Prevalence of MRI abnormalities in people with epilepsy in rural China.

Abstract:

OBJECTIVE:To assess the prevalence of brain MRI abnormalities in people with epilepsy in rural China and to compare it with that of individuals in the United Kingdom. METHODS:Brain MRI scans were obtained in people with epilepsy who participated in a rural community-based program in China between July 2010 and December 2012. Individual epileptogenic lesion types were reviewed and their associations with seizure control examined. The MRI findings were compared with 2 previous similar studies in the United Kingdom. RESULTS:Among the 597 individuals (58% male, median age 38 years) with MRI scans analyzed, 488 (82%) had active epilepsy. The MRI was abnormal in 389 individuals (65%), with potentially epileptogenic lesion in 224 (38%) and nonspecific abnormalities in 165 (28%), and 108 (18%) were potentially resectable. The potentially epileptogenic lesions were less frequently detected in children (<18 years old, 12 of 68, 18%) than in adults (212 of 529, 40%; p < 0.001). In people with potentially epileptogenic lesions, 67% (150 of 224) had failed ≥2 antiseizure medications. They had higher risk of uncontrolled epilepsy than those with normal MRI (risk ratio [RR] 1.25; p < 0.001) and those with nonspecific abnormality (RR 1.15; p = 0.002) after adjustment for age and sex. The diagnostic yield of MRI was similar to that reported in community- and hospital-based studies in the United Kingdom. CONCLUSIONS:More than one-third of people with chronic epilepsy in rural China have potentially epileptogenic lesions identifiable on brain MRI, with two-thirds fulfilling the definition of pharmacoresistance. These findings highlight the magnitude of the unmet needs for epilepsy surgery in China.

journal_name

Neurology

journal_title

Neurology

authors

Davagnanam I,Chen Z,Hoskote C,Ding D,Yang B,Wang Y,Wang T,Li W,Duncan JS,Wang W,Sander JW,Kwan P

doi

10.1212/WNL.0000000000010171

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

e1236-e1243

issue

9

eissn

0028-3878

issn

1526-632X

pii

WNL.0000000000010171

journal_volume

95

pub_type

杂志文章
  • Plasma beta-amyloid and white matter lesions in AD, MCI, and cerebral amyloid angiopathy.

    abstract:BACKGROUND:Microvascular brain injury, typically measured by extent of white matter hyperintensity (WMH) on MRI, is an important contributor to cognitive impairment in the elderly. Recent studies suggest a role for circulating beta-amyloid peptide in microvascular dysfunction and white matter disease. METHODS:The auth...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000191403.95453.6a

    authors: Gurol ME,Irizarry MC,Smith EE,Raju S,Diaz-Arrastia R,Bottiglieri T,Rosand J,Growdon JH,Greenberg SM

    更新日期:2006-01-10 00:00:00

  • Renal cell carcinomatous meningitis: pathologic and immunohistochemical features.

    abstract::We report the clinical, radiographic, pathologic, and immunohistochemical features of a patient with widespread meningeal carcinomatosis from renal cell carcinoma. Clear and spindle tumor cell subtypes infiltrated the meninges of the cauda equina, oculomotor nerve, spinal cord, and cerebral hemispheres, forming aborti...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.1.189

    authors: Crino PB,Sater RA,Sperling M,Katsetos CD

    更新日期:1995-01-01 00:00:00

  • The role of surgical biopsy in the diagnosis of glioma in individuals with neurofibromatosis-1.

    abstract::Most gliomas in neurofibromatosis type 1 (NF1) are pilocytic astrocytomas (PAs) of the optic pathway occurring in young children. However, some individuals develop gliomas that lack the typical NF1-associated clinical features or radiographic appearance. We identified 17 atypical presentations from a review of 100 pat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000240076.31298.47

    authors: Leonard JR,Perry A,Rubin JB,King AA,Chicoine MR,Gutmann DH

    更新日期:2006-10-24 00:00:00

  • Multifocal visual evoked potentials are influenced by variable contrast stimulation in MS.

