AEDs). Phenytoin (PHT) produces a decrease in serum IgA and IgM levels and a decrease in blastic transformation of circulating lymphocytes stimulated with phytohemoagglutinin (PHA). The effects of carbamazepine (CBZ) on the immun...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb05622.x

    authors: Pacifici R,Paris L,Di Carlo S,Pichini S,Zuccaro P

    更新日期:1991-01-01 00:00:00

  • Traumatic brain injury: risks of epilepsy and implications for medicolegal assessment.

    abstract::Traumatic brain injury (TBI) is a potentially preventable cause of epilepsy. Increasing incidence among army personnel and the high incidence among children and young people raise concern. This article presents a review of selected studies dealing with the risks of TBI and the risk of posttraumatic epilepsy in humans....

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2012.03612.x

    authors: Christensen J

    更新日期:2012-09-01 00:00:00

  • Language before and after temporal lobectomy: specificity of acute changes and relation to early risk factors.

    abstract::We evaluated language functions in 154 patients with left hemisphere speech dominance undergoing anterior temporal lobectomy (ATL). Measures of phonemic and semantic fluency, confrontation naming, repetition, comprehension, and reading were administered before and 3 weeks postoperatively. Patients were grouped by focu...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb00464.x

    authors: Saykin AJ,Stafiniak P,Robinson LJ,Flannery KA,Gur RC,O'Connor MJ,Sperling MR

    更新日期:1995-11-01 00:00:00

  • Visually self-induced seizures sensitive to round objects.

    abstract:PURPOSE:To describe a previously unreported type of self-induced pattern-sensitive seizures in a child. METHODS:Evaluation of clinical and EEG features. RESULTS:An 18-month-old boy was initially seen with series of short focal tonic seizures self-induced by gazing intermittently at round objects. Self-induction of th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.54004.x

    authors: Brockmann K,Huppke P,Karenfort M,Gärtner J,Höger C

    更新日期:2005-05-01 00:00:00

  • Recurrent seizures and behavior problems in children with first recognized seizures: a prospective study.

    abstract:PURPOSE:Children with epilepsy have high rates of behavior problems. The purpose was to describe prospectively the association of seizures and behavior problems in children with new-onset seizures. METHODS:Subjects were 224 children with new-onset seizures (aged 4-14 years) and 159 siblings (4-18 years). Caregiver's r...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.26002.x

    authors: Austin JK,Dunn DW,Caffrey HM,Perkins SM,Harezlak J,Rose DF

    更新日期:2002-12-01 00:00:00

  • Lateralizing value of the auditory aura in partial seizures.

    abstract:PURPOSE:To describe the semiological features of auditory aura and to assess their possible lateralizing value in partial epilepsy. METHODS:Out of a series of 8,000 patients with epilepsy, we investigated 121 cases with partial seizures in whom auditory features were the first ictal symptom. According to the dominant ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00881.x

    authors: Florindo I,Bisulli F,Pittau F,Naldi I,Striano P,Striano S,Michelucci R,Testoni S,Baruzzi A,Tinuper P

    更新日期:2006-01-01 00:00:00

  • Quality of life in psychogenic nonepileptic seizures.

    abstract:PURPOSE:Psychogenic nonepileptic seizures (PNESs) are events that alter or seem to alter the neurologic function and, in their appearance, resemble epileptic seizures (ESs). In patients with ESs the psychological and medical aspects of epilepsy greatly influence the health-related quality of life (HRQOL). The relation ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2003.35302.x

    authors: Szaflarski JP,Hughes C,Szaflarski M,Ficker DM,Cahill WT,Li M,Privitera MD

    更新日期:2003-02-01 00:00:00

  • Cryptogenic late-onset epileptic spasms: an overlooked syndrome of early childhood?

    abstract:PURPOSE:Few reports detailing late-onset epileptic spasms have been published. To determine whether this condition merely represents a late variant of classic West syndrome or exhibits specific features distinct from the latter and related to a later stage of brain maturation, we analyzed the whole population with this...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00518.x

    authors: Eisermann MM,Ville D,Soufflet C,Plouin P,Chiron C,Dulac O,Kaminska A

    更新日期:2006-06-01 00:00:00

  • Reduction of duration and severity of megimide seizures in rats on a folic acid deficient diet.

    abstract::Folic acid deficient diet reduces the duration and severity of intravenous megimide seizures in the rat after 6 months of diet. Plasma and serum folate levels are strongly reduced after that period. The difference between Lactobacillus casei and Streptococcus faecalis activity in brain show a slight, but not significa...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1977.tb04987.x

    authors: Hommes OR,ten Berge EJ,Jansen MJ,Kok JC

    更新日期:1977-12-01 00:00:00