Hamad Medical Corporation, Doha, Qatar; Weill Cornell Medical College, Doha, Qatar.
UCL Queen Square Institute of Neurology, London, UK.
Epilepsy Behav. 2020 Oct;111:107241. doi: 10.1016/j.yebeh.2020.107241. Epub 2020 Jun 23.
New imaging technologies have advanced our ability to localize the epileptogenic zone in patients with epilepsy. As a result of the constant improvement of the image quality, magnetic resonance imaging (MRI) has become the most important ancillary tool in the management of patients with epilepsy. Magnetic resonance imaging for the evaluation of patients with epilepsy should be done using a special temporal lobe protocol and read by physicians experienced with the findings in patients with epilepsy. On the other hand, in the healthy populations, incidental structural brain abnormalities have been reported in 18% of people. Incidental, subtle, or unexpected structural brain abnormalities have also been reported in many patients who were investigated because of having seizures. In the current narrative review, we will discuss some of these instances, where structural brain abnormalities are discovered unexpectedly, are subtle (but important) and/or may be considered as incidental.
新的成像技术提高了我们在癫痫患者中定位致痫区的能力。由于图像质量的不断提高，磁共振成像（MRI）已成为癫痫患者管理中最重要的辅助工具。评估癫痫患者的 MRI 应使用特殊的颞叶协议进行，并由具有癫痫患者检查经验的医生进行阅读。另一方面，在健康人群中，18%的人报告有偶然发现的结构性脑异常。在许多因癫痫发作而接受检查的患者中，也报告了偶然发现的、细微的或意外的结构性脑异常。在本次叙述性综述中，我们将讨论其中一些情况，即意外发现的结构性脑异常、细微（但重要）和/或可能被视为偶然的情况。