    abstract:OBJECTIVE:To test the hypothesis that patients with multiple sclerosis (MS) with intereye asymmetry on low contrast letter acuity, and thickness of the retinal nerve fiber layer (RNFL), would exhibit corresponding changes in cortical timing and amplitude responses on pattern reversal multifocal visual evoked potentials...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182661edc

    authors: Frohman AR,Schnurman Z,Conger A,Conger D,Beh S,Greenberg B,Sutter E,Calabresi PA,Balcer LJ,Frohman TC,Frohman EM

    更新日期:2012-08-21 00:00:00

  • Cerebral ischemia and atrial fibrillation: prospective study.

    abstract::The frequency of recurrent cerebral ischemia and death was determined prospectively in 36 patients who presented with ischemic stroke and had atrial fibrillation. Patients were followed an average of 2.3 months (range, 3 weeks to 9 months). The recurrence rate for cerebral ischemia was 33%, and the mortality rate was ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.10.1285

    authors: Kelley RE,Berger JR,Alter M,Kovacs AG

    更新日期:1984-10-01 00:00:00

  • Normal CAG repeat length in the Huntington's disease gene in senile chorea.

    abstract::There is a widely held belief that most patients presenting with senile chorea have late-onset Huntington's disease (HD) with an unknown family history. We measured CAG trinucleotide repeat expansion in the HD gene in four patients with a clinical presentation of senile chorea and found that CAG repetition lengths wer...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.11.2183

    authors: Shinotoh H,Calne DB,Snow B,Hayward M,Kremer B,Theilmann J,Hayden MR

    更新日期:1994-11-01 00:00:00

  • Mild cognitive impairment: Can FDG-PET predict who is to rapidly convert to Alzheimer's disease?

    abstract::Patients with mild cognitive impairment (MCI) were assessed, and a metabolic profile associated with conversion to AD at 18-month follow-up was sought. As compared with nonconverters (n = 10), converters (n = 7) had lower fluorodeoxyglucose uptake in the right temporoparietal cortex (p = 0.02, corrected for cluster si...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000055847.17752.e6

    authors: Chételat G,Desgranges B,de la Sayette V,Viader F,Eustache F,Baron JC

    更新日期:2003-04-22 00:00:00

  • Effect of endovascular reperfusion in relation to site of arterial occlusion.

    abstract:OBJECTIVE:To assess whether the association between reperfusion and improved clinical outcomes after stroke differs depending on the site of the arterial occlusive lesion (AOL). METHODS:We pooled data from Solitaire With the Intention for Thrombectomy (SWIFT), Solitaire FR Thrombectomy for Acute Revascularisation (STA...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析

    doi:10.1212/WNL.0000000000002399

    authors: Lemmens R,Hamilton SA,Liebeskind DS,Tomsick TA,Demchuk AM,Nogueira RG,Marks MP,Jahan R,Gralla J,Yoo AJ,Yeatts SD,Palesch YY,Saver JL,Pereira VM,Broderick JP,Albers GW,Lansberg MG,DEFUSE 2, IMS III, STAR, and SWIFT trial

    更新日期:2016-02-23 00:00:00

  • Prospective natural history study of C9orf72 ALS clinical characteristics and biomarkers.

    abstract:OBJECTIVE:To define the natural history of the C9orf72 amyotrophic lateral sclerosis (C9ALS) patient population, develop disease biomarkers, and characterize patient pathologies. METHODS:We prospectively collected clinical and demographic data from 116 symptomatic C9ALS and 12 non-amyotrophic lateral sclerosis (ALS) f...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008359

    authors: Cammack AJ,Atassi N,Hyman T,van den Berg LH,Harms M,Baloh RH,Brown RH,van Es MA,Veldink JH,de Vries BS,Rothstein JD,Drain C,Jockel-Balsarotti J,Malcolm A,Boodram S,Salter A,Wightman N,Yu H,Sherman AV,Esparza TJ,Mc

    更新日期:2019-10-22 00:00:00

  • Nonmydriatic ocular fundus photography among headache patients in an emergency department.

