Correlations between magnetic resonance imaging-based hippocampal sclerosis and depth electrode investigation in epilepsy of the mesiotemporal lobe.

Abstract:

:Quantitative analysis of hippocampal formations (HF) by magnetic resonance imaging (MRI) was correlated with depth electrode recordings in 18 patients with partial epilepsy. All had seizures of mesiotemporal origin. Electrodes explored three HF segments: amygdala and HF head and anterior and posterior HF body. Corresponding HF measurements were made on coronal MRI sequences, and atrophy was quantified by one global and three segmental indexes of asymmetry per patient. HF from which seizure originated showed global atrophy in 15 patients. Segmental analysis demonstrated discrete tissue damage in 1 patient; thus, 16 patients (88%) had significant hippocampal atrophy ipsilateral to the mesial focus. The existence of more pronounced atrophy in segments giving rise to ictal onset than in segments without ictal onset was not statistically significant. Nevertheless, in posterior HF, all segments (four) with seizure onset were atrophied and none of the nonatrophied posterior segments (four) were at seizure origin. These findings confirm that MRI-detected hippocampal atrophy is a powerful indicator of a mesiotemporal focus and strongly contributes to consideration of resective surgery without intracerebral EEG monitoring. Study of the distribution of maximal tissue damage may add some information, and help surgeons decide on the posterior extent of hippocampus removal. As illustrated by 3 patients who had multiple sites of seizure onset, however, the presence of this marker should not be interpreted systematically as evidence of pure mesiotemporal epilepsy.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Baulac M,Saint-Hilaire JM,Adam C,Martinez M,Fontaine S,Laplane D

doi

10.1111/j.1528-1157.1994.tb02553.x

subject

Has Abstract

pub_date

1994-09-01 00:00:00

pages

1045-53

issue

5

eissn

0013-9580

issn

1528-1167

journal_volume

35

pub_type

杂志文章
  • Assessing the validity of using administrative data to identify patients with epilepsy.

    abstract:OBJECTIVE:Previous validation studies assessing the use of administrative data to identify patients with epilepsy have used targeted sampling or have used a reference standard of patients in the neurologist, hospital, or emergency room setting. Therefore, the validity of using administrative data to identify patients w...

    journal_title:Epilepsia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/epi.12506

    authors: Tu K,Wang M,Jaakkimainen RL,Butt D,Ivers NM,Young J,Green D,Jetté N

    更新日期:2014-02-01 00:00:00

  • MEG correlates of epileptic high gamma oscillations in invasive EEG.

    abstract::In patients with pharmacoresistant focal epilepsy,we demonstrate that magnetoencephalography (MEG) detects spike-locked and spike-independent epileptic high gamma oscillations (HGOs) using combined MEG and invasive electroencephalography (iEEG) from subdural macroelectrodes. Six patients, who underwent presurgical wor...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02579.x

    authors: Rampp S,Kaltenhäuser M,Weigel D,Buchfelder M,Ingmar Blümcke I,Dörfler A,Stefan H

    更新日期:2010-08-01 00:00:00

  • Clobazam: An effective add-on therapy in refractory status epilepticus.

    abstract::Refractory status epilepticus (RSE) is a medical emergency, with significant morbidity and mortality. The use and effectiveness of clobazam, a unique 1,5-benzodiazepine, in the management of RSE has not been reported before. Over the last 24 months, we identified 17 patients with RSE who were treated with clobazam in ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13013

    authors: Sivakumar S,Ibrahim M,Parker D Jr,Norris G,Shah A,Mohamed W

    更新日期:2015-06-01 00:00:00

  • Lack of change in neurochemical markers during the postepileptic phase of intrahippocampal tetanus toxin syndrome in rats.

    abstract::The chronic epileptic syndrome induced by injecting tetanus toxin into rat hippocampus causes functional changes that essentially are permanent, outlasting the period of active seizures by at least 1 year. These long-term changes have been characterized by an impaired performance on a range of behavioral tasks, which ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05508.x

    authors: Francis PT,Lowe SL,Bowen DM,Jefferys JG

    更新日期:1990-11-01 00:00:00

  • Memory function and verbal learning ability in patients with complex partial seizures of temporal lobe origin.

    abstract::A variety of experimental paradigms have been utilized to study verbal learning and memory ability in patients with epilepsy. One commonly used paradigm, the free recall of a list(s) of related or unrelated words, has revealed a variety of performance anomalies in patients with complex partial seizures (CPS) of tempor...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb03687.x

    authors: Hermann BP,Wyler AR,Richey ET,Rea JM

    更新日期:1987-09-01 00:00:00

  • Automated EEG monitoring in defining a chronic epilepsy model.

