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Research ArticleBRAIN

Monitoring of Acute Generalized Status Epilepticus Using Multilocal Diffusion MR Imaging: Early Prediction of Regional Neuronal Damage

T. Engelhorn, A. Hufnagel, J. Weise, M. Baehr and A. Doerfler
American Journal of Neuroradiology February 2007, 28 (2) 321-327;
T. Engelhorn
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A. Hufnagel
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J. Weise
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M. Baehr
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A. Doerfler
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    Fig 1.

    Neuronal cell loss in the ventral hippocampus and the parietal cortex 2 weeks after status epilepticus compared with control animals. Note drastically reduced neuronal attenuation in the CA1 region of the ventral hippocampus (vCA1) and, to a lesser extent, in the parietal cortex (PaCor) at 2 weeks. Arrows in higher magnifications point at CA1 neuronal cell layers displaying reduced neuronal attenuation and swollen or pyknotic cells as signs of ongoing neuronal degeneration.

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    Fig 2.

    Regions of interest (ROIs) used for quantitative apparent diffusion coefficient analysis.

    A, Representative diffusion-weighted MR image on which ROIs are outlined.

    B, Schematic drawing of a rat brain at similar level with identical ROIs superimposed. ROIs were defined as: retrosplenial parietal and temporal cortex (RCp and RCt), pyriform cortex (PC), hippocampus (Hippo), thalamus (Thal), and amygdala (Amy).

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    Fig 3.

    Averaged apparent diffusion coefficients in the retrosplenial parietal, temporal, and pyriform (basal) cortex, the thalamus, amygdala, and hippocampus of pilocarpine-treated animals before and within 120 minutes after pilocarpine-induced status epilepticus; ∗ indicates P < 0.05 compared to baseline.

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  • Rates of neuronal degeneration

    0.5 hours2 hours24 hours1 week2 weeks
    Parietal cortex99 ± 9%101 ± 5%81 ± 7%78 ± 5%75 ± 9%
    Temporal cortex98 ± 6%93 ± 7%67 ± 3%71 ± 5%58 ± 10%
    Pyriform cortex93 ± 7%90 ± 7%47 ± 3%52 ± 12%32 ± 4%
    Thalamus96 ± 4%100 ± 9%62 ± 4%61 ± 3%44 ± 3%
    Amygdala97 ± 4%101 ± 10%66 ± 3%54 ± 6%38 ± 5%
    Hippocampus (CA1 + 2)103 ± 5%97 ± 7%70 ± 4%63 ± 10%52 ± 18%
    Hippocampus (CA3)99 ± 3%103 ± 8%76 ± 3%64 ± 11%46 ± 20%
    • Note:—Neuronal cell loss in diverse brain regions at different time points after status epilepticus. Values are numbers of surviving neurons given as a percentage of neurons in control animals. All values at 24 hours, 1 week, and 2 weeks were statistically significant (P < .05).

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American Journal of Neuroradiology: 28 (2)
American Journal of Neuroradiology
Vol. 28, Issue 2
February 2007
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T. Engelhorn, A. Hufnagel, J. Weise, M. Baehr, A. Doerfler
Monitoring of Acute Generalized Status Epilepticus Using Multilocal Diffusion MR Imaging: Early Prediction of Regional Neuronal Damage
American Journal of Neuroradiology Feb 2007, 28 (2) 321-327;

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Monitoring of Acute Generalized Status Epilepticus Using Multilocal Diffusion MR Imaging: Early Prediction of Regional Neuronal Damage
T. Engelhorn, A. Hufnagel, J. Weise, M. Baehr, A. Doerfler
American Journal of Neuroradiology Feb 2007, 28 (2) 321-327;
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