Transient lesion in the splenium related to antiepileptic drug
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Transient lesion in the splenium related to antiepileptic drug : case report and new pathophysiological insights. / Anneken, Kerstin; Evers, Stefan; Mohammadi, Siawoosh; Schwindt, Wolfram; Deppe, Michael.
In: SEIZURE-EUR J EPILEP, Vol. 17, No. 7, 01.10.2008, p. 654-7.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Transient lesion in the splenium related to antiepileptic drug
T2 - case report and new pathophysiological insights
AU - Anneken, Kerstin
AU - Evers, Stefan
AU - Mohammadi, Siawoosh
AU - Schwindt, Wolfram
AU - Deppe, Michael
PY - 2008/10/1
Y1 - 2008/10/1
N2 - Transient focal lesions in the splenium of the corpus callosum (SCC) have been associated with antiepileptic drug (AED) treatment. However, the aetiology is widely unknown. We describe a transient SCC lesion in an epilepsy patient after abrupt AED reduction. Whole head high-field diffusion tensor imaging (DTI) including fully automated quantitative fractional anisotropy (FA) analysis was used to get insight into the pathophysiology of transient SCC lesions. Our results demonstrate that a reversible loss of directional fibre organisation in the splenium, likely due to intramyelinic oedema, is the morphological correlate of transient SCC lesions. We conclude that DTI provides a highly sensitive and quantitative tool to detect subtle and transient loss of fibre integrity associated with AED treatment.
AB - Transient focal lesions in the splenium of the corpus callosum (SCC) have been associated with antiepileptic drug (AED) treatment. However, the aetiology is widely unknown. We describe a transient SCC lesion in an epilepsy patient after abrupt AED reduction. Whole head high-field diffusion tensor imaging (DTI) including fully automated quantitative fractional anisotropy (FA) analysis was used to get insight into the pathophysiology of transient SCC lesions. Our results demonstrate that a reversible loss of directional fibre organisation in the splenium, likely due to intramyelinic oedema, is the morphological correlate of transient SCC lesions. We conclude that DTI provides a highly sensitive and quantitative tool to detect subtle and transient loss of fibre integrity associated with AED treatment.
KW - Anisotropy
KW - Anticonvulsants
KW - Brain Edema
KW - Brain Injuries
KW - Diffusion Magnetic Resonance Imaging
KW - Epilepsy
KW - Female
KW - Humans
KW - Middle Aged
KW - Neurosecretory Systems
U2 - 10.1016/j.seizure.2008.01.004
DO - 10.1016/j.seizure.2008.01.004
M3 - SCORING: Journal article
C2 - 18329297
VL - 17
SP - 654
EP - 657
JO - SEIZURE-EUR J EPILEP
JF - SEIZURE-EUR J EPILEP
SN - 1059-1311
IS - 7
ER -