Relationship between seizure frequency and functional abnormalities in limbic network of medial temporal lobe epilepsy
- Title
- Relationship between seizure frequency and functional abnormalities in limbic network of medial temporal lobe epilepsy
- Author
- 조항준
- Keywords
- medial temporal lobe epilepsy; partial seizure; functional magnetic resonance imaging; network-based statistics; limbic system
- Issue Date
- 2019-05
- Publisher
- FRONTIERS MEDIA SA
- Citation
- FRONTIERS IN NEUROLOGY, v. 10, no. 488
- Abstract
- Background: We compared resting-state functional connectivity (RSFC) among limbic and temporal lobe regions between patients with medial temporal lobe epilepsy (mTLE) and healthy control subjects to identify imaging evidence of functional networks related to seizure frequency, age of seizure onset, and duration of epilepsy.
Methods: Twelve patients with drug-resistant, unilateral medial temporal lobe epilepsy and 12 healthy control subjects matched for age, sex, and handedness participated in the imaging experiments. We used network-based statistics to compare functional connectivity graphs in patients with mTLE and healthy controls to investigate the relationship between functional connectivity abnormalities and seizure frequency.
Results: Among mTLE patients, we found functional network abnormalities throughout the limbic system, but primarily in the hemisphere ipsilateral to the seizure focus. The RSFCs between ipsilateral hypothalamus and ventral anterior cingulate cortex and between ipsilateral subiculum and contralateral posterior cingulate cortex were highly correlated with seizure frequency.
Discussion: These findings suggest that in mTLE, changes in limbic networks ipsilateral to the epileptic focus are common. The pathological changes in connectivity between cingulate cortex, hypothalamus and subiculum ipsilateral to the seizure focus were correlated with increased seizure frequency.
- URI
- https://www.frontiersin.org/articles/10.3389/fneur.2019.00488/fullhttps://repository.hanyang.ac.kr/handle/20.500.11754/111520
- ISSN
- 1664-2295
- DOI
- 10.3389/fneur.2019.00488
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
- Files in This Item:
- Relationship Between Seizure Frequency and Functional Abnormalities in Limbic Network of Medial Temporal Lobe Epilepsy.pdfDownload
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