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NEUROLOGY 2004;63:1503-1506
© 2004 American Academy of Neurology
Brief Communications

Clinical significance of isolated hippocampal volume asymmetry in childhood epilepsy

P. Major, MD, J.-C. Décarie, MD, A. Nadeau, MD, P. Diadori, MD, A. Lortie, MD, D. Nguyen, MD, P. Cossette, MD MSc and L. Carmant, MD

From the Department of Pediatrics, Neurology Division (Drs. Major, Nadeau, Diadori, Lortie, Cossette, and Carmant), and Department of Radiology (Dr. Décarie), Hôpital Sainte-Justine; and Neurology Department (Drs. Nguyen and Cossette), CHUM Hôpital Notre-Dame, Université de Montréal, Canada.

Address correspondence and reprint requests to Dr. Lionel Carmant, Department of Pediatrics, Neurology Division, Hôpital Sainte-Justine, 3175, Côte Ste-Catherine, Montréal, Québec, H3T 1C5, Canada; e-mail: lionel.carmant{at}umontreal.ca

This study defines the clinical characteristics and evolution of 16 epileptic children with hippocampal asymmetry (HA) without sclerosis on MRI. The association of a positive family history of epilepsy (11/16), low incidence of febrile seizures (2/16), and benign prognosis (seizure control in monotherapy in 11/16, mean follow-up = 4.3 years, range 1 to 10) suggest a different clinical presentation than patients with mesial temporal sclerosis. Genetic studies of these mostly French Canadian families should help confirm the existence of a distinct syndrome.

Received February 16, 2004. Accepted in final form June 10, 2004.




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D. K. Nguyen, A. B. Podubnaia, L. Carmant, F. Guilbert, and P. Cossette
Generalized epilepsy and classic spike-wave discharges with unilateral thalamic lesions.
Arch Neurol, September 1, 2006; 63(9): 1321 - 1323.
[Abstract] [Full Text] [PDF]


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