Decreased cerebrospinal fluid hypocretin-1 (orexin A) in patients after repetitive generalized tonic-clonic seizures.

Abstract:

:The effects of seizures on the hypocretin/orexin system have not yet been investigated in epileptic patients. The present study aimed to assay hypocretin-1 in the cerebrospinal fluid (CSF) of patients after generalized tonic-clonic (GTC) seizures. Study groups consisted of 21 patients after GTC seizures and 19 controls. Diagnostic lumbar puncture was performed in control and epileptic patients within 48 h after the GTC seizures. Hypocretin-1 levels were measured in unextracted CSF samples, using a standardized commercial radioimmunoassay. There was a significant overall difference in median CSF hypocretin-1 concentrations between controls and patients with GTC patients (p < 0.001). The lowest concentrations were noted in a subgroup of patients with repetitive GTC seizures (RS) compared to those with a single GTC seizure (SS) (p > 0.05) or controls (p < 0.001). The current results suggest that the hypocretin-1 system deficiency contributes to the complex pathophysiology of repetitive GTC seizures and status epilepticus (SE) and could be associated with typical somnolence after seizure attacks.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Rejdak K,Papuć E,Grieb P,Stelmasiak Z

doi

10.1111/j.1528-1167.2008.01990.x

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

1641-4

issue

6

eissn

0013-9580

issn

1528-1167

pii

EPI1990

journal_volume

50

pub_type

杂志文章
  • Functional and behavioral signatures of Kv7 activator drug subtypes.

    abstract:OBJECTIVE:Voltage-gated potassium channels of the KCNQ (Kv7) family are targeted by a variety of activator compounds with therapeutic potential for treatment of epilepsy. Exploration of this drug class has revealed a variety of effective compounds with diverse mechanisms. In this study, we aimed to clarify functional c...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16592

    authors: Kanyo R,Wang CK,Locskai LF,Li J,Allison WT,Kurata HT

    更新日期:2020-08-01 00:00:00

  • Elevated cerebrospinal fluid protein in POLG-related epilepsy: Diagnostic and prognostic implications.

    abstract:OBJECTIVE:Epilepsy is common in individuals with mutations in POLG, the gene encoding the catalytic subunit of the mitochondrial DNA polymerase gamma. Early recognition and aggressive seizure management are crucial for patient survival. Disruption of the blood-brain barrier (BBB) is implicated in various neurological d...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/epi.14459

    authors: Hikmat O,Naess K,Engvall M,Klingenberg C,Rasmussen M,Tallaksen CME,Brodtkorb E,Fiskerstrand T,Isohanni P,Uusimaa J,Darin N,Rahman S,Bindoff LA

    更新日期:2018-08-01 00:00:00

  • Clinical evolution and prognosis of childhood epilepsies.

    abstract::Five-hundred twelve epileptic children were followed longitudinally for several years. The 2- and 4-year remission statuses at the latest examination were 50.6 and 44.2%, respectively. Dividing our sample into groups showing onset of seizures in infancy or at 2-3, 4-7, 8-10, or 11-14 years, the remission rates were as...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1982.tb05053.x

    authors: Sofijanov NG

    更新日期:1982-02-01 00:00:00

  • Significance of the electrophysiological border between hypothalamic hamartomas and the hypothalamus for the target of ablation surgery identified by intraoperative semimicrorecording.

    abstract:OBJECTIVE:Ablation surgery has become the first line of treatment for hypothalamic hamartomas (HHs). For effective treatment, optimum targeting of ablation is mandatory. The present study aimed to evaluate the correspondence between the electrophysiological features of HHs and morphological targeting by semimicrorecord...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16730

    authors: Shirozu H,Masuda H,Kameyama S

    更新日期:2020-12-01 00:00:00

  • Nuclear magnetic resonance relaxometry in a penicillin model of focal epilepsy.

    abstract::Magnetic resonance imaging (MRI) is effective in demonstrating pathologic lesions in patients with epilepsy. It has been suggested that MRI might also reveal functional abnormalities at an interictal epileptic focus when no gross structural change such as gliosis or tumor is present. Experimental epileptic foci were p...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb03737.x

    authors: McLachlan RS,Karlik SJ,Myles V

    更新日期:1988-07-01 00:00:00

  • A comparison of two methods for estimating the health care costs of epilepsy.

