Hemodynamic changes in simple partial epilepsy: A functional MRI study

Article abstract We performed functional MRI (fMRI) on a patient with a mass lesion while she happened to experience a simple partial seizure. We used regional T2* signal changes to localize seizure-related hemodynamic changes. Seizure activity was associated with changes in MR signal in different regions that showed sequential activation and deactivation. Our study has shown that epileptic activity leads to changes in cerebral hemodynamics. In selected patients, therefore, it might be possible to use fMRI as a noninvasive tool to detect and investigate cortical patterns of activation associated with seizure activity.

[1]  J. Detre,et al.  Localization of subclinical ictal activity by functional magnetic resonance imaging: Correlation with invasive monitoring , 1995, Annals of neurology.

[2]  K. Kwong Functional magnetic resonance imaging with echo planar imaging. , 1995, Magnetic resonance quarterly.

[3]  S Warach,et al.  Monitoring the patient's EEG during echo planar MRI. , 1993, Electroencephalography and clinical neurophysiology.

[4]  P. K. Mohan,et al.  Transient computerised tomographic (CT) abnormalities following partial seizures , 1985, Acta neurologica Scandinavica.

[5]  T A Pedley,et al.  Propagation patterns of temporal spikes. , 1995, Electroencephalography and clinical neurophysiology.

[6]  J. Stears,et al.  Focal seizures, early veins, and increased flow , 1974, Neurology.

[7]  T Landis,et al.  Non-invasive epileptic focus localization using EEG-triggered functional MRI and electromagnetic tomography. , 1998, Electroencephalography and clinical neurophysiology.

[8]  B N Cuffin,et al.  Accuracy of electroencephalographic dipole localization of epileptiform activities associated with focal brain lesions , 1998, Annals of neurology.

[9]  V. Mathews,et al.  Seizure-induced transient hippocampal abnormalities on MR: correlation with positron emission tomography and electroencephalography. , 1995, AJNR. American journal of neuroradiology.

[10]  K. Yaffe,et al.  Reversible MRI abnormalities following seizures , 1995, Neurology.

[11]  J C Depresseux,et al.  Regional cerebral blood flow and metabolic rates in human focal epilepsy and status epilepticus. , 1986, Advances in neurology.

[12]  G. Felsberg,et al.  The hippocampus in status epilepticus: demonstration of signal intensity and morphologic changes with sequential fast spin-echo MR imaging. , 1995, Radiology.

[13]  D. Gadian,et al.  Functional magnetic resonance imaging of focal seizures , 1994, Neurology.

[14]  H. Lüders,et al.  Transient Focal Abnormalities of Neuroimaging Studies During Focal Status Epilepticus , 1987, Epilepsia.

[15]  R R Edelman,et al.  Hyperperfusion of ictal seizure focus demonstrated by MR perfusion imaging. , 1994, AJNR. American journal of neuroradiology.

[16]  A. Beydoun,et al.  Focal Cerebral Magnetic Resonance Changes Associated with Partial Status Epilepticus , 1994, Epilepsia.