Table 1. Clinical profile: age, gender, MRI abnormalities, EEG activity, and location of noninvasive techniques (ESI and ASL) and invasive techniques (sEEG).
Pt | Sex | Age | Years since beginning | Seizure frequency | Hx | Current antiepileptic therapy | Standard MRI | EEG | ESI | ASL | sEEG |
---|---|---|---|---|---|---|---|---|---|---|---|
7 | F | 46 | 26 | 5–6/month | negative | VPA, LEV, ZNS | negative | sharp-waves over the frontotemporal right derivations | localization in right anterior temporal areas | hypoperfusion in right temporal and frontotemporal regions | right temporal pole focus |
8 | F | 62 | 30 | 3–4/month | febrile convulsion | CBZ | negative | runs of fast, spiky activity over the frontotemporal right leads | localization in right temporal and frontotemporal areas | hypoperfusion in right temporal and frontotemporal regions | none |
9 | F | 68 | 48 | 1/day | negative | CBZ, LTG | bilateral hippocampal hyperintensity | right frontotemporal spikes | localization in right temporal and frontotemporal regions | hypoperfusion in right temporal regions | none |
10 | M | 48 | 30 | 1/day | febrile convulsion | CBZ, LEV | negative | left frontotemporal spikes | localization in left anterior temporal areas | hypoperfusion in left temporal and frontotemporal regions | none |
11 | M | 48 | 18 | 1/week | negative | VPA, ZNS, LTG | mild bilateral hippocampal hyperintensity | rare anterior temporal spikes, with right predominance | localization in right anterior temporal areas | hypoperfusion localized to right temporal regions | none |
12 | F | 28 | 2 | 2–3/month | familiar | CBZ, VPA | altered areas in the right lateral frontobasal lobe, left anteroinferior frontal lobe, medioposterior portion of the left hippocampus, left frontoparietal junction | left frontotemporal spikes | localization in left temporal and frontotemporal regions | hypoperfusion localized to left temporal regions | none |
VPA = valproate; LEV = levetiracetam; ZNS = zonisamide; CBZ = carbamazepine; LTG = lamotrigine.