    abstract::There has been a recent surge of interest in chronic animal models of epilepsy. Proper assessment of these models requires documentation of spontaneous seizures by EEG, observation, or both in each individual animal to confirm the presumed epileptic condition. We used the same automatic seizure detection system as tha...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02529.x

    authors: Mascott CR,Gotman J,Beaudet A

    更新日期:1994-07-01 00:00:00

  • Interictal and ictal EEG activity in the basal ganglia: an SEEG study in patients with temporal lobe epilepsy.

    abstract:PURPOSE:The interictal and ictal EEG activity in the basal ganglia in patients with temporal lobe epilepsy were studied during invasive EEG monitoring. METHODS:Eight epilepsy surgery candidates, each with a proven mesiotemporal seizure-onset zone, participated in the study. We used two invasive EEG methods to determin...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.28001.x

    authors: Rektor I,Kuba R,Brázdil M

    更新日期:2002-03-01 00:00:00

  • Influence of therapeutic phenobarbital and phenytoin medication on the polygraphic sleep of patients with epilepsy.

    abstract::Sleep is a modulator of seizure activity, and many antiepileptic drugs are modulators of sleep. Can influences on sleep organization be involved in antiepileptic drug action, and can these partly account for differences in drug response of various epileptic syndromes? Much more exact data must be collected before thes...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1528-1157.1984.tb03445.x

    authors: Wolf P,Röder-Wanner UU,Brede M

    更新日期:1984-08-01 00:00:00

  • The axial spasm--the predominant type of drop seizure in patients with secondary generalized epilepsy.

    abstract::In 45 patients suffering from secondary generalized epilepsy, we have recorded 239 drop seizures both by radio-telemetered EEG/split-screen video taping and polygraphically. Twenty of these patients had pure tonic drop seizures. Nine patients each had myoclonic-atonic or pure atonic seizures, whereas seven had slow fa...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05671.x

    authors: Egli M,Mothersill I,O'Kane M,O'Kane F

    更新日期:1985-09-01 00:00:00

  • Effects of new antiepileptic drugs on circulatory markers for vascular risk in patients with newly diagnosed epilepsy.

    abstract::Although it is well documented that long-term therapy with older antiepileptic drugs (AEDs) leads to an increase in risk for atherosclerosis, there has been only limited information regarding the vascular risk in patients who are treated with new AEDs. We therefore conducted a prospective longitudinal study to assess ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12338

    authors: Kim DW,Lee SY,Shon YM,Kim JH

    更新日期:2013-10-01 00:00:00

  • Persistent zinc depletion in the mossy fiber terminals in the intrahippocampal kainate mouse model of mesial temporal lobe epilepsy.

    abstract:PURPOSE:Zinc is released in synaptic vesicles with glutamate, and modulates glutamatergic neurotransmission. In brain, the highest amount of zinc, detected by Timm staining, is in the mossy fiber (MF) system in the hippocampus. In the intrahippocampal kainate (KA) mouse model of mesial temporal lobe epilepsy, which is ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02055.x

    authors: Mitsuya K,Nitta N,Suzuki F

    更新日期:2009-08-01 00:00:00

  • Washington Psychosocial Seizure Inventory: a multiinstitutional study in Japan.

    abstract::No reports of the Washington Psychosocial Seizure Inventory (WPSI) have yet been presented from Asian countries in detail. We performed a multiinstitutional study of this test in 652 Japanese subjects. The mean value of the Lie Scale was high, and only one third of our subjects were under the limit of the original cri...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1157.1994.tb01798.x

    authors: Hosokawa K,Kugoh T,Mino S

    更新日期:1994-11-01 00:00:00

  • Direct and indirect costs associated with epileptic partial onset seizures among the privately insured in the United States.

    abstract:PURPOSE:Compare annual direct and indirect costs between privately insured U.S. patients with epileptic partial onset seizures (POS) and matched controls. METHODS:One thousand eight hundred fifty-nine patients (including a subset of 758 employees) with >or=1 (POS) diagnosis (ICD-9-CM: 345.4.x-345.7.x), 1999-2004, ages...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02422.x

    authors: Ivanova JI,Birnbaum HG,Kidolezi Y,Qiu Y,Mallett D,Caleo S

    更新日期:2010-05-01 00:00:00

  • Sudden unexpected death in epilepsy: impact on clinical practice.

