Yıl: 2021 Cilt: 27 Sayı: 1 Sayfa Aralığı: 23 - 31 Metin Dili: İngilizce DOI: 10.14744/epilepsi.2020.63644 İndeks Tarihi: 05-06-2021

The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method

Öz:
Objectives: Brain volume is important in many diseases for both children and adults. Studies examining brain volume in terms of seizure types are less although several studies examining brain volume on healthy and epileptic children are available. Thus, this study aims to examine the cerebral cortex, cerebral white matter, cerebral, cerebellar, and total brain volumes in terms of epilepsy-related factors in children diagnosed with idiopathic epilepsy.Methods: Cranial magnetic resonance images of 100 children (girls, 50; boys, 50), aged 3–16 years old, who had idiopathic epilepsy with generalized and partial seizures were retrospectively evaluated. The volumetric measurements of the cerebral cortex, cerebral white matter, cerebrum, cerebellum, and total brain were performed using the Cavalieri principle, which is one of the methods for volume calculation with stereology techniques.Results: No significant difference was noted in the brain volumes between partial and generalized seizure groups. However, asymmetry on ce-rebral cortex volume in both seizure groups was determined. Similarly, no correlation was found between epilepsy duration, seizure frequency, use of antiepileptic drugs, and brain volumes.Conclusion: Studies comparing two different seizure types are relatively less among the studies examining brain volume in childhood epilepsy. Thus, the study of brain volume in children with partial and generalized seizures diagnosed with idiopathic epilepsy will contribute to the studies conducted in this area, and the results obtained are essential for understanding the impact of epilepsy and epilepsy-related factors on brain volume.
Anahtar Kelime:

Epilepsili Çocuklarda Beyin Hacminin Manyetik Rezonans Görüntüleri ÜzerindeStereolojik Yöntemle Değerlendirilmesi

Öz:
Amaç: Beyin hacmi birçok hastalıkta hem çocuklar hem de yetişkinler için önemlidir. Epileptik ve sağlıklı çocuklarda beyin hacminin incelendiği birçok çalışma olmasına rağmen, beyin hacminin nöbet tipleri açısından incelendiği çalışmaların daha az olduğu görülmektedir. Bu çalışmanın amacı, idiyopatik epilepsi tanılı çocuklarda serebral korteks, hemisferik beyaz cevher, serebrum, serebellum ve toplam beyin hacminin epilepsi ile ilişkili faktörler açısından incelenmesidir.Gereç ve Yöntem:Çalışmada, idiyopatik epilepsi tanılı parsiyel ve jeneralize nöbetleri olan 3-16 yaş arası 50’si kız, 50’si erkek toplam 100 çocu-ğun kraniyal manyetik rezonans görüntüleri retrospektif olarak incelenmiştir. Serebral korteks, hemisferik beyaz cevher, serebrum, serebellum ve toplam beyin hacim ölçümleri, stereoloji teknikleri ile hacim hesaplama yöntemlerinden biri olan Cavalieri prensibiyle hesaplanmıştır.Bulgular:Parsiyel ve jeneralize nöbet grupları arasında beyin hacimlerinde anlamlı bir fark olmadığı saptanmıştır (p>0.05). Ancak her iki nöbet grubunda serebral korteks asimetrisi tespit edilmiştir. Epilepsi süresi, nöbet sıklığı, antiepileptik ilaç kullanımı ve beyin hacimleri arasında an-lamlı bir ilişki olmadığı görülmüştür (p>0.05).Sonuç:Çocukluk çağı epilepsilerinde beyin hacmini inceleyen çalışmalar arasında, iki farklı nöbet tipini karşılaştıran çalışmaların daha az oldu-ğu bilinmektedir. Bu çalışmada, idiyopatik epilepsi tanısı alan parsiyel ve jeneralize nöbetleri olan çocuklarda beyin hacminin incelenmesinin bu alanda yapılan çalışmalara katkıda bulunacağı ve elde edilen sonuçların epilepsi ve epilepsi ile ilişkili faktörlerin beyin hacmi üzerine etkisini anlamak adına önemli olduğu düşünülmektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Karacan K, Kosar MI, Cimen M, Solak O, Sahin B. Determination of Lateral Ventricle and Brain Volume in Children with Stereological Method Using MRI. Int J Morphol 2013;31(1):211–6.
  • 2. Lawson JA, Vogrin S, Bleasel AF, Cook MJ, Burns L, McAnally L, et al. Predictors of hippocampal, cerebral, and cerebellar volume reduction in childhood epilepsy. Epilepsia 2000;41(12):1540–5.
