Evidence map›Paper›PMID 36114472›Full record

ArticleBMC neurology2022

Hyperperfusion in the cerebellum lobule VIIb in patients with epileptic seizures.

Kazuaki Sato, Kazuki Nakahara, Kaoru Obata, Ryota Matsunari, Rie Suzuki-Tsuburaya, Hiromitsu Tabata, Masako Kinoshita

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Article in BMC neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kazuaki SatoDepartment of Neurology, National Hospital Organization Utano National Hospital, 8 Ondoyama-Cho, Narutaki, Ukyoku, Kyoto, 616-8255, Japan.
Kazuki NakaharaDepartment of Radiology, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Kaoru ObataDepartment of Neurology, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.
Ryota MatsunariDepartment of Forensics Medicine, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Rie Suzuki-TsuburayaDepartment of Pediatric Neurology, National Hospital Organization Utano National Hospital, Kyoto, Japan.
Hiromitsu TabataDepartment of Neurology, Osaka Kaisei Hospital, Osaka, Japan.
Masako KinoshitaDepartment of Neurology, National Hospital Organization Utano National Hospital, 8 Ondoyama-Cho, Narutaki, Ukyoku, Kyoto, 616-8255, Japan. machak@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-9690-3014

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cerebellum plays an important role in motor control, however, its involvement in epilepsy has not been fully understood. Arterial spin labelling perfusion magnetic resonance image (ASL) is a noninvasive method to evaluate cerebral and cerebellar blood flow. We investigated cerebellar perfusion in patients with epileptic seizures using ASL.

methodsAdult patients with epileptic seizures who underwent ASL in three post labeling delay (PLD) conditions (1525, 1800, and 2500 msec) and conventional electroencephalography (EEG) on the same day were investigated. Clinical and EEG characteristics of them were retrospectively analyzed.

resultsSix patients (6 women, age; 36.2 ± 17.9 years (mean ± SD)) showed hyperperfusion in selective areas in the cerebellar paravermis of lobule VIIb. One patient with generalized epilepsy (tentative diagnosis of juvenile myoclonic epilepsy or epilepsy with myoclonic absences) showed unilateral hypoperfusion in PLD 1525 msec and hyperperfusion in PLD 1800 and 2500 msec at the area while EEG showed generalized spike-wave complexes. After successful treatment, these perfusion abnormalities disappeared. In two patients with focal epilepsy manifesting with asymmetrical motor symptoms, cerebellar hyperperfusion was found on the opposite side to the seizure focus estimated by seizure semiology. Besides hyperperfusion of the VIIb lobule, hypoperfusion at the same area was detected in shorter PLD condition in four patients and in longer PLD condition in one patient.

conclusionThe cerebellar paravermis of lobule VIIb can be a component of motor circuit and participate in epileptic network in humans. Cerebellar perfusion abnormalities can be associated with neurovascular coupling via capillary bed.

Indexed as

EpilepsySeizuresAdolescentAdultCerebellumFemaleHumansMiddle AgedRetrospective StudiesSpin LabelsYoung AdultSpin LabelsArterial spin labelingCerebellumEpilepsyHyperperfusionLobule VIIbMagnetic resonance image

Identifiers

PMID36114472
PMCPMC9479261

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.