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磁源成像定位结节性硬化症患儿的致痫灶。

Magnetic source imaging localizes epileptogenic zone in children with tuberous sclerosis complex.

作者信息

Wu J Y, Sutherling W W, Koh S, Salamon N, Jonas R, Yudovin S, Sankar R, Shields W D, Mathern G W

机构信息

Division of Pediatric Neurology, The Brain Research Institute, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.

出版信息

Neurology. 2006 Apr 25;66(8):1270-2. doi: 10.1212/01.wnl.0000208412.59491.9b.

DOI:10.1212/01.wnl.0000208412.59491.9b
PMID:16636252
Abstract

The authors assessed whether magnetoencephalography/magnetic source imaging (MEG/MSI) identified epileptogenic zones in patients with tuberous sclerosis complex (TSC). In six TSC children with focal seizures, ictal video-EEG predicted the region of resection with 56% sensitivity, 80% specificity, and 77% accuracy (p = 0.02), whereas interictal MEG/MSI fared better (100%, 94%, and 95%, respectively; p < 0.0001). Interictal MEG/MSI seems to identify epileptogenic zones more accurately in children with TSC and focal intractable epilepsy.

摘要

作者评估了脑磁图/磁源成像(MEG/MSI)是否能识别结节性硬化症(TSC)患者的致痫区。在6名患有局灶性癫痫发作的TSC儿童中,发作期视频脑电图预测切除区域的敏感度为56%,特异度为80%,准确率为77%(p = 0.02),而发作间期MEG/MSI表现更佳(分别为100%、94%和95%;p < 0.0001)。发作间期MEG/MSI似乎能更准确地识别患有TSC和局灶性难治性癫痫的儿童的致痫区。

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