  • 3. Castellanos FX, Lee PP, Sharp W, Jeffries NO, Greenstein DK, Clasen LS, et al. Developmental trajectories of brain volume abnormalities in children and adolescents with attention-deficit/ hyperactivity disorder. JAMA 2002;288(14):1740–8.
  • 4. Steen RG, Mull C, McClure R, Hamer RM, Lieberman JA. Brain volume in first-episode schizophrenia: systematic review and meta-analysis of magnetic resonance imaging studies. Br J Psychiatry 2006;188:510–8.
  • 5. Kalkers NF, Ameziane N, Bot JC, Minneboo A, Polman CH, Barkhof F. Longitudinal brain volume measurement in multiple sclerosis: rate of brain atrophy is independent of the disease subtype. Arch Neurol 2002;59(10):1572–6.
  • 6. Lawson JA, Cook MJ, Vogrin S, Litewka L, Strong D, Bleasel AF, et al. Clinical, EEG, and quantitative MRI differences in pediatric frontal and temporal lobe epilepsy. Neurology 2002;58(5):723– 9.
  • 7. Zelko FA, Pardoe HR, Blackstone SR, Jackson GD, Berg AT. Regional brain volumes and cognition in childhood epilepsy: does size really matter? Epilepsy Res 2014;108(4):692–700.
  • 8. Lawson JA, Vogrin S, Bleasel AF, Cook MJ, Bye AM. Cerebral and cerebellar volume reduction in children with intractable epilepsy. Epilepsia 2000;41(11):1456–62.
  • 9. Chuang NA, Otsubo H, Chuang SH. Magnetic resonance imaging in pediatric epilepsy. Top Magn Reson Imaging 2002;13(1):39–60.
  • 10. Bourgeois BF, Dodson E. Pediatric epilepsy: diagnosis and therapy. Demos Medical Publishing; 2007.
  • 11. Giedd JN, Snell JW, Lange N, Rajapakse JC, Casey BJ, Kozuch PL, et al. Quantitative magnetic resonance imaging of human brain development: ages 4-18. Cereb Cortex 1996;6(4):551–60.
  • 12. Botez MI, Attig E, Vézina JL. Cerebellar atrophy in epileptic patients. Can J Neurol Sci 1988;15(3):299–303.
  • 13. Caplan R, Levitt J, Siddarth P, Taylor J, Daley M, Wu KN, et al. Thought disorder and frontotemporal volumes in pediatric epilepsy. Epilepsy Behav 2008;13(4):593–9.
  • 14. Daley M, Levitt J, Siddarth P, Mormino E, Hojatkashani C, Gurbani S, et al. Frontal and temporal volumes in children with epilepsy. Epilepsy Behav 2007;10(3):470–6.
  • 15. Canan S, Şahin B, Odacı E, Ünal B, Aslan H, Bilgiç S, et al. Toplam hacim, hacim yoğunluğu ve hacim oranlarının hesaplanmasında kullanılan bir stereolojik yöntem: Cavalieri prensibi. T Klin J Med Sci 2002;22:7–14.
  • 16. Odacı E, Bahadır A, Yıldırım Ş, Şahin B, Canan S, Baş O, et al. Cavalieri Prensibi Kullanılarak Bilgisayarlı Tomografi ve Manyetik Rezonans Görüntüleri Üzerinden Hacim Hesaplanması ve Klinik Kullanımı. T Klin J Med Sci 2005;25(3):421–8.
  • 17. Sahin B, Ergur H. Assessment of the optimum section thickness for the estimation of liver volume using magnetic resonance images: a stereological gold standard study. Eur J Radiol 2006;57(1):96–101.
  • 18. Caviness VS Jr, Kennedy DN, Richelme C, Rademacher J, Filipek PA. The human brain age 7-11 years: a volumetric analysis based on magnetic resonance images. Cereb Cortex 1996;6(5):726–36.
  • 19. Caplan R, Levitt J, Siddarth P, Wu KN, Gurbani S, Shields WD, et al. Language and brain volumes in children with epilepsy. Epilepsy Behav 2010;17(3):402–7.
  • 20. Gogtay N, Giedd JN, Lusk L, Hayashi KM, Greenstein D, Vaituzis AC, et al. Dynamic mapping of human cortical development during childhood through early adulthood. Proc Natl Acad Sci U S A 2004;101(21):8174–9.
