Assessment and selection of candidates for surgical treatment of epilepsy.

Abstract:

:A variety of surgical strategies are available to deal with intractable epilepsy. These are resective operations, consisting of the removal of a focus or a discrete lesion, gross removal of malfunctioning brain, and functional operations consisting of division of the pathways of propagation or of an epileptic neuronal aggregate. A method of assessment for surgery involves investigation managed in phases, with the patient either being refused surgery, offered surgery or proceeding to the next phase. The place of the common modalities of investigation, e.g., clinical data, brain imaging, neurophysiological investigation, and neuropsychological assessment have a role in this phased management.

journal_name

Epilepsia

journal_title

Epilepsia

authors

Polkey CE,Binnie CD

doi

10.1111/j.1528-1157.1995.tb01651.x

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

S41-5

eissn

0013-9580

issn

1528-1167

journal_volume

36 Suppl 1

pub_type

杂志文章,评审
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    abstract:PURPOSE:High-dose i.v. opioids (e.g., alfentanil, 50 microg/kg bolus) are known to increase the intraoperative reading of epileptiform activity during epilepsy surgery (ES), thereby facilitating localization of the epileptogenic zone (i.e., the site of ictal onset and initial seizure propagation). However, this phenome...

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    doi:10.1046/j.1528-1157.2001.05901.x

    authors: Wass CT,Grady RE,Fessler AJ,Cascino GD,Lozada L,Bechtle PS,Marsh WR,Sharbrough FW,Schroeder DR

    更新日期:2001-10-01 00:00:00

  • Variation of seizure frequency with ovulatory status of menstrual cycles.

    abstract:PURPOSE:To determine if seizure frequency differs between anovulatory and ovulatory cycles. METHODS:The data came from the 3-month baseline phase of an investigation of progesterone therapy for intractable focal onset seizures. Of 462 women who enrolled, 281 completed the 3-month baseline phase and 92 had both anovula...

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    doi:10.1111/j.1528-1167.2011.03194.x

    authors: Herzog AG,Fowler KM,Sperling MR,Liporace JD,Kalayjian LA,Heck CN,Krauss GL,Dworetzky BA,Pennell PB,Progesterone Trial Study Group.

    更新日期:2011-10-01 00:00:00

  • The ketogenic diet in a pill: is this possible?

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    doi:10.1111/j.1528-1167.2008.01857.x

    authors: Rho JM,Sankar R

    更新日期:2008-11-01 00:00:00

  • MRS metabolic markers of seizures and seizure-induced neuronal damage.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1998.tb01368.x

    authors: Najm IM,Wang Y,Shedid D,Lüders HO,Ng TC,Comair YG

    更新日期:1998-03-01 00:00:00

  • Whole-exome sequencing in an individual with severe global developmental delay and intractable epilepsy identifies a novel, de novo GRIN2A mutation.

    abstract::We present a 4-year-old girl with profound global developmental delay and refractory epilepsy characterized by multiple seizure types (partial complex with secondary generalization, tonic, myoclonic, and atypical absence). Her seizure semiology did not fit within a specific epileptic syndrome. Despite a broad metaboli...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.12663

    authors: Venkateswaran S,Myers KA,Smith AC,Beaulieu CL,Schwartzentruber JA,FORGE Canada Consortium.,Majewski J,Bulman D,Boycott KM,Dyment DA

    更新日期:2014-07-01 00:00:00

  • Pediatric epilepsy syndromes: an update and critical review.

    abstract::Epilepsy syndromes occupy an important position in the current nosology of the epilepsies, describing and classifying seizure disorders with shared clinical and EEG features. Increasingly, this schema is being refined as new information becomes available and our understanding of etiology and presentation of each syndr...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1157.1996.tb06020.x

    authors: Duchowny M,Harvey AS

    更新日期:1996-01-01 00:00:00

  • Cognitive outcome of status epilepticus in adults.

    abstract::There is no doubt that structural morphological brain lesions and malformations in epilepsy represent major etiological factors for the cognitive impairments seen in this disease. The role of epileptic activity and seizures for cognition and cognitive development, however, is less easily determined. Epileptic dysfunct...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2007.01360.x

    authors: Helmstaedter C

    更新日期:2007-01-01 00:00:00

  • Long-term increase in striatal thyrotropin-releasing hormone receptor binding caused by amygdaloid kindling.

