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CONTEXT Because surgical and medical therapies of acromegaly all have specific limitations, radiotherapy has been used as an adjunctive strategy. Stereotactic radiosurgery has not yet been widely evaluated. OBJECTIVE The objective was to perform an analysis of long-term hormonal effects and tolerance of gamma knife radiosurgery. DESIGN Eighty-two(More)
The age-related trends of the width and the depth of major cortical sulci were studied in normal adults. Ninety healthy subjects (47 males, 43 females) age 20-82 years were evaluated. Measurements of average sulcal width and depth in 14 prominent sulcal structures per hemisphere were performed with high-resolution anatomical MRI. The average sulcal width(More)
This paper describes a decade-long research program focused on the variability of the cortical folding patterns. The program has developed a framework of using artificial neuroanatomists that are trained to identify sulci from a database. The framework relies on a renormalization of the brain warping problem, which consists in matching the cortices at the(More)
We propose an algorithm allowing the construction of a structural representation of the cortical topography from a T1-weighted 3D MR image. This representation is an attributed relational graph (ARG) inferred from the 3D skeleton of the object made up of the union of gray matter and cerebro-spinal fluid enclosed in the brain hull. In order to increase the(More)
PURPOSE To analyze and compare spectral properties and interdependencies of intracerebral EEG signals recorded during interictal periods from mesial temporal lobe structures in two groups of epileptic patients defined according to the involvement of these structures in the epileptogenic zone (EZ). METHODS Interictal EEG activity in mesial temporal lobe(More)
Numerous neurosurgical approaches are available for children presenting with hypothalamic hamartomas (HHs) associated with severe epilepsy. A concern regarding the impairment of short-term memory after resective surgery is promoting the exploration of less invasive alternatives like radiosurgery. Gamma knife radiosurgery (GKS) can lead to a real reversal of(More)
PURPOSE This article is the first prospective documentation of the efficacy and safety of gamma knife surgery (GKS) in the treatment of drug-resistant epilepsies of mesial temporal lobe origin. METHODS From July 1996 to March 2000, three European centers selected 21 patients with mesial temporal lobe epilepsy (MTLE) for a temporal lobectomy. The(More)
CONTEXT To date, no study reported long-term follow-up results of gamma knife stereotactic radiosurgery (SR). OBJECTIVE The aim of the study was to determine long-term efficacy and adverse effects of SR in secreting pituitary adenomas. DESIGN We conducted a retrospective study of patients treated by SR in the center of Marseille, France, with a(More)
PURPOSE We recorded with intracerebral electrodes the onset of limbic seizures in patients with mesial temporal lobe epilepsy (MTLE) to identify the dynamic interactions between the hippocampus (HIP), amygdala (AMY) and entorhinal cortex (EC). METHODS Interactions were quantified by analyzing the interdependencies between stereo-electroencephalographic(More)
This paper describes a complete system allowing automatic recognition of the main sulci of the human cortex. This system relies on a preprocessing of magnetic resonance images leading to abstract structural representations of the cortical folding patterns. The representation nodes are cortical folds, which are given a sulcus name by a contextual pattern(More)