Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

18 May 2007

Utility of computed tomography and selected MR sequences in the diagnostics of patients with partial epileptic attacks

Wojciech Dzienis, Eugeniusz Tarasów, Jan Kochanowicz, Agata Szulc, Jerzy Walecki, Bożena Kubas

Med Sci Monit 2007; 13(1): 49-54 :: ID: 482378

Abstract

Background: Epilepsy is a disease which manifests itself with recurrent dysfunction of the brain. Epilepsy thus becomes a serious social problem and it is therefore necessary to introduce more and more up-to-date methods of its diagnostics.
Material and Methods: Examinations were performed on 85 patients with partial epileptic attacks. The study group included 43 women and 42 men who had suffered from epilepsy for 2 to 40 years. CT and MR examinations were performed in the interparoxysmal period. In MRI, T1-weighted images before and after contrast administration, T2- and PD-weighted images, and FLAIR images were analyzed.
Results: Agreement between the location of lesions in CT and EEG was evaluated with the kappa test and amounted to 0.29. Low compatibility was also found between MR and EEG and amounted to 0.33. However, compatibility between the location in CT and MR reached the level of 0.62. The most common abnormalities were asymmetry of the lateral ventricles (most often temporal horns), cortical scars, mesial temporal sclerosis (MTS), and CNS tumors. T1- and T2-weighted images enabled recognition of most of the focuses, but they failed to visualize some of the degenerative lesions in the hippocampus which were recognizable in coronal FLAIR. No statistically significant correlation was found between the patient age, duration of the disease, and type of lesion and its location.
Conclusions: The performed examinations showed that MR is the method of choice in patients with temporal epilepsy. The study protocol should include the FLAIR sequence in the coronal plane, which has high sensitivity in recognizing lesions within the hippocampus.

Keywords: Graves Ophthalmopathy - physiopathology, Magnetic Resonance Imaging, Oculomotor Muscles - physiopathology, Statistics as Topic

Add Comment 0 Comments

Editorial

01 October 2024 : Editorial  

Editorial: Potentials and Pitfalls in Targeting Glucagon-Like Peptide-1 (GLP-1) in the Management of Increasing Levels of Obesity

Dinah V. Parums

DOI: 10.12659/MSM.946675

Med Sci Monit 2024; 30:e946675

0:00

In Press

Review article  

Lamotrigine: A Safe and Effective Mood Stabilizer for Bipolar Disorder in Reproductive-Age Adults

Med Sci Monit In Press; DOI: 10.12659/MSM.945464  

Clinical Research  

Impact of Manual Sustained Inflation vs Stepwise PEEP on Pulmonary and Cerebral Outcomes in Carotid Endarte...

Med Sci Monit In Press; DOI: 10.12659/MSM.944936  

Clinical Research  

Predicting Vaginal Delivery Success: Role of Intrapartum Transperineal Ultrasound Angle of Descent at a Sin...

Med Sci Monit In Press; DOI: 10.12659/MSM.945458  

Review article  

Comprehensive Analysis of UBE-Related Complications: Prevention and Management Strategies from 4685 Patients

Med Sci Monit In Press; DOI: 10.12659/MSM.944018  

Most Viewed Current Articles

17 Jan 2024 : Review article   6,056,667

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799

0:00

14 Dec 2022 : Clinical Research   1,848,284

Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase Levels

DOI :10.12659/MSM.937990

Med Sci Monit 2022; 28:e937990

0:00

16 May 2023 : Clinical Research   693,649

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387

0:00

07 Jan 2022 : Meta-Analysis   257,949

Efficacy and Safety of Light Therapy as a Home Treatment for Motor and Non-Motor Symptoms of Parkinson Dise...

DOI :10.12659/MSM.935074

Med Sci Monit 2022; 28:e935074

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750