Subtle microscopic abnormalities in hippocampal sclerosis do not predict clinical features of temporal lobe epilepsy.

Abstract:

PURPOSE:Subtle microdysplastic features are found in some patients with hippocampal sclerosis (HS) and refractory temporal lobe epilepsy. The significance of these findings is unknown. We investigated their frequency, relation to the pattern of HS, and clinical associations. METHODS:One-hundred forty patients with histologically confirmed HS (mean age at operation, 35 years; 85 women) were analyzed. The presence of HS and subtle structural abnormalities (SSAs) in the mesial temporal lobe and in the lateral neocortical tissue was assessed in detail. Antecedents, seizure characteristics, two verbal memory tests, and outcome in HS patients with and without SSAs were determined. RESULTS:SSAs were found in 60 (43%) of the 140 HS patients, being mesial only in 32 of the 60 cases, and lateral only in nine cases; the remaining 19 cases had both mesial and lateral abnormalities. The frequency of SSA was not related to the pattern of HS or other tested variables. Prolonged febrile convulsions were present in 26 (44%) patients with SSAs, and in 26 (34%) patients (not significant) without SSAs. The outcome after surgery did not differ between patients with SSAs (incidence rate ratio for seizure recurrence, 0.9; 95% confidence interval, 0.5-1.6) compared with patients without SSAs (reference ratio, 1). CONCLUSIONS:Forty-three percent of HS patients have SSAs in their lobectomy specimens. The presence of SSAs does not predict clinical characteristics, such as presence of prolonged febrile convulsions, postsurgical outcome, or neuropsychological performance, nor does it correlate with the histologic pattern of HS.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Kalnins RM,McIntosh A,Saling MM,Berkovic SF,Jackson GD,Briellmann RS

doi

10.1111/j.0013-9580.2004.57203.x

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

940-7

issue

8

eissn

0013-9580

issn

1528-1167

pii

EPI57203

journal_volume

45

pub_type

杂志文章
  • sec-Butyl-propylacetamide (SPD) and two of its stereoisomers rapidly terminate paraoxon-induced status epilepticus in rats.

    abstract:OBJECTIVE:Organophosphates (OPs) are commonly used insecticides for agriculture and domestic purposes, but may also serve as nerve agents. Exposure to OPs result in overstimulation of the cholinergic system and lead to status epilepticus (SE), a life-threatening condition that is often resistant to treatment. SE is ass...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12838

    authors: Bar-Klein G,Swissa E,Kamintsky L,Shekh-Ahmad T,Saar-Ashkenazy R,Hubary Y,Shrot S,Stetlander L,Eisenkraft A,Friedman A,Bialer M

    更新日期:2014-12-01 00:00:00

  • What we don't learn from clinical trials in epilepsy.

    abstract::The randomized, double-blind trial design offers the most accurate data regarding the efficacy of antiepileptic treatments. However, translating the results of a trial into clinical care can be complex due to the intrinsic tension between the requirements for scientific methods that minimize systematic and random erro...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1528-1157.44.s7.2.x

    authors: Gilliam F

    更新日期:2003-01-01 00:00:00

  • Memory function and verbal learning ability in patients with complex partial seizures of temporal lobe origin.

    abstract::A variety of experimental paradigms have been utilized to study verbal learning and memory ability in patients with epilepsy. One commonly used paradigm, the free recall of a list(s) of related or unrelated words, has revealed a variety of performance anomalies in patients with complex partial seizures (CPS) of tempor...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb03687.x

    authors: Hermann BP,Wyler AR,Richey ET,Rea JM

    更新日期:1987-09-01 00:00:00

  • Computerized motion analysis of videotaped neonatal seizures of epileptic origin.

    abstract:PURPOSE:The main objective of this research is the development of automated video processing and analysis procedures aimed at the recognition and characterization of the types of neonatal seizures. The long-term goal of this research is the integration of these computational procedures into the development of a stand-a...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2005.56504.x

    authors: Karayiannis NB,Tao G,Xiong Y,Sami A,Varughese B,Frost JD Jr,Wise MS,Mizrahi EM

    更新日期:2005-06-01 00:00:00

  • Mesial temporal inhibition in a patient with deep brain stimulation of the anterior thalamus for epilepsy.

