Usefulness of repeat review of head magnetic resonance images during presurgical epilepsy conferences

Daniel L. Kenney, Kristen M. Kelly-Williams, Karl N. Krecke, Robert J. Witte, Robert E. Watson, Amy L. Kotsenas, Elaine C Wirrell, Katherine C Nickels, Lily Wong-Kisiel, Elson So

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Surgical epilepsy conferences are an important part of the process of determining whether a patient is a candidate for resective epilepsy surgery. At these conferences, repeat review (re-review) of the magnetic resonance images (MRIs) of the patient's head often occurs. This study assessed how often radiologic re-review at a presurgical epilepsy conference resulted in a changed interpretation of the head MRI. Charts were reviewed for 239 patients who had been presented at presurgical epilepsy conferences between 2008 and 2012. Of the 233 patients whose MRIs were re-reviewed, resective surgery was performed in 94 patients (40.3%). Forty-one patients (17.6%) had a previously undiagnosed finding, and 18 of the 41 (43.9%) underwent resective surgery. For 4 of the 41 patients (9.8%) with a previously undiagnosed pertinent finding, re-review detected abnormalities that were not amenable to surgical resection (autoimmunity or significant bilateral pathology).

Original languageEnglish (US)
Pages (from-to)106-108
Number of pages3
JournalEpilepsy Research
Volume126
DOIs
StatePublished - Oct 1 2016

Keywords

  • Epilepsy surgery
  • Focal cortical dysplasia
  • Medically refractory epilepsy
  • Mesial temporal sclerosis
  • Temporal lobectomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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