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REVIEW ARTICLE
Korean J Pediatr 2010 August;53(8) :779-785.
doi:https://doi.org/10.3345/kjp.2010.53.8.779
Multimodal neuroimaging in presurgical evaluation of childhood epilepsy
Da Eun Jung (Jung DE)1, Joon-Soo Lee (Lee JS)2
1Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea
2Department of Pediatrics, Pediatric Epilepsy Clinic, Severance Childrens Hospital, Brain Research Institute, Yonsei University College of Medicine, Seoul, Korea
Corresponding Author: Joon-Soo Lee ,Email: Joonsl96@yuhs.ac
Copyright © 2010 by The Korean Pediatric Society
ABSTRACT
In pre-surgical evaluation of pediatric epilepsy, the combined use of multiple imaging modalities for precise localization of the epileptogenic focus is a worthwhile endeavor. Advanced neuroimaging by high field Magnetic resonance imaging (MRI), diffusion tensor images, and MR spectroscopy have the potential to identify subtle lesions. 18F-FDG positron emission tomography and single photon emission tomography provide visualization of metabolic alterations of the brain in the ictal and interictal states. These techniques may have localizing value for patients which exhibit normal MRI scans. Functional MRI is helpful for non-invasively identifying areas of eloquent cortex. These advances are improving our ability to noninvasively detect epileptogenic foci which have gone undetected in the past and whose accurate localization is crucial for a favorable outcome following surgical resection.
Keywords: Multimodal neuroimaging | Childhood epilepsy | Surgery
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