    abstract:OBJECTIVES:Determine the frequency of and the predictive factors for abnormal ocular fundus findings among emergency department (ED) headache patients. METHODS:Cross-sectional study of prospectively enrolled adult patients presenting to our ED with a chief complaint of headache. Ocular fundus photographs were obtained...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31827f0f20

    authors: Thulasi P,Fraser CL,Biousse V,Wright DW,Newman NJ,Bruce BB

    更新日期:2013-01-29 00:00:00

  • Plasma exchange combined with azathioprine in multiple sclerosis using serial gadolinium-enhanced MRI to monitor disease activity: a randomized single-masked cross-over pilot study.

    abstract::We enrolled 11 patients with secondary progressive MS in a randomized single-masked cross-over study of plasma exchange (PE) in combination with azathioprine 2 mg/kg. PE was performed once a week for 4 weeks and thereafter every second week for 20 weeks (14 treatments). Eight patients completed the whole trial, and th...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.46.6.1620

    authors: Sørensen PS,Wanscher B,Szpirt W,Jensen CV,Ravnborg M,Christiansen P,Schreiber K,Nordenbo A

    更新日期:1996-06-01 00:00:00

  • Cognitive profiles differ in autopsy-confirmed frontotemporal dementia and AD.

    abstract:BACKGROUND:Frontotemporal dementia (FTD) is currently distinguished from AD primarily on the basis of behavioral features because studies of cognition have shown negligible or inconsistent differences. However, the poor discriminability of cognitive measures may relate to reliance on imprecise clinically diagnosed grou...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.58.12.1801

    authors: Rascovsky K,Salmon DP,Ho GJ,Galasko D,Peavy GM,Hansen LA,Thal LJ

    更新日期:2002-06-25 00:00:00

  • Ambulatory EEG recordings in epileptic and nonepileptic children.

    abstract::We examined the cassette-recorded 24-hour ambulatory EEG findings in children who had either clinically definite seizures or episodic behavioral disturbances not regarded as epileptic on clinical grounds. Among 40 epileptic patients, 22 had one or more attacks during the 24-hour recording session. In 15 of these patie...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.4.558

    authors: Aminoff MJ,Goodin DS,Berg BO,Compton MN

    更新日期:1988-04-01 00:00:00

  • Numb chin syndrome secondary to Burkitt's cell acute leukemia.

    abstract::We describe a case of Burkitt's cell acute lymphoblastic leukemia presenting with the bilateral numb chin syndrome as the initial symptom of the disease. Postmortem study of the trigeminal nerve showed heavy infiltrations of leukemic cells and destruction of axon and myelin by leukemic cells in the mandibular nerve. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.3.453

    authors: Kuroda Y,Fujiyama F,Ohyama T,Watanabe T,Endo C,Neshige R,Kakigi R

    更新日期:1991-03-01 00:00:00

  • Concussion history predicts self-reported symptoms before and following a concussive event.

    abstract::The authors evaluated how history of concussion affects symptom reporting prior to and after sustaining a concussion. At baseline, athletes with a positive concussion history reported more current symptomatology than athletes who had never been concussed. At 2 hours postinjury, concussed athletes with a history of pre...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000142088.32204.82

    authors: Bruce JM,Echemendia RJ

    更新日期:2004-10-26 00:00:00

  • Retinal periphlebitis is associated with multiple sclerosis severity.

    abstract:OBJECTIVES:To assess the association of primary retinal inflammation, namely retinal periphlebitis (RP) and microcystic macular edema, with clinical, brain, and retinal imaging biomarkers of multiple sclerosis (MS) severity. METHODS:One hundred patients with MS underwent a neurologic and ophthalmic examination, MRI, a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182a3525e

    authors: Ortiz-Pérez S,Martínez-Lapiscina EH,Gabilondo I,Fraga-Pumar E,Martínez-Heras E,Saiz A,Sanchez-Dalmau B,Villoslada P

    更新日期:2013-09-03 00:00:00

  • Erenumab in chronic migraine: Patient-reported outcomes in a randomized double-blind study.

