Whole-brain voxel-based statistical analysis of gray matter and white matter in temporal lobe epilepsy

Bernasconi, N., Duchesne, S., Janke, A., Lerch, J., Collins, D. L. and Bernasconi, A. (2004) Whole-brain voxel-based statistical analysis of gray matter and white matter in temporal lobe epilepsy. NeuroImage, 23 2: 717-723. doi:10.1016/j.neuroimage.2004.06.015

Author Bernasconi, N.
Duchesne, S.
Janke, A.
Lerch, J.
Collins, D. L.
Bernasconi, A.
Title Whole-brain voxel-based statistical analysis of gray matter and white matter in temporal lobe epilepsy
Journal name NeuroImage   Check publisher's open access policy
ISSN 1053-8119
Publication date 2004-10-01
Year available 2004
Sub-type Article (original research)
DOI 10.1016/j.neuroimage.2004.06.015
Open Access Status Not yet assessed
Volume 23
Issue 2
Start page 717
End page 723
Total pages 7
Place of publication Amsterdam, Netherlands
Publisher Elsevier BV
Language eng
Formatted abstract
Volumetric MRI studies based on manual labeling of selected anatomical structures have provided in vivo evidence that brain abnormalities associated with temporal lobe epilepsy (TLE) extend beyond the hippocampus. Voxel-based morphometry (VBM) is a fully automated image analysis technique allowing identification of regional differences in gray matter (GM) and white matter (WM) between groups of subjects without a prior region of interest. The purpose of this study was to determine whole-brain GM and WM changes in TLE and to investigate the relationship between these abnormalities and clinical parameters. We studied 85 patients with pharmacologically intractable TLE and unilateral hippocampal atrophy and 47 age- and sex-matched healthy control subjects. The seizure focus was right sided in 40 patients and left sided in 45. Student's t test statistical maps of differences between patients' and controls' GM and WM concentrations were obtained using a general linear model. A further regression against duration of epilepsy, age of onset, presence of febrile convulsions, and secondary generalized seizures was performed with the TLE population. Voxel-based morphometry revealed that GM pathology in TLE extends beyond the hippocampus involving other limbic areas such as the cingulum and the thalamus, as well as extralimbic areas, particularly the frontal lobe. White matter reduction was found only ipsilateral to the seizure focus, including the temporopolar, entorhinal, and perirhinal areas. This pattern of structural changes is suggestive of disconnection involving preferentially frontolimbic pathways in patients with pharmacologically intractable TLE.
Keyword Epilepsy
Gray matter
White matter
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Centre for Advanced Imaging Publications
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