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amygdala volume and epilepsy

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https://www.readbyqxmd.com/read/29100172/earlier-seizure-onset-and-longer-epilepsy-duration-correlate-with-the-degree-of-temporal-hypometabolism-in-patients-with-mesial-temporal-lobe-sclerosis
#1
Carlos Leiva-Salinas, Mark Quigg, W Jeffrey Elias, James T Patrie, Lucia Flors, Nathan B Fountain, Patrice K Rehm
OBJECTIVE: To study the relationship of glucose metabolism and volume of the temporal lobes with age at epilepsy onset, epilepsy duration, and seizure frequency in patients with mesial temporal sclerosis (MTS). METHODS: We evaluated the pre-surgical (18)F-fluoro-deoxyglucose (FDG) positron emission tomography (PET) and magnetic resonance imaging (MRI) of 18 patients with epilepsy and MRI findings of MTS, who were seizure-free for at least 2-years after temporal lobectomy...
October 28, 2017: Epilepsy Research
https://www.readbyqxmd.com/read/29039074/the-usefulness-of-stereo-electroencephalography-seeg-in-the-surgical-management-of-focal-epilepsy-associated-with-hidden-temporal-pole-encephalocele-a-case-report-and-literature-review
#2
João Paulo Sant Ana Santos de Souza, Jeff Mullin, Connor Wathen, Juan Bulacio, Patrick Chauvel, Lara Jehi, Jorge Gonzalez-Martinez
The authors report a case of 18-year-old woman with partial complex seizures compatible with temporal epilepsy by semiology. Due to medical refractoriness, she was referred to pre-surgical evaluation. Initially, MRI showed no significant structural abnormality and superficial scalp EEG demonstrated epileptiform activity in the frontotemporal areas. Due to the lack of clear MRI abnormalities and the potential involvement of dominant mesial temporal structures by seizure semiology and non-invasive data, extra-operative invasive evaluation using stereo-electroencephalography (SEEG) methodology was indicated...
October 16, 2017: Neurosurgical Review
https://www.readbyqxmd.com/read/29016856/neuronal-overexpression-of-ube3a-isoform-2-causes-behavioral-impairments-and-neuroanatomical-pathology-relevant-to-15q11-2-q13-3-duplication-syndrome
#3
Nycole A Copping, Sarah G B Christian, Dylan J Ritter, M Saharul Islam, Nathalie Buscher, Dorota Zolkowska, Michael C Pride, Elizabeth L Berg, Janine M LaSalle, Jacob Ellegood, Jason P Lerch, Lawrence T Reiter, Jill L Silverman, Scott V Dindot
Maternally derived copy number gains of human chromosome 15q11.2-q13.3 (Dup15q syndrome or Dup15q) cause intellectual disability, epilepsy, developmental delay, hypotonia, speech impairments, and minor dysmorphic features. Dup15q syndrome is one of the most common and penetrant chromosomal abnormalities observed in individuals with autism spectrum disorder (ASD). Although ∼40 genes are located in the 15q11.2-q13.3 region, overexpression of the ubiquitin-protein E3A ligase (UBE3A) gene is thought to be the predominant molecular cause of the phenotypes observed in Dup15q syndrome...
October 15, 2017: Human Molecular Genetics
https://www.readbyqxmd.com/read/28622539/features-of-amygdala-in-patients-with-mesial-temporal-lobe-epilepsy-and-hippocampal-sclerosis-an-mri-volumetric-and-histopathological-study
#4
Yoko Nakayama, Hiroshi Masuda, Hiroshi Shirozu, Yosuke Ito, Takefumi Higashijima, Hiroki Kitaura, Yukihiko Fujii, Akiyoshi Kakita, Masafumi Fukuda
OBJECTIVE: It is well-known that there is a correlation between the neuropathological grade of hippocampal sclerosis (HS) and neuroradiological atrophy of the hippocampus in mesial temporal lobe epilepsy (mTLE) patients. However, there is no strict definition or criterion regarding neuron loss and atrophy of the amygdala neighboring the hippocampus. We examined the relationship between HS and neuronal loss in the amygdala. MATERIALS AND METHODS: Nineteen mTLE patients with neuropathological proof of HS were assigned to Group A, while seven mTLE patients without HS were assigned to Group B...
