VAI TRÒ CỘNG HƯỞNG TỪ 3 TESLA TRONG ĐỘNG KINH THÙY THÁI DƯƠNG

Abstract

Objective of the study: To determine the usefulness and characteristics of 3 Tesla magnetic resonance imaging in lesional temporal lobe epilepsy. Subjects and research methods: Patients were diagnosed temporal lobe epilepsy, presurgical evaluation tool based on semiology, electroencephalography and brain MRI with epilepsy protocol. This is a cross-sectional study, in Neurosurgery Department in Ho Chi Minh City University Medical Center. The duration was sixty months from 1^st Janurary 2016 to 31^th December 2020. Results: 36 female: 20 male. Median age: 39,2 year-old. All patients are diagnosed temporal lobe epilepsy by neurologists (semiology and EEG). 56 leisonal temporal lobe epilepsy patients on MRI have: hippocampal sclerosis (n = 10), focal cortical dysplasia (n = 1), cavernoma (n = 11), arterioveinous malformation (n=3), meningioma (n = 8), astrocytoma (n = 16), and others (n = 7). Anatomical pathology details show to be what other cases: tetratoma, gangliomglioma, dysembryoplastic neuroepithelial tumor,... Conclusions: 3 Tesla MRI is a essential tool to diagnose for lesional temporal lobe epilepsy. MRI is one of the most important parts in the presurgical evaluation for temporal lobe epilepsy.