    abstract::We investigated the electrophysiological effects of high-frequency anterior thalamic deep brain stimulation using intracerebral mesial and lateral temporal depth electrodes in a patient with intractable focal epilepsy. Monopolar and bipolar stimulation delivered to the thalamic anterior nucleus using the programmable ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00824.x

    authors: Zumsteg D,Lozano AM,Wennberg RA

    更新日期:2006-11-01 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

  • Vagus nerve stimulation for the treatment of bilateral independent temporal lobe epilepsy.

    abstract:PURPOSE:We studied the effect of vagus nerve stimulation (VNS) on seizure reduction in patients with intractable epilepsy with bilateral independent temporal lobe foci. METHODS:Ten patients who met the criterion of the presence of two distinctive clinical and ictal EEG seizure patterns were identified and followed up ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2001.042007954.x

    authors: Alsaadi TM,Laxer KD,Barbaro NM,Marks WJ Jr,Garcia PA

    更新日期:2001-07-01 00:00:00

  • Anticonvulsant action of gabapentin during postnatal development in rats.

    abstract:PURPOSE:To study the anticonvulsant effects of gabapentin (GBP) in immature animals. METHODS:Motor seizures were induced by pentylenetetrazol in 7-, 12-, 18-, 25-day-old, and adult rats. Animals pretreated with GBP (15, 30, or 60 mg/kg i.p.) were compared with controls. The incidence and latency of two types of seizur...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1997.tb01254.x

    authors: Mares P,Haugvicová R

    更新日期:1997-08-01 00:00:00

  • Association between regularly occurring complex partial seizures and thyroid function parameters.

    abstract::A 28-year-old man with regularly occurring clusters of complex partial seizures was studied over a total of 224 days. His seizure periods lasted 2-4 days and occurred at intervals of 5-6 weeks. Several parameters were studied. The most striking finding was an increase in the serum concentration of thyroxine prior to a...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1986.tb03561.x

    authors: Taubøll E,Stokke KT,Gjerstad L,Løyning Y,Johannessen SI

    更新日期:1986-07-01 00:00:00

  • Effects of temporal lobe epilepsy on retrograde memory.

    abstract:PURPOSE:In a previous investigation (Lah et al., 2004), we found deficits in retrograde memory in patients who had undergone temporal lobectomy (TL). In this study, we set out to determine whether such deficits are present before surgery in patients with temporal lobe epilepsy (TLE). METHODS:Memory for public and auto...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00476.x

    authors: Lah S,Lee T,Grayson S,Miller L

    更新日期:2006-03-01 00:00:00

  • Evaluating the contributions of state-of-the-art assessment techniques to predicting memory outcome after unilateral anterior temporal lobectomy.

    abstract:PURPOSE:Although anterior temporal lobectomy (ATL) is an effective treatment for many patients with medically refractory temporal lobe epilepsy (TLE), one risk associated with this procedure is postsurgical decline in memory. A substantial number of past studies examined factors that predict memory decline after surger...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00807.x

    authors: Lineweaver TT,Morris HH,Naugle RI,Najm IM,Diehl B,Bingaman W

    更新日期:2006-11-01 00:00:00

  • Some facts about sleep relevant for Landau-Kleffner syndrome.

    abstract::Our understanding of the neural mechanisms of non-rapid eye movement sleep (NREM) is steadily increasing. Given the intriguing activation of paroxysmal activity during NREM sleep in patients with Landau-Kleffner syndrome (LKS), a thorough characterization of commonalities and differences between the neural correlates ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02218.x

    authors: Mascetti L,Foret A,Bonjean M,Matarazzo L,Dang-Vu T,Maquet P

    更新日期:2009-08-01 00:00:00

  • Population pharmacokinetics of levetiracetam and dosing recommendation in children with epilepsy.

    abstract:PURPOSE:To develop a population pharmacokinetic model to evaluate the demographic and physiologic determinants of levetiracetam (LEV) pharmacokinetics (PK) and to suggest recommended doses of LEV in children. METHODS:LEV PK were investigated in a prospective open trial of LEV as adjunctive therapy using a population a...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1528-1167.2008.01974.x

    authors: Chhun S,Jullien V,Rey E,Dulac O,Chiron C,Pons G

    更新日期:2009-05-01 00:00:00

  • Early onset myoclonic epilepsy and 15q26 microdeletion: observation of the first case.

    abstract::The authors report the study of a 30-month-old girl with refractory myoclonic epilepsy associated with mental retardation, growth delay, peculiar facial appearance, and minor physical anomalies. Extensive genetic studies were performed, including an array-based comparative genomic hybridization (array-CGH) that showed...

