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Proton MR Spectroscopic Imaging in The Investigation of Patients with Temporal Lobe Epilepsy

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Part of the book series: NATO ASI Series ((NSSA,volume 264))

Abstract

MR spectroscopy (MRS) is a non-invasive technique that allows direct identification and quantitation of certain cerebral metabolites in vivo without the injection of radionuclides. Initial studies on small numbers of patients using phosphorus MRS demonstrated a relative alkalosis and an increase in inorganic phosphate in the temporal lobe responsible for temporal lobe epilepsy (TLE) (Kuzniecky et al, 1992; Laxer et al., 1992). Proton MRS has the advantage of much greater signal-to-noise ratio and, therefore, greater spatial resolution compared to phosphorus spectroscopy. Proton MRS studies reported to date have revealed a reduced N-acetylaspartate (NAA) relative resonance intensity in the temporal lobes of patients with TLE (Cendes et al., 1994; Matthews et al., 1990; Laxer et al., 1992).

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References

  • Arnold, D. L., 1992, Reversible reduction of N-acetylaspartate after acute central nervous system damage, Proc Soc Magn Reson Med. 11: 643 (abstract).

    Google Scholar 

  • Arnold, D. L., Matthews, P. M., Francis, G. S., O’Connor, J., and Antel, J. P., 1992, Proton Magnetic resonance spectroscopic imaging for metabolic characterization of demyelinating plaques, Ann Neurol. 31: 235–241.

    Article  PubMed  CAS  Google Scholar 

  • Babb, T. L., and Brown, W. J., 1987, Pathological findings in epilepsy, in: “Surgical treatment of the epilepsies,” Engel J, Jr, ed., Raven Press, New York.

    Google Scholar 

  • Birken, D. L., and Oldendorf, W. H., 1989, N-Acetyl-L-aspartic acid: a literature review of a compound prominent in 1H-NMR spectroscopic studies of brain, Neurosci Biobehav Rev. 13: 23–31.

    Article  PubMed  CAS  Google Scholar 

  • Bruhn, H., Frahm, J., Gyngell, M. L., Merboldt, K. D., Hanicke, W., and Sauter, R., 1989, Cerebral metabolism in man after acute stroke: new observations using localised proton NMR spectroscopy, Magn Reson Med. 9: 126–131.

    Article  PubMed  CAS  Google Scholar 

  • Bruton, C. J., 1988, “The Neuropathology of Temporal Lobe Epilepsy,” Oxford University Press, New York.

    Google Scholar 

  • Cendes, F., Andermann, F., Preul, M., and Arnold, D. L., 1994, Focal metabolic abnormalities in temporal lobe epilepsy demonstrated by proton MR spectroscopic imaging Ann Neurol. 35: 211–216.

    Article  PubMed  CAS  Google Scholar 

  • Coyle, J. T., Robinson, M. B., Blakely, R. D., and Forloni, G-L., 1989, The neurobiology of N-acetyl-aspartyl-glutamate, in: “Allosteric modulation of amino acid receptors: therapeutic implications,” E. A. Barnard and E. Costa, eds, Raven Press, New York.

    Google Scholar 

  • Duijn, J. H., Matson, G. B., Maudsley, A. A., Hugg, J. W., and Weiner, M. W., 1992, Human brain infarction: proton MR spectroscopy, Radiology 183: 711–718.

    PubMed  CAS  Google Scholar 

  • Fenstermacher, M. J., and Narayana, P. A., 1990, Serial proton magnetic resonance spectroscopy of ischemic brain injury in humans, Invest Radiol. 25: 1034–1039.

    Article  PubMed  CAS  Google Scholar 

  • Gill, S. S., Small, R. K., Thomas, D. G., et al., 1989, Brain metabolites as 1H NMR markers of neuronal and glial disorders, NMR Biomed. 2: 196–200.

    Article  PubMed  CAS  Google Scholar 

  • Gloor, P., 1991, Mesial temporal sclerosis: historical background and an overview from a modern perspective, in: “Epilepsy Surgery,” H. Luders, ed., Raven Press, New York.