    abstract:OBJECTIVE:To determine the effect of erenumab, a human monoclonal antibody targeting the calcitonin gene-related peptide receptor, on health-related quality of life (HRQoL), headache impact, and disability in patients with chronic migraine (CM). METHODS:In this double-blind, placebo-controlled study, 667 adults with C...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000007452

    authors: Lipton RB,Tepper SJ,Reuter U,Silberstein S,Stewart WF,Nilsen J,Leonardi DK,Desai P,Cheng S,Mikol DD,Lenz R

    更新日期:2019-05-07 00:00:00

  • A PET study of photophobia during spontaneous migraine attacks.

    abstract:BACKGROUND:Photophobia is an abnormal sensitivity to light experienced by migraineurs during attacks. The pathophysiology of photophobia is poorly understood. Nevertheless, 2 facts appear to have a link with photophobia: visual cortex hyperexcitability on the one hand and interactions between visual pathway and trigemi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182074a57

    authors: Denuelle M,Boulloche N,Payoux P,Fabre N,Trotter Y,Géraud G

    更新日期:2011-01-18 00:00:00

  • Association of APOE polymorphisms with disease severity in MS is limited to women.

    abstract::The authors studied the association of an exon 4 (E4*epsilon2/3/4) and three promoter polymorphisms of APOE with disease course and severity stratified by gender in 221 patients with multiple sclerosis from two overlapping population-based prevalence cohorts. Women carriers of the E4*epsilon2 allele took longer to att...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000113721.83287.83

    authors: Kantarci OH,Hebrink DD,Achenbach SJ,Pittock SJ,Altintas A,Schaefer-Klein JL,Atkinson EJ,De Andrade M,McMurray CT,Rodriguez M,Weinshenker BG

    更新日期:2004-03-09 00:00:00

  • Correlation between NF1 genotype and imaging phenotype on whole-body MRI: NF1 radiogenomics.

    abstract:OBJECTIVE:To investigate the genotype-phenotype correlation between neurofibromatosis 1 (NF1) germline mutations and imaging features of neurofibromas on whole-body MRI (WBMRI) by using radiomics image analysis techniques. MATERIALS AND METHODS:Twenty-nine patients with NF1 who had known germline mutations determined ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000009490

    authors: Liu Y,Jordan JT,Bredella MA,Erdin S,Walker JA,Vangel M,Harris GJ,Plotkin SR,Cai W

    更新日期:2020-06-16 00:00:00

  • Familial cerebellar ataxia with muscle coenzyme Q10 deficiency.

    abstract:OBJECTIVE:To describe a clinical syndrome of cerebellar ataxia associated with muscle coenzyme Q10 (CoQ10) deficiency. BACKGROUND:Muscle CoQ10 deficiency has been reported only in a few patients with a mitochondrial encephalomyopathy characterized by 1) recurrent myoglobinuria; 2) brain involvement (seizures, ataxia, ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.7.849

    authors: Musumeci O,Naini A,Slonim AE,Skavin N,Hadjigeorgiou GL,Krawiecki N,Weissman BM,Tsao CY,Mendell JR,Shanske S,De Vivo DC,Hirano M,DiMauro S

    更新日期:2001-04-10 00:00:00

  • Magnetic resonance imaging of thoracic epidural venous dilation in Hirayama disease.

    abstract::Hirayama disease is a nonprogressive, asymmetric amyotrophy of the hands and forearms, possibly caused by compression of the lower cervical cord on neck flexion. The authors used phase-contrast MR angiography to study a patient with this disorder and observed abnormal spinal epidural venous dilation on neck flexion. I...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000120665.81001.40

    authors: Baba Y,Nakajima M,Utsunomiya H,Tsuboi Y,Fujiki F,Kusuhara T,Yamada T

    更新日期:2004-04-27 00:00:00

  • The nigrostriatal dopaminergic system in familial early onset parkinsonism with parkin mutations.

    abstract::Nigrostriatal dopaminergic function and cerebral energy metabolism were measured with PET in two brothers with early-onset parkinsonism caused by mutation of the parkin gene. Energy metabolism did not differ, but the nigrostriatal dopaminergic pattern was clearly different than that of sporadic PD. Thus parkinsonism i...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.12.1759

    authors: Portman AT,Giladi N,Leenders KL,Maguire P,Veenma-van der Duin L,Swart J,Pruim J,Simon ES,Hassin-Baer S,Korczyn AD

