論文

国際誌
2022年

Low EEG Gamma Entropy and Glucose Hypometabolism After Corpus Callosotomy Predicts Seizure Outcome After Subsequent Surgery.

Frontiers in neurology
  • Kenzo Kosugi
  • Keiya Iijima
  • Suguru Yokosako
  • Yutaro Takayama
  • Yuiko Kimura
  • Yuu Kaneko
  • Noriko Sumitomo
  • Takashi Saito
  • Eiji Nakagawa
  • Noriko Sato
  • Masaki Iwasaki
  • 全て表示

13
開始ページ
831126
終了ページ
831126
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.3389/fneur.2022.831126

Background: Patients with generalized epilepsy who had lateralized EEG abnormalities after corpus callosotomy (CC) occasionally undergo subsequent surgeries to control intractable epilepsy. Objectives: This study evaluated retrospectively the combination of EEG multiscale entropy (MSE) and FDG-PET for identifying lateralization of the epileptogenic zone after CC. Methods: This study included 14 patients with pharmacoresistant epilepsy who underwent curative epilepsy surgery after CC. Interictal scalp EEG and FDG-PET obtained after CC were investigated to determine (1) whether the MSE calculated from the EEG and FDG-PET findings was lateralized to the surgical side, and (2) whether the lateralization was associated with seizure outcomes. Results: Seizure reduction rate was higher in patients with lateralized findings to the surgical side than those without (MSE: p < 0.05, FDG-PET: p < 0.05, both: p < 0.01). Seizure free rate was higher in patients with lateralized findings in both MSE and FDG-PET than in those without (p < 0.05). Conclusions: This study demonstrated that patients with lateralization of MSE and FDG-PET to the surgical side had better seizure outcomes. The combination of MSE and conventional FDG-PET may help to select surgical candidates for additional surgery after CC with good postoperative seizure outcomes.

リンク情報
DOI
https://doi.org/10.3389/fneur.2022.831126
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35401399
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8989433
ID情報
  • DOI : 10.3389/fneur.2022.831126
  • PubMed ID : 35401399
  • PubMed Central 記事ID : PMC8989433

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