The issue of whether progressive brain injury occurs in pharmacoresistant epilepsy remains important and controversial. A combined longitudinal and cross-sectional MRI study, in which an automated method was used to measure cortical thickness, has demonstrated accelerated brain atrophy in patients with chronic epilepsy.
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Kuzniecky, R., Thesen, T. & Devinsky, O. Is localization-related epilepsy a progressive disorder? Maybe.... Nat Rev Neurol 5, 356–357 (2009). https://doi.org/10.1038/nrneurol.2009.82
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DOI: https://doi.org/10.1038/nrneurol.2009.82
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