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Purpose: To evaluate the economic costs of using computed tomography (CT) vs. magnetic resonance (MR) imaging in the preoperative evaluation of refractory epilepsy patients. Methods: Preoperative CT and MR imaging findings from 117 patients who underwent surgery for medically refractory epilepsy during a 3.5-year period were reviewed. Cost savings were based on the paradigm that intracranial electroencephalogram...
The incidence and structural basis of nonlesional medial temporal lobe epilepsy (MTLE) without hippocampal atrophy (HA) is not known. Reports suggest that 5-15% of patients with hippocampal sclerosis (HS) do not have HA. We reviewed 57 patients with MTLE who underwent magnetic resonance imaging (MRI) volumetric studies, anteromedial temporal lobectomy (TL), and quantitative cell counts of the resected...
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