Bilateral hippocampal atrophy in temporal lobe epilepsy: Effect of depressive symptoms and febrile seizures

Summary Purpose:  Neuroimaging studies suggest a history of febrile seizures, and depression, are associated with hippocampal volume reductions in patients with temporal lobe epilepsy (TLE). Methods:  We used radial atrophy mapping (RAM), a three‐dimensional (3D) surface modeling tool, to measure hi...

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Veröffentlicht in:Epilepsia (Copenhagen) 2011-04, Vol.52 (4), p.689-697
Hauptverfasser: Finegersh, Andrey, Avedissian, Christina, Shamim, Sadat, Dustin, Irene, Thompson, Paul M., Theodore, William H.
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container_issue 4
container_start_page 689
container_title Epilepsia (Copenhagen)
container_volume 52
creator Finegersh, Andrey
Avedissian, Christina
Shamim, Sadat
Dustin, Irene
Thompson, Paul M.
Theodore, William H.
description Summary Purpose:  Neuroimaging studies suggest a history of febrile seizures, and depression, are associated with hippocampal volume reductions in patients with temporal lobe epilepsy (TLE). Methods:  We used radial atrophy mapping (RAM), a three‐dimensional (3D) surface modeling tool, to measure hippocampal atrophy in 40 patients with unilateral TLE, with or without a history of febrile seizures and symptoms of depression. Multiple linear regression was used to single out the effects of covariates on local atrophy. Key Findings:  Subjects with a history of febrile seizures (n = 15) had atrophy in regions corresponding to the CA1 and CA3 subfields of the hippocampus contralateral to seizure focus (CHC) compared to those without a history of febrile seizures (n = 25). Subjects with Beck Depression Inventory II (BDI‐II) score ≥14 (n = 11) had atrophy in the superoanterior portion of the CHC compared to subjects with BDI‐II
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Antiparkinson agents</subject><subject>Atrophy</subject><subject>Biological and medical sciences</subject><subject>Brain mapping</subject><subject>Convulsions &amp; seizures</subject><subject>Depression</subject><subject>Depressive Disorder - complications</subject><subject>Depressive Disorder - pathology</subject><subject>Epilepsy</subject><subject>Epilepsy, Temporal Lobe - complications</subject><subject>Epilepsy, Temporal Lobe - pathology</subject><subject>Febrile seizures</subject><subject>Female</subject><subject>Fever</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. 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Drug treatments</subject><subject>Radial mapping</subject><subject>Seizures</subject><subject>Seizures, Febrile - complications</subject><subject>Seizures, Febrile - pathology</subject><subject>Temporal lobe</subject><subject>Temporal lobe epilepsy</subject><subject>Young Adult</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkl2P1CAUhonRuOPqXzAkxnjVkY9OoSaa6GbUTTbRC70mlB4cxrYgtOvWXy91xvHjarnhhPO8bw68IIQpWdO8nu_XdMNkQWkl1ozkU8JqJtc3d9Dq1LiLVoRQXtQbSc7Qg5T2hBBRCX4fnTHKqiyoVujrG9fpEaLu8M6F4I3uQ671GH3YzdgNeIQ--KXf-QYwBNdBSPMLvLUWzIi9xS2ECCm5a8Bp7sPo-4T10GILTcw0TuB-TJl4iO5Z3SV4dNzP0ee3208X74urD-8uL15fFaZitSy4tFRDWQLnFdFSCzAMpKl00xLKuGGMykoyY00rpWG0rLXg0IItW2mbLDtHrw6-YWp6aA0MY55fheh6HWfltVP_dga3U1_8teJE0JJtssGzo0H03yZIo-pdMtB1egA_JSUrIbisxW1IwuuqZDyTT_4j936KQ34HRTdUMC5kXWZKHigTfUoR7GlqStQSvdqrJWG1JKyW6NWv6NVNlj7--9Yn4e-sM_D0COhkdGejHoxLf7iSkjL_kMy9PHDfc3jzrQdQ24-XS8V_Atv7zE0</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>Finegersh, Andrey</creator><creator>Avedissian, Christina</creator><creator>Shamim, Sadat</creator><creator>Dustin, Irene</creator><creator>Thompson, Paul M.</creator><creator>Theodore, William H.