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    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1987.tb04212.x

    authors: Kajita S,Ogawa N,Sato M

    更新日期:1987-05-01 00:00:00

  • Cryptogenic late-onset epileptic spasms: an overlooked syndrome of early childhood?

    abstract:PURPOSE:Few reports detailing late-onset epileptic spasms have been published. To determine whether this condition merely represents a late variant of classic West syndrome or exhibits specific features distinct from the latter and related to a later stage of brain maturation, we analyzed the whole population with this...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00518.x

    authors: Eisermann MM,Ville D,Soufflet C,Plouin P,Chiron C,Dulac O,Kaminska A

    更新日期:2006-06-01 00:00:00

  • Effect of sustained pyridoxine treatment on seizure susceptibility and regional brain amino acid levels in genetically epilepsy-prone BALB/c mice.

    abstract::Epilepsy-prone and epilepsy-resistant substrains were selectively bred from a strain of BALB/c mice; audiogenic-sensitive epilepsy-prone animals showed enhanced sensitivity to chemical convulsants. Treatment with pyridoxine (100 mg/L in drinking water) initiated at mating and continued throughout pregnancy and the lif...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1993.tb02373.x

    authors: Dolina S,Peeling J,Sutherland G,Pillay N,Greenberg A

    更新日期:1993-01-01 00:00:00

  • Neuroinflammation imaging markers for epileptogenesis.

    abstract::Epilepsy can be a devastating disorder. In addition to debilitating seizures, epilepsy can cause cognitive and emotional problems with reduced quality of life. Therefore, the major aim is to prevent the disorder in the first place: identify, detect, and reverse the processes responsible for its onset, and monitor and ...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13778

    authors: Koepp MJ,Årstad E,Bankstahl JP,Dedeurwaerdere S,Friedman A,Potschka H,Ravizza T,Theodore WH,Baram TZ

    更新日期:2017-07-01 00:00:00

  • The development of intellectual abilities in pediatric temporal lobe epilepsy.

    abstract:PURPOSE:The aim of this study was to examine the impact of clinical variables, particularly age at onset of epilepsy, on intellectual function in a group of children with temporal lobe epilepsy (TLE). METHODS:We reviewed the preoperative neuropsychological test results of 79 children with unilateral TLE who subsequent...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00904.x

    authors: Cormack F,Cross JH,Isaacs E,Harkness W,Wright I,Vargha-Khadem F,Baldeweg T

    更新日期:2007-01-01 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

  • Localization of lesions by neuropsychological testing.

    abstract::Neuropsychological evaluation differs from other methods used to localize cerebral lesions in that it analyzes cognitive function. Tests sample widely among cognitive abilities, contrasting language proficiency with visuospatial skills. A thorough assessment of memory is crucial in the investigation because of the pro...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:

    authors: Jones-Gotman M

    更新日期:1991-01-01 00:00:00

  • Genetic attribution and perceived impact of epilepsy in multiplex epilepsy families.

    abstract:OBJECTIVE:Studies have found that affected individuals who believe the cause of their disorder is genetic may react in various ways, including optimism for improved treatments and pessimism due to perceived permanence of the condition. This study assessed the psychosocial impact of genetic attribution among people with...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16352

    authors: Garofalo DC,Sorge ST,Hesdorffer DC,Winawer MR,Phelan JC,Chung WK,Ottman R

    更新日期:2019-11-01 00:00:00

  • A randomized trial of classical and medium-chain triglyceride ketogenic diets in the treatment of childhood epilepsy.

    abstract:PURPOSE:To conduct the first randomized trial on classical and medium-chain triglyceride (MCT) versions of the ketogenic diet, examining efficacy and tolerability after 3, 6, and 12 months. METHODS:One hundred forty-five children with intractable epilepsy were randomized to receive a classical or an MCT diet. Seizure ...

    journal_title:Epilepsia

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1528-1167.2008.01870.x

    authors: Neal EG,Chaffe H,Schwartz RH,Lawson MS,Edwards N,Fitzsimmons G,Whitney A,Cross JH

