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pubmed-article:16722973pubmed:dateCreated2006-5-25lld:pubmed
pubmed-article:16722973pubmed:abstractTextUp to 30% of patients with temporal lobe epilepsy (TLE) remain without remarkable changes in MRI. In this study we investigated the role of (1)H-MR spectroscopy ((1)H-MRS) in lateralizing the affected hemisphere in the mentioned patient group. Twenty-two consecutive patients diagnosed with TLE were investigated by high resolution MRI and (1)H-MRS. We examined the incidence and diagnostic accuracy of temporal metabolite alterations determined by Linear Combination of Model Spectra (L C Model) via water reference. Metabolite values of each hemisphere of TLE patients were compared with healthy controls. Results of metabolite alterations were related to intensive video EEG focus localization. Reduction of N-acetylaspartate + N-acetylaspartyl-glutamate (tNAA) in the affected hemisphere revealed identification in six of nine patients (66%) with unilateral TLE. Group comparison revealed a significant reduction of tNAA (6.1+/-0.8*) in the involved temporal lobe compared with controls (6.67+/-0.4*, P=0.026). Choline levels were significantly increased in the affected hemisphere (1.42+/-0.17*) compared with healthy controls (1.22+/-0.17*, P=0.035). The results of our study show that (1)H-MRS is able to identify the affected hemisphere of MRI negative TLE patients and can be used as an additive tool in multimodal focus localization.lld:pubmed
pubmed-article:16722973pubmed:languageenglld:pubmed
pubmed-article:16722973pubmed:journalhttp://linkedlifedata.com/r...lld:pubmed
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pubmed-article:16722973pubmed:statusMEDLINElld:pubmed
pubmed-article:16722973pubmed:monthMaylld:pubmed
pubmed-article:16722973pubmed:issn1351-5101lld:pubmed
pubmed-article:16722973pubmed:authorpubmed-author:SchwarzMMlld:pubmed
pubmed-article:16722973pubmed:authorpubmed-author:StefanHHlld:pubmed
pubmed-article:16722973pubmed:authorpubmed-author:HammenTTlld:pubmed
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pubmed-article:16722973pubmed:authorpubmed-author:StadlbauerAAlld:pubmed
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pubmed-article:16722973pubmed:volume13lld:pubmed
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pubmed-article:16722973pubmed:authorsCompleteYlld:pubmed
pubmed-article:16722973pubmed:pagination482-90lld:pubmed
pubmed-article:16722973pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:16722973pubmed:year2006lld:pubmed
pubmed-article:16722973pubmed:articleTitleIdentifying the affected hemisphere by (1)H-MR spectroscopy in patients with temporal lobe epilepsy and no pathological findings in high resolution MRI.lld:pubmed
pubmed-article:16722973pubmed:affiliationClinics of Neurology, Epilepsy Center (ZEE), University of Erlangen-Nuremberg, Erlangen, Germany. Thilo.Hammen@neurozentrum.imed.uni-erlangen.delld:pubmed
pubmed-article:16722973pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:16722973pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed