Structural changes in patients with primary generalized tonic and clonic seizures

被引:92
作者
Ciumas, Carolina [1 ]
Savic, Ivanka [1 ]
机构
[1] Karolinska Inst, Karolinska Univ Hosp, MR Ctr, Dept Neurol,Dept Clin Neurosci, S-17176 Stockholm, Sweden
关键词
DISCHARGES; ACTIVATION;
D O I
10.1212/01.wnl.0000230171.23913.cf
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We conducted MR volumetry and voxel-based morphometry in 19 patients who had idiopathic generalized epilepsy (IGE) with tonic clonic seizures as the only seizure type and 52 control subjects. Patients exhibited elevated frontal lobe fraction of CSF and reduced fraction of gray matter in the frontal, parietal, temporal cortex, thalamus, and cerebellum. The thalamus and cerebellum also showed reduced volumes, as did the caudate and putamen. Contrary to current diagnostic criteria, regional tissue abnormalities may be present in IGE.
引用
收藏
页码:683 / 686
页数:4
相关论文
共 10 条
[1]   fMRI activation during spike and wave discharges in idiopathic generalized epilepsy [J].
Aghakhani, Y ;
Bagshaw, AP ;
Bénar, CG ;
Hawco, C ;
Andermann, F ;
Dubeau, F ;
Gotman, J .
BRAIN, 2004, 127 :1127-1144
[2]   Idiopathic generalized epilepsy with generalized and other seizures in adolescence [J].
Andermann, F ;
Berkovic, SF .
EPILEPSIA, 2001, 42 (03) :317-320
[3]   PROPOSAL FOR REVISED CLASSIFICATION OF EPILEPSIES AND EPILEPTIC SYNDROMES [J].
不详 .
EPILEPSIA, 1989, 30 (04) :389-399
[4]   Selective frontal, parietal, and temporal networks in generalized seizures [J].
Blumenfeld, H ;
Westerveld, M ;
Ostroff, RB ;
Vanderhill, SD ;
Freeman, J ;
Necochea, A ;
Uranga, P ;
Tanhehco, T ;
Smith, A ;
Seibyl, JP ;
Stokking, R ;
Studholme, C ;
Spencer, SS ;
Zubale, IG .
NEUROIMAGE, 2003, 19 (04) :1556-1566
[5]   A voxel-based morphometric study of ageing in 465 normal adult human brains [J].
Good, CD ;
Johnsrude, IS ;
Ashburner, J ;
Henson, RNA ;
Friston, KJ ;
Frackowiak, RSJ .
NEUROIMAGE, 2001, 14 (01) :21-36
[6]   Generalized epileptic discharges show thalamocortical activation and suspension of the default state of the brain [J].
Gotman, J ;
Grova, C ;
Bagshaw, A ;
Kobayashi, E ;
Aghakhani, Y ;
Dubeau, F .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 2005, 102 (42) :15236-15240
[7]  
KRETSCHMANN HJ, 1992, CRANNIAL NEUROIMAGIN
[8]  
Raz N, 2003, AM J NEURORADIOL, V24, P1849
[9]   MRS shows syndrome differentiated metabolite changes in human-generalized epilepsies [J].
Savic, I ;
Österman, Y ;
Helms, G .
NEUROIMAGE, 2004, 21 (01) :163-172
[10]   ANATOMIC BASIS OF AMYGDALOID AND HIPPOCAMPAL VOLUME MEASUREMENT BY MAGNETIC-RESONANCE-IMAGING [J].
WATSON, C ;
ANDERMANN, F ;
GLOOR, P ;
JONESGOTMAN, M ;
PETERS, T ;
EVANS, A ;
OLIVIER, A ;
MELANSON, D ;
LEROUX, G .
NEUROLOGY, 1992, 42 (09) :1743-1750