    journal_title:Epilepsia

    pub_type: 古典文章,杂志文章

    doi:10.1111/j.1528-1167.2009.02078.x

    authors: Veredice C,Bianco F,Contaldo I,Orteschi D,Stefanini MC,Battaglia D,Lettori D,Guzzetta F,Zollino M

    更新日期:2009-07-01 00:00:00

  • Validating screening tools for depression in epilepsy.

    abstract:OBJECTIVE:Depression is a common comorbidity of epilepsy, and its timely identification in persons with epilepsy is essential. The use of screening tools to detect depression is common in epilepsy, but some scales in current use have not been validated using a gold standard in this population. The present study aims to...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12754

    authors: Fiest KM,Patten SB,Wiebe S,Bulloch AG,Maxwell CJ,Jetté N

    更新日期:2014-10-01 00:00:00

  • Characteristic distribution of interictal brain electrical activity in idiopathic generalized epilepsy.

    abstract:PURPOSE:To demonstrate the anatomic localization of the cortical sources of the interictal EEG activity in human idiopathic generalized epilepsy (IGE). METHODS:Multiple cortical and hippocampal sources of the interictal spontaneous EEG activity were investigated by low-resolution electromagnetic tomography in 15 untre...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01030.x

    authors: Clemens B,Bessenyei M,Piros P,Tóth M,Seress L,Kondákor I

    更新日期:2007-05-01 00:00:00

  • Allergy to carbamazepine: parallel in vivo and in vitro detection.

    abstract:PURPOSE:Five to 20% of patients discontinue antiepileptic drug (AED) therapy because of adverse reactions. Careful reintroduction, however, may be considered if true drug allergy can be ruled out. Definitive assessment of such immunologically mediated reactions requires demonstration of either specific antibodies or se...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1996.tb01030.x

    authors: Troost RJ,Van Parys JA,Hooijkaas H,van Joost T,Benner R,Prens EP

    更新日期:1996-11-01 00:00:00

  • A randomized, double-blind, placebo-controlled, multicenter, parallel-group study to evaluate the efficacy and safety of adjunctive brivaracetam in adult patients with uncontrolled partial-onset seizures.

    abstract:OBJECTIVE:Brivaracetam (BRV), a selective and high-affinity synaptic vesicle protein 2A ligand, is in development as adjunctive treatment for partial-onset (focal) seizures (POS). This phase 3 study (N01358; NCT01261325) aimed to confirm the efficacy and safety/tolerability of BRV in adults (≥ 16-80 years) with POS. M...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/epi.13212

    authors: Klein P,Schiemann J,Sperling MR,Whitesides J,Liang W,Stalvey T,Brandt C,Kwan P

    更新日期:2015-12-01 00:00:00

  • Anticonvulsant drugs selectively affect kindled and penicillin epilepsy, especially during seizure-prone sleep or awakening states in cats.

    abstract::Carbamazepine (CBZ) selectively suppressed kindled convulsions, whereas ethosuximide (ESM) suppressed spike-wave activity accompanying systemic penicillin epilepsy in cats. Evoked potential data indicated that CBZ acted at the thalamic level, whereas ESM acted at cortex. Reduction of seizures and thalamic or cortical ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1989.tb05274.x

    authors: Shouse MN,Stroh PJ,Vreeken T

    更新日期:1989-01-01 00:00:00

  • Interictal and postictal circadian and ultradian luteinizing hormone secretion in men with temporal lobe epilepsy.

    abstract:PURPOSE:Hypothalamic regulation of the reproductive axis in temporal lobe epilepsy (TLE), represented by the ultradian pulsatile secretion of luteinizing hormone (LH), has been shown to be altered interictally and postictally. Our objective is to determine if epilepsy or seizures disrupt normal circadian fluctuations o...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00617.x

    authors: Quigg M,Kiely JM,Johnson ML,Straume M,Bertram EH,Evans WS

    更新日期:2006-09-01 00:00:00

  • Association of HLA genotypes with phenobarbital hypersensitivity in children.

    abstract:OBJECTIVE:Phenobarbital hypersensitivity is one of the common drug hypersensitivity syndromes in children. Clinical symptoms of phenobarbital hypersensitivity vary from maculopapular rashes (MPs) to severe cutaneous adverse drug reactions (SCARs) including drug reactions with eosinophilia and systemic symptoms (DRESS),...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13509

    authors: Manuyakorn W,Mahasirimongkol S,Likkasittipan P,Kamchaisatian W,Wattanapokayakit S,Inunchot W,Visudtibhan A,Wichukchinda N,Benjaponpitak S