    更新日期:2009-05-01 00:00:00

  • Aminophylline and CGS 8216 reverse the protective action of diazepam against electroconvulsions in mice.

    abstract::Aminophylline (50 and 100 mg/kg) and CGS 8216 (20 and 40 mg/kg) decreased the anticonvulsant potency of diazepam (5 and 10 mg/kg) against electroshock-induced seizures. It should be emphasized that aminophylline moderately affected the protective action of the benzodiazepine at a dose of 5 mg/kg, whereas it was equipo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1985.tb05713.x

    authors: Czuczwar SJ,Turski WA,Ikonomidou C,Turski L

    更新日期:1985-11-01 00:00:00

  • Audiogenic seizure-induced changes in energy metabolites in cerebral cortical and cerebellar layers.

    abstract::Audiogenic seizure-prone mice (DBA/2J) were exposed to a broad band noise source. A reproducible response consisting of wild run, clonus, and tonic stages resulted in all mice. Layers 1 and pyramidal from the parietal cortex and the molecular and Purkinje cell-rich layers from the cerebellar vermis were separately ana...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1982.tb05436.x

    authors: McCandless DW,Schwartzenburg FC Jr

    更新日期:1982-10-01 00:00:00

  • Dose-response relationships with nimodipine against electroshock seizures in mice.

    abstract::The anticonvulsant effect of the dihydropyridine calcium channel blocker, nimodipine (NMD) was evaluated against electroshock-induced seizures in mice. At 1 h postdosing, NMD elicited a dose-dependent reduction in the occurrence of tonic hindlimb extension (THE) after maximal electroshock (MES). The calculated ED50 fo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1994.tb02457.x

    authors: Sills GJ,Carswell A,Brodie MJ

    更新日期:1994-03-01 00:00:00

  • Pediatric language mapping: sensitivity of neurostimulation and Wada testing in epilepsy surgery.

    abstract:PURPOSE:Functional mapping of eloquent cortex with electrical neurostimulation is used both intra- and extraoperatively to tailor resections. In pediatric patients, however, functional mapping studies frequently fail to localize language. Wada testing has also been reported to be less sensitive in children. METHODS:Th...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2006.00962.x

    authors: Schevon CA,Carlson C,Zaroff CM,Weiner HJ,Doyle WK,Miles D,Lajoie J,Kuzniecky R,Pacia S,Vazquez B,Luciano D,Najjar S,Devinsky O

    更新日期:2007-03-01 00:00:00

  • The number of seizures needed in the EMU.

    abstract:OBJECTIVE:The purpose of this study was to develop a quantitative framework to estimate the likelihood of multifocal epilepsy based on the number of unifocal seizures observed in the epilepsy monitoring unit (EMU). METHODS:Patient records from the EMU at Massachusetts General Hospital (MGH) from 2012 to 2014 were asse...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13090

    authors: Struck AF,Cole AJ,Cash SS,Westover MB

    更新日期:2015-11-01 00:00:00

  • The effects of antimicrobial and antiepileptic treatment on the outcome of epilepsy associated with central nervous system (CNS) infections.

    abstract::The course and outcome of epilepsy following central nervous system (CNS) infections has been poorly characterized. Likewise, the impact of antimicrobial treatment as well as other preventative and therapeutic interventions on the development of epilepsy following neurological infectious disorders has been insufficien...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2008.01755.x

    authors: Singh G,Prabhakar S

    更新日期:2008-08-01 00:00:00

  • Traffic accidents caused by epilepsy.

    abstract::During a 10-year period, 203 traffic accidents were suspected of being caused by epilepsy; 155 of them definitely caused by seizures were selected for study. The seizures of 75% were psychomotor; in 12% the seizure was the first, and only 4% of the rest had reported that they had epilepsy when they applied for a licen...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1975.tb04760.x

    authors: van der Lugt PJ

    更新日期:1975-12-01 00:00:00

  • Microstructural and functional MRI studies of cognitive impairment in epilepsy.

    abstract::Cognitive impairment is the most common comorbidity in children with epilepsy, but its pathophysiology and predisposing conditions remain unknown. Clinical epilepsy characteristics are not conclusive in determining cognitive outcome. Because many children with epilepsy do not have macrostructural magnetic resonance im...

