Correlation analysis about cranial magnetic resonance imaging and electroencephalogram abnormalities and event-related potentials in patients with temporal lobe epilepsy

Abstract

Objective: To investigate and evaluate the correlation between event-related potentials, cranial magnetic resonance imaging and electroencephalogram on cognitive function in patients with temporal lobe epilepsy. Methods: According to the exclusion criteria, 60 adult temporal lobe epilepsy patients (24 males and 36 females, 34±13 years old of average age) were enrolled in the First Affiliated Hospital of Kunming Medical University from March 2017 to September 2018. The magnetic resonance imaging (MRI), 24 h video electroencephalogram (EEG) and event-related potentials (ERPs) were detected in all patients, comparing the latency of N1, P2, N2, P3 waves and the amplitude of P3 waves. Results: The mean latency of the waves of N1, P2, N2 and P3 and the mean amplitude of P3 wave were (108±25), (182±30), (256±33), (367±40) ms and (6.4±5.8) μV. There were significant differences in ERPs (latency of N1 wave, N2 wave and P3 wave) between the MRI abnormal group and the normal group (all P<0.05). There was a statistically significant difference in the ERPs (P3 wave latency) between EEG examination found epileptiform or paroxysmal slow waves release group and the patients with EEG normality in the past 1 year (P<0.05) and the EEG test results were positively correlated with the latency of P2, N2 and P3 waves in ERPs, and negatively correlated with the amplitude of P3 waves (P<0.05). Conclusion: Patients with cognitive dysfunction in temporal lobe epilepsy are more likely to have abnormal MRI and EEG in the head. Both of them show different effects on the cognitive process of patients in ERPs.