    更新日期:2001-06-26 00:00:00

  • Facial asymmetry, hippocampal pathology, and remote symptomatic seizures: a temporal lobe epileptic syndrome.

    abstract::We performed a prospective study of neuroimaging studies and temporal lobe pathology in 13 patients with facial asymmetry and intractable partial epilepsy of temporal lobe origin. The 13 patients, derived from 50 consecutive patients with nonlesional medically refractory partial epilepsy, were deemed appropriate candi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.4.725

    authors: Cascino GD,Luckstein RR,Sharbrough FW,Jack CR Jr

    更新日期:1993-04-01 00:00:00

  • Primary angiitis of the CNS and reversible cerebral vasoconstriction syndrome: A comparative study.

    abstract:OBJECTIVES:To further improve the distinction between primary angiitis of the CNS (PACNS) and reversible cerebral vasoconstriction syndrome (RCVS). METHODS:We compared 2 large French cohorts of patients with PACNS (n = 110, retrospectively and prospectively enrolled) and RCVS (n = 173, prospectively enrolled). RESULT...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000006367

    authors: de Boysson H,Parienti JJ,Mawet J,Arquizan C,Boulouis G,Burcin C,Naggara O,Zuber M,Touzé E,Aouba A,Bousser MG,Pagnoux C,Ducros A

    更新日期:2018-10-16 00:00:00

  • Vitamin D, cognition, and dementia: a systematic review and meta-analysis.

    abstract:OBJECTIVE:To examine the association between cognitive function and dementia with vitamin D concentration in adults. METHODS:Five databases were searched for English-language studies up to August 2010, and included all study designs with a comparative group. Cognitive function or impairment was defined by tests of glo...

    journal_title:Neurology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1212/WNL.0b013e31826c197f

    authors: Balion C,Griffith LE,Strifler L,Henderson M,Patterson C,Heckman G,Llewellyn DJ,Raina P

    更新日期:2012-09-25 00:00:00

  • Speech without conscious awareness.

    abstract::Following commissurotomy, it is usually the case that information presented to the left hemisphere can be named and described, while information presented to the mute, right hemisphere cannot be spoken about. In the present study, it was discovered that under special test conditions, an MRI-verified, callosally sectio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.4.682

    authors: Gazzaniga MS,Holtzman JD,Smylie CS

    更新日期:1987-04-01 00:00:00

  • Genetic susceptibility to Parkinson's disease.

    abstract::Genetic factors clearly cause Lewy-body Parkinson's disease (PD) in a subset of autosomal-dominant families. However, most cases of PD are sporadic. The two most likely models of four discussed for sporadic PD are the reduced penetrance model and the multifactorial model. Sporadic PD is likely to be caused by the comb...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.41.5_suppl_2.82

    authors: Johnson WG

    更新日期:1991-05-01 00:00:00

  • Early developmental trajectories associated with ASD in infants with tuberous sclerosis complex.

    abstract:OBJECTIVE:We performed a longitudinal cohort study of infants with tuberous sclerosis complex (TSC), with the overarching goal of defining early clinical, behavioral, and biological markers of autism spectrum disorder (ASD) in this high-risk population. METHODS:Infants with TSC and typically developing controls were r...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000568

    authors: Spurling Jeste S,Wu JY,Senturk D,Varcin K,Ko J,McCarthy B,Shimizu C,Dies K,Vogel-Farley V,Sahin M,Nelson CA 3rd

    更新日期:2014-07-08 00:00:00

  • Altered cortical excitability in obsessive-compulsive disorder.

    abstract:OBJECTIVE:To assess cortical inhibitory and excitatory mechanisms in obsessive-compulsive disorder (OCD). BACKGROUND:Transcranial magnetic stimulation (TMS) studies have found decreased neuronal inhibition and a reduced cortical silent period in the primary motor area in Tourette's syndrome, focal dystonia, and other ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.1.142

    authors: Greenberg BD,Ziemann U,Corá-Locatelli G,Harmon A,Murphy DL,Keel JC,Wassermann EM

    更新日期:2000-01-11 00:00:00