Basal temporal subdural electrodes in the evaluation of patients with intractable epilepsy.

Abstract:

:In evaluation of patients with complex partial seizures who are candidates for surgical treatment, exact definition of the epileptogenic focus is essential for a good surgical outcome. We report a new technique which permits detailed mapping of the epileptogenic activity in the basal temporal lobe and the convexity of the temporal lobe. The technique consists of placement of at least 16 basal temporal electrodes and an additional 64 electrodes covering the temporal convexity. This extensive coverage permits accurate definition of the limits of the epileptogenic focus and also of adjacent functional areas and therefore allows more significant determination than have previous techniques of the ideal extent of the surgical resection. This accuracy cannot be achieved with depth electrodes or the limited coverage provided by previously reported epidural or subdural electrode techniques.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Lüders H,Hahn J,Lesser RP,Dinner DS,Morris HH 3rd,Wyllie E,Friedman L,Friedman D,Skipper G

doi

10.1111/j.1528-1157.1989.tb05445.x

subject

Has Abstract

pub_date

1989-03-01 00:00:00

pages

131-42

issue

2

eissn

0013-9580

issn

1528-1167

journal_volume

30

pub_type

杂志文章
  • Phasic GABAA -receptor activation is required to suppress epileptiform activity in the CA3 region of the immature rat hippocampus.

    abstract:PURPOSE:  Despite the consistent observation that γ-aminobutyric acid A (GABA(A) ) receptors mediate excitatory responses at perinatal stages, the role of the GABAergic system in the generation of neonatal epileptiform activity remains controversial. Therefore, we analyzed whether tonic and phasic GABAergic transmissio...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03442.x

    authors: Kolbaev SN,Sharopov S,Dierkes PW,Luhmann HJ,Kilb W

    更新日期:2012-05-01 00:00:00

  • Anticonvulsant effect of fluoxetine on focally evoked limbic motor seizures in rats.

    abstract::Fluoxetine was evaluated for anticonvulsant effects in a rat model of focally evoked complex partial seizures (CPS) secondarily generalized. Fluoxetine was administered intraperitoneally (i.p.) 1 h before seizures were induced by focal intracerebral application of the GABAA receptor antagonist, bicuculline methiodide ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02425.x

    authors: Prendiville S,Gale K

    更新日期:1993-03-01 00:00:00

  • Neonatal seizures: problems in diagnosis and classification.

    abstract::The clinical identification of neonatal seizures is critical for the recognition of brain dysfunction; however, diagnosis is often difficult because of the poorly organized and varied nature of these behaviors. Current classification systems are limited in their ability to communicate motor, autonomic, and electroence...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1987.tb05757.x

    authors: Mizrahi EM

    更新日期:1987-01-01 00:00:00

  • Behavioral and histopathological analysis of domoic Acid administration in marmosets.

    abstract:PURPOSE:To induce status epilepticus (SE) followed by the subsequent onset of spontaneous recurrent seizures, thus characterizing a new model of temporal lobe epilepsy in a nonhuman primate. METHODS:Male and female marmosets (Callithrix jacchus) (n = 18), ages between 2 and 8 years, were injected with domoic acid (0.5...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.01023.x

    authors: Perez-Mendes P,Cinini SM,Medeiros MA,Tufik S,Mello LE

    更新日期:2005-01-01 00:00:00

  • Interaction between anticonvulsants and human placental carnitine transporter.

    abstract:PURPOSE:To examine the inhibitory effect of anticonvulsants (AEDs) on carnitine transport by the human placental carnitine transporter. METHODS:Uptake of radiolabeled carnitine by human placental brush-border membrane vesicles was measured in the absence and presence of tiagabine (TGB), vigabatrin (VGB), gabapentin (G...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.29603.x

    authors: Wu SP,Shyu MK,Liou HH,Gau CS,Lin CJ

    更新日期:2004-03-01 00:00:00

  • Pharmacodynamic and pharmacokinetic interactions between common antiepileptic drugs and acetone, the chief anticonvulsant ketone body elevated in the ketogenic diet in mice.

    abstract:PURPOSE:Acetone is the principal ketone body elevated in the ketogenic diet (KD), with demonstrated robust anticonvulsant properties across a variety of seizure tests and models of epilepsy. Because the majority of patients continue to receive antiepileptic drugs (AEDs) during KD treatment, interactions between acetone...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01864.x

    authors: Zarnowska I,Luszczki JJ,Zarnowski T,Buszewicz G,Madro R,Czuczwar SJ,Gasior M

