白质
轴突
颞叶
髓鞘
解剖
海马结构
磁共振成像
病理
海马硬化
磁共振弥散成像
医学
超微结构
癫痫
生物
中枢神经系统
神经科学
放射科
内科学
作者
Theo Demerath,C Donkels,Marco Reisert,Marcel Heers,Alexander Rau,Nils Schröter,Andreas Schulze-Bonhage,Peter C. Reinacher,Christian Scheiwe,Mukesch Shah,Jürgen Beck,Andreas Vlachos,Carola A. Haas,Horst Urbach
出处
期刊:Cerebral Cortex
[Oxford University Press]
日期:2022-04-20
卷期号:32 (9): 1882-1893
被引量:5
标识
DOI:10.1093/cercor/bhab320
摘要
Hippocampal sclerosis (HS) is often associated with gray-white matter blurring (GMB) of the anterior temporal lobe. In this study, twenty patients with unilateral temporal lobe epilepsy and HS were studied with 3 T MRI including T1 MP2RAGE and DTI/DMI sequences. Anterior temporal lobe white matter T1 relaxation times and diffusion measures were analyzed on the HS side, on the contralateral side, and in 10 normal controls. Resected brain tissue of three patients without GMB and four patients with GMB was evaluated ultrastructurally regarding axon density and diameter, the relation of the axon diameter to the total fiber diameter (G-ratio), and the thickness of the myelin sheath. Hippocampal sclerosis GMB of the anterior temporal lobe was related to prolonged T1 relaxation and axonal loss. A less pronounced reduction in axonal fraction was also found on imaging in GMB-negative temporal poles compared with normal controls. Contralateral values did not differ significantly between patients and normal controls. Reduced axonal density and axonal diameter were histopathologically confirmed in the temporopolar white matter with GMB compared to temporal poles without. These results confirm that GMB can be considered an imaging correlate for disturbed axonal maturation that can be quantified with advanced diffusion imaging.
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