September 2017: Epilepsy Research
https://www.readbyqxmd.com/read/28458103/changes-in-the-interictal-and-early-postictal-diffusion-and-perfusion-magnetic-resonance-parameters-in-familial-spontaneous-epileptic-cats
#5
Yuji Hamamoto, Daisuke Hasegawa, Shunta Mizoguchi, Yoshihiko Yu, Masae Wada, Takayuki Kuwabara, Aki Fujiwara-Igarashi, Michio Fujita
OBJECTIVE: The familial spontaneous epileptic cat (FSEC) is thought to be a good genetic model of mesial temporal lobe epilepsy. In the current study, cerebral diffusion and perfusion magnetic resonance imaging (MRI) were used to confirm the functional deficit zone in the FSEC and evaluate the effect of a single seizure on different brain regions. METHODS: Six FSECs and six healthy control cats were used in this study. MRI was performed in the interictal state (resting state for control) and postictal state immediately after the vestibular stimulation-induced generalized epileptic seizure (control cats received the same stimulation as the FSECs)...
April 23, 2017: Epilepsy Research
https://www.readbyqxmd.com/read/28370719/brain-structure-and-organization-five-decades-after-childhood-onset-epilepsy
#6
Camille Garcia-Ramos, Sam Bobholz, Kevin Dabbs, Bruce Hermann, Juho Joutsa, Juha O Rinne, Mira Karrasch, Vivek Prabhakaran, Shlomo Shinnar, Matti Sillanpää
The purpose of this project was to characterize brain structure and organization in persons with active and remitted childhood onset epilepsy 50 years after diagnosis compared with healthy controls. Participants from a population-based investigation of uncomplicated childhood onset epilepsy were followed up 5 decades later. Forty-one participants had a history of childhood onset epilepsy (mean age of onset = 5.2 years, current chronological age = 56.0 years) and were compared with 48 population-based controls (mean age = 55...
June 2017: Human Brain Mapping
https://www.readbyqxmd.com/read/28240946/interictal-diffusion-and-perfusion-magnetic-resonance-imaging-features-of-cats-with-familial-spontaneous-epilepsy
#7
Shunta Mizoguchi, Daisuke Hasegawa, Yuji Hamamoto, Yoshihiko Yu, Takayuki Kuwabara, Aki Fujiwara-Igarashi, Michio Fujita
OBJECTIVE To evaluate the usefulness of diffusion and perfusion MRI of the cerebrum in cats with familial spontaneous epilepsy (FSECs) and identify microstructural and functional deficit zones in affected cats. ANIMALS 19 FSECs and 12 healthy cats. PROCEDURES Diffusion-weighted, diffusion tensor, and perfusion-weighted MRI of the cerebrum were performed during interictal periods in FSECs. Imaging findings were compared between FSECs and control cats. Diffusion (apparent diffusion coefficient and fractional anisotropy) and perfusion (relative cerebral blood volume [rCBV], relative cerebral blood flow [rCBF], and mean transit time) variables were measured bilaterally in the hippocampus, amygdala, thalamus, parietal cortex gray matter, and subcortical white matter...
March 2017: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/27855355/seizure-control-and-cognitive-improvement-via-immunotherapy-in-late-onset-epilepsy-patients-with-paraneoplastic-versus-gad65-autoantibody-associated-limbic-encephalitis
#8
COMPARATIVE STUDY
N Hansen, G Widman, J-A Witt, J Wagner, A J Becker, C E Elger, C Helmstaedter
OBJECTIVE: To determine the efficacy of immunotherapy in limbic encephalitis (LE) associated epilepsies with autoantibodies against intracellular antigens in the forms of paraneoplastic autoantibodies versus glutamic acid decarboxylase 65 (GAD)-autoantibodies. METHODS: Eleven paraneoplastic-antibodies+ and eleven age- and gender-matched GAD-antibodies+ patients with LE were compared regarding EEG, seizure frequency, MRI volumetry of the brain, and cognition. All patients received immunotherapy with corticosteroids add-on to antiepileptic therapy...