    abstract:PURPOSE:Previous studies have estimated medical care costs of epilepsy by applying unit costs to estimated utilization or by summing costs for (a) ambulatory care and hospitalizations coded as epilepsy and (b) procedures and drugs specifically associated with the diagnosis or treatment of epilepsy. These methods may un...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00288.x

    authors: Frost FJ,Hurley JS,Petersen HV,Gunter MJ,Gause D

    更新日期:2000-08-01 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

  • Screening of major depression in epilepsy: the Neurologic Depression Disorders Inventory in Epilepsy-Spanish version (Argentina).

    abstract:OBJECTIVES:To validate and translate the English version of the Neurologic Depression Disorders Inventory in Epilepsy (NDDI-E) into Spanish as a screening instrument for major depressive episodes (MDE) for patients with epilepsy from Argentina and Uruguay. METHODS:One hundred fifty-five consecutive outpatients with ep...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12503

    authors: Thomson AE,Calle A,Fontela ME,Yepez L,Muñoz Giacomelli F,Jáuregui A,Racosta JM,Kanner AM

    更新日期:2014-02-01 00:00:00

  • Transient and chronic seizure-induced inflammation in human focal epilepsy.

    abstract::In animal models, inflammation is both a cause and consequence of seizures. Less is known about the role of inflammation in human epilepsy. We performed positron emission tomography (PET) using a radiotracer sensitive to brain inflammation in a patient with frontal epilepsy ~36 h after a seizure as well as during a se...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13457

    authors: Butler T,Li Y,Tsui W,Friedman D,Maoz A,Wang X,Harvey P,Tanzi E,Morim S,Kang Y,Mosconi L,Talos D,Kuzniecky R,Vallhabjosula S,Thesen T,Glodzik L,Ichise M,Silbersweig D,Stern E,de Leon MJ,French J

    更新日期:2016-09-01 00:00:00

  • Topiramate and phenytoin pharmacokinetics during repetitive monotherapy and combination therapy to epileptic patients.

    abstract:PURPOSE:To evaluate the potential pharmacokinetic interactions between topiramate (TPM) and phenytoin (PHT) in patients with epilepsy by studying their pharmacokinetics (PK) after monotherapy and concomitant TPM/PHT treatment. METHODS:Twelve patients with epilepsy stabilized on PHT monotherapy were enrolled in this st...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1046/j.1528-1157.2002.41701.x

    authors: Sachdeo RC,Sachdeo SK,Levy RH,Streeter AJ,Bishop FE,Kunze KL,Mather GG,Roskos LK,Shen DD,Thummel KE,Trager WF,Curtin CR,Doose DR,Gisclon LG,Bialer M

    更新日期:2002-07-01 00:00:00

  • Dilemmas in the interpretation of diagnostic accuracy studies on presurgical workup for epilepsy surgery.

    abstract::We conducted a systematic review to determine which noninvasive technologies should be used in the workup for epilepsy surgery to identify structural or functional abnormalities to help locate the site of seizure onset. The review focused on patients where there was insufficient confidence, in either the decision to g...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2012.03534.x

    authors: Burch J,Marson A,Beyer F,Soares M,Hinde S,Wieshmann U,Woolacott N

    更新日期:2012-08-01 00:00:00

  • Incidence of epilepsy and unprovoked seizures in Rochester, Minnesota: 1935-1984.

    abstract::The incidence of epilepsy and of all unprovoked seizures was determined for residents of Rochester, Minnesota U.S.A. from 1935 through 1984. Age-adjusted incidence of epilepsy was 44 per 100,000 person-years. Incidence in males was significantly higher than in females and was high in the first year of life but highest...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02586.x

    authors: Hauser WA,Annegers JF,Kurland LT

    更新日期:1993-05-01 00:00:00

  • New onset epilepsy among patients with periodic discharges on continuous electroencephalographic monitoring.

    abstract:OBJECTIVE:To evaluate the incidence of new onset epilepsy and associated risk factors in patients with periodic patterns on continuous electroencephalography (cEEG) during critical illness. METHODS:The local cEEG database and then medical records were reviewed from January 1, 2013 to June 30, 2013 to find adult patien...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.14509

    authors: Punia V,Bena J,Krishnan B,Newey C,Hantus S

    更新日期:2018-08-01 00:00:00

  • Newly diagnosed epilepsy in children: presentation at diagnosis.

