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H magnetic resonance spectroscopy in the investigation of intractable epilepsy

H magnetic resonance spectroscopy in the investigation of intractable epilepsy
H magnetic resonance spectroscopy in the investigation of intractable epilepsy

We have been using proton magnetic resonance spectroscopy (1H MRS) in the investigation of adults and children with intractable epilepsy. Spectra were obtained from 2 × 2 times 2 cm cubes in the medial region of the temporal lobe, and were analyzed on the basis of signals from N‐acetylaspartate (NAA), creatine+phosphocreatine (Cr), and choline‐containing compounds (Cho). In comparison with control subjects, the epilepsy patients as a group show significant reductions in the NAA signal and in the NAA/Cho + Cr ratio, with increases in the Cho and Cr signals. The reduction in NAA is interpreted in terms of neuronal loss or damage, while the increase in Cr and Cho signals may be a reflection of reactive astrocytosis. 1994 Blackwell Munksgaard

epilepsy, magnetic resonance spectroscopy, temporal lobe.
0001-6314
116-121
Gadian, David
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Connelly, A.
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Duncan, J.S.
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Cross, J.H.
3c10596a-3f6e-418d-9957-8ec0a4e5078c
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Johnson, C.L.
ea4f2e83-eb63-4ea3-8cc2-482ba9faba5d
Vargha‐Khadem, F.
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Nevile, B.G.R.
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Jackson, G.D.
1f0399ca-2097-46f8-aed6-88832b4e841b
Gadian, David
2b0e526e-9bd0-4173-b5cd-ee32c8f66c57
Gadian, David
2b0e526e-9bd0-4173-b5cd-ee32c8f66c57
Connelly, A.
0cb19e67-b09d-458b-8c30-1e9f8a279887
Duncan, J.S.
493245c5-d7e3-4f54-96db-fbaf3cdbf688
Cross, J.H.
3c10596a-3f6e-418d-9957-8ec0a4e5078c
Kirkham, F.J.
1dfbc0d5-aebe-4439-9fb2-dac6503bcd58
Johnson, C.L.
ea4f2e83-eb63-4ea3-8cc2-482ba9faba5d
Vargha‐Khadem, F.
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Nevile, B.G.R.
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Jackson, G.D.
1f0399ca-2097-46f8-aed6-88832b4e841b
Gadian, David
2b0e526e-9bd0-4173-b5cd-ee32c8f66c57

Gadian, David, Connelly, A., Duncan, J.S., Cross, J.H., Kirkham, F.J., Johnson, C.L., Vargha‐Khadem, F., Nevile, B.G.R., Jackson, G.D. and Gadian, David (1994) H magnetic resonance spectroscopy in the investigation of intractable epilepsy. Acta Neurologica Scandinavica, 89 (152 S), 116-121. (doi:10.1111/j.1600-0404.1994.tb05202.x).

Record type: Article

Abstract

We have been using proton magnetic resonance spectroscopy (1H MRS) in the investigation of adults and children with intractable epilepsy. Spectra were obtained from 2 × 2 times 2 cm cubes in the medial region of the temporal lobe, and were analyzed on the basis of signals from N‐acetylaspartate (NAA), creatine+phosphocreatine (Cr), and choline‐containing compounds (Cho). In comparison with control subjects, the epilepsy patients as a group show significant reductions in the NAA signal and in the NAA/Cho + Cr ratio, with increases in the Cho and Cr signals. The reduction in NAA is interpreted in terms of neuronal loss or damage, while the increase in Cr and Cho signals may be a reflection of reactive astrocytosis. 1994 Blackwell Munksgaard

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More information

Published date: March 1994
Keywords: epilepsy, magnetic resonance spectroscopy, temporal lobe.

Identifiers

Local EPrints ID: 429783
URI: http://eprints.soton.ac.uk/id/eprint/429783
ISSN: 0001-6314
PURE UUID: c1c8b8e1-4211-41f9-b7ab-f122bf71e775
ORCID for F.J. Kirkham: ORCID iD orcid.org/0000-0002-2443-7958

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Date deposited: 05 Apr 2019 16:30
Last modified: 16 Mar 2024 03:22

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Contributors

Author: David Gadian
Author: A. Connelly
Author: J.S. Duncan
Author: J.H. Cross
Author: F.J. Kirkham ORCID iD
Author: C.L. Johnson
Author: F. Vargha‐Khadem
Author: B.G.R. Nevile
Author: G.D. Jackson
Author: David Gadian

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