The Imaging of Localization Related Symptomatic Epilepsies: The Value of Arterial Spin Labelling Based Magnetic Resonance Perfusion

Korean Journal of Radiology : Official Journal of the Korean Radiological Society
Chinmay NageshChandrasekharan Kesavadas

Abstract

Accurate identification of the epileptogenic zone is an important prerequisite in presurgical evaluation of refractory epilepsy since it affects seizure-free outcomes. Apart from structural magnetic resonance imaging (sMRI), delineation has been traditionally done with electroencephalography and nuclear imaging modalities. Arterial spin labelling (ASL) sequence is a non-contrast magnetic resonance perfusion technique capable of providing similar information. Similar to single-photon emission computed tomography, its utility in epilepsy is based on alterations in perfusion linked to seizure activity by neurovascular coupling. In this article, we discuss complementary value that ASL can provide in the evaluation and characterization of some basic substrates underlying epilepsy. We also discuss the role that ASL may play in sMRI negative epilepsy and acute scenarios such as status epilepticus.

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Citations

Mar 5, 2019·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·Merlijn C E van der PlasMatthias J P van Osch
Dec 15, 2020·Journal of Magnetic Resonance Imaging : JMRI·Sven BambachMai-Lan Ho
Aug 8, 2021·European Journal of Medical Research·Jia ZhangJing Gan

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