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Neocortical epilepsy

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https://www.readbyqxmd.com/read/29331082/mechanistic-target-of-rapamycin-complex-1-and-2-in-human-temporal-lobe-epilepsy
#1
Delia M Talos, Leah M Jacobs, Sarah Gourmaud, Carlos A Coto, Hongyu Sun, Kuei-Cheng Lim, Timothy H Lucas, Kathryn A Davis, Maria Martinez-Lage, Frances E Jensen
OBJECTIVE: Temporal lobe epilepsy (TLE) is a chronic epilepsy syndrome defined by seizures and progressive neurological disabilities, including cognitive impairments, anxiety and depression. Here, human TLE specimens were investigated focusing on the mechanistic target of rapamycin (mTOR) Complex 1 (mTORC1) and Complex 2 (mTORC2) activities in the brain, as both pathways may represent unique targets for treatment. METHODS: Surgically resected hippocampal and temporal lobe samples from therapy-resistant TLE patients were analyzed by Western blotting to quantify the expression of established mTORC1 and mTORC2 activity markers and upstream or downstream signaling pathways involving the two complexes...
January 13, 2018: Annals of Neurology
https://www.readbyqxmd.com/read/29285118/anti-epileptic-effect-of-ifenprodil-on-neocortical-pyramidal-neurons-in-patients-with-malformations-of-cortical-development
#2
Xiongfei Wang, Xun He, Tianfu Li, Yousheng Shu, Songtao Qi, Guoming Luan
Ifenprodil has been demonstrated to reduce spontaneous action potentials observed by local field potential in animal models. To investigate whether ifenprodil exerts an anti-epileptic effect on neuronal levels in humans, whole-cell patch clamp recordings were used to study the electrophysiological membrane properties of neocortical pyramidal neurons in human brain tissues. Electrophysiological membrane properties and spontaneous spikes of neocortical pyramidal neurons were investigated by using whole-cell patch clamp recordings, prior to and following the application of ifenprodil...
December 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29278548/the-current-place-of-epilepsy-surgery
#3
Jerome Engel
PURPOSE OF REVIEW: Three randomized controlled trials demonstrate that surgical treatment is safe and effective for drug-resistant epilepsy (DRE), yet fewer than 1% of patients are referred for surgery. This is a review of recent trends in surgical referral for DRE, and advances in the field. Reasons for continued underutilization are discussed. RECENT FINDINGS: Recent series indicate no increase in surgical referral for DRE over the past two decades. One study suggests that decreased referrals to major epilepsy centers can be accounted for by increased referrals to low-volume nonacademic hospitals where results are poorer, and complication rates higher...
December 22, 2017: Current Opinion in Neurology
https://www.readbyqxmd.com/read/29205292/brain-regions-and-epileptogenicity-influence-epileptic-interictal-spike-production-and-propagation-during-nrem-sleep-in-comparison-with-wakefulness
#4
Isabelle Lambert, Nicolas Roehri, Bernard Giusiano, Romain Carron, Fabrice Wendling, Christian Benar, Fabrice Bartolomei
OBJECTIVE: Non-rapid eye movement (NREM) sleep is known to be a brain state associated with an activation of interictal epileptic activity. The goal of this work was to quantify topographic changes occurring during NREM sleep in comparison with wakefulness. METHOD: We studied intracerebral recordings of 20 patients who underwent stereo-electroencephalography (SEEG) during presurgical evaluation for pharmacoresistant focal epilepsy. We measured the number of interictal spikes (IS) and quantified the co-occurrence of IS between brain regions during 1 hour of NREM sleep and 1 hour of wakefulness...
December 3, 2017: Epilepsia
https://www.readbyqxmd.com/read/29186594/resection-of-temporal-neocortex-during-multiple-hippocampal-transections-for-mesial-temporal-lobe-epilepsy-does-not-affect-seizure-or-memory-outcome
#5
Fady Girgis, Madeline E Greil, Philip S Fastenau, Jennifer Sweet, Hans Lüders, Jonathan P Miller
BACKGROUND: Multiple hippocampal transection (MHT) is a surgical treatment for mesial temporal lobe epilepsy associated with improved postoperative neuropsychological outcomes compared with lobectomy. OBJECTIVE: To determine whether resection of the amygdala and anterior temporal neocortex during MHT affects postoperative seizure/memory outcome. METHODS: Seventeen patients with normal magnetic resonance imaging and stereo-electroencephalogram-proven drug-resistant dominant mesial temporal lobe epilepsy were treated with MHT...