    journal_title:Epilepsia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1528-1167.2012.03624.x

    authors: Braakman HM,van der Kruijs SJ,Vaessen MJ,Jansen JF,Debeij-van Hall MH,Vles JS,Aldenkamp AP,Backes WH,Hofman PA

    更新日期:2012-10-01 00:00:00

  • Abnormal dendrite and spine morphology in primary visual cortex in the CGG knock-in mouse model of the fragile X premutation.

    abstract::The fragile X mental retardation 1 gene (Fmr1) is polymorphic for CGG trinucleotide repeat number in the 5'-untranslated region, with repeat lengths <45 associated with typical development and repeat lengths >200 resulting in hypermethylation and transcriptional silencing of the gene and mental retardation in the frag...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1167.2012.03486.x

    authors: Berman RF,Murray KD,Arque G,Hunsaker MR,Wenzel HJ

    更新日期:2012-06-01 00:00:00

  • Is inpatient ictal video-electroencephalographic monitoring mandatory in mesial temporal lobe epilepsy with unilateral hippocampal sclerosis? A prospective study.

    abstract:OBJECTIVE:To compare surgical outcome in mesial temporal lobe epilepsy (MTLE) patients with unilateral hippocampal sclerosis (MTLE-HS) who had or did not have preoperative video-electroencephalographic monitoring (VEEG). METHODS:A prospective study was undertaken with 166 consecutive pharmacoresistant unilateral MTLE-...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.13977

    authors: Alvim MKM,Morita ME,Yasuda CL,Damasceno BP,Lopes TM,Coan AC,Ghizoni E,Tedeschi H,Cendes F

    更新日期:2018-02-01 00:00:00

  • Influence of therapeutic phenobarbital and phenytoin medication on the polygraphic sleep of patients with epilepsy.

    abstract::Sleep is a modulator of seizure activity, and many antiepileptic drugs are modulators of sleep. Can influences on sleep organization be involved in antiepileptic drug action, and can these partly account for differences in drug response of various epileptic syndromes? Much more exact data must be collected before thes...

    journal_title:Epilepsia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1528-1157.1984.tb03445.x

    authors: Wolf P,Röder-Wanner UU,Brede M

    更新日期:1984-08-01 00:00:00

  • Seven-tesla quantitative magnetic resonance spectroscopy of glutamate, γ-aminobutyric acid, and glutathione in the posterior cingulate cortex/precuneus in patients with epilepsy.

    abstract:OBJECTIVE:The posterior cingulate cortex (PCC)/precuneus is a key hub of the default mode network, whose function is known to be altered in epilepsy. Glutamate and γ-aminobutyric acid (GABA) are the main excitatory and inhibitory neurotransmitters in the central nervous system, respectively. Glutathione (GSH) is the mo...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/epi.16731

    authors: Gonen OM,Moffat BA,Desmond PM,Lui E,Kwan P,O'Brien TJ

    更新日期:2020-12-01 00:00:00

  • Lingual seizures.

    abstract::A 73-year-old patient with hyperglycemia and rheumatoid arthritis presented with attacks of involuntary lingual movements that were associated with pain at the base of the tongue, often followed by aversion of head and eyes to the left with clonic contractions of the left corner of the mouth. Seizures could be induced...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1528-1157.1988.tb05094.x

    authors: Neufeld MY,Blumen SC,Nisipeanu P,Korczyn AD

    更新日期:1988-01-01 00:00:00

  • Psychiatric outcome after temporal lobectomy: a predictive study.

    abstract:PURPOSE:The occurrence of psychiatric symptoms after temporal lobectomy is well documented. The aim of the present study was to identify preoperative factors that predict postoperative psychiatric outcome. METHODS:We studied the case notes of 121 patients (from an initial sample of 167) who underwent temporal lobectom...

    journal_title:Epilepsia

    pub_type: 杂志文章

    doi:10.1111/j.1499-1654.2000.001608.x

    authors: Anhoury S,Brown RJ,Krishnamoorthy ES,Trimble MR

    更新日期:2000-12-01 00:00:00