共 35 条
Optimizing MR Imaging Detection of Type 2 Focal Cortical Dysplasia: Best Criteria for Clinical Practice
被引:60
作者:

Mellerio, C.
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h-index: 0
机构:
Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France
Univ Paris 05, Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France

Labeyrie, M. -A.
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机构:
Univ Paris 05, Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France

Chassoux, F.
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机构:
Ctr Hosp St Anne, Dept Neurosurg, F-75014 Paris, France
Univ Paris 05, Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France

Daumas-Duport, C.
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机构:
Ctr Hosp St Anne, Dept Neuropathol, F-75014 Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France

Landre, E.
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Ctr Hosp St Anne, Dept Neurosurg, F-75014 Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France

Turak, B.
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机构:
Ctr Hosp St Anne, Dept Neurosurg, F-75014 Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France

Roux, F. -X.
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机构:
Ctr Hosp St Anne, Dept Neurosurg, F-75014 Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France

Meder, J. -F.
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机构:
Univ Paris 05, Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France

Devaux, B.
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h-index: 0
机构:
Ctr Hosp St Anne, Dept Neurosurg, F-75014 Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France

Oppenheim, C.
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h-index: 0
机构:
Univ Paris 05, Paris, France Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France
机构:
[1] Ctr Hosp St Anne, Serv Imagerie Morphol & Fonct, Dept Neuroimaging, F-75014 Paris, France
[2] Ctr Hosp St Anne, Dept Neurosurg, F-75014 Paris, France
[3] Ctr Hosp St Anne, Dept Neuropathol, F-75014 Paris, France
[4] Univ Paris 05, Paris, France
关键词:
IMPROVES DETECTION;
MALFORMATIONS;
STEREOELECTROENCEPHALOGRAPHY;
CLASSIFICATION;
RESECTION;
EEG;
D O I:
10.3174/ajnr.A3081
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
BACKGROUND AND PURPOSE: Type 2 FCD is one of the main causes of drug-resistant partial epilepsy. Its detection by MR imaging has greatly improved surgical outcomes, but it often remains overlooked. Our objective was to determine the prevalence of typical MR imaging criteria for type 2 FCD, to provide a precise MR imaging pattern, and to optimize its detection. MATERIALS AND METHODS: We retrospectively reviewed 1.5T MR imaging of 71 consecutive patients with histologically proved type 2 FCD. The protocol included millimetric 3D T1-weighted, 2D coronal and axial T2-weighted, and 2D or 3D FLAIR images. Two experienced neuroradiologists looked for 6 criteria: cortex thickening, cortical and subcortical signal changes, blurring of the GWM interface, the "transmantle" sign, and gyral abnormalities. The frequency of each sign and their combination were assessed. We compared the delay between epilepsy onset and surgery, taking into account the time of type 2 FCD detection by MR imaging. RESULTS: Only 42 patients (59%) had positive MR imaging findings. In this group, a combination of at least 3 criteria was always found. Subcortical signal changes were constant. Three characteristic signs (cortical thickening, GWM blurring, and transmantle sign) were combined in 64% of patients, indicating that MR imaging can be highly suggestive. However, typical features of type 2 FCD were overlooked on initial imaging in 40% of patients, contributing to a delay in referral for surgical consideration (17 versus 11.5 years when initial MR imaging findings were positive). CONCLUSIONS: A combination of 3 major MR imaging signs allows type 2 FCD to be recognized in clinical practice, thereby enabling early identification of candidates for surgery.
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页码:1932 / 1938
页数:7
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Chapman, K
论文数: 0 引用数: 0
h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA

Wyllie, E
论文数: 0 引用数: 0
h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA

Najm, I
论文数: 0 引用数: 0
h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA

Ruggieri, P
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h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA

Bingaman, W
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h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA

Lüders, J
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h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA

Kotagal, P
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h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA

Lachhwani, D
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h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA

Dinner, D
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h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA

Lüders, HO
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h-index: 0
机构: Cleveland Clin Fdn, Dept Neurol, Cleveland, OH 44195 USA
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Chassoux, F
论文数: 0 引用数: 0
h-index: 0
机构: Ctr Hosp St Anne, Serv Neurochirurg, Dept Neurosurg, F-75014 Paris, France

Devaux, B
论文数: 0 引用数: 0
h-index: 0
机构: Ctr Hosp St Anne, Serv Neurochirurg, Dept Neurosurg, F-75014 Paris, France

Landré, E
论文数: 0 引用数: 0
h-index: 0
机构: Ctr Hosp St Anne, Serv Neurochirurg, Dept Neurosurg, F-75014 Paris, France

Turak, B
论文数: 0 引用数: 0
h-index: 0
机构: Ctr Hosp St Anne, Serv Neurochirurg, Dept Neurosurg, F-75014 Paris, France

Nataf, F
论文数: 0 引用数: 0
h-index: 0
机构: Ctr Hosp St Anne, Serv Neurochirurg, Dept Neurosurg, F-75014 Paris, France

Varlet, P
论文数: 0 引用数: 0
h-index: 0
机构: Ctr Hosp St Anne, Serv Neurochirurg, Dept Neurosurg, F-75014 Paris, France

Chodkiewicz, JP
论文数: 0 引用数: 0
h-index: 0
机构: Ctr Hosp St Anne, Serv Neurochirurg, Dept Neurosurg, F-75014 Paris, France

Daumas-Duport, C
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h-index: 0
机构: Ctr Hosp St Anne, Serv Neurochirurg, Dept Neurosurg, F-75014 Paris, France