ArticleHuman brain mapping2016
Gray matter structural compromise is equally distributed in left and right temporal lobe epilepsy.
Article in Human brain mapping, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Morphometric Similarity Loss and Gray Matter Atrophy Align with Neurotransmitter and Mitochondrial Maps in Drug-Resistant Epilepsy.Neuropsychiatric disease and treatment · 2026Article
- Disparities in Connectivity Profiles Between Structural and Functional Networks in Patients With Temporal Lobe Epilepsy.Brain and behavior · 2025Article
- Transcriptionally downregulated GABAergic genes associated with synaptic density network dysfunction in temporal lobe epilepsy.European journal of nuclear medicine and molecular imaging · 2025Article
- Temporal Lobe Epilepsy Perturbs the Brain-Wide Excitation-Inhibition Balance: Associations with Microcircuit Organization, Clinical Parameters, and Cognitive Dysfunction.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025Article
- Frequency-Dependent Changes in Wavelet-ALFF in Patients With Acute Basal Ganglia Ischemic Stroke: A Resting-State fMRI Study.Neural plasticity · 2025Article
- A WORLDWIDE ENIGMA STUDY ON EPILEPSY-RELATED GRAY AND WHITE MATTER COMPROMISE ACROSS THE ADULT LIFESPAN.bioRxiv : the preprint server for biology · 2024Article
- Widespread, depth-dependent cortical microstructure alterations in pediatric focal epilepsy.Epilepsia · 2024Article
- In vivo characterization of magnetic resonance imaging-based T1w/T2w ratios reveals myelin-related changes in temporal lobe epilepsy.Human brain mapping · 2023Article
- The relationship between the interictal epileptiform discharge source connectivity and cortical structural couplings in temporal lobe epilepsy.Frontiers in neurology · 2023Article
- Structural-functional coupling abnormalities in temporal lobe epilepsy.Frontiers in neuroscience · 2023Article
- Topographic divergence of atypical cortical asymmetry and atrophy patterns in temporal lobe epilepsy.Brain : a journal of neurology · 2022Article
- Brain structural differences in temporal lobe and frontal lobe epilepsy patients: A voxel-based morphometry and vertex-based surface analysis.The neuroradiology journal · 2022Article
- Lateralizing Characteristics of Morphometric Changes to Hippocampus and Amygdala in Unilateral Temporal Lobe Epilepsy with Hippocampal Sclerosis.Medicina (Kaunas, Lithuania) · 2022Article
- Distinct patterns of hippocampal subfield volume loss in left and right mesial temporal lobe epilepsy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021Article
- Macroscale and microcircuit dissociation of focal and generalized human epilepsies.Communications biology · 2020Article
- Microstructural imaging in temporal lobe epilepsy: Diffusion imaging changes relate to reduced neurite density.NeuroImage. Clinical · 2020Article
- Temporal lobe epilepsy: Hippocampal pathology modulates connectome topology and controllability.Neurology · 2019Article
- Hippocampal subfield segmentation in temporal lobe epilepsy: Relation to outcomes.Acta neurologica Scandinavica · 2018Article
- Structural brain abnormalities in the common epilepsies assessed in a worldwide ENIGMA study.Brain : a journal of neurology · 2018Article
- Cortical thickness analysis in operculo-insular epilepsy.NeuroImage. Clinical · 2018Article
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4 authors.
Funding
Abstract
In drug-resistant temporal lobe epilepsy (TLE), MRI studies have shown consistent mesiotemporal and neocortical structural alterations when comparing patients to healthy controls. It remains, however, relatively unclear whether the side of seizure focus differentially impacts the degree of structural damage. This work performed a comprehensive surface-based analysis of mesiotemporal and neocortical morphology on preoperative 1.5 T MRI in 25/35 LTLE/RTLE patients that achieved seizure freedom after surgery (i.e., Engel-I outcome; 7 ± 2 years follow-up), an imaging-independent confirmation of focus lateralization. Compared to 46 age- and sex-matched controls, both TLE groups displayed marked ipsilateral atrophy in mesiotemporal regions, while cortical thinning was bilateral. Direct contrasts between LTLE and RTLE did not reveal significant differences. Bootstrap simulations indicated low reproducibility of observing a between-cohort difference; power analysis revealed that more than 110 patients would be necessary to detect subtle differences. No difference between LTLE and RTLE was confirmed when using voxel-based morphometry, an independent proxy of gray matter volume. Similar results were obtained analyzing a separate 3 T dataset (15/15 LTLE/RTLE patients; Engel-I after 4 ± 2 years follow-up; 42 controls). Our results strongly support equivalent gray matter compromise in left and right TLE. The morphological profile of seizure-free patients, presenting with ipsilateral mesiotemporal and bilateral cortical atrophy, motivates the development of neuromarkers of outcome that consider both mesiotemporal and neocortical structures. Hum Brain Mapp 37:515-524, 2016. © 2015 Wiley Periodicals, Inc.
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