December 2016: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/27830114/disruptions-in-cortico-subcortical-covariance-networks-associated-with-anxiety-in-new-onset-childhood-epilepsy
#9
Camille Garcia-Ramos, Jack J Lin, Leonardo Bonilha, Jana E Jones, Daren C Jackson, Vivek Prabhakaran, Bruce P Hermann
Anxiety disorders represent a prevalent psychiatric comorbidity in both adults and children with epilepsy for which the etiology remains controversial. Neurobiological contributions have been suggested, but only limited evidence suggests abnormal brain volumes particularly in children with epilepsy and anxiety. Since the brain develops in an organized fashion, covariance analyses between different brain regions can be investigated as a network and analyzed using graph theory methods. We examined 46 healthy children (HC) and youth with recent onset idiopathic epilepsies with (n = 24) and without (n = 62) anxiety disorders...
2016: NeuroImage: Clinical
https://www.readbyqxmd.com/read/27635630/white-matter-abnormalities-in-patients-with-temporal-lobe-epilepsy-and-amygdala-enlargement-comparison-with-hippocampal-sclerosis-and-healthy-subjects
#10
Daichi Sone, Miho Ota, Norihide Maikusa, Yukio Kimura, Kaoru Sumida, Kota Yokoyama, Etsuko Imabayashi, Masako Watanabe, Yutaka Watanabe, Mitsutoshi Okazaki, Noriko Sato, Hiroshi Matsuda
PURPOSE: Cases of temporal lobe epilepsy (TLE) with ipsilateral amygdala enlargement (AE) have increasingly been reported. However, the white matter (WM) abnormalities of TLE patients with AE remain poorly investigated. Here we explored macrostructural and microstructural WM abnormalities in TLE patients with AE compared to normal controls and TLE patients with hippocampal sclerosis (HS). MATERIAL AND METHODS: We selected 17 patients with unilateral TLE with AE (TLE-AE) based on automated amygdala volumetry using FreeSurfer software, and 34 healthy controls and 35 patients with unilateral TLE with HS (TLE-HS) were also recruited...
November 2016: Epilepsy Research
https://www.readbyqxmd.com/read/27418040/suspected-new-onset-autoimmune-temporal-lobe-epilepsy-with-amygdala-enlargement
#11
Michael P Malter, Guido Widman, Norbert Galldiks, Winfried Stoecker, Christoph Helmstaedter, Christian E Elger, Jan Wagner
OBJECTIVE: Recent reports define temporal lobe epilepsy with amygdala enlargement (TLE-AE) as a distinct electroclinical syndrome comparable to TLE with hippocampal sclerosis. In this retrospective observational study, we present the largest consecutive series of patients with new-onset TLE-AE to date and describe clinical characteristics and seizure outcome, and we aim to explore underlying autoimmune mechanisms within this syndrome. METHODS: We reviewed all consecutive patients between 2004 and 2014 at our tertiary epilepsy center at the University of Bonn, Germany, with new-onset (<5 years) TLE-AE, negative serum antibody (ab) test results, and with available follow-up data for at least 12 months...
