Quantitative MRI in Outpatient Childhood Epilepsy

Purpose: In adult studies, MRI volumetrics is a proven technique in presurgical assessment of epilepsy. Hippocampal volume loss is maximal in the syndrome of mesial temporal lobe epilepsy. We aimed (a) to validate this methodology in a pediatric outpatient epilepsy population (b) to determine the re...

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Veröffentlicht in:Epilepsia (Copenhagen) 1997-12, Vol.38 (12), p.1289-1293
Hauptverfasser: Lawson, John A., Cook, Mark J., Bleasel, Andrew F., Nayanar, Vimala, Morris, Kevin F., Bye, Ann M. E.
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Sprache:eng
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Zusammenfassung:Purpose: In adult studies, MRI volumetrics is a proven technique in presurgical assessment of epilepsy. Hippocampal volume loss is maximal in the syndrome of mesial temporal lobe epilepsy. We aimed (a) to validate this methodology in a pediatric outpatient epilepsy population (b) to determine the relationship of hippocampal asymmetry (HA) to epileptic syndromes and risk factors. Methods: Two neurologists classified the epileptic syndrome in 79 pediatric outpatients, according to the International Classification of Epilepsies and Epileptic Syndromes (ILAE). Hippocampal volumetrics were performed in all patients. HA was defined according to adult control values. Results: Inter‐rater variability on measurement of HA was very small (Correlation of test retest of 0.97 on 17 children
ISSN:0013-9580
1528-1167
DOI:10.1111/j.1528-1157.1997.tb00066.x