December 1, 2017: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29178354/hyperexcitability-of-the-network-contributes-to-synchronization-processes-in-the-human-epileptic-neocortex
#6
Kinga Tóth, Katharina T Hofer, Ágnes Kandrács, László Entz, Attila Bagó, Loránd Erőss, Zsófia Jordán, Gábor Nagy, András Sólyom, Dániel Fabó, István Ulbert, Lucia Wittner
Interictal activity is a hallmark in epilepsy diagnostics and is linked to neuronal hypersynchrony. Little is known about perturbations in human epileptic neocortical microcircuits, and their role in generating pathological synchronies. To explore hyperexcitability of the human epileptic network, and its contribution to convulsive activity, we investigated an in vitro model of synchronous burst activity spontaneously occurring in postoperative tissue slices derived from patients with or without preoperative clinical and electrographic manifestations of epileptic activity...
November 27, 2017: Journal of Physiology
https://www.readbyqxmd.com/read/29175574/surgical-management-and-long-term-seizure-outcome-after-surgery-for-temporal-lobe-epilepsy-associated-with-cerebral-cavernous-malformations
#7
Peng-Fan Yang, Jia-Sheng Pei, Yan-Zeng Jia, Qiao Lin, Hui Xiao, Ting-Ting Zhang, Zhong-Hui Zhong
OBJECTIVE: Operative strategies for cerebral cavernous malformation (CCM)-associated temporal lobe epilepsy and timing of surgical intervention have continued under debate. This study aimed to establish an algorithm to evaluate efficacy of surgical intervention strategies, which maximizes positive surgical outcomes and minimizes post-surgical neurological deficits. METHODS: 47 subjects having undergone operation for CCM-associated temporal lobe epilepsy were retrospectively reviewed...
November 22, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29163052/the-thymus-neocortex-hypothesis-of-the-brain-a-cell-basis-for-recognition-and-instruction-of-self
#8
Silvia Sánchez-Ramón, Florence Faure
The recognition of internal and external sources of stimuli, the self from non-self, seems to be an intrinsic property to the adequate functioning of the immune system and the nervous system, both complex network systems that have evolved to safeguard the self biological identity of the organism. The mammalian brain development relies on dynamic and adaptive processes that are now well described. However, the rules dictating this highly constrained developmental process remain elusive. Here we hypothesize that there is a cellular basis for brain selfhood, based on the analogy of the global mechanisms that drive the self/non-self recognition and instruction by the immune system...
2017: Frontiers in Cellular Neuroscience
https://www.readbyqxmd.com/read/29159066/six-adult-patients-with-septo-optic-dysplasia-and-drug-resistant-epilepsy-clinical-findings-and-course
#9
Mashael AlKhateeb, Richard McLachlan, Jorge Burneo, David Diosy, Seyed Mirsattari
Septo-optic dysplasia (SOD) is a rare disorder associated with optic nerve hypoplasia, pituitary abnormalities and agenesis/dysgenesis of midline brain structures including the septum pellucidum and corpus callosum. Though sometimes associated with drug-resistant epilepsy, this association has not been well studied. We report six SOD patients with associated malformation of cortical development (MCD) and drug-resistant epilepsy who underwent video-EEG telemetry at our centre between 1998 and 2016 for drug-resistant epilepsy...
2017: Epilepsy & Behavior Case Reports
https://www.readbyqxmd.com/read/29154812/under-stressful-conditions-activation-of-the-ionotropic-p2x7-receptor-differentially-regulates-gaba-and-glutamate-release-from-nerve-terminals-of-the-rat-cerebral-cortex
#10
Aurora R Barros-Barbosa, Ângela Oliveira, M Graça Lobo, J Miguel Cordeiro, Paulo Correia-de-Sá
γ-Aminobutyric acid (GABA) and glutamate (Glu) are the main inhibitory and excitatory neurotransmitters in the central nervous system (CNS), respectively. Fine tuning regulation of extracellular levels of these amino acids is essential for normal brain activity. Recently, we showed that neocortical nerve terminals from patients with epilepsy express higher amounts of the non-desensitizing ionotropic P2X7 receptor. Once activated by ATP released from neuronal cells, the P2X7 receptor unbalances GABAergic vs...