September 2016: Epilepsia
https://www.readbyqxmd.com/read/27374869/resting-state-functional-mri-distinguishes-temporal-lobe-epilepsy-subtypes
#12
Anny Reyes, Thomas Thesen, Xiuyuan Wang, Daniel Hahn, Daeil Yoo, Ruben Kuzniecky, Orrin Devinsky, Karen Blackmon
OBJECTIVE: We assessed whether presurgical resting state functional magnetic resonance imaging (fMRI) provides information for distinguishing temporal lobe epilepsy (TLE) with mesial temporal sclerosis (TLE-MTS) from TLE without MTS (TLE-noMTS). METHODS: Thirty-four patients with TLE and 34 sex-/age-matched controls consented to a research imaging protocol. MTS status was confirmed by histologic evaluation of surgical tissue (TLE-MTS = 16; TLE-noMTS = 18). The fractional amplitude of low-frequency fluctuations (fALFFs) in the blood oxygen level-dependent (BOLD) resting-state fMRI signal, a marker of local metabolic demand at rest, was averaged at five regions of interest (ROIs; hippocampus, amygdala, frontal, occipital, and temporal lobe), along with corresponding volume and cortical thickness estimates...
September 2016: Epilepsia
https://www.readbyqxmd.com/read/27231493/amygdala-volumetry-in-patients-with-temporal-lobe-epilepsy-and-normal-magnetic-resonance-imaging
#13
Paramdeep Singh, Rupinderjeet Kaur, Kavita Saggar, Gagandeep Singh, Simmi Aggarwal
BACKGROUND: It has been suggested that the pathophysiology of temporal lobe epilepsy may relate to abnormalities in various brain structures, including the amygdala. Patients with mesial temporal lobe epilepsy (MTLE) without MRI abnormalities (MTLE-NMRI) represent a challenge for diagnosis of the underlying abnormality and for presurgical evaluation. To date, however, only few studies have used quantitative structural Magnetic Resonance Imaging-based techniques to examine amygdalar pathology in these patients...
2016: Polish Journal of Radiology
https://www.readbyqxmd.com/read/27176882/isolated-amygdala-enlargement-in-temporal-lobe-epilepsy-a-systematic-review
#14
REVIEW
S M Jessica Beh, Mark J Cook, Wendyl J D'Souza
OBJECTIVE: The objective of this study was to compare the seizure characteristics and treatment outcomes in patient groups with temporal lobe epilepsy (TLE) identified with isolated amygdala enlargement (AE) on magnetic resonance imaging studies. METHODS: PubMed, Embase, and the Cochrane Library were searched for relevant studies using the keywords 'amygdala enlargement', 'epilepsy', and 'seizures' in April 2015. Human studies, written in English, that investigated cohorts of patients with TLE and AE were included...
July 2016: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/26940288/suspected-antibody-negative-autoimmune-limbic-encephalitis-outcome-of-immunotherapy
#15
B von Rhein, J Wagner, G Widman, M P Malter, C E Elger, C Helmstaedter
OBJECTIVES: Whether and when to immunologically treat epilepsy patients with suggested autoantibody (AB)-negative limbic encephalitis (LE) is clinically challenging. Therefore, we evaluated the clinical outcome and eventual outcome predictors of immunotherapy in a group of AB-negative patients with recent-onset temporal lobe epilepsy (TLE), magnetic resonance imaging (MRI) indicators of LE, subjective cognitive decline, and/or psychiatric symptoms. METHODS: This retrospective, observational, uncontrolled study monitored 28 TLE patients with suggested AB-negative LE along with methylprednisolone immunotherapy...
January 2017: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/26871207/transcranial-magnetic-resonance-guided-focused-ultrasound-for-temporal-lobe-epilepsy-a-laboratory-feasibility-study
#16
Stephen Monteith, John Snell, Mathew Eames, Neal F Kassell, Edward Kelly, Ryder Gwinn
OBJECTIVE In appropriate candidates, the treatment of medication-refractory mesial temporal lobe epilepsy (MTLE) is primarily surgical. Traditional anterior temporal lobectomy yields seizure-free rates of 60%-70% and possibly higher. The field of magnetic resonance-guided focused ultrasound (MRgFUS) is an evolving field in neurosurgery. There is potential to treat MTLE with MRgFUS; however, it has appeared that the temporal lobe structures were beyond the existing treatment envelope of currently available clinical systems...