    更新日期:2009-05-01 00:00:00

  • Diurnal and sleep/wake patterns of epileptic spasms in different age groups.

    abstract:PURPOSE:Epileptic spasms are seizures that occur predominantly in children and are characterized by clusters of brief axial movements. Epileptic spasms may occur in the context of a variety of syndromes. Previous research has found that epileptic spasms occur in a sleep/wake and diurnal rhythm. The purpose of this stud...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03499.x

    authors: Ramgopal S,Shah A,Zarowski M,Vendrame M,Gregas M,Alexopoulos AV,Loddenkemper T,Kothare SV

    更新日期:2012-07-01 00:00:00

  • Acute and chronic effects of seizures in the developing brain: lessons from clinical experience.

    abstract::Seizures in the neonate are often considered a form of status epilepticus (SE) because they are relatively prolonged, difficult to control with antiepileptic drugs (AEDs), and may be associated with significant morbidity and mortality. Despite their clinical importance, there is still no clear understanding of how sei...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1999.tb00878.x

    authors: Mizrahi EM

    更新日期:1999-01-01 00:00:00

  • Platelet-activating factor receptor antagonism targets neuroinflammation in experimental epilepsy.

    abstract:PURPOSE:Temporal lobe epilepsy is associated with the inflammatory process related to the basic mechanisms that lead to seizure susceptibility and brain damage. Platelet-activating factor (PAF), a potent, short-lived phospholipid mediator of inflammation, participates in physiologic signaling in the brain. However, aft...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02920.x

    authors: Musto AE,Samii M

    更新日期:2011-03-01 00:00:00

  • The effect of electrical stimulation and lesioning of the anterior thalamic nucleus on kainic acid-induced focal cortical seizure status in rats.

    abstract:PURPOSE:The present study aimed to clarify the effect of electrical stimulation and lesioning of the anterior nucleus of the thalamus (ANT) on kainic acid (KA)-induced focal cortical seizures in a rat model. To address the mechanism underlying these anticonvulsant actions, cerebral glucose metabolism after ANT electric...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00948.x

    authors: Takebayashi S,Hashizume K,Tanaka T,Hodozuka A

    更新日期:2007-02-01 00:00:00

  • Effects of hippocampus-sparing resections in the temporal lobe: Hippocampal atrophy is associated with a decline in memory performance.

    abstract:OBJECTIVE:In patients with temporal lobe epilepsy (TLE) with a nonlesional and nonepileptogenic hippocampus (HC), in order to preserve functionally intact brain tissue, the HC is not resected. However, some patients experience postoperative memory decline, possibly due to disruption of the extrahippocampal memory netwo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16473

    authors: Wagner K,Gau K,Metternich B,Geiger MJ,Wendling AS,Kadish NE,Reuner G,Mayer H,Mader I,Beck J,Zentner J,Urbach H,Schulze-Bonhage A,Kaller CP,Foit NA

    更新日期:2020-04-01 00:00:00

  • Differential effects of acute and repeated electrically and chemically induced seizures on [3H]Nimodipine and [125I]omega-conotoxin GVIA binding in rat brain.

    abstract::[3H]Nimodipine and high-affinity [125I]omega-conotoxin GVIA (CgTX) binding were investigated in membranes from rat cerebral cortex, cerebellum, and hippocampus after electrically and chemically induced seizures. Animals were decapitated 30 min after a single electroconvulsive shock (ECS) or lidocaine-induced seizure a...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1989.tb05330.x

    authors: Gleiter CH,Cain CJ,Weiss SR,Post RM,Marangos PJ

    更新日期:1989-07-01 00:00:00

  • Long-term social outcomes for children with epilepsy.

    abstract::Children with epilepsy often grow into adults with significant social problems including decreased employment, marriage, social relationships, and independent living arrangements. These problems are noted in population-based longitudinal and cross-sectional studies from many countries. Learning disorder and mental han...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01390.x

    authors: Camfield CS,Camfield PR

    更新日期:2007-01-01 00:00:00

  • Neuropsychological outcomes in epilepsy surgery patients with unilateral hippocampal sclerosis and good preoperative memory function.