    abstract::The possibility of sudden unexpected death in epilepsy (SUDEP) should affect the management of virtually every patient with proven or suspected epilepsy by (a) underlining the need to make all reasonable efforts to render each patient seizure-free; (b) emphasizing the importance of minimizing avoidable seizures; (c) b...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1997.tb06131.x

    authors: Fish DR

    更新日期:1997-11-01 00:00:00

  • Some facts about sleep relevant for Landau-Kleffner syndrome.

    abstract::Our understanding of the neural mechanisms of non-rapid eye movement sleep (NREM) is steadily increasing. Given the intriguing activation of paroxysmal activity during NREM sleep in patients with Landau-Kleffner syndrome (LKS), a thorough characterization of commonalities and differences between the neural correlates ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02218.x

    authors: Mascetti L,Foret A,Bonjean M,Matarazzo L,Dang-Vu T,Maquet P

    更新日期:2009-08-01 00:00:00

  • Platelet-activating factor receptor antagonism targets neuroinflammation in experimental epilepsy.

    abstract:PURPOSE:Temporal lobe epilepsy is associated with the inflammatory process related to the basic mechanisms that lead to seizure susceptibility and brain damage. Platelet-activating factor (PAF), a potent, short-lived phospholipid mediator of inflammation, participates in physiologic signaling in the brain. However, aft...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02920.x

    authors: Musto AE,Samii M

    更新日期:2011-03-01 00:00:00

  • Perampanel and decanoic acid show synergistic action against AMPA receptors and seizures.

    abstract::Perampanel is an adjunctive treatment for epilepsy that works through the direct inhibition of AMPA receptors. The same molecular mechanism has recently been shown for a fatty acid, decanoic acid, prescribed in the medium chain triglyceride ketogenic diet for the treatment of patients with drug-resistant epilepsy. Bec...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14578

    authors: Augustin K,Williams S,Cunningham M,Devlin AM,Friedrich M,Jayasekera A,Hussain MA,Holliman D,Mitchell P,Jenkins A,Chen PE,Walker MC,Williams RSB

    更新日期:2018-11-01 00:00:00

  • Long-term social outcomes for children with epilepsy.

    abstract::Children with epilepsy often grow into adults with significant social problems including decreased employment, marriage, social relationships, and independent living arrangements. These problems are noted in population-based longitudinal and cross-sectional studies from many countries. Learning disorder and mental han...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01390.x

    authors: Camfield CS,Camfield PR

    更新日期:2007-01-01 00:00:00

  • Significance of lateralization of upper limb automatisms in temporal lobe epilepsy: a quantitative movement analysis.

    abstract:PURPOSE:To evaluate the significance of lateralization of ictal upper limb automatisms in patients with temporal lobe epilepsy (TLE). METHODS:Ictal upper limb automatisms of 28 patients with temporal lobe epilepsy were quantified. Duration of automatisms in relation to total seizure duration, movement speed, extent, l...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02599.x

    authors: Mirzadjanova Z,Peters AS,Rémi J,Bilgin C,Silva Cunha JP,Noachtar S

    更新日期:2010-10-01 00:00:00

  • Cognitive outcomes in children who present with a first unprovoked seizure.

    abstract:PURPOSE:To determine the long-term cognitive and educational outcomes in children prospectively identified at the time of a first unprovoked seizure. METHODS:A cohort of children with a first unprovoked seizure was enrolled and followed for a mean of 15 years. Cognitive function and educational outcomes were determine...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02724.x

    authors: Sogawa Y,Masur D,O'Dell C,Moshe SL,Shinnar S

    更新日期:2010-12-01 00:00:00

  • Quantitative magnetic resonance imaging evidence for altered structural remodeling of the temporal lobe in West syndrome.

    abstract:OBJECTIVE:To explore the structure-function relation of the temporal lobe in newly diagnosed West syndrome of unknown cause (uWS). METHODS:Quantitative magnetic resonance imaging (three-dimensional [3D] structural MRI and diffusion tensor imaging [DTI]) was analyzed using voxel-based morphometry (VBM) and tract-based ...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/epi.12907

    authors: Fosi T,Chu C,Chong WK,Clark C,Scott RC,Boyd S,De Haan M,Neville B

    更新日期:2015-04-01 00:00:00

  • Potentially pathogenic autoantibodies associated with epilepsy and encephalitis in children and adults.

