Voxel-based morphometry evaluation of patients with photosensitive juvenile myoclonic epilepsy.

Abstract:

:We aim to investigate structural brain abnormalities in juvenile myoclonic epilepsy (JME) patients with photosensitivity (PS). Sixty JME patients, 19 (32%) of whom were photosensitive, were submitted to 1.5T magnetic resonance voxel-based morphometry (VBM). The control group (CTL) consisted of 30 sex-matched healthy volunteers. JME patients with (JME-PS) and without (JME-NPS) PS did not differ in their duration of disease, treatment or seizure control. VBM revealed significantly reduced bilateral gray matter volume (GMV) in thalami, insula cortices and cerebellar hemispheres; while significantly increased GMV was observed in the right superior frontal, orbitofrontal and medial frontal gyri of the JME group compared to CTL. JME-PS had reduced bilateral GMV of visual cortices when compared with CTL; while it was not seen among JME-NPS patients. Reduced left hippocampus and left inferior frontal gyrus volume was observed among JME-PS compared with JME-NPS. This study demonstrates structural abnormalities beyond the limits of the frontal lobes and provides evidence for the role of the occipital cortex in human PS, reinforcing the existence of functional-anatomic ictogenic networks in JME and the concept of 'system epilepsies'.

journal_name

Epilepsy Res

journal_title

Epilepsy research

authors

Lin K,Jackowski AP,Carrete H Jr,de Araújo Filho GM,Silva HH,Guaranha MS,Guilhoto LM,Bressan RA,Yacubian EM

doi

10.1016/j.eplepsyres.2009.05.016

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

138-45

issue

2-3

eissn

0920-1211

issn

1872-6844

pii

S0920-1211(09)00155-7

journal_volume

86

pub_type

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