December 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/26697969/laser-interstitial-thermal-therapy-for-medically-intractable-mesial-temporal-lobe-epilepsy
#17
Joon Y Kang, Chengyuan Wu, Joseph Tracy, Matthew Lorenzo, James Evans, Maromi Nei, Christopher Skidmore, Scott Mintzer, Ashwini D Sharan, Michael R Sperling
OBJECTIVE: To describe mesial temporal lobe ablated volumes, verbal memory, and surgical outcomes in patients with medically intractable mesial temporal lobe epilepsy (mTLE) treated with magnetic resonance imaging (MRI)-guided stereotactic laser interstitial thermal therapy (LiTT). METHODS: We prospectively tracked seizure outcome in 20 patients at Thomas Jefferson University Hospital with drug-resistant mTLE who underwent MRI-guided LiTT from December 2011 to December 2014...
February 2016: Epilepsia
https://www.readbyqxmd.com/read/26691904/blood-brain-barrier-leakage-after-status-epilepticus-in-rapamycin-treated-rats-i-magnetic-resonance-imaging
#18
Erwin A van Vliet, Willem M Otte, Wytse J Wadman, Eleonora Aronica, Gijs Kooij, Helga E de Vries, Rick M Dijkhuizen, Jan A Gorter
OBJECTIVE: The mammalian target of rapamycin (mTOR) pathway has received increasing attention as a potential antiepileptogenic target. Treatment with the mTOR inhibitor rapamycin after status epilepticus reduces the development of epilepsy in a rat model. To study whether rapamycin mediates this effect via restoration of blood-brain barrier (BBB) dysfunction, contrast-enhanced magnetic resonance imaging (CE-MRI) was used to determine BBB permeability throughout epileptogenesis. METHODS: Imaging was repeatedly performed until 6 weeks after kainic acid-induced status epilepticus in rapamycin (6 mg/kg for 6 weeks starting 4 h after SE) and vehicle-treated rats, using gadobutrol as contrast agent...
January 2016: Epilepsia
https://www.readbyqxmd.com/read/26661244/altered-gabaa-receptor-density-and-unaltered-blood-brain-barrier-11c-flumazenil-transport-in-drug-resistant-epilepsy-patients-with-mesial-temporal-sclerosis
#19
Femke E Froklage, Andrey Postnov, Maqsood M Yaqub, Esther Bakker, Ronald Boellaard, N Harry Hendrikse, Emile Fi Comans, Robert C Schuit, Patrick Schober, Demetrios N Velis, Jack Zwemmer, Jan J Heimans, Adriaan A Lammertsma, Rob A Voskuyl, Jaap C Reijneveld
Studies in rodents suggest that flumazenil is a P-glycoprotein substrate at the blood-brain barrier. This study aimed to assess whether [(11)C]flumazenil is a P-glycoprotein substrate in humans and to what extent increased P-glycoprotein function in epilepsy may confound interpretation of clinical [(11)C]flumazenil studies used to assess gamma-aminobutyric acid A receptors. Nine drug-resistant patients with epilepsy and mesial temporal sclerosis were scanned twice using [(11)C]flumazenil before and after partial P-glycoprotein blockade with tariquidar...
January 2017: Journal of Cerebral Blood Flow and Metabolism
https://www.readbyqxmd.com/read/26640379/relationship-between-remnant-hippocampus-and-amygdala-and-memory-outcomes-after-stereotactic-surgery-for-mesial-temporal-lobe-epilepsy
#20
Hana Malikova, Lenka Kramska, Zdenek Vojtech, Jan Sroubek, Jiri Lukavsky, Roman Liscak
BACKGROUND AND PURPOSE: Mesial temporal structures play an important role in human memory. In mesial temporal lobe epilepsy (MTLE), seizure activity is generated from the same structures. Surgery is the definitive treatment for medically intractable MTLE. In addition to standard temporal lobe microsurgical resection, stereotactic radiofrequency amygdalohippocampectomy (SAHE) is used as an alternative MTLE treatment. While memory impairments after standard epilepsy surgery are well known, it has been shown that memory decline is not a feature of SAHE...
2015: Neuropsychiatric Disease and Treatment
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