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Magnetoencephalography in Patients with Tuberous Sclerosis and Localization‐related Epilepsy
Purpose: To clarify the usefulness of magnetoencephalography (MEG) for diagnosis of the spatial relations between spike foci and suspicious epileptogenic tubers on MRI in patients with tuberous sclerosis (TS) and to compare MEG spike foci with single‐photon emission computed tomography (SPECT) findi...
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Published in: | Epilepsia (Copenhagen) 2006-06, Vol.47 (6), p.991-997 |
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creator | Kamimura, Takanori Tohyama, Jun Oishi, Makoto Akasaka, Noriyuki Kanazawa, Osamu Sasagawa, Mutsuo Kato, Mitsuhiro Ohno, Kousaku Masuda, Hiroshi Kameyama, Shigeki Uchiyama, Makoto |
description | Purpose: To clarify the usefulness of magnetoencephalography (MEG) for diagnosis of the spatial relations between spike foci and suspicious epileptogenic tubers on MRI in patients with tuberous sclerosis (TS) and to compare MEG spike foci with single‐photon emission computed tomography (SPECT) findings.
Methods: We analyzed magnetic fields of epileptic spike discharges in 15 patients with TS and localization‐related epilepsy (LRE) by using MEG (a whole‐head 204‐channel magnetometer system). We investigated the spatial relation between the equivalent current dipoles (ECDs) of interictal spike discharges and visible cortical tubers on MRI. We also compared results of MEG and MRI with SPECT findings.
Results: MEG detected a cluster of ECDs around one cortical tuber in six of 15 patients and clusters of ECDs around two cortical tubers in five patients. Interictal SPECT was disappointing in detection of epileptic foci in TS. However, MEG spike foci showed spatial consistency with ictal hyperperfusion areas in two patients. Three patients with single ECD clusters underwent surgical treatment: two have been seizure free, and one has obtained seizure reduction of >90%.
Conclusions: ECDs were located around visible tuber nodules. MEG enabled precise localization of the epileptic foci and provided crucial information for surgical treatment in patients with TS and partial epilepsy. TS patients showing a single ECD cluster on MEG may be appropriate candidates for surgical treatment. |
doi_str_mv | 10.1111/j.1528-1167.2006.00511.x |
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Methods: We analyzed magnetic fields of epileptic spike discharges in 15 patients with TS and localization‐related epilepsy (LRE) by using MEG (a whole‐head 204‐channel magnetometer system). We investigated the spatial relation between the equivalent current dipoles (ECDs) of interictal spike discharges and visible cortical tubers on MRI. We also compared results of MEG and MRI with SPECT findings.
Results: MEG detected a cluster of ECDs around one cortical tuber in six of 15 patients and clusters of ECDs around two cortical tubers in five patients. Interictal SPECT was disappointing in detection of epileptic foci in TS. However, MEG spike foci showed spatial consistency with ictal hyperperfusion areas in two patients. Three patients with single ECD clusters underwent surgical treatment: two have been seizure free, and one has obtained seizure reduction of >90%.
