White matter structural connectivity changes correlate with epilepsy duration in temporal lobe epilepsy
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DTI analysis in TLE showed increased MD and decreased FA of hippocampal connections.

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Increased left hippocampal MD correlated strongly with epilepsy duration in left TLE.

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Right hippocampal MD had the strongest discriminatory ability between left and right TLE.

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We find a reduction in white matter integrity with increasing duration of TLE that is distinct based on TLE laterality.

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