More Severe Extratemporal Damages in Mesial Temporal Lobe Epilepsy With Hippocampal Sclerosis Than That With Other Lesions A Multimodality MRI Study

被引:36
作者
Wei, Wei [1 ]
Zhang, Zhiqiang [1 ,4 ]
Xu, Qiang [1 ,2 ]
Yang, Fang [3 ]
Sun, Kangjian
Lu, Guangming [1 ,4 ]
机构
[1] Nanjing Univ, Sch Med, Jinling Hosp, Dept Med Imaging, Nanjing 210008, Jiangsu, Peoples R China
[2] Nanjing Univ, Sch Med, Jinling Hosp, Dept Neurol, Nanjing 210008, Jiangsu, Peoples R China
[3] Nanjing Univ, Sch Med, Jinling Hosp, Dept Neurosurg, Nanjing 210008, Jiangsu, Peoples R China
[4] Nanjing Univ, State Key Lab Analyt Chem Life Sci, Nanjing 210008, Jiangsu, Peoples R China
基金
中国国家自然科学基金; 中国博士后科学基金;
关键词
VOXEL-BASED MORPHOMETRY; AMMONS HORN SCLEROSIS; FOCAL BRAIN-LESIONS; SURGICAL-TREATMENT; MATTER ABNORMALITIES; PROGNOSTIC-FACTORS; SEIZURE CONTROL; FUNCTIONAL MRI; SURGERY; CONNECTIVITY;
D O I
10.1097/MD.0000000000003020
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Mesial temporal lobe epilepsy with hippocampal sclerosis (mTLE-HS) presents different clinical presentations from that with other lesions (OL). It is significant to investigate the neural mechanism underlying the different clinical presentations using neuroimaging study. Thirty mTLE patients with mTLE-HS, 30 mTLE patients with other lesions (mTLE-OL), and 30 age-and sex-matched healthy controls were involved. Amplitude of low-frequency fluctuation (ALFF) analysis-based resting-state functional magnetic resonance imaging (fMRI) and voxel-based morphometry (VBM) based morphometric MRI were employed to describing functional and structural imaging alterations in mTLE. Imaging parameters of ALFF and gray matter volume (GMV) were compared among groups and correlated with clinical variables and cognitive scores. For parameter of ALFF, both patient groups of mTLE-HS and mTLE-OL showed decrease in the frontal cortices relative to the healthy controls; mTLE-HS showed more decrease in the prefrontal and brain default regions relative to mTLE-OL. For GMV, both patient groups showed decrease in the frontal cortex, thalamus, and cerebellum; mTLE-HS showed more GMV decrease relative to the mTLE-OL, also mainly in the prefrontal and brain default regions. In both patient groups, the prefrontal regions showed negative correlation between GMV and epilepsy duration. This work revealed distinct alteration patterns of functional and structural brain organizations in mTLEs with different forms. MTLE-HS, despite with smaller lesion size of the pathological focus, presented more severe functional and structural damages in the extratemporal regions than mTLE-OL. The findings provided imaging evidence to support the proposal that mTLE-HS is a special epilepsy syndrome.
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收藏
页数:9
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