    abstract:PURPOSE:The current understanding of epilepsy has changed significantly in the past 2 decades. This report presents a description of newly diagnosed childhood-onset epilepsy, with a special emphasis on epilepsy syndromes, in a large, prospectively ascertained community-based cohort evaluated and diagnosed in the mid-19...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1999.tb00739.x

    authors: Berg AT,Shinnar S,Levy SR,Testa FM

    更新日期:1999-04-01 00:00:00

  • The interaction between sleep and epilepsy.

    abstract::Sleep and epilepsy are interrelated. Understanding the relationship between epilepsy and sleep is important for optimizing management of the epilepsy patient in several ways. First, sleep modulates the expression of epileptic seizures and interictal epileptiform discharges. Second, epilepsy and its treatment influence...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01400.x

    authors: Malow BA

    更新日期:2007-01-01 00:00:00

  • Double-blind, placebo-controlled trial of topiramate as add-on therapy in patients with refractory partial seizures.

    abstract::In a double-blind, randomized, parallel-group trial, we compared topiramate (TPM) with placebo as add-on therapy in patients with refractory partial epilepsy. TPM was titrated either to the target dosage of 800 mg/ day [400 mg twice daily (b.i.d)] or to the maximal tolerated dose if lower. Twenty-eight (28) patients w...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1528-1157.1996.tb00606.x

    authors: Ben-Menachem E,Henriksen O,Dam M,Mikkelsen M,Schmidt D,Reid S,Reife R,Kramer L,Pledger G,Karim R

    更新日期:1996-06-01 00:00:00

  • Lafora's disease in south India: a clinical, electrophysiologic, and pathologic study.

    abstract::Twenty-one cases (12 males, 9 females) of Lafora's disease in 16 families were studied at the National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India, from 1982 to 1990. Mean age of onset was 13.5 years (range 9.5-18 years). First symptom was generalized tonic-clonic seizure (17), myoclonus ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02588.x

    authors: Acharya JN,Satishchandra P,Asha T,Shankar SK

    更新日期:1993-05-01 00:00:00

  • Methsuximide lowers lamotrigine blood levels: A pharmacokinetic antiepileptic drug interaction.

    abstract:PURPOSE:To determine whether methsuximide (MSM) affects lamotrigine (LTG) blood levels and whether any change is of clinical significance. METHODS:LTG serum levels in 16 patients taking MSM were compared with those before starting or after stopping the MSM. The 16 patients, (11 boys, five girls) were young people (mea...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00218.x

    authors: Besag FM,Berry DJ,Pool F

    更新日期:2000-05-01 00:00:00

  • Activation of the locus coeruleus after amygdaloid kindling.

    abstract:PURPOSE:Substantia nigra (SN) and locus coeruleus (LC) neurons are implicated in the propagation and suppression of amygdaloid seizures. Both structures are activated concomitant with amygdaloid seizure discharges. Their mechanisms of activation, however, remain to be elucidated. SN firing is not associated with the in...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01323.x

    authors: Silveira DC,Liu Z,de LaCalle S,Lu J,Klein P,Holmes GL,Herzog AG

    更新日期:1998-12-01 00:00:00

  • Physiological factors in childhood epilepsy.

    abstract::The identification and correction of adverse physiological changes that lead to seizures in children can improve the effectiveness of current therapeutic practices in epilepsy. It is proposed that various circadian rhythms (respiration, hormones, water balance, electrolytes, intracranial pressure, blood pressure), met...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1980.tb04090.x

    authors: LeWinn EB

    更新日期:1980-08-01 00:00:00

  • Exacerbation of partial seizures and onset of nonepileptic myoclonus with carbamazepine.

    abstract::A child had two to three generalized tonic-clonic (GTC) seizures per week unresponsive to phenobarbital (PB) and valproate (VPA). Interictal EEG demonstrated left occipital spikes. When carbamazepine (CBZ) therapy was started, he developed very frequent (4-6/day) complex partial seizures (CPS) characterized on ictal E...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1991.tb05255.x

    authors: Dhuna A,Pascual-Leone A,Talwar D

    更新日期:1991-03-01 00:00:00

  • Cingulate kindling in Senegalese baboons, Papio papio.

