Page 136 - MEGIN Book Of Abstracts - 2023
P. 136

Concordance between ictal and interictal SECD      Changes in functional connectivity in
            localizations was significantly associated with seizure-  newly diagnosed self-limited epilepsy with
            freedom. Concordance between MRI lesion and ictal   centrotemporal spikes and cognitive impairment:
            SECD, concordance between ictal ICEEG and ictal and   An MEG study (2022)
            interictal SECD, as well as concordance between ictal
            ICEEG and MRI lesion were significantly associated with                 Li, Yihan; Chen, Jinan; Sun, Jintao; Jiang, Ping; Xiang,
            seizure freedom.                                   Jing; Chen, Qiqi; Hu, Zheng; Wang, Xiaoshan


            CONCLUSIONS Ictal MEG can contribute useful infor-  Department of Neurology, The Affiliated Brain Hospital of
            mation for delineating the resection area in epilepsy   Nanjing Medical University, Nanjing, Jiangsu, China; MEG
            surgery.                                           Center, Division of Neurology, Cincinnati Children's Hospital
                                                               Medical Center, Cincinnati, Ohio, USA; MEG Center, Nanjing
            SIGNIFICANCE Resection should include ictal, inter-  Brain Hospital, Nanjing, Jiangsu, China; Department of Neu-
            ictal SECDs and MRI lesion localization, when feasible.   rology, Nanjing Children's Hospital, Nanjing, Jiangsu, China
            Concordant ictal and interictal SECDs on MEG can be a
            favorable predictor of seizure freedom.            PURPOSE Our purpose was to explore the relationship
                                                               between cognitive impairment and neural network
            Keywords: Epilepsy surgery, Epileptogenic zone, Ictal   changes in patients newly diagnosed with self-limited
            magnetoencephalography, Intracranial electroencepha-  epilepsy with centrotemporal spikes (SeLECTS).
            lography, Seizure free, Seizure outcome, Stereo-electroen-
            cephalography                                      METHODS The Wechsler Intelligence Scale for Children,
                                                               fourth edition was used to divide all SeLECTS patients
            Clinical neurophysiology: official journal of the   into two groups: patients with full-scale intelligence
            International Federation of Clinical Neurophysiology   quotient (FSIQ) below 80 that corresponded to cogni-
            (2023), Vol. 145 (36443170) (1 citation)           tive impairment, and patients with FSIQ above 80 that
                                                               corresponded to a normal cognitive function. The data
                                                               on the resting state were recorded using magnetoen-
            Epilepsy highlight: Ictal MEG in epilepsy surgery   cephalography. The properties of the networks were
            candidates - Results from largest cohort (2023)    analyzed using graph theory (GT) analysis.

                      Laohathai, Christopher; Funke, Michael   RESULTS The functional connectivity (FC) of the frontal
                                                               cortex in patients with FSIQ < 80 was reduced in the
            Department of Neurology, Saint Louis University, St. Louis,   12-30 Hz frequency band, and the FC of the posterior
            MO, USA; Department of Pediatrics, University of Texas Health   cingulate cortex was reduced in the 80-250 and 250-
            Science Center, McGovern Medical School, Houston, TX, USA  500 Hz frequency bands. The GT analysis showed that
                                                               patients in the FSIQ < 80 group had higher strength in
            Clinical neurophysiology: official journal of the   the 8-12 and 12-30 Hz frequency bands than those in
            International Federation of Clinical Neurophysiology   the healthy control and FSIQ > 80 group. However, the
            (2023), Vol. 145 (36435692) (0 citations)          path length was reduced in the 80-250 Hz band, and
                                                               the clustering coefficient was reduced in the 12-30, 80-
                                                               250, and 250-500 Hz frequency bands. Moreover, the
                                                               receiver operator characteristic analysis showed that
                                                               the clustering coefficient in the 12-30 and 80-250 Hz
                                                               frequency bands, as well as the path length in the 80-
                                                               250 Hz frequency band possessed a good discrimina-
                                                               tive ability in distinguishing the FSIQ > 80 group.







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