Evidence map›Paper›PMID 40259358›Full record

ArticleActa epileptologica2025

Parenchymal neuro-sonological characteristics in epileptic patients and their correlation with cognitive dysfunction.

Hanan Amer, Hanan Helmy, Enji El-Sawy, Maha S Ayoub, Nesma Mounir

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Article in Acta epileptologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Hanan AmerDepartment of Neurology, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Hanan HelmyDepartment of Neurology, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Enji El-SawyDepartment of Neurology, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Maha S AyoubDepartment of Neurology, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt.
Nesma MounirDepartment of Neurology, Faculty of Medicine, Cairo University, Cairo, 11562, Egypt. nesma.mounir@kasralainy.edu.eg.ORCID http://orcid.org/0000-0001-8185-0442

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdiopathic generalized epilepsies (IGEs) are the most common syndromes within the "genetic generalized epilepsies" (GGEs). Patients with IGE often exhibit cognitive comorbidities. The primary objective of this study is to investigate the correlation between brain parenchymal sonography characteristics and cognitive impairment in IGE.

methodsThis study enrolled 26 patients with IGE and 26 age- and sex-matched controls. All participants underwent comprehensive evaluations including clinical examination, electroencephalography, magnetic resonance imaging epilepsy protocol, transcranial sonography (TCS) for third and lateral ventricular diameter measurements, and cognitive assessment using the Addenbrooke's Cognitive Examination-III (ACE III).

resultsThis study found significantly lower scores in attention, memory, fluency, and total score of ACE-III in IGE patients compared to the control group (P-value = 0.011, 0.033, 0.007, and 0.001, respectively). However, no significant differences were observed between IGE patients and the control group in language and visuospatial score (P = 0.479 and 0.108, respectively). The average diameters of the third ventricle and lateral ventricle anterior horns were significantly larger in patients than in the control group (P-value 0.004, 0.009, and 0.012, respectively).

conclusionsIGE patients exhibit significant cognitive impairment and notable dilatation of the third ventricle and lateral ventricles horns, which may serve as markers of brain atrophy.

Indexed as

ACE- IIIBrain atrophyCognitionEpilepsyTCSThird ventricle

Identifiers

PMID40259358
PMCPMC12010533

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