1. Histological correlates of hippocampal magnetization transfer images in drug-resistant temporal lobe epilepsy patients
- Author
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Jose Eduardo Peixoto-Santos, Tonicarlo R. Velasco, Carlos Gilberto Carlotti, Joao Alberto Assirati, Gustavo Henrique de Souza e Rezende, Katja Kobow, Roland Coras, Ingmar Blümcke, Carlos Ernesto Garrido Salmon, Antonio Carlos dos Santos, and Joao Pereira Leite
- Subjects
Temporal lobe epilepsy ,Hippocampal sclerosis ,Magnetization transfer ratio ,Extracellular matrix ,Neuron density ,Computer applications to medicine. Medical informatics ,R858-859.7 ,Neurology. Diseases of the nervous system ,RC346-429 - Abstract
Objective: Temporal lobe epilepsy patients (TLE) often present with hippocampal atrophy, increased T2 relaxation, and reduced magnetization transfer ratio (MTR) in magnetic resonance images (MRI). The histological correlates of the reduced hippocampal MTR are so far unknown. Since MTR is dependent on the tissue’s macromolecules, our aim was to evaluate the correlations between cellular populations, extracellular matrix molecules and the MTR in TLE patients. Methods: Patients with TLE (n = 26) and voluntaries (=20) were scanned in a 3 Tesla MRI scanner, and MTR images were calculated from 3DT1 sequences with magnetization pulse on resonance. Immunohistochemistry for neurons, reactive astrocytes, activated microglia, and extracellular matrix chondroitin sulfate were performed in formalin fixed, paraffin embedded tissues of TLE and autopsy controls (n = 10). Results were considered significant with adjusted p
- Published
- 2020
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