November 14, 2017: Neurochemistry International
https://www.readbyqxmd.com/read/29143800/hungry-neurons-metabolic-insights-on-seizure-dynamics
#11
REVIEW
Paolo Bazzigaluppi, Azin Ebrahim Amini, Iliya Weisspapir, Bojana Stefanovic, Peter L Carlen
Epilepsy afflicts up to 1.6% of the population and the mechanisms underlying the appearance of seizures are still not understood. In past years, many efforts have been spent trying to understand the mechanisms underlying the excessive and synchronous firing of neurons. Traditionally, attention was pointed towards synaptic (dys)function and extracellular ionic species (dys)regulation. Recently, novel clinical and preclinical studies explored the role of brain metabolism (i.e., glucose utilization) of seizures pathophysiology revealing (in most cases) reduced metabolism in the inter-ictal period and increased metabolism in the seconds preceding and during the appearance of seizures...
October 28, 2017: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29070752/a-surgical-case-of-mesial-temporal-lobe-epilepsy-associated-with-hippocampal-sclerosis-and-traumatic-neocortical-lesion
#12
Yu Kitazawa, Kazutaka Jin, Masaki Iwasaki, Hiroyoshi Suzuki, Fumiaki Tanaka, Nobukazu Nakasato
A 26-year-old right-handed woman, with a history of left temporal lobe contusion caused by a fall at the age of 9 months, started to have complex partial seizures with oral automatism at the age of 7 years. The seizures occurred once or twice a month despite combination therapy with several antiepileptic agents. Her history and imaging studies suggested the diagnosis of epilepsy arising from traumatic neocortical temporal lesion. Comprehensive assessment including long-term video EEG monitoring, MRI, FDG-PET, MEG, and neuropsychological evaluation was performed at the age of 26 years...
October 26, 2017: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/29060344/low-latency-vlsi-architecture-for-neural-cross-frequency-coupling-analysis
#13
Gerard O'Leary, Taufik A Valiante, Roman Genov
Growing evidence suggests that cross-frequency coupling (CFC) is a key mechanism in neuronal computation, communication, and learning in the brain. Abnormal CFC has been implicated in pathological brain states such as epilepsy and Parkinson's disease. A reduction in excessive coupling has been shown in effective neuromodulation treatments, suggesting that CFC may be a useful feedback measure in closed-loop neural stimulation devices. However, processing latency limits the responsiveness of such systems. A VLSI architecture is presented which implements three selectable measures of CFC to enable the application specific trade-off between low-latency and high-accuracy processing...
July 2017: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/29050390/involvement-of-fast-spiking-cells-in-ictal-sequences-during-spontaneous-seizures-in-rats-with-chronic-temporal-lobe-epilepsy
#14
Adam R Neumann, Robrecht Raedt, Hendrik W Steenland, Mathieu Sprengers, Katarzyna Bzymek, Zaneta Navratilova, Lilia Mesina, Jeanne Xie, Valerie Lapointe, Fabian Kloosterman, Kristl Vonck, Paul A J M Boon, Ivan Soltesz, Bruce L McNaughton, Artur Luczak
See Lenck-Santini (doi:10.1093/awx205) for a scientific commentary on this article. Epileptic seizures represent altered neuronal network dynamics, but the temporal evolution and cellular substrates of the neuronal activity patterns associated with spontaneous seizures are not fully understood. We used simultaneous recordings from multiple neurons in the hippocampus and neocortex of rats with chronic temporal lobe epilepsy to demonstrate that subsets of cells discharge in a highly stereotypical sequential pattern during ictal events, and that these stereotypical patterns were reproducible across consecutive seizures...
September 1, 2017: Brain: a Journal of Neurology
https://www.readbyqxmd.com/read/29042148/histopathology-of-3%C3%A2-tesla-mri-negative-temporal-lobe-epilepsies
#15
Evangelos Kogias, Dirk-Matthias Altenmüller, Jan-Helge Klingler, Barbara Schmeiser, Horst Urbach, Soroush Doostkam
INTRODUCTION: Histopathology of MRI-negative temporal lobe epilepsies (TLE) shows heterogeneous findings. The use of either 1.5 or 3 Tesla MRI for the selection of MRI-negative cases and use of older classification systems instead of the current ILAE classification system may account for this heterogeneity. We focus on histopathology of 3 Tesla MRI-negative TLE according to ILAE criteria and investigate potential correlation to seizure outcome 1 year postoperatively. MATERIALS AND METHODS: Twenty specimens (9 neocortical, 11 hippocampal) from eleven 3 Tesla MRI-negative patients with TLE were examined in two steps...