Conclusions: ECDs were located around visible tuber nodules. MEG enabled precise localization of the epileptic foci and provided crucial information for surgical treatment in patients with TS and partial epilepsy. TS patients showing a single ECD cluster on MEG may be appropriate candidates for surgical treatment.</description><identifier>ISSN: 0013-9580</identifier><identifier>EISSN: 1528-1167</identifier><identifier>DOI: 10.1111/j.1528-1167.2006.00511.x</identifier><identifier>PMID: 16822245</identifier><identifier>CODEN: EPILAK</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Adolescent ; Adult ; Anticonvulsants. Antiepileptics. Antiparkinson agents ; Biological and medical sciences ; Brain Mapping - methods ; Cerebral Cortex - physiopathology ; Child ; Child, Preschool ; Comorbidity ; Epilepsies, Partial - diagnosis ; Epilepsies, Partial - physiopathology ; Epilepsies, Partial - surgery ; Epilepsy, Temporal Lobe - diagnosis ; Epilepsy, Temporal Lobe - physiopathology ; Epilepsy, Temporal Lobe - surgery ; Epileptic focus ; Female ; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy ; Humans ; Magnetic Resonance Imaging - statistics & numerical data ; Magnetoencephalography ; Magnetoencephalography - statistics & numerical data ; Male ; Malformations of the nervous system ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Neuropharmacology ; Pharmacology. Drug treatments ; SPECT ; Symptomatic localization‐related epilepsy ; Temporal Lobe - physiopathology ; Temporal Lobe - surgery ; Tomography, Emission-Computed, Single-Photon - statistics & numerical data ; Tuberous sclerosis ; Tuberous Sclerosis - diagnosis ; Tuberous Sclerosis - physiopathology ; Tuberous Sclerosis - surgery</subject><ispartof>Epilepsia (Copenhagen), 2006-06, Vol.47 (6), p.991-997</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4771-efe90d991a1d5e84b2dc1eba686b33c03efd9b412a13f15511a3eda9ccdd29543</citedby><cites>FETCH-LOGICAL-c4771-efe90d991a1d5e84b2dc1eba686b33c03efd9b412a13f15511a3eda9ccdd29543</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17884581$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16822245$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kamimura, Takanori</creatorcontrib><creatorcontrib>Tohyama, Jun</creatorcontrib><creatorcontrib>Oishi, Makoto</creatorcontrib><creatorcontrib>Akasaka, Noriyuki</creatorcontrib><creatorcontrib>Kanazawa, Osamu</creatorcontrib><creatorcontrib>Sasagawa, Mutsuo</creatorcontrib><creatorcontrib>Kato, Mitsuhiro</creatorcontrib><creatorcontrib>Ohno, Kousaku</creatorcontrib><creatorcontrib>Masuda, Hiroshi</creatorcontrib><creatorcontrib>Kameyama, Shigeki</creatorcontrib><creatorcontrib>Uchiyama, Makoto</creatorcontrib><title>Magnetoencephalography in Patients with Tuberous Sclerosis and Localization‐related Epilepsy</title><title>Epilepsia (Copenhagen)</title><addtitle>Epilepsia</addtitle><description>Purpose: To clarify the usefulness of magnetoencephalography (MEG) for diagnosis of the spatial relations between spike foci and suspicious epileptogenic tubers on MRI in patients with tuberous sclerosis (TS) and to compare MEG spike foci with single‐photon emission computed tomography (SPECT) findings.
Methods: We analyzed magnetic fields of epileptic spike discharges in 15 patients with TS and localization‐related epilepsy (LRE) by using MEG (a whole‐head 204‐channel magnetometer system). We investigated the spatial relation between the equivalent current dipoles (ECDs) of interictal spike discharges and visible cortical tubers on MRI. We also compared results of MEG and MRI with SPECT findings.
Results: MEG detected a cluster of ECDs around one cortical tuber in six of 15 patients and clusters of ECDs around two cortical tubers in five patients. Interictal SPECT was disappointing in detection of epileptic foci in TS. However, MEG spike foci showed spatial consistency with ictal hyperperfusion areas in two patients. Three patients with single ECD clusters underwent surgical treatment: two have been seizure free, and one has obtained seizure reduction of >90%.
