Abstract
Magnetic Resonance Spectroscopy (MRS) enables us to assess the metabolic changes in the brain of patients with epilepsy. Therefore it can provide complementary information to structural imaging. Structural MRI plays an important role in identifying the underlying epileptogenic substrate responsible for epilepsy. MRS identifies metabolic changes in the epileptogenic brain, which could be used to lateralize seizure focus, detect bilateral brain abnormalities such as bilateral temporal lobe epilepsy, identify the metabolic abnormalities in the epileptic brain, assess metabolic abnormalities in the epileptogenic zone that appears normal on structural MRI, predict surgical outcome, and improve our understanding of the pathophysiology of epileptogenic substrate.
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