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pubmed-article:21441071pubmed:abstractTextChildhood onset of epilepsy has long been associated with an adverse impact on brain development and cognition. In this study it is proposed that earlier (vs later) onset of temporal lobe epilepsy (TLE) has a negative developmental impact on distant brain structures. One hundred ten patients with TLE were assigned to early (?14 years, N=58) and late (>15 years, N=52) age at onset of epilepsy groups. Voxel-based morphometry revealed onset-dependent abnormalities (in terms of a gray matter excess in the early-onset group), which were found mainly in frontal regions. An excess of gray matter is not a usual finding in TLE. However, within a neurodevelopmental framework, retained gray matter is discussed as reflecting neurodevelopmental disruption. The findings indicate the importance of quantitative MRI for the detection of subtle secondary abnormalities in focal TLE and once more underline the importance of early seizure management in children with intractable TLE.lld:pubmed
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pubmed-article:21441071pubmed:authorpubmed-author:SchrammJohann...lld:pubmed
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pubmed-article:21441071pubmed:authorpubmed-author:RudingerGeorg...lld:pubmed
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pubmed-article:21441071pubmed:authorpubmed-author:KaadenSabineSlld:pubmed
pubmed-article:21441071pubmed:copyrightInfoCopyright © 2011 Elsevier Inc. All rights reserved.lld:pubmed
pubmed-article:21441071pubmed:issnTypeElectroniclld:pubmed
pubmed-article:21441071pubmed:volume20lld:pubmed
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pubmed-article:21441071pubmed:articleTitleNeurodevelopmental disruption in early-onset temporal lobe epilepsy: evidence from a voxel-based morphometry study.lld:pubmed
pubmed-article:21441071pubmed:affiliationDepartment of Neurosurgery, University of Bonn, Bonn, Germany.lld:pubmed
pubmed-article:21441071pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:21441071pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed