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Strukturelle Magnetresonanztomografie

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Epileptische Anfälle und Epilepsien im Erwachsenenalter
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Zusammenfassung

Die Bedeutung der strukturellen Bildgebung hat durch stetige Verbesserungen der Auflösung mithilfe optimierter und neuer Sequenzen sowie durch verbesserte MRT-Scanner in den letzten Jahren deutlich zugenommen. Neben der Analyse der Anfallssemiologie und dem EEG ist das MRT des Kopfs, ambulant wie stationär, nunmehr die dritte essenzielle Säule der Epilepsiediagnostik. Sie hilft insbesondere bei der ätiologischen Zuordnung von Epilepsien und kann kausale Therapienotwendigkeiten und -optionen aufzeigen. Die zuverlässige Detektion epileptogener Läsionen erfordert die Verwendung epilepsiespezifischer MRT-Protokolle, die Kenntnis epileptogener Läsionen seitens der Befunder und das Vorhandensein einer klinischen Hypothese bezüglich der Zone des Anfallsursprungs.

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Literatur

  • Bien CG et al. (2013) Trends in presurgical evaluation and surgical treatment of epilepsy at one centre from 1988–2009. Neurol Neurosurg Psychiatry 84:54–61

    Google Scholar 

  • D’Antonio F et al. (2016) Outcomes associated with isolated agenesis of the corpus callosum: a meta-analysis. Pediatrics 138(3):e20160445

    Google Scholar 

  • Graus F et al. (2016) A clinical approach to diagnosis of autoimmune encephalitis. Lancet Neurol 15(4):391–404

    Google Scholar 

  • Grönheit W et al. (2018) Practical management of epileptic seizures and status epilepticus in adult palliative care patients. Front Neurol 9:595

    Google Scholar 

  • Hakami T et al. (2013) MRI-identified pathology in adults with new-onset seizures. Neurology 81:920–927

    Google Scholar 

  • House PM et al. (2013) Comparison of morphometric analysis based on T1- and T2-weighted MRI data for visualization of focal cortical dysplasia. Epilepsy Res 106:403–440

    Google Scholar 

  • House PM et al. (2015) Morphometric MRI analysis enhances visualization of cortical tubers in tuberous sclerosis. Epilepsy Res 117:29–34

    Google Scholar 

  • Huppertz HJ (2013) Morphometric MRI Analysis. In: Urbach H (Hrsg). MRI in Epilepsy. Springer, Berlin, S 85–88

    Google Scholar 

  • Knake S et al. (2005) 3T phased array MRI improves the presurgical evaluation in focal epilepsies: a prospective study. Neurology 65(7):1026–1031

    Google Scholar 

  • Kreilkamp BAK et al. (2019) Neuroradiological findings in patients with “non-lesional” focal epilepsy revealed by research protocol. Clin Radiol 74(1):78.e1–78.e11

    Google Scholar 

  • Menzler K et al. (2010) Epileptogenicity of cavernomas depends on (archi-) cortical localization. Neurosurgery 67(4):918–924

    Google Scholar 

  • Obusez EC et al. (2018) 7T MR of intracranial pathology: preliminary observations and comparisons to 3T and 1.5T. Neuroimage 168:459–476

    Google Scholar 

  • Pascher B et al. (2013) Automated morphometric magnetic resonance imaging analysis for the detection of periventricular nodular heterotopia. Epilepsia 54(2):305–313

    Google Scholar 

  • Roessler K et al. (2018) Intraoperative magnetic-resonance tomography and neuronavigation during resection of focal cortical dysplasia type II in adult epilepsy surgery offers better seizure outcomes. World Neurosurg 109:e43–e49

    Google Scholar 

  • Sommer B et al. (2016) Magnetoencephalography-guided surgery in frontal lobe epilepsy using neuronavigation and intraoperative MR imaging. Epilepsy Res 126:26–36

    Google Scholar 

  • Von Oertzen J et al. (2002) Standard magnetic resonance imaging is inadequate for patients with refractory focal epilepsy. J Neurol Neurosurg Psychiatry 73(6):643–647

    Google Scholar 

  • Wagner J et al. (2011) Morphometric MRI analysis improves detection of focal cortical dysplasia type II. Brain 134(10):2844–2854

    Google Scholar 

  • Wang ZI et al. (2016) Re-review of MRI with post-processing in nonlesional patients in whom epilepsy surgery has failed. J Neurol 263(9):1736–1745

    Google Scholar 

  • Wellmer J, Elger CE (2009) MRI in the presurgical evaluation. In: Shorvon S, Engel J Jr, Perucca E (Hrsg) The treatment of Epilepsy, 3. Aufl. Blackwell publishing, Oxford

    Google Scholar 

  • Wellmer J et al. (2013) Proposal for a magnetic resonance imaging protocol for the detection of epileptogenic lesions at early outpatient stages. Epilepsia 54(11):1977–1987

    Google Scholar 

  • Yoneoka Y et al. (2002) Criteria for normalcy of cavities observed within the adult hippocampus: high-resolution magnetic resonance imaging study on a 3.0-T system. J Neuroimaging 12(3):231–235

    Google Scholar 

Weiterführende Literatur

  • Huppertz HJ (2018) Morphometrische und volumetrische MRT-Auswertung. Z Epileptol 31:102–108

    Article  Google Scholar 

  • Knake S, Grant PE (2006) Magnetic resonance imagaing techniques in the evaluation of epilepsy surgery. In: Eyllie, E, Gupta A, Lachhwani DK (Hrsg) The treatment of epilepsy: principles & practice, 5. Aufl. Wolters Kluwer Health, Philadelphia, S 1009–1031

    Google Scholar 

  • Wehner T et al. (2011) Structural imaging of mesial temporal lobe epilepsy. In: Rosenow F, Lüders H, Ryvlin P (Hrsg) The mesial temporal lobe epilepsies. John Libbey Eurotext, Paris

    Google Scholar 

  • Wellmer J, Knake S (Hrsg) (2018) Bildgebung bei Epilepsien. Z Epileptol 31(2), 85

    Google Scholar 

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Correspondence to Susanne Knake .

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Knake, S., Wellmer, J. (2020). Strukturelle Magnetresonanztomografie. In: Schmitt, F., Stefan, H., Holtkamp, M. (eds) Epileptische Anfälle und Epilepsien im Erwachsenenalter. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59198-7_27

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  • DOI: https://doi.org/10.1007/978-3-662-59198-7_27

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  • Publisher Name: Springer, Berlin, Heidelberg

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  • Online ISBN: 978-3-662-59198-7

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