Seizure Freedom After Epilepsy Surgery and Higher Baseline Cognition May Be Associated With a Negatively Correlated Epilepsy Network in Temporal Lobe Epilepsy

Frontiers in Neuroscience

Mike R. Schoenberg¹  Stephanie Maciver¹  Yarema B. Bezchlibnyk²  Elliot G. Neal²  Fernando L. Vale³ 

[1] Department of Neurology, University of South Florida, Tampa, FL, United States;Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL, United States;Department of Neurosurgery, Medical College of Georgia, Augusta University, Augusta, GA, United States;

关键词: epilepsy surgery;    networks;    resting fMRI;    negative correlation;    temporal lobe epilepsy;   

DOI  :  10.3389/fnins.2020.629667

来源: DOAJ

【 摘 要 】

Background: Brain regions positively correlated with the epileptogenic zone in patients with temporal lobe epilepsy vary in spread across the brain and in the degree of correlation to the temporal lobes, thalamus, and limbic structures, and these parameters have been associated with pre-operative cognitive impairment and seizure freedom after epilepsy surgery, but negatively correlated regions have not been as well studied. We hypothesize that connectivity within a negatively correlated epilepsy network may predict which patients with temporal lobe epilepsy will respond best to surgery.Methods: Scalp EEG and resting state functional MRI (rsfMRI) were collected from 19 patients with temporal lobe epilepsy and used to estimate the irritative zone. Using patients’ rsfMRI, the negatively correlated epilepsy network was mapped by determining all the brain voxels that were negatively correlated with the voxels in the epileptogenic zone and the spread and average connectivity within the network was determined.Results: Pre-operatively, connectivity within the negatively correlated network was inversely related to the spread (diffuseness) of that network and positively associated with higher baseline verbal and logical memory. Pre-operative connectivity within the negatively correlated network was also significantly higher in patients who would go on to be seizure free.Conclusion: Patients with higher connectivity within brain regions negatively correlated with the epilepsy network had higher baseline memory function, narrower network spread, and were more likely to be seizure free after surgery.

【 授权许可】

Unknown