Abstract

Cerebral, cerebellar, and hippocampal volumes were measured by quantitative magnetic resonance imaging on 112 children, ages 4-18 years, with epilepsy syndromes, determined by video-EEG telemetry, at Sydney Children’s Hospital, Randwick; St Vincent’s Hospital, Victoria; and New Children’s Hospital, Westmead, New South Wales, Australia.

Highlights

  • Cerebellar, and hippocampal volumes were measured by quantitative magnetic resonance imaging on 112 children, ages 4-18 years, with epilepsy syndromes, determined by video-EEG telemetry, at Sydney Children's Hospital, Randwick; St Vincent's Hospital, Victoria; and New Children's Hospital, Westmead, New South Wales, Australia

  • Hippocampal asymmetry was more sensitive than volume reduction as a marker for mesial temporal lobe epilepsy

  • Volume reduction was independent of age of onset and duration of epilepsy, suggesting that brain volume reduction is present at the onset of epilepsy and is not the result of intractable seizures

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Summary

Introduction

Cerebellar, and hippocampal volumes were measured by quantitative magnetic resonance imaging on 112 children, ages 4-18 years, with epilepsy syndromes, determined by video-EEG telemetry, at Sydney Children's Hospital, Randwick; St Vincent's Hospital, Victoria; and New Children's Hospital, Westmead, New South Wales, Australia. (Respond: Dr Finn Ebbesen, Department of Paediatrics, University Hospital of Aalborg, DK-9000 Aalborg, Denmark). A recent increase in the cases of kernicterus in term or nearterm infants in Denmark has raised concerns regarding the primary and secondary healthcare recognition and management of the problem.

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