Table 5.
Reasons why it may be appropriate to perform volumetric studies on hippocampus or other potentially epileptogenic areas
| Rationale for volumetric analysis | |
|---|---|
| ➢ To establish normative date | |
| ● Breed and size variations | |
| ● Age | |
| ● Gender | |
| ● Within subject functional and anatomical asymmetry [75] | |
| ➢ To provide a baseline | |
| ● At initial diagnosis and for serial comparison, for example, if develops drug-resistant epilepsy | |
| ➢ To identify patients with poor prognosis / less likely to respond to treatment | |
| ● Volume compared to normative data | |
| ● Within subject asymmetry in volume | |
| ➢ Improving cohort selection for entry into clinical trials evaluating | |
| ● Antiepileptic drugs | |
| ● Neuro-protective agents that may modulate the consequences of epilepsy on cognition and behaviour [76] | |
| ● Novel treatment modalities |