Volumetric magnetic resonance imaging in patients with primary generalized epilepsy

Craig Watson, Bill Williamson

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

We studied 21 patients with primary generalized epilepsy (PGE), using volumetric magnetic resonance imaging (MRI) measurements of the amygdala and hippocampus. Subtypes of PGE included juvenile myoclonic epilepsy in 9 patients, primary generalized tonic-clonic seizures (GTCS) in 4, childhood absence epilepsy in 3, juvenile absence epilepsy in 2, unclassified PGE in 2, and photosensitive epilepsy in 1. Seizure types included GTC in 14 patients, absence onset myoclonic in 7, atypical absence in 6, and atonic in 2. Age of seizure onset ranged from 6 months to 46 years, and duration of epilepsy ranged from 1 to 26 years. No patient experienced febrile seizures during childhood. Fourteen patients (67%) had a family history of seizures. Interictal (19 patients) and ictal (8 patients) EEG recording showed bursts of generalized spike and wave and/or polyspike and wave activity consistent with PGE. Hippocampal and amygdaloid volumes and ratios were within the normal range as compared with that of our normal control population. Significant reduction in hippocampal and amygdaloid volumes is a specific marker for hippocampal and amygdaloid sclerosis.

Original languageEnglish (US)
Pages (from-to)104-109
Number of pages6
JournalJournal of Epilepsy
Volume8
Issue number2
DOIs
StatePublished - 1995
Externally publishedYes

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Keywords

  • Amygdaloid sclerosis
  • Hippocampal sclerosis
  • Primary generalized epilepsy
  • Volumetric magnetic resonance imaging

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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