  • 21. Hermann BP, Dabbs K, Becker T, Jones JE, Myers y Gutierrez A, et al. Brain development in children with new onset epilepsy: a prospective controlled cohort investigation. Epilepsia 2010;51(10):2038–46.
  • 22. Pardoe HR, Cole JH, Blackmon K, Thesen T, Kuzniecky R; Human Epilepsy Project Investigators. Structural brain changes in medically refractory focal epilepsy resemble premature brain aging. Epilepsy Res 2017;133:28–32.
  • 23. Caplan R, Levitt J, Siddarth P, Wu KN, Gurbani S, Sankar R, et al. Frontal and temporal volumes in Childhood Absence Epilepsy. Epilepsia 2009;50(11):2466–72.
  • 24. Lenroot RK, Giedd JN. Brain development in children and adolescents: insights from anatomical magnetic resonance imaging. Neurosci Biobehav Rev 2006;30(6):718–29.
  • 25. Giedd JN, Blumenthal J, Jeffries NO, Castellanos FX, Liu H, Zijdenbos A, et al. Brain development during childhood and adolescence: a longitudinal MRI study. Nat Neurosci 1999;2(10):861–3.
  • 26. Millichap J. Brain Volume Reduction with Intractable Epilepsy. Pediatr Neurol Briefs 2000;14:85–7.
  • 27. Hagemann G, Lemieux L, Free SL, Krakow K, Everitt AD, Kendall BE, et al. Cerebellar volumes in newly diagnosed and chronic epilepsy. J Neurol 2002;249(12):1651–8.
  • 28. Courchesne E, Chisum HJ, Townsend J, Cowles A, Covington J, Egaas B, et al. Normal brain development and aging: quantitative analysis at in vivo MR imaging in healthy volunteers. Radiology 2000;216(3):672–82.
  • 29. Blanton RE, Levitt JG, Peterson JR, Fadale D, Sporty ML, Lee M, et al. Gender differences in the left inferior frontal gyrus in normal children. Neuroimage 2004;22(2):626–36
APA ADANIR S, Cihan O, özçelik a (2021). The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. , 23 - 31. 10.14744/epilepsi.2020.63644
Chicago ADANIR Saliha Seda,Cihan Omer Faruk,özçelik ayşe aysima The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. (2021): 23 - 31. 10.14744/epilepsi.2020.63644
MLA ADANIR Saliha Seda,Cihan Omer Faruk,özçelik ayşe aysima The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. , 2021, ss.23 - 31. 10.14744/epilepsi.2020.63644
AMA ADANIR S,Cihan O,özçelik a The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. . 2021; 23 - 31. 10.14744/epilepsi.2020.63644
Vancouver ADANIR S,Cihan O,özçelik a The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. . 2021; 23 - 31. 10.14744/epilepsi.2020.63644
IEEE ADANIR S,Cihan O,özçelik a "The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method." , ss.23 - 31, 2021. 10.14744/epilepsi.2020.63644
ISNAD ADANIR, Saliha Seda vd. "The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method". (2021), 23-31. https://doi.org/10.14744/epilepsi.2020.63644
APA ADANIR S, Cihan O, özçelik a (2021). The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. Epilepsi, 27(1), 23 - 31. 10.14744/epilepsi.2020.63644
Chicago ADANIR Saliha Seda,Cihan Omer Faruk,özçelik ayşe aysima The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. Epilepsi 27, no.1 (2021): 23 - 31. 10.14744/epilepsi.2020.63644
MLA ADANIR Saliha Seda,Cihan Omer Faruk,özçelik ayşe aysima The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. Epilepsi, vol.27, no.1, 2021, ss.23 - 31. 10.14744/epilepsi.2020.63644
AMA ADANIR S,Cihan O,özçelik a The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. Epilepsi. 2021; 27(1): 23 - 31. 10.14744/epilepsi.2020.63644
Vancouver ADANIR S,Cihan O,özçelik a The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method. Epilepsi. 2021; 27(1): 23 - 31. 10.14744/epilepsi.2020.63644
IEEE ADANIR S,Cihan O,özçelik a "The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method." Epilepsi, 27, ss.23 - 31, 2021. 10.14744/epilepsi.2020.63644
ISNAD ADANIR, Saliha Seda vd. "The Evaluation of Brain Volume in Children with Epilepsy onMagnetic Resonance Imaging by Stereological Method". Epilepsi 27/1 (2021), 23-31. https://doi.org/10.14744/epilepsi.2020.63644