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NEUROLOGY 2005;64:1263-1266
© 2005 American Academy of Neurology


Brief Communications

Intrinsic epileptogenicity in polymicrogyric cortex suggested by EEG-fMRI BOLD responses

E. Kobayashi, MD, PhD, A. P. Bagshaw, PhD, A. Jansen, MD, F. Andermann, MD, FRCP(C), E. Andermann, MD, PhD, FCCMG, J. Gotman, PhD and F. Dubeau, MD, FRCP(C)

From the Department of Neurology and Neurosurgery (Drs. Kobayashi, Bagshaw, Jansen, F. Andermann, E. Andermann, Gotman, and Dubeau), Human Genetics (Dr. E. Andermann), and Pediatrics (Dr. F. Andermann), Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.

Address correspondence and reprint requests to Dr. Eliane Kobayashi, Montreal Neurologic Institute and Hospital, McGill University, 3801 University Street, Montreal, Quebec, Canada H3A 2B4; e-mail: eliane.kobayashi{at}mail.mcgill.ca

Polymicrogyria (PMG) is a widespread cortical malformation frequently associated with seizures and EEG spikes. Its epileptogenicity is poorly understood. Nine patients with simultaneous EEG and fMRI were studied to assess the blood oxygenation level-dependent response to spikes. Sixteen of 18 studies showed responses, with maximum activation involving the lesion in 61.5%, but often limited to a small fraction of that lesion, suggesting intrinsic epileptogenicity in small areas of the PMG cortex.


Editorial, see page 1108

See also page 1125

Additional material related to this article can be found on the Neurology Web site. Go to www.neurology.org and scroll down the Table of Contents for the April 12 issue to find the title link for this article.

Supported by the Canadian Institutes of Health Research (CIHR) under grant MOP-38079. E.K. received a Preston Robb fellowship from the Montreal Neurologic Institute and is presently the recipient of a postdoctoral fellowship from the CIHR. A.J. was funded by the Fondation de la Vocation/Belgische Stichting Roeping and is presently the recipient of a postdoctoral fellowship from the Savoy Foundation for Epilepsy.

Received September 28, 2004.

Accepted in final form November 30, 2004.


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