Magnetic resonance imaging and temporal lobe epilepsy
Surgical treatment is a well established option for patients with medically refractory temporal lobe epilepsy. Magnetic resonance imaging (MRI) has revolutionized the evaluation of these patients. New techniques can identify structural, metabolic and functional abnormalities associated with the epil...
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Veröffentlicht in: | Acta neurologica Scandinavica 1998-10, Vol.98 (4), p.217-223 |
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description | Surgical treatment is a well established option for patients with medically refractory temporal lobe epilepsy. Magnetic resonance imaging (MRI) has revolutionized the evaluation of these patients. New techniques can identify structural, metabolic and functional abnormalities associated with the epileptogenic zone. Mesial temporal sclerosis is the most common pathological finding and presents as hippocampal atrophy, which can be detected by visual inspection in most cases. Volumetric analysis of medial temporal structures offers the advantage of detecting bilateral abnormalities. Magnetic resonance spectroscopy can detect metabolic abnormalities associated with the epileptogenic focus. Functional MRI allows for the non‐invasive evaluation of cognitive function, allowing for the localization of the neuroanatomic substrate of motor, sensory and cognitive functions. Intraoperative MRI‐based image guided systems are a useful adjunct in the surgical treatment of this epileptic syndrome. |
doi_str_mv | 10.1111/j.1600-0404.1998.tb07299.x |
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H.</creator><creatorcontrib>King, D. ; Baltuch, G. H.</creatorcontrib><description>Surgical treatment is a well established option for patients with medically refractory temporal lobe epilepsy. Magnetic resonance imaging (MRI) has revolutionized the evaluation of these patients. New techniques can identify structural, metabolic and functional abnormalities associated with the epileptogenic zone. Mesial temporal sclerosis is the most common pathological finding and presents as hippocampal atrophy, which can be detected by visual inspection in most cases. Volumetric analysis of medial temporal structures offers the advantage of detecting bilateral abnormalities. Magnetic resonance spectroscopy can detect metabolic abnormalities associated with the epileptogenic focus. Functional MRI allows for the non‐invasive evaluation of cognitive function, allowing for the localization of the neuroanatomic substrate of motor, sensory and cognitive functions. Intraoperative MRI‐based image guided systems are a useful adjunct in the surgical treatment of this epileptic syndrome.</description><identifier>ISSN: 0001-6314</identifier><identifier>EISSN: 1600-0404</identifier><identifier>DOI: 10.1111/j.1600-0404.1998.tb07299.x</identifier><identifier>PMID: 9808269</identifier><identifier>CODEN: ANRSAS</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Anatomy ; Atrophy ; Biological and medical sciences ; Central Nervous System - metabolism ; Cognitive ability ; Epilepsy ; Epilepsy, Temporal Lobe - diagnosis ; Female ; Functional magnetic resonance imaging ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Hippocampus ; Hippocampus - pathology ; Humans ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Magnetic resonance spectroscopy ; Magnetic Resonance Spectroscopy - methods ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Sclerosis ; spectroscopy ; Structure-function relationships ; Temporal lobe ; Temporal Lobe - pathology ; temporal lobe epilepsy ; temporal lobectomy</subject><ispartof>Acta neurologica Scandinavica, 1998-10, Vol.98 (4), p.217-223</ispartof><rights>Copyright © 1998 Munksgaard</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5207-1d296e1ea27cde5d95f234e736fa39e739608c4080ea4b018bf1bc24dfceab973</citedby><cites>FETCH-LOGICAL-c5207-1d296e1ea27cde5d95f234e736fa39e739608c4080ea4b018bf1bc24dfceab973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0404.1998.tb07299.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0404.1998.tb07299.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2409510$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9808269$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>King, D.</creatorcontrib><creatorcontrib>Baltuch, G. H.</creatorcontrib><title>Magnetic resonance imaging and temporal lobe epilepsy</title><title>Acta neurologica Scandinavica</title><addtitle>Acta Neurol Scand</addtitle><description>Surgical treatment is a well established option for patients with medically refractory temporal lobe epilepsy. Magnetic resonance imaging (MRI) has revolutionized the evaluation of these patients. New techniques can identify structural, metabolic and functional abnormalities associated with the epileptogenic zone. Mesial temporal sclerosis is the most common pathological finding and presents as hippocampal atrophy, which can be detected by visual inspection in most cases. Volumetric analysis of medial temporal structures offers the advantage of detecting bilateral abnormalities. Magnetic resonance spectroscopy can detect metabolic abnormalities associated with the epileptogenic focus. Functional MRI allows for the non‐invasive evaluation of cognitive function, allowing for the localization of the neuroanatomic substrate of motor, sensory and cognitive functions. Intraoperative MRI‐based image guided systems are a useful adjunct in the surgical treatment of this epileptic syndrome.