    abstract::We examined postoperative changes in the memory function of 68 people with unilateral hippocampal sclerosis (HS) who underwent epilepsy surgery and had no previous clinical memory impairments. One in four with right HS (RHS) and one in five with left HS (LHS) in our sample of 323 people with unilateral HS performed wi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12319

    authors: Baxendale S,Thompson PJ,Sander JW

    更新日期:2013-09-01 00:00:00

  • Sodium valproate, platelet dysfunction, and bleeding.

    abstract::The antiepileptic drug sodium valproate (VPA) can provoke a thrombocytopenia or platelet dysfunction, with or without hemorrhages. These unwanted side effects are probably infrequent or, at least, have little clinical importance except in patients undergoing surgery. Thromboelastography appears to be a reliable screen...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1981.tb04094.x

    authors: Loiseau P

    更新日期:1981-04-01 00:00:00

  • (1)H-MR spectroscopy indicates prominent cerebellar dysfunction in benign adult familial myoclonic epilepsy.

    abstract:PURPOSE:To investigate the neurochemical pattern in patients with benign adult familial myoclonic epilepsy (BAFME/FAME), an inherited form of myoclonic epilepsy, by proton magnetic resonance (MR) spectroscopy ((1)H-MRS). METHODS:Eleven BAFME patients from three families showing linkage to 2p11.1-q12.2 were compared wi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01900.x

    authors: Striano P,Caranci F,Di Benedetto R,Tortora F,Zara F,Striano S

    更新日期:2009-06-01 00:00:00

  • Familial aggregation and severity of epilepsy.

    abstract::Genetic models for complex diseases frequently assume that genetic factors play a greater role in severe forms than in mild forms of disease. This study examined familial aggregation of epilepsy in relation to two measures of severity: duration and remission. The study population comprised 358 offspring born in Roches...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb04687.x

    authors: Ottman R,Annegers JF,Kurland LT

    更新日期:1991-07-01 00:00:00

  • Adenosinergic modulation of homocysteine-induced seizures in mice.

    abstract::Homocysteine thiolactone (HTL) elicits seizures in mice at a dose of 850 mg/kg (95-100% of animals) with an average latency time of 19.5 min. These seizures are reversed by both 5' N-ethylcarboximide adenosine (NECA) and flunitrazepam, with respective ED50 doses of 0.025 and 0.20 mg/kg. NECA was approximately four-fol...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1990.tb05371.x

    authors: Marangos PJ,Loftus T,Wiesner J,Lowe T,Rossi E,Browne CE,Gruber HE

    更新日期:1990-05-01 00:00:00

  • The interictal language profile in adult epilepsy.

    abstract:OBJECTIVE:The purpose of this study was to systematically review the literature on the interictal language profile in adult patients with epilepsy. METHODS:An extensive literature search was performed using MEDLINE, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, PASCAL, and PSYNDEXplus databases. Ke...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/epi.12743

    authors: Bartha-Doering L,Trinka E

    更新日期:2014-10-01 00:00:00

  • The clinical usefulness of ictal SPECT in temporal lobe epilepsy: the lateralization of seizure focus and correlation with EEG.

    abstract:PURPOSE:To analyze the relationship between ictal electroencephalography (EEG) and ictal single-photon emission computed tomography (SPECT) and to evaluate the diagnostic usefulness of ictal SPECT as an independent presurgical evaluation technique. METHODS:Sixty-eight patients with temporal lobe epilepsy who underwent...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00278.x

    authors: Lee SK,Lee SH,Kim SK,Lee DS,Kim H

    更新日期:2000-08-01 00:00:00

  • GABA uptake blocker NNC-711 exhibits marked anticonvulsant action in two cortical epileptic models in immature rats.

    abstract:PURPOSE:To study the anticonvulsant action of a gamma-aminobutyric acid (GABA) uptake inhibitor NNC-711 in two models of cortical epileptogenesis in immature rats. METHODS:Twelve-, 18-, and 25-day-old rat pups with implanted electrodes were used in this study. Epileptogenic foci were elicited by a local application of...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb00846.x

    authors: Bernásková K,Slamberová R,Mares P

    更新日期:1999-09-01 00:00:00

  • Epileptiform EEG activities of the centromedian thalamic nuclei in patients with intractable partial motor, complex partial, and generalized seizures.

    abstract::Centromedian thalamic nuclei (CM) epileptiform EEG activities were recorded in patients with intractable partial motor, complex partial, and generalized seizures through implanted recording-stimulating electrodes, used for seizure control. CM epileptiform activities showed either little or no correlation to focal surf...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1989.tb05301.x

    authors: Velasco M,Velasco F,Velasco AL,Luján M,Vázquez del Mercado J

    更新日期:1989-05-01 00:00:00

  • Learning impairment in epileptic patients.