October 14, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29024712/brief-activation-of-gabaergic-interneurons-initiates-the-transition-to-ictal-events-through-post-inhibitory-rebound-excitation
#16
Michael Chang, Joshua A Dian, Suzie Dufour, Lihua Wang, Homeira Moradi Chameh, Meera Ramani, Liang Zhang, Peter L Carlen, Thilo Womelsdorf, Taufik A Valiante
Activation of γ-aminobutyric acid (GABAA) receptors have been associated with the onset of epileptiform events. To investigate if a causal relationship exists between GABAA receptor activation and ictal event onset, we activated inhibitory GABAergic networks in the superficial layer (2/3) of the somatosensory cortex during hyperexcitable conditions using optogenetic techniques in mice expressing channelrhodopsin-2 in all GABAergic interneurons. We found that a brief 30ms light pulse reliably triggered either an interictal-like event (IIE) or ictal-like ("ictal") event in the in vitro cortical 4-Aminopyridine (4-AP) slice model...
October 10, 2017: Neurobiology of Disease
https://www.readbyqxmd.com/read/28981586/gabapentin-prevents-progressive-increases-in-excitatory-connectivity-and-epileptogenesis-following-neocortical-trauma
#17
D K Takahashi, Sha Jin, D A Prince
Neocortical injury initiates a cascade of events, some of which result in maladaptive epileptogenic reorganization of surviving neural circuits. Research focused on molecular and organizational changes that occur following trauma may reveal processes that underlie human post-traumatic epilepsy (PTE), a common and unfortunate consequence of traumatic brain injury. The latency between injury and development of PTE provides an opportunity for prophylactic intervention, once the key underlying mechanisms are understood...
June 26, 2017: Cerebral Cortex
https://www.readbyqxmd.com/read/28954894/enhanced-interlaminar-excitation-or-reduced-superficial-layer-inhibition-in-neocortex-generates-different-spike-and-wave-like-electrographic-events-in-vitro
#18
Stephen P Hall, Roger D Traub, Natalie E Adams, Mark O Cunningham, Ian Schofield, Alistair J Jenkins, Miles A Whittington
Acute In vitro models have revealed a great deal of information about mechanisms underlying many types of epileptiform activity. However, few examples exist that shed light on spike and wave (SpW) patterns of pathological activity. SpW are seen in many epilepsy syndromes, both generalised and focal, and manifest across the entire age spectrum. They are heterogeneous in terms of their severity, symptom burden and apparent anatomical origin (thalamic, neocortical or both), but any relationship between this heterogeneity and underlying pathology remains elusive...
September 27, 2017: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28950219/increase-in-gray-matter-volume-and-white-matter-fractional-anisotropy-in-the-motor-pathways-of-patients-with-secondarily-generalized-neocortical-seizures
#19
Yue-Loong Hsin, Tomor Harnod, Cheng-Siu Chang, Syu-Jyun Peng
PURPOSE: Convulsive motor activity is a clinical manifestation of secondarily generalized seizures evolving from different focal regions. The way in which the motor seizures present themselves is not very different from most of the generalized seizures in and between epilepsy patients. This might point towards the involvement of motor-related cortices and corticospinal pathway for wide spread propagation of epileptic activity. Our aim was to identify changes in the cerebral structures and to correlate clinical variables with structural changes particularly in the motor-related cortices and pathway of patients with generalized convulsions from different seizure foci...
September 20, 2017: Epilepsy Research
https://www.readbyqxmd.com/read/28948998/bimodal-coupling-of-ripples-and-slower-oscillations-during-sleep-in-patients-with-focal-epilepsy
#20
Inkyung Song, Iren Orosz, Inna Chervoneva, Zachary J Waldman, Itzhak Fried, Chengyuan Wu, Ashwini Sharan, Noriko Salamon, Richard Gorniak, Sandra Dewar, Anatol Bragin, Jerome Engel, Michael R Sperling, Richard Staba, Shennan A Weiss
OBJECTIVE: Differentiating pathologic and physiologic high-frequency oscillations (HFOs) is challenging. In patients with focal epilepsy, HFOs occur during the transitional periods between the up and down state of slow waves. The preferred phase angles of this form of phase-event amplitude coupling are bimodally distributed, and the ripples (80-150 Hz) that occur during the up-down transition more often occur in the seizure-onset zone (SOZ). We investigated if bimodal ripple coupling was also evident for faster sleep oscillations, and could identify the SOZ...
November 2017: Epilepsia
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