</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><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>7TK</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201104</creationdate><title>Bilateral hippocampal atrophy in temporal lobe epilepsy: Effect of depressive symptoms and febrile seizures</title><author>Finegersh, Andrey ; Avedissian, Christina ; Shamim, Sadat ; Dustin, Irene ; Thompson, Paul M. ; Theodore, William H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6298-38f1ae44e3360a8a7ec2e8c6abd0123c2218682cfcd88c2149a73edef4d8fb4e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anticonvulsants. Antiepileptics. Antiparkinson agents</topic><topic>Atrophy</topic><topic>Biological and medical sciences</topic><topic>Brain mapping</topic><topic>Convulsions &amp; seizures</topic><topic>Depression</topic><topic>Depressive Disorder - complications</topic><topic>Depressive Disorder - pathology</topic><topic>Epilepsy</topic><topic>Epilepsy, Temporal Lobe - complications</topic><topic>Epilepsy, Temporal Lobe - pathology</topic><topic>Febrile seizures</topic><topic>Female</topic><topic>Fever</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>Inventories</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neuroimaging</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Pharmacology. Drug treatments</topic><topic>Radial mapping</topic><topic>Seizures</topic><topic>Seizures, Febrile - complications</topic><topic>Seizures, Febrile - pathology</topic><topic>Temporal lobe</topic><topic>Temporal lobe epilepsy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Finegersh, Andrey</creatorcontrib><creatorcontrib>Avedissian, Christina</creatorcontrib><creatorcontrib>Shamim, Sadat</creatorcontrib><creatorcontrib>Dustin, Irene</creatorcontrib><creatorcontrib>Thompson, Paul M.</creatorcontrib><creatorcontrib>Theodore, William H.</creatorcontrib><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>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Finegersh, Andrey</au><au>Avedissian, Christina</au><au>Shamim, Sadat</au><au>Dustin, Irene</au><au>Thompson, Paul M.</au><au>Theodore, William H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral hippocampal atrophy in temporal lobe epilepsy: Effect of depressive symptoms and febrile seizures</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2011-04</date><risdate>2011</risdate><volume>52</volume><issue>4</issue><spage>689</spage><epage>697</epage><pages>689-697</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Summary Purpose:  Neuroimaging studies suggest a history of febrile seizures, and depression, are associated with hippocampal volume reductions in patients with temporal lobe epilepsy (TLE). Methods:  We used radial atrophy mapping (RAM), a three‐dimensional (3D) surface modeling tool, to measure hippocampal atrophy in 40 patients with unilateral TLE, with or without a history of febrile seizures and symptoms of depression. Multiple linear regression was used to single out the effects of covariates on local atrophy. Key Findings:  Subjects with a history of febrile seizures (n = 15) had atrophy in regions corresponding to the CA1 and CA3 subfields of the hippocampus contralateral to seizure focus (CHC) compared to those without a history of febrile seizures (n = 25). Subjects with Beck Depression Inventory II (BDI‐II) score ≥14 (n = 11) had atrophy in the superoanterior portion of the CHC compared to subjects with BDI‐II &lt;14 (n = 29). Significance:  Contralateral hippocampal atrophy in TLE may be related to febrile seizures or depression.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21269286</pmid><doi>10.1111/j.1528-1167.2010.02928.x</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Anticonvulsants. Antiepileptics. Antiparkinson agents
Atrophy
Biological and medical sciences
Brain mapping
Convulsions & seizures
Depression
Depressive Disorder - complications
Depressive Disorder - pathology
Epilepsy
Epilepsy, Temporal Lobe - complications
Epilepsy, Temporal Lobe - pathology
Febrile seizures
Female
Fever
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Hippocampus
Hippocampus - pathology
Humans
Inventories
Male
Medical sciences
Mental depression
Middle Aged
Nervous system (semeiology, syndromes)
Neuroimaging
Neurology
Neuropharmacology
Pharmacology. Drug treatments
Radial mapping
Seizures
Seizures, Febrile - complications
Seizures, Febrile - pathology
Temporal lobe
Temporal lobe epilepsy
Young Adult
title Bilateral hippocampal atrophy in temporal lobe epilepsy: Effect of depressive symptoms and febrile seizures
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