Conclusions: ECDs were located around visible tuber nodules. MEG enabled precise localization of the epileptic foci and provided crucial information for surgical treatment in patients with TS and partial epilepsy. TS patients showing a single ECD cluster on MEG may be appropriate candidates for surgical treatment.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Anticonvulsants. Antiepileptics. Antiparkinson agents</subject><subject>Biological and medical sciences</subject><subject>Brain Mapping - methods</subject><subject>Cerebral Cortex - physiopathology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Comorbidity</subject><subject>Epilepsies, Partial - diagnosis</subject><subject>Epilepsies, Partial - physiopathology</subject><subject>Epilepsies, Partial - surgery</subject><subject>Epilepsy, Temporal Lobe - diagnosis</subject><subject>Epilepsy, Temporal Lobe - physiopathology</subject><subject>Epilepsy, Temporal Lobe - surgery</subject><subject>Epileptic focus</subject><subject>Female</subject><subject>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - statistics & numerical data</subject><subject>Magnetoencephalography</subject><subject>Magnetoencephalography - statistics & numerical data</subject><subject>Male</subject><subject>Malformations of the nervous system</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neuropharmacology</subject><subject>Pharmacology. Drug treatments</subject><subject>SPECT</subject><subject>Symptomatic localization‐related epilepsy</subject><subject>Temporal Lobe - physiopathology</subject><subject>Temporal Lobe - surgery</subject><subject>Tomography, Emission-Computed, Single-Photon - statistics & numerical data</subject><subject>Tuberous sclerosis</subject><subject>Tuberous Sclerosis - diagnosis</subject><subject>Tuberous Sclerosis - physiopathology</subject><subject>Tuberous Sclerosis - surgery</subject><issn>0013-9580</issn><issn>1528-1167</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNqNkcFu1DAQhq2qiC6FV6h8aW8JHjtObKkXVG1LpUVUolyxHHvS9SqbhDirdnviEXhGngQvu6JHmMuM5G_GM_9PCAWWQ4r3qxwkVxlAWeWcsTJnTALkT0dk9vfhmMwYA5FpqdgJeRPjijFWlZV4TU6gVJzzQs7It0_2ocOpx87hsLRt_zDaYbmloaN3dgrYTZE-hmlJ7zc1jv0m0i-uTUUMkdrO00XvbBueE9p3v378HLG1E3o6H0KLQ9y-Ja8a20Z8d8in5Ov1_P7qY7b4fHN79WGRuaKqIMMGNfNagwUvURU19w6wtqUqayEcE9h4XRfALYgGZLrVCvRWO-c917IQp-RiP3cY--8bjJNZh-iwbW2HaWmTBjFdKPZPELRgkhdlAtUedOnYOGJjhjGs7bg1wMzOBLMyO63NTmuzM8H8McE8pdazwx-beo3-pfGgegLOD4CNSb5mtJ0L8YWrlCqkgsRd7rnHpOb2vxcw87vbVIjfYlGlBg</recordid><startdate>200606</startdate><enddate>200606</enddate><creator>Kamimura, Takanori</creator><creator>Tohyama, Jun</creator><creator>Oishi, Makoto</creator><creator>Akasaka, Noriyuki</creator><creator>Kanazawa, Osamu</creator><creator>Sasagawa, Mutsuo</creator><creator>Kato, Mitsuhiro</creator><creator>Ohno, Kousaku</creator><creator>Masuda, Hiroshi</creator><creator>Kameyama, Shigeki</creator><creator>Uchiyama, Makoto</creator><general>Blackwell Publishing Inc</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>200606</creationdate><title>Magnetoencephalography in Patients with Tuberous Sclerosis and Localization‐related Epilepsy</title><author>Kamimura, Takanori ; Tohyama, Jun ; Oishi, Makoto ; Akasaka, Noriyuki ; Kanazawa, Osamu ; Sasagawa, Mutsuo ; Kato, Mitsuhiro ; Ohno, Kousaku ; Masuda, Hiroshi ; Kameyama, Shigeki ; Uchiyama, Makoto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4771-efe90d991a1d5e84b2dc1eba686b33c03efd9b412a13f15511a3eda9ccdd29543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Anticonvulsants. Antiepileptics. Antiparkinson agents</topic><topic>Biological and medical sciences</topic><topic>Brain Mapping - methods</topic><topic>Cerebral Cortex - physiopathology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Comorbidity</topic><topic>Epilepsies, Partial - diagnosis</topic><topic>Epilepsies, Partial - physiopathology</topic><topic>Epilepsies, Partial - surgery</topic><topic>Epilepsy, Temporal Lobe - diagnosis</topic><topic>Epilepsy, Temporal Lobe - physiopathology</topic><topic>Epilepsy, Temporal Lobe - surgery</topic><topic>Epileptic focus</topic><topic>Female</topic><topic>Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging - statistics & numerical data</topic><topic>Magnetoencephalography</topic><topic>Magnetoencephalography - statistics & numerical data</topic><topic>Male</topic><topic>Malformations of the nervous system</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neuropharmacology</topic><topic>Pharmacology. Drug treatments</topic><topic>SPECT</topic><topic>Symptomatic localization‐related epilepsy</topic><topic>Temporal Lobe - physiopathology</topic><topic>Temporal Lobe - surgery</topic><topic>Tomography, Emission-Computed, Single-Photon - statistics & numerical