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EEG-fMRI study of the interictal epileptic activity in patients with partial epilepsy.

EEG-fMRI study of the interictal epileptic activity in patients with partial epilepsy. Research Abstract Details 

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  • EEG-fMRI study of the interictal epileptic activity in patients with partial epilepsy. Abstract Text:

    yonghong liuYonghong Liu,tianhua yangTianhua Yang,xuhong yangXuhong Yang,iing liuIing Liu,wei liaoWei Liao,su luiSu Lui,xiaoqi huangXiaoqi Huang,huafu chenHuafu Chen,qiyong gongQiyong Gong,dong zhouDong Zhou,

    PURPOSE: To investigate Blood Oxygen Level Dependent (BOLD) responses to interictal epileptic discharges (IEDs) during EEG-correlated functional MRI (EEG-fMRI) in patients with partial epilepsy. METHODS: We studied eight patients who had a diagnosis of partial epilepsy and active spiking on routine scalp EEG recording. Sessions of continuous EEG-fMRI were recorded, and spikes (identified after online artifact removal) were used as events in the fMRI analysis. Regions of BOLD signal change in response to interictal epileptic discharge were assessed and epileptogenic zone localization was electroclinically identified. RESULTS: Eight patients with partial epilepsy were recruited (6 males, 2 females, mean age 18.5, mean onset age range 0.5-29). Two who underwent EEG-fMRI were excluded from further analysis: one due to absence of epileptic discharges, the other due to excessive head motion. Eight sessions of EEG-fMRI scanning in 6 patients were obtained: 6 with activation and deactivation, one with activation only, and one with deactivation only. Focal activations corresponding to electroclinical localization occurred in 7 sessions, 5 of which were maximal. CONCLUSIONS: Maximally activated areas detected by EEG-fMRI in patients with partial epilepsy appear to be concordant with epileptogenic areas as defined by electroclinical localization data. In most patients with focal epilepsy, positive BOLD responses seem to be mainly in epileptogenic zones and the corresponding contralateral areas. Responses to deactivation seem less associated with IEDs. So EEG-fMRI is a useful tool to study the pathophysiological mechanisms of epilepsy and may assist in presurgical evaluation of epilepsy.

    EEG-fMRI study of the interictal epileptic activity in patients with partial epilepsy. Publishing Authors By Initials

    y liuY Liu,t yangT Yang,x yangX Yang,i liuI Liu,w liaoW Liao,s luiS Lui,x huangX Huang,h chenH Chen,q gongQ Gong,d zhouD Zhou,

    For similar abstracts research abstracts see: abstracts research

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    EEG-fMRI study of the interictal epileptic activity in patients with partial epilepsy. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Journal of the neurological sciences

    VOLUME: 268

    Page Numbers: 117-23

    Journal Abbreviation: J. Neurol. Sci.

    ISSN: 0022-510X

    DAY: 11

    MONTH: 01

    YEAR: 2008

    EEG-fMRI study of the interictal epileptic activity in patients with partial epilepsy. Information

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    LANGUAGE: eng

    NlmUniqueID: 375403

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    AFFILIATION: Department of Neurology, West China Hospital, Si Chuan University, Chengdu, Sichuan, P. R. China.

    Country: Netherlands

    Netherlands Research PublicationNetherlands Research Publication

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    MEDLINETA: J Neurol Sci

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