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Epilepsy

Is localization-related epilepsy a progressive disorder? Maybe...

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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References

  1. Bernhardt, B. C. et al. Longitudinal and cross-sectional analysis of atrophy in pharmacoresistant temporal lobe epilepsy. Neurology 72, 1747–1754 (2009).

    Article  CAS  Google Scholar 

  2. Ashburner, J. & Friston, K. J. Voxel-based morphometry—the methods. Neuroimage 11, 805–821 (2000).

    Article  CAS  Google Scholar 

  3. Wegner, C., Esiri, M. M., Chance, S. A., Palace, J. & Matthews, P. M. Neocortical neuronal, synaptic, and glial loss in multiple sclerosis. Neurology 67, 960–967 (2006).

    Article  CAS  Google Scholar 

  4. Fischl, B., Sereno, M. I., Tootell, R. B. & Dale, A. M. High-resolution intersubject averaging and a coordinate system for the cortical surface. Hum. Brain Mapp. 8, 272–284 (1999).

    Article  CAS  Google Scholar 

  5. Fjell, A. M. et al. High consistency of regional cortical thinning in aging across multiple samples. Cereb. Cortex doi: 10.1093/cercor/bhn232

    Article  Google Scholar 

  6. Jokeit, H. et al. Bilateral reductions of hippocampal volume, glucose metabolism, and Wada hemispheric memory performance are related to the duration of mesial temporal lobe epilepsy. J. Neurol. 246, 926–933 (1999).

    Article  CAS  Google Scholar 

  7. Theodore, W. H. et al. Hippocampal atrophy, epilepsy duration, and febrile seizures in patients with partial seizures. Neurology 52, 132–136 (1999).

    Article  CAS  Google Scholar 

  8. Fuerst, D., Shah, J., Shah, A. & Watson, C. Hippocampal sclerosis is a progressive disorder: a longitudinal volumetric MRI study. Ann. Neurol. 53, 413–416 (2003).

    Article  Google Scholar 

  9. Moran, N. F., Lemieux, L., Kitchen, N. D., Fish, D. R. & Shorvon, S. D. Extrahippocampal temporal lobe atrophy in temporal lobe epilepsy and mesial temporal sclerosis. Brain 124, 167–175 (2001).

    Article  CAS  Google Scholar 

  10. Lawson, J. A. et al. Predictors of hippocampal, cerebral, and cerebellar volume reduction in childhood epilepsy. Epilepsia 41, 1540–1545 (2000).

    Article  CAS  Google Scholar 

Download references

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Correspondence to Ruben Kuzniecky.

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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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