    Google Scholar 

  • Graham, G. D., Blamire, A. M., Howseman, A. M., et al., 1992, Proton magnetic resonance spectroscopy of cerebral lactate and other metabolites in stroke patients, Stroke 23: 333–340.

    Article  PubMed  CAS  Google Scholar 

  • Hanstock, C. C., Rothman, D. L., Prichard, J. W., Jue, T., and Shulman, R. G., 1988, Spatially localised 1H NMR spectra of metabolites in the human brain, Proc Natl Acad Sci USA 85: 1821–1825.

    Article  PubMed  CAS  Google Scholar 

  • Kuzniecky, R., Elgavish, G. A., Hetherington, H. P., Evanochko, W. T., and Pohost, G. M., 1992, In vivo 31 P nuclear magnetic resonance spectroscopy of human temporal lobe epilepsy, Neurology 42: 1586–1590.

    Article  PubMed  CAS  Google Scholar 

  • Laxer, K. D., Hubesch, B., Sappey-Marinier, D., and Weiner, M. W., 1992, Increased pH and inorganic phosphate in temporal seizure foci demonstrated by 31 P MRS, Epilepsia 33: 618–623.

    Article  PubMed  CAS  Google Scholar 

  • Matthews, P. M., Andermann, F., and Arnold, D. L., 1990, A proton magnetic resonance spectroscopy study of focal epilepsy in humans, Neurology 40: 985–989.

    Article  PubMed  CAS  Google Scholar 

  • Matthews, P. M., Francis, G. S., Antel, J., and Arnold, D. L., 1991, Proton magnetic resonance spectroscopy for metabolic characterization of plaques in multiple sclerosis, Neurology 41: 1251–1256.

    Article  PubMed  CAS  Google Scholar 

  • Meencke, H. J., and Veith, G., 1991, Hippocampal sclerosis in epilepsy, in: “Epilepsy Surgery,” H. Luders, ed., Raven Press, New York.

    Google Scholar 

  • Menon, D. K., Sargentoni, J., Peden, C. J., et al., 1990, Proton MR spectroscopy in herpes simplex encephalitis: assessment of neuronal loss, J Comput Assist Tomogr. 14: 449–452.

    Article  PubMed  CAS  Google Scholar 

  • Moffet, J. R., Namboodiri, M. A. A., Cangro, C. B., and Neale, J. H., 1991, Immunohistochemical localization of N-acetylaspartate in rat brain, NeuroReport 2: 131–134.

    Article  Google Scholar 

  • Petroff, O. A. C., Spencer, D. D., Alger, J. R., and Prichard, J. W., 1989, High-field proton magnetic resonance spectroscopy of human cerebrum obtained during surgery for epilepsy, Neurology 39: 1197–1202.

    Article  PubMed  CAS  Google Scholar 

  • Simmons, M. L., Frondoza, C. G., and Coyle, J. T., 1991, Immunocytochemical localization of N-acetyl-aspartate with monoclonal antibodies, Neuroscience 45: 37–45.

    Article  PubMed  CAS  Google Scholar 

  • Slopis, J. M., Lin, S., Butler, J. M., and Caprioli, R., 1992, Selective Corelease of N-Acetylaspartylglutamate and N-Acetyl-Aspartate from rat hypothalamus in vivo. Ann Neurol. 32(3): 445–446 (abstract).

    Google Scholar 

  • Tallen, H. H., 1957, Studies on the distribution of N-acetyl-L-aspartic acid in brain, J Biol Chem. 224: 41–45.

    Google Scholar 

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© 1994 Springer Science+Business Media New York

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Cendes, F., Andermann, F., Arnold, D.L. (1994). Proton MR Spectroscopic Imaging in The Investigation of Patients with Temporal Lobe Epilepsy. In: Shorvon, S.D., Fish, D.R., Andermann, F., Bydder, G.M., Stefan, H. (eds) Magnetic Resonance Scanning and Epilepsy. NATO ASI Series, vol 264. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2546-2_37

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  • DOI: https://doi.org/10.1007/978-1-4615-2546-2_37

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6086-5

  • Online ISBN: 978-1-4615-2546-2

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