ILAE Neuroimaging Task Force highlight: Review MRI scans with semiology in mind
Federico P, Ng DW, Bernasconi A, Bernhardt B, Blumenfeld H, Cendes F, Chinvarun Y, Jackson GD, Morgan V, Rampp S, Vaudano AE, Wang I (2020)
Publication Type: Journal article, Review article
Publication year: 2020
Journal
Book Volume: 22
Pages Range: 683-687
Journal Issue: 5
Abstract
The ILAE Neuroimaging Task Force aims to publish educational case reports highlighting basic aspects related to neuroimaging in epilepsy consistent with the educational mission of the ILAE. It is important to obtain MRI scans early in the clinical course of epilepsy, using an optimized protocol. Furthermore, it is critical that MRI scans are reviewed by experts who have been provided with all the clinical information and results from other investigations. We report a patient with a 21-year history of drug-resistant seizures who was admitted from another centre for presurgical evaluation. She had four previous MRI scans from this centre which were reported as unremarkable. However, a review of the MRI scan obtained on the day of admission, with the patient's ictal semiology in mind, resulted in identification of an epileptogenic lesion which was later confirmed by video-EEG monitoring and interictal PET. This lesion was present on all previous MRI scans and showed no change. The patient underwent lesionectomy, and histopathology of the resected specimen was consistent with a dysembryoplastic neuroepithelial tumour. The patient remains seizure-free, 2.5 years after surgery. This case highlights the importance of obtaining detailed descriptions of seizure semiology and considering them when reviewing MR images.
Authors with CRIS profile
Involved external institutions
University of Calgary
Canada (CA)
McGill University
Canada (CA)
Yale University
United States (USA) (US)
Universidade Estadual de Campinas (UNICAMP) / University of Campinas
Brazil (BR)
Phramongkutklao Hospital / โรงพยาบาลพระมงกุฎเกล้า
Thailand (TH)
The University of Melbourne
Australia (AU)
Vanderbilt University
United States (USA) (US)
Università degli Studi di Modena e Reggio Emilia (UNIMORE)
Italy (IT)
Cleveland Clinic
United States (USA) (US)
Canada (CA)
McGill University
Canada (CA)
Yale University
United States (USA) (US)
Universidade Estadual de Campinas (UNICAMP) / University of Campinas
Brazil (BR)
Phramongkutklao Hospital / โรงพยาบาลพระมงกุฎเกล้า
Thailand (TH)
The University of Melbourne
Australia (AU)
Vanderbilt University
United States (USA) (US)
Università degli Studi di Modena e Reggio Emilia (UNIMORE)
Italy (IT)
Cleveland Clinic
United States (USA) (US)
How to cite
APA:
Federico, P., Ng, D.W., Bernasconi, A., Bernhardt, B., Blumenfeld, H., Cendes, F.,... Wang, I. (2020). ILAE Neuroimaging Task Force highlight: Review MRI scans with semiology in mind. Epileptic Disorders, 22(5), 683-687. https://doi.org/10.1684/epd.2020.1202
MLA:
Federico, Paolo, et al. "ILAE Neuroimaging Task Force highlight: Review MRI scans with semiology in mind." Epileptic Disorders 22.5 (2020): 683-687.
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