Three-dimensional preoperative maps of hippocampal atrophy predict surgical outcomes in temporal lobe epilepsy

被引:49
作者
Lin, JJ
Salamon, N
Dutton, RA
Lee, AD
Geaga, JA
Hayashi, KM
Toga, AW
Engel, J
Thompson, PM
机构
[1] Univ Calif Los Angeles, Dept Neurol, Los Angeles, CA 90024 USA
[2] Univ Calif Los Angeles, Lab Neuroimaging, Brain Mapping Div, Los Angeles, CA 90024 USA
[3] Univ Calif Los Angeles, Dept Radiol, Los Angeles, CA 90024 USA
[4] Univ Calif Los Angeles, Dept Neurobiol, Los Angeles, CA 90024 USA
[5] Univ Calif Los Angeles, Brain Res Inst, David Geffen Sch Med, Los Angeles, CA 90024 USA
关键词
D O I
10.1212/01.wnl.0000179003.95838.71
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors used surface-based anatomic mapping to detect features of hippocampal anatomy that correlated with surgical outcomes in patients undergoing surgery for mesial temporal lobe epilepsy with hippocampal sclerosis. Compared with a seizure-free group, hippocampal profiles for the non-seizure-free group had greater diffuse ipsilateral atrophy and more region-specific contralateral atrophy in the anterior, lateral hippocampus. These atrophic regions may indicate areas of increased epileptogenicity, contributing to poorer surgical outcomes.
引用
收藏
页码:1094 / 1097
页数:4
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