    abstract::Autoantibodies to surface proteins that influence neuronal excitability are increasingly found in different forms of epilepsy or encephalitis in adults, and are also beginning to be identified in children. The conditions are often refractory to traditional antiepileptic drugs. Detection of these antibodies can help to...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2011.03224.x

    authors: Vincent A,Irani SR,Lang B

    更新日期:2011-10-01 00:00:00

  • The number of seizures needed in the EMU.

    abstract:OBJECTIVE:The purpose of this study was to develop a quantitative framework to estimate the likelihood of multifocal epilepsy based on the number of unifocal seizures observed in the epilepsy monitoring unit (EMU). METHODS:Patient records from the EMU at Massachusetts General Hospital (MGH) from 2012 to 2014 were asse...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13090

    authors: Struck AF,Cole AJ,Cash SS,Westover MB

    更新日期:2015-11-01 00:00:00

  • Adenosine A1 receptor-mediated suppression of carbamazepine-resistant seizure-like events in human neocortical slices.

    abstract:OBJECTIVE:The need for alternative pharmacologic strategies in treatment of epilepsies is pressing for about 30% of patients with epilepsy who do not experience satisfactory seizure control with present treatments. In temporal lobe epilepsy (TLE) even up to 80% of patients are pharmacoresistant, and surgical resection ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13360

    authors: Klaft ZJ,Hollnagel JO,Salar S,Calişkan G,Schulz SB,Schneider UC,Horn P,Koch A,Holtkamp M,Gabriel S,Gerevich Z,Heinemann U

    更新日期:2016-05-01 00:00:00

  • Hypotheses, tests, methods, and innovation: the balancing act in research.

    abstract::Clinical and epidemiological research studies are essential to advancing our understanding of human health conditions such as epilepsy. To be of value, studies must not only address important questions, they must do so in such a way as to contribute usefully to existing knowledge. Comprehensive understanding of the su...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01312.x

    authors: Berg AT

    更新日期:2007-12-01 00:00:00

  • The impact of epilepsy on Graham Greene.

    abstract::As a young man, Graham Greene (1904-1991) experienced several episodes of loss of consciousness, which were confidently diagnosed as epilepsy by a Harley Street specialist who saw him on two occasions during the 1920s. The diagnosis was initially concealed from him by his family and the specialist, but when it was rev...

    journal_title:Epilepsia

    pub_type: 传,历史文章,杂志文章

    doi:10.1046/j.1528-1157.2001.0420081091.x

    authors: Reynolds EH

    更新日期:2001-08-01 00:00:00

  • Exacerbation of hepatic cirrhosis may trigger admission for epilepsy and status epilepticus.

    abstract:OBJECTIVE:To determine whether acute exacerbations of cirrhotic liver disease are associated with higher odds of readmission for epilepsy or status epilepticus. METHODS:The New York State Inpatient Database is a statewide dataset containing data on 97% of hospitalizations for New York State. In this retrospective, cas...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16437

    authors: Gursky JM,Rossi KC,Jetté N,Dhamoon MS

    更新日期:2020-03-01 00:00:00

  • Effect of magnesium on epileptic foci.

    abstract::Parenteral magnesium sulfate has been used to control acute convulsions of diverse etiologies and is currently a mainstay in controlling eclamptic convulsions. However, the site of this anticonvulsant action has remained controversial and not well studied in experimental epileptic models. Therefore we determined the e...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1978.tb05015.x

    authors: Borges LF,Gücer G

    更新日期:1978-02-01 00:00:00

  • PACES in epilepsy: Results of a self-management randomized controlled trial.

    abstract:OBJECTIVE:Self-management challenges facing adults with epilepsy include limited understanding of the condition and treatment, associated psychosocial issues, and lack of community integration. Self-management interventions improve patients' medical, life role, and emotional management. Previous interventions, develope...

    journal_title:Epilepsia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/epi.13052

    authors: Fraser RT,Johnson EK,Lashley S,Barber J,Chaytor N,Miller JW,Ciechanowski P,Temkin N,Caylor L

    更新日期:2015-08-01 00:00:00

  • Dose-response relationships with nimodipine against electroshock seizures in mice.

    abstract::The anticonvulsant effect of the dihydropyridine calcium channel blocker, nimodipine (NMD) was evaluated against electroshock-induced seizures in mice. At 1 h postdosing, NMD elicited a dose-dependent reduction in the occurrence of tonic hindlimb extension (THE) after maximal electroshock (MES). The calculated ED50 fo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02457.x

    authors: Sills GJ,Carswell A,Brodie MJ

    更新日期:1994-03-01 00:00:00