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  <title>NITRC News Group Forum: the-frontal-lobe-in-absence-epilepsy--eeg-fmri-findings.</title>
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        &lt;p&gt;&lt;b&gt;The frontal lobe in absence epilepsy: EEG-fMRI findings.&lt;/b&gt;&lt;/p&gt;
        &lt;p&gt;Neurology. 2012 Mar 28;&lt;/p&gt;
        &lt;p&gt;Authors:  Carney PW, Masterton RA, Flanagan D, Berkovic SF, Jackson GD&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        OBJECTIVE:Studies of absence seizures (AS) using EEG with fMRI (EEG-fMRI) show a consistent network with prominent thalamic activation and a variety of cortical changes. Despite evidence suggesting a role of frontal cortex in seizure generation, group studies have not detected consistent AS-related changes in this region. We hypothesized that only a subgroup may show frontal cortical activation. METHOD:We studied 13 subjects with AS during EEG-fMRI to classify the different individual patterns of frontal cortical activation associated with AS. RESULTS:Based upon visual inspection of surface-rendered activation maps we identified 2 subgroups that could be distinguished by the activation in the dorsolateral prefrontal cortex (DLPFC). One group of patients (n = 7) showed a primarily positive signal change (DLPFC-POS), whereas the other group (n = 6) showed a primarily negative signal change (DLFPC-NEG). When the DLPFC-POS group was compared to the DLPFC-NEG group, time-course analysis revealed a larger positive blood oxygenation level-dependent deflection following onset of the AS in cortical and subcortical areas beyond the DLPFC. This suggests a basic biological difference between these groups. CONCLUSION:These observations suggest that there may be at least 2 mechanisms underpinning AS in individuals with absence epilepsy. This may have phenotypic and genetic implications for understanding epilepsy syndromes.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 22459682 [PubMed - as supplied by publisher]&lt;/p&gt;
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