Epilepsies associated with focal cortical dysplasias (FCDs).

Abstract:

:Focal cortical dysplasias (FCDs) are increasingly recognized as one of the most common causes of pharmaco-resistant epilepsies. FCDs were recently divided into various clinico-pathological subtypes due to distinct imaging, electrophysiological, and outcome characteristics. In this review, we will overview the international consensus classification of FCDs in light of more recently reported clinical, electrical, imaging and functional observations, and will also address areas of ongoing debate. In addition, we will summarize our current knowledge on pathobiology and epileptogenicity of FCDs as well as its underlying molecular and cellular mechanisms. The clinical (electroencephalographic, imaging, and functional) characteristics of major FCD subtypes and their implications on the presurgical evaluation and surgical management will be discussed in light of studies describing these characteristics and postoperative seizure outcomes in patients with medically intractable focal epilepsy due to histopathologically confirmed FCDs.

journal_name

Acta Neuropathol

journal_title

Acta neuropathologica

authors

Najm IM,Tassi L,Sarnat HB,Holthausen H,Russo GL

doi

10.1007/s00401-014-1304-0

subject

Has Abstract

pub_date

2014-07-01 00:00:00

pages

5-19

issue

1

eissn

0001-6322

issn

1432-0533

journal_volume

128

pub_type

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