F-18-fdg-pet patterns of surgical success ...
Document type :
Article dans une revue scientifique: Article original
PMID :
Permalink :
Title :
F-18-fdg-pet patterns of surgical success and failure in mesial temporal lobe epilepsy
Author(s) :
Chassoux, Francine [Auteur]
Artiges, Eric [Auteur]
Semah, Franck [Auteur]
Troubles cognitifs dégénératifs et vasculaires - U1171
Troubles cognitifs dégénératifs et vasculaires - U 1171 [TCDV]
Troubles cognitifs dégénératifs et vasculaires - U 1171 [TCDV]
Laurent, Agathe [Auteur]
Landre, Elisabeth [Auteur]
Turak, Baris [Auteur]
Gervais, Philippe [Auteur]
Helal, Badia-Ourkia [Auteur]
Devaux, Bertrand [Auteur]
Artiges, Eric [Auteur]
Semah, Franck [Auteur]
Troubles cognitifs dégénératifs et vasculaires - U1171
Troubles cognitifs dégénératifs et vasculaires - U 1171 [TCDV]
Troubles cognitifs dégénératifs et vasculaires - U 1171 [TCDV]
Laurent, Agathe [Auteur]
Landre, Elisabeth [Auteur]
Turak, Baris [Auteur]
Gervais, Philippe [Auteur]
Helal, Badia-Ourkia [Auteur]
Devaux, Bertrand [Auteur]
Journal title :
Neurology
Abbreviated title :
Neurology
Volume number :
88
Pages :
1045-1053
Publication date :
2017-03-14
ISSN :
0028-3878
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
OBJECTIVE: To search for [18
METHODS: We analyzed metabolic data with [18
RESULTS: With a mean follow-up of >6 years (range 2-14 years), 85% of patients achieved a class I outcome, including 45% in class IA. Class IA outcome ...
Show more >OBJECTIVE: To search for [18 METHODS: We analyzed metabolic data with [18 RESULTS: With a mean follow-up of >6 years (range 2-14 years), 85% of patients achieved a class I outcome, including 45% in class IA. Class IA outcome was associated with a focal anteromesial temporal hypometabolism, whereas non-IA outcome correlated with extratemporal metabolic changes that differed according to the lateralization: ipsilateral mesial frontal and perisylvian hypometabolism in right HS and contralateral fronto-insular hypometabolism and posterior white matter hypermetabolism in left HS. Suboptimal outcome presented a metabolic pattern similar to the best outcome but with a larger involvement of extratemporal areas, including the contralateral side in left HS. Failure was characterized by a mild temporal involvement sparing the hippocampus and relatively high extratemporal hypometabolism on both sides. These findings were concordant with electroclinical features reflecting the organization of the epileptogenic zone but were independent of the structural abnormalities detected on MRI. CONCLUSIONS: [18Show less >
Show more >OBJECTIVE: To search for [18 METHODS: We analyzed metabolic data with [18 RESULTS: With a mean follow-up of >6 years (range 2-14 years), 85% of patients achieved a class I outcome, including 45% in class IA. Class IA outcome was associated with a focal anteromesial temporal hypometabolism, whereas non-IA outcome correlated with extratemporal metabolic changes that differed according to the lateralization: ipsilateral mesial frontal and perisylvian hypometabolism in right HS and contralateral fronto-insular hypometabolism and posterior white matter hypermetabolism in left HS. Suboptimal outcome presented a metabolic pattern similar to the best outcome but with a larger involvement of extratemporal areas, including the contralateral side in left HS. Failure was characterized by a mild temporal involvement sparing the hippocampus and relatively high extratemporal hypometabolism on both sides. These findings were concordant with electroclinical features reflecting the organization of the epileptogenic zone but were independent of the structural abnormalities detected on MRI. CONCLUSIONS: [18Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
CHU Lille
CNRS
Inserm
Université de Lille
CNRS
Inserm
Université de Lille
Collections :
Research team(s) :
Troubles cognitifs dégénératifs et vasculaires
Submission date :
2019-11-27T13:34:56Z