    更新日期:2016-10-01 00:00:00

  • Effects of lamotrigine compared with levetiracetam on anger, hostility, and total mood in patients with partial epilepsy.

    abstract:PURPOSE:To assess anger/hostility during treatment with lamotrigine adjunctive therapy versus levetiracetam adjunctive therapy in patients with partial seizures. METHODS:This randomized, double-blind, parallel-group study in adults with partial seizures included an 8-week escalation phase, during which adjunctive lamo...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1528-1167.2008.01792.x

    authors: Labiner DM,Ettinger AB,Fakhoury TA,Chung SS,Shneker B,Tatum Iv WO,Mitchell Miller J,Vuong A,Hammer AE,Messenheimer JA

    更新日期:2009-03-01 00:00:00

  • Patterns of seizures observed in association with neurofibromatosis 1.

    abstract::Clinical features of seizures occurring in a neurofibromatosis clinic population were examined in a retrospective study. Twenty-two individuals in a population of 359 persons with neurofibromatos 1 (NF1) had had one or more seizures. Age at first seizure ranged from 4 days to > 20 years. Patients were classified into ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb00437.x

    authors: Korf BR,Carrazana E,Holmes GL

    更新日期:1993-07-01 00:00:00

  • Self-efficacy and social support as mediators in the relation between disease severity and quality of life in patients with epilepsy.

    abstract:PURPOSE:This study examined the influence of two psychosocial variables mediating between disease severity and quality of life (QoL) in epilepsy; social support and mastery (measured by locus of control and self-efficacy). A model placing these two variables as mediators between disease severity and QoL was tested with...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb02078.x

    authors: Amir M,Roziner I,Knoll A,Neufeld MY

    更新日期:1999-02-01 00:00:00

  • Phenytoin penetration into brain after administration of phenytoin or fosphenytoin.

    abstract:PURPOSE:This study was designed to measure the brain penetration of phenytoin (PHT) after intravenous (i.v.) administration of either standard PHT or fosphenytoin (FPHT), a PHT prodrug. The study was formulated to answer the question whether the time required for FPHT to be converted to PHT in the bloodstream would del...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb02068.x

    authors: Walton NY,Uthman BM,El Yafi K,Kim JM,Treiman DM

    更新日期:1999-02-01 00:00:00

  • Epilepsy, vagal nerve stimulation by the NCP system, all-cause mortality, and sudden, unexpected, unexplained death.

    abstract:PURPOSE:This report concerns the 2-year extension of the study of mortality and sudden, unexpected, unexplained death in epilepsy (SUDEP) in the cohort of patients receiving vagal nerve stimulation by the NCP System for the treatment of epilepsy. METHODS:A cohort of 1,819 individuals was followed 3,176.3 person-years ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00208.x

    authors: Annegers JF,Coan SP,Hauser WA,Leestma J

    更新日期:2000-05-01 00:00:00

  • A controlled prospective investigation of psychiatric comorbidity in temporal lobe epilepsy.

    abstract::Temporal lobe epilepsy patients (n = 48) and healthy controls (n = 69) underwent structured psychiatric interview at baseline and 4 years later to characterize the course of DSM-IV Axis I disorders. Adjusting for the influence of prior psychiatric history, epilepsy subjects exhibit significantly greater risk of interv...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2007.01217.x

    authors: Jones JE,Bell B,Fine J,Rutecki P,Seidenberg M,Hermann B

    更新日期:2007-12-01 00:00:00

  • Low frequency stimulation decreases seizure activity in a mutation model of epilepsy.

    abstract:PURPOSE:To investigate brain electrical activity in Q54 mice that display spontaneous seizures because of a gain-of-function mutation of the Scn2a sodium channel gene, and to evaluate the efficacy of low frequency deep brain stimulation (DBS) for seizure frequency reduction. METHODS:Electroencephalography (EEG), elect...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2010.02679.x

    authors: Kile KB,Tian N,Durand DM

    更新日期:2010-09-01 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

  • Don't test, do sell: legal implications of inclusion and exclusion of women in clinical drug trials.

    abstract::This article explores the historic underpinnings of the exclusion of women from clinical drug trials, identifies recent developments, and examines legal implications for women with epilepsy and for others. Distinguishing stakeholders and their interests may lead to policies that better serve all. Past and present stat...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1997.tb04538.x

    authors: Herz SE

    更新日期:1997-01-01 00:00:00