data</topic><topic>Tuberous sclerosis</topic><topic>Tuberous Sclerosis - diagnosis</topic><topic>Tuberous Sclerosis - physiopathology</topic><topic>Tuberous Sclerosis - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kamimura, Takanori</creatorcontrib><creatorcontrib>Tohyama, Jun</creatorcontrib><creatorcontrib>Oishi, Makoto</creatorcontrib><creatorcontrib>Akasaka, Noriyuki</creatorcontrib><creatorcontrib>Kanazawa, Osamu</creatorcontrib><creatorcontrib>Sasagawa, Mutsuo</creatorcontrib><creatorcontrib>Kato, Mitsuhiro</creatorcontrib><creatorcontrib>Ohno, Kousaku</creatorcontrib><creatorcontrib>Masuda, Hiroshi</creatorcontrib><creatorcontrib>Kameyama, Shigeki</creatorcontrib><creatorcontrib>Uchiyama, Makoto</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Epilepsia (Copenhagen)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kamimura, Takanori</au><au>Tohyama, Jun</au><au>Oishi, Makoto</au><au>Akasaka, Noriyuki</au><au>Kanazawa, Osamu</au><au>Sasagawa, Mutsuo</au><au>Kato, Mitsuhiro</au><au>Ohno, Kousaku</au><au>Masuda, Hiroshi</au><au>Kameyama, Shigeki</au><au>Uchiyama, Makoto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Magnetoencephalography in Patients with Tuberous Sclerosis and Localization‐related Epilepsy</atitle><jtitle>Epilepsia (Copenhagen)</jtitle><addtitle>Epilepsia</addtitle><date>2006-06</date><risdate>2006</risdate><volume>47</volume><issue>6</issue><spage>991</spage><epage>997</epage><pages>991-997</pages><issn>0013-9580</issn><eissn>1528-1167</eissn><coden>EPILAK</coden><abstract>Purpose: To clarify the usefulness of magnetoencephalography (MEG) for diagnosis of the spatial relations between spike foci and suspicious epileptogenic tubers on MRI in patients with tuberous sclerosis (TS) and to compare MEG spike foci with single‐photon emission computed tomography (SPECT) findings.
Methods: We analyzed magnetic fields of epileptic spike discharges in 15 patients with TS and localization‐related epilepsy (LRE) by using MEG (a whole‐head 204‐channel magnetometer system). We investigated the spatial relation between the equivalent current dipoles (ECDs) of interictal spike discharges and visible cortical tubers on MRI. We also compared results of MEG and MRI with SPECT findings.
Results: MEG detected a cluster of ECDs around one cortical tuber in six of 15 patients and clusters of ECDs around two cortical tubers in five patients. Interictal SPECT was disappointing in detection of epileptic foci in TS. However, MEG spike foci showed spatial consistency with ictal hyperperfusion areas in two patients. Three patients with single ECD clusters underwent surgical treatment: two have been seizure free, and one has obtained seizure reduction of >90%.
Conclusions: ECDs were located around visible tuber nodules. MEG enabled precise localization of the epileptic foci and provided crucial information for surgical treatment in patients with TS and partial epilepsy. TS patients showing a single ECD cluster on MEG may be appropriate candidates for surgical treatment.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>16822245</pmid><doi>10.1111/j.1528-1167.2006.00511.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Anticonvulsants. Antiepileptics. Antiparkinson agents Biological and medical sciences Brain Mapping - methods Cerebral Cortex - physiopathology Child Child, Preschool Comorbidity Epilepsies, Partial - diagnosis Epilepsies, Partial - physiopathology Epilepsies, Partial - surgery Epilepsy, Temporal Lobe - diagnosis Epilepsy, Temporal Lobe - physiopathology Epilepsy, Temporal Lobe - surgery Epileptic focus Female Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy Humans Magnetic Resonance Imaging - statistics & numerical data Magnetoencephalography Magnetoencephalography - statistics & numerical data Male Malformations of the nervous system Medical sciences Nervous system (semeiology, syndromes) Neurology Neuropharmacology Pharmacology. Drug treatments SPECT Symptomatic localization‐related epilepsy Temporal Lobe - physiopathology Temporal Lobe - surgery Tomography, Emission-Computed, Single-Photon - statistics & numerical data Tuberous sclerosis Tuberous Sclerosis - diagnosis Tuberous Sclerosis - physiopathology Tuberous Sclerosis - surgery |
title | Magnetoencephalography in Patients with Tuberous Sclerosis and Localization‐related Epilepsy |
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