ABSTRACT
Simultaneous measurements of EEG-functional magnetic resonance imaging (fMRI) combine the high temporal resolution of EEG with the distinctive spatial resolution of fMRI. The purpose of this EEG-fMRI study was to search for hemodynamic responses (blood oxygen level-dependent - BOLD responses) associated with interictal activity in a case of right mesial temporal lobe epilepsy before and after a successful selective amygdalohippocampectomy. Therefore, the study found the epileptogenic source by this noninvasive imaging technique and compared the results after removing the atrophied hippocampus. Additionally, the present study investigated the effectiveness of two different ways of localizing epileptiform spike sources, i.e., BOLD contrast and independent component analysis dipole model, by comparing their respective outcomes to the resected epileptogenic region. Our findings suggested a right hippocampus induction of the large interictal activity in the left hemisphere. Although almost a quarter of the dipoles were found near the right hippocampus region, dipole modeling resulted in a widespread distribution, making EEG analysis too weak to precisely determine by itself the source localization even by a sophisticated method of analysis such as independent component analysis. On the other hand, the combined EEG-fMRI technique made it possible to highlight the epileptogenic foci quite efficiently.
Subject(s)
Adult , Female , Humans , Brain Mapping/methods , Brain/blood supply , Epilepsy, Temporal Lobe/surgery , Oxygen/blood , Brain/surgery , Electroencephalography/methods , Epilepsy, Temporal Lobe/physiopathology , Magnetic Resonance Imaging/methodsABSTRACT
Nowadays our society has to face different diseases related to cardiac pathologies which become more and more common. This is due to the daily life habits increasing the risk of suffering cardiac problems such as heart attack which could lead to death...