</description><subject>Anatomy</subject><subject>Atrophy</subject><subject>Biological and medical sciences</subject><subject>Central Nervous System - metabolism</subject><subject>Cognitive ability</subject><subject>Epilepsy</subject><subject>Epilepsy, Temporal Lobe - diagnosis</subject><subject>Female</subject><subject>Functional magnetic resonance imaging</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Hippocampus</subject><subject>Hippocampus - pathology</subject><subject>Humans</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Magnetic resonance spectroscopy</subject><subject>Magnetic Resonance Spectroscopy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Sclerosis</subject><subject>spectroscopy</subject><subject>Structure-function relationships</subject><subject>Temporal lobe</subject><subject>Temporal Lobe - pathology</subject><subject>temporal lobe epilepsy</subject><subject>temporal lobectomy</subject><issn>0001-6314</issn><issn>1600-0404</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkFFr2zAQx0Vp6dKuH2FgRtme7J1k2ZL2UOhKlxWyjMFK9yZk-RycObYrOSz59pWJyWOhejnE_3en04-QjxQSGs6XdUJzgBg48IQqJZOhAMGUSnYnZHaMTskMAGicp5S_Ixfer8ONCc7PybmSIFmuZiT7aVYtDrWNHPquNa3FqN6YVd2uItOW0YCbvnOmiZquwAj7usHe79-Ts8o0Hq-mekkev9__ufsRL37NH-5uF7HNGIiYlkzlSNEwYUvMSpVVLOUo0rwyqQpV5SAtBwloeAFUFhUtLONlZdEUSqSX5PNhbu-65y36QW9qb7FpTIvd1mspFBdUCAjkp1dJAcByqVgAvx5A6zrvHVa6d-HDbq8p6NGuXutRoR4V6tGunuzqXWj-ML2yLTZYHlsnnSG_nnLjrWkqF3zW_ogxDiqj47I3B-x_0Ll_wwL6dnnP6OglPgyo_YC74wDj_ulcpCLTT8u5Xvyd_14uv0k9T18AAq2lGA</recordid><startdate>199810</startdate><enddate>199810</enddate><creator>King, D.</creator><creator>Baltuch, G. H.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>199810</creationdate><title>Magnetic resonance imaging and temporal lobe epilepsy</title><author>King, D. ; Baltuch, G. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5207-1d296e1ea27cde5d95f234e736fa39e739608c4080ea4b018bf1bc24dfceab973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Anatomy</topic><topic>Atrophy</topic><topic>Biological and medical sciences</topic><topic>Central Nervous System - metabolism</topic><topic>Cognitive ability</topic><topic>Epilepsy</topic><topic>Epilepsy, Temporal Lobe - diagnosis</topic><topic>Female</topic><topic>Functional magnetic resonance imaging</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Hippocampus</topic><topic>Hippocampus - pathology</topic><topic>Humans</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Magnetic resonance spectroscopy</topic><topic>Magnetic Resonance Spectroscopy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Sclerosis</topic><topic>spectroscopy</topic><topic>Structure-function relationships</topic><topic>Temporal lobe</topic><topic>Temporal Lobe - pathology</topic><topic>temporal lobe epilepsy</topic><topic>temporal lobectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>King, D.</creatorcontrib><creatorcontrib>Baltuch, G. H.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Acta neurologica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>King, D.</au><au>Baltuch, G. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Magnetic resonance imaging and temporal lobe epilepsy</atitle><jtitle>Acta neurologica Scandinavica</jtitle><addtitle>Acta Neurol Scand</addtitle><date>1998-10</date><risdate>1998</risdate><volume>98</volume><issue>4</issue><spage>217</spage><epage>223</epage><pages>217-223</pages><issn>0001-6314</issn><eissn>1600-0404</eissn><coden>ANRSAS</coden><abstract>Surgical treatment is a well established option for patients with medically refractory temporal lobe epilepsy. Magnetic resonance imaging (MRI) has revolutionized the evaluation of these patients. New techniques can identify structural, metabolic and functional abnormalities associated with the epileptogenic zone. Mesial temporal sclerosis is the most common pathological finding and presents as hippocampal atrophy, which can be detected by visual inspection in most cases. Volumetric analysis of medial temporal structures offers the advantage of detecting bilateral abnormalities. Magnetic resonance spectroscopy can detect metabolic abnormalities associated with the epileptogenic focus. Functional MRI allows for the non‐invasive evaluation of cognitive function, allowing for the localization of the neuroanatomic substrate of motor, sensory and cognitive functions. Intraoperative MRI‐based image guided systems are a useful adjunct in the surgical treatment of this epileptic syndrome.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>9808269</pmid><doi>10.1111/j.1600-0404.1998.tb07299.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Anatomy Atrophy Biological and medical sciences Central Nervous System - metabolism Cognitive ability Epilepsy Epilepsy, Temporal Lobe - diagnosis Female Functional magnetic resonance imaging Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Hippocampus Hippocampus - pathology Humans Magnetic resonance imaging Magnetic Resonance Imaging - methods Magnetic resonance spectroscopy Magnetic Resonance Spectroscopy - methods Male Medical sciences Nervous system (semeiology, syndromes) Neurology Sclerosis spectroscopy Structure-function relationships Temporal lobe Temporal Lobe - pathology temporal lobe epilepsy temporal lobectomy |
title | Magnetic resonance imaging and temporal lobe epilepsy |
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