Recommendations for structural brain MRI in the diagnosis of epilepsy

Authors: M. Kynčl 1*;  Z. Holubová 1*;  J. Tintěra 2;  N. Profantová 1;  J. Šanda 1;  D. Kala 3;  Y. Prysiazhniuk 4;  M. Kudr 5;  P. Kršek 5;  A. Kalina 6;  J. Zárubová 6;  V. Komárek 5;  J. Otáhal 7;  P. Marusič 6
Authors‘ workplace: Oba autoři přispěli rovným dílem. *;  Klinika zobrazovacích metod 2. LF UK a FN Motol, Praha 1;  Pracoviště radiodiagnostiky a intervenční radiologie, IKEM, Praha 2;  Fyziologický ústav AV ČR 3;  Ústav fyziologie, 2. LF UK, Praha 4;  Klinika dětské neurologie 2. LF UK a FN Motol, Praha 5;  Neurologická klinika 2. LF UK a FN Motol, Praha 6;  Ústav patologické fyziologie, 2. LF UK, Praha 7
Published in: Cesk Slov Neurol N 2023; 86(1): 18-24
Category: Review Article


Epilepsy affects about 0.5-1.5% of the population, of which approximately 30% of patients are drug-resistant. The importance of MRI in dia­gnosis lies mainly in the detection of structural etiology of the disease, assessing the patient‘s prognosis and, to a limited extent, planning appropriate treatment. Despite technological advances and technical equipment in medical centers, there is a considerable inconsistency in the MRI protocols used for structural brain imaging in patients with epilepsy. We aim to recommend a standardized MR structural brain imaging protocol for patients with epilepsy based on current international recommendations. Its widespread implementation will enable the establishment of a unified neuroimaging platform in the Czech Republic for these indications.


Epilepsy – magnetic resonance imaging – structural brain imaging


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Paediatric neurology Neurosurgery Neurology

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