Clinical Study

Qualitative and Quantitative Hippocampal MRI Assessments in Intractable Epilepsy

Table 3

Comparison of qualitative and quantitative MRI assessments in cases of TLE .
(a)

EEG localization Number of patients having MRI findings in concordance with EEG
Visual analysisHippocampal volumetryT2 relaxometry

Right TLE
888
Left TLE** 
555
Bitemporal* 
21

EEG localized 4 cases as of bitemporal origin. Out of these 4 cases, 2 had dominant focus on right side and were grouped earlier under right TLE and 2 had dominant focus on left side and were grouped earlier under left TLE.
Of the 8 left TLE patients (as localized by EEG), only 5 had MRI findings in concordance with EEG; the rest of the 3 patients had diagnosis of right MTS, FCD left parietal lobe, and calcified granuloma left centrum semiovale on MRI.
(b)

Visual analysisHippocampal volumetryT2 relaxometry

Number of patients having MRI findings in concordance with EEG131514
Percentage concordance with EEG65%75%70%