    abstract::Kindling of the cingulate cortex in the Senegalese baboon Papio papio led to a protracted nonconvulsive seizure state characterized by immobile staring with (anterior cingulate, AC) or without (posterior cingulate, PC) widening of eyelids and neck flexion, followed by postictal visual searching behavior. Despite early...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1995.tb00474.x

    authors: Wada JA,Tsuchimochi H

    更新日期:1995-11-01 00:00:00

  • Vigabatrin pediatric dosing information for refractory complex partial seizures: results from a population dose-response analysis.

    abstract::We predicted vigabatrin dosages for adjunctive therapy for pediatric patients with refractory complex partial seizures (rCPS) that would produce efficacy comparable to that observed for approved adult dosages. A dose-response model related seizure-count data to vigabatrin dosage to identify dosages for pediatric rCPS ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12825

    authors: Nielsen JC,Tolbert D,Patel M,Kowalski KG,Wesche DL

    更新日期:2014-12-01 00:00:00

  • Anticonvulsant efficacy of topiramate in phenytoin-resistant kindled rats.

    abstract:PURPOSE:We evaluated the anticonvulsant efficacy of topiramate (TPM), a structurally novel antiepileptic drug (AED), in amygdala kindled rats that had been preselected with respect to their response to phenytoin (PHT). METHODS:Anticonvulsant response was tested by determining the afterdischarge threshold (ADT; i.e., a...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.2000.tb00176.x

    authors: Reissmüller E,Ebert U,Löscher W

    更新日期:2000-04-01 00:00:00

  • Role of the superior colliculus in the expression of acute and kindled audiogenic seizures in Wistar audiogenic rats.

    abstract:PURPOSE:The role of the superior colliculus (SC) in seizure expression is controversial and appears to be dependent upon the epilepsy model. This study shows the effect of disconnection between SC deep layers and adjacent tissues in the expression of acute and kindling seizures. METHODS:Subcollicular transections, abl...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2009.02164.x

    authors: Doretto MC,Cortes-de-Oliveira JA,Rossetti F,Garcia-Cairasco N

    更新日期:2009-12-01 00:00:00

  • Expression patterns of synaptic vesicle protein 2A in focal cortical dysplasia and TSC-cortical tubers.

    abstract:PURPOSE:Synaptic vesicle protein 2A (SV2A), the binding site for the antiepileptic drug (AED) levetiracetam, has been shown to be involved in the control of neuronal excitability. The aim of the study was to define the expression and cell-specific distribution of SV2A in developmental focal lesions associated with medi...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01955.x

    authors: Toering ST,Boer K,de Groot M,Troost D,Heimans JJ,Spliet WG,van Rijen PC,Jansen FE,Gorter JA,Reijneveld JC,Aronica E

    更新日期:2009-06-01 00:00:00

  • Posttraumatic epilepsy: the endophenotypes of a human model of epileptogenesis.

    abstract::Posttraumatic epilepsy is a common complication of traumatic brain injury (TBI), occurring in up to 15-20% of patients with severe brain trauma. Trauma accounts for approximately 5% of chronic epilepsy in the community. Because it is a common condition, and because of the relatively short latency period between injury...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2008.02006.x

    authors: Diaz-Arrastia R,Agostini MA,Madden CJ,Van Ness PC

    更新日期:2009-02-01 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

  • Role of vigabatrin and lamotrigine in treatment of childhood epileptic syndromes.

    abstract:PURPOSE:Vigabatrin (VGB) and lamotrigine (LTG) are two new antiepileptic drugs (AEDs) with different mechanisms of action for treatment of refractory epilepsies. Previous reports have indicated efficacy of both drugs in a number of epileptic syndromes. METHODS:We compared these new AEDs drugs to determine their respec...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01184.x

    authors: Bélanger S,Coulombe G,Carmant L

    更新日期:1998-08-01 00:00:00

  • Clinical and neurophysiologic features of progressive myoclonus epilepsy without renal failure caused by SCARB2 mutations.

    abstract:PURPOSE:Mutations of the SCARB2 gene cause action myoclonus renal failure syndrome (AMRF), a rare condition that combines progressive myoclonus epilepsy (PME) with severe renal dysfunction. We describe the clinical and neurophysiologic features of PME associated with SCARB2 mutations without renal impairment. METHODS:...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2011.03307.x

    authors: Rubboli G,Franceschetti S,Berkovic SF,Canafoglia L,Gambardella A,Dibbens LM,Riguzzi P,Campieri C,Magaudda A,Tassinari CA,Michelucci R

    更新日期:2011-12-01 00:00:00