    abstract::In order to evaluate immediate recall and learning in epileptic patients, four tests were chosen: Wechsler's memory span for digits, graphic reproduction of geometric figures from the Wechsler Memory Scale, learning of a list of words from the Rey Memory Scale, and recognition of these words. These tests were performe...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1983.tb04878.x

    authors: Loiseau P,Strube E,Broustet D,Battellochi S,Gomeni C,Morselli PL

    更新日期:1983-04-01 00:00:00

  • Navigating toward fetal and maternal health: the challenge of treating epilepsy in pregnancy.

    abstract::A rational approach to the treatment of women of childbearing potential with epilepsy has been hampered by the lack of conclusive data on the comparative teratogenic potential of different antiepileptic drugs (AEDs). Although, several cohort studies on birth defects associated with AED use during pregnancy have been p...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.0013-9580.2004.15104.x

    authors: Tomson T,Perucca E,Battino D

    更新日期:2004-10-01 00:00:00

  • Cognitive outcomes in children who present with a first unprovoked seizure.

    abstract:PURPOSE:To determine the long-term cognitive and educational outcomes in children prospectively identified at the time of a first unprovoked seizure. METHODS:A cohort of children with a first unprovoked seizure was enrolled and followed for a mean of 15 years. Cognitive function and educational outcomes were determine...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02724.x

    authors: Sogawa Y,Masur D,O'Dell C,Moshe SL,Shinnar S

    更新日期:2010-12-01 00:00:00

  • The influence of electroencephalographic focus laterality on efficacy of carbamazepine in complex partial and secondarily generalized tonic-clonic seizures.

    abstract::Forty-five outpatients with chronic epilepsy with complex partial seizures (CPS) alone or associated with secondarily generalized tonic-clonic seizures (SGTCS) were treated with carbamazepine (CBZ) monotherapy. All patients had only a unilateral scalp electroencephalographic (EEG) focus. Left- (n = 29) and right- (n =...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb04713.x

    authors: Defazio G,Lepore V,Specchio LM,Pisani F,Livrea P

    更新日期:1991-09-01 00:00:00

  • Clonazepam in a focal-motor monkey model: efficacy, tolerance, toxicity, withdrawal, and management.

    abstract::Since the clinical data have been equivocal in regard to the effects of clonazepam (CZP) in focal-motor seizures, an alumina gel monkey model was used to evaluate quantitatively its efficacy with respect to this seizure category. The insolubility of CZP and its short biological half-life in monkey necessitated its eva...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1979.tb04852.x

    authors: Lockard JS,Levy RH,Congdon WC,DuCharme LL,Salonen LD

    更新日期:1979-12-01 00:00:00

  • The epidemiology and treatment of chronic and refractory epilepsy.

    abstract::In developed countries, the incidence of epilepsy is 50-100 cases per 100,000 population per year and the prevalence is approximately 5 to 8 cases per 1,000 population. Epilepsy is by far the most prevalent serious neurologic condition. Mortality rates in epilepsy are two to four times those found in matched nonepilep...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1996.tb06027.x

    authors: Shorvon SD

    更新日期:1996-01-01 00:00:00

  • Comparison of the effects of valproate, ethosuximide, phenytoin, and pentobarbital on cerebral energy metabolism in the rat.

    abstract::The acute effects of valproate (200 and 400 mg/kg), ethosuximide (200 and 400 mg/kg), phenytoin (25 and 50 mg/kg), and pentobarbital (30 and 60 mg/kg) on cerebral energy metabolism of rats were studied by measuring the cerebral content of energy metabolites and by evaluating the rate of metabolite utilization followin...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb03642.x

    authors: Gueldry S,Rochette L,Bralet J

    更新日期:1987-03-01 00:00:00

  • Use of the ketogenic diet in the neonatal intensive care unit-Safety and tolerability.

    abstract::Drug-resistant epilepsy poses a challenge in neonatal patients, especially those in the neonatal intensive care unit (NICU), who have various secondary comorbidities. We present results of four children with a history of drug-resistant epilepsy for whom a ketogenic diet was initiated and used in the NICU. A nonfasting...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13650

    authors: Thompson L,Fecske E,Salim M,Hall A

    更新日期:2017-02-01 00:00:00