Evaluation of dual pathology among drug-resistant epileptic patients with hippocampal sclerosis

2018 ◽  
Vol 40 (3) ◽  
pp. 495-502
Author(s):  
Jafar Mehvari Habibabadi ◽  
Shervin Badihian ◽  
Nasim Tabrizi ◽  
Navid Manouchehri ◽  
Mohammad Zare ◽  
...  
Keyword(s):  
Hippocampal Sclerosis ◽  
Drug Resistant ◽  
Dual Pathology ◽  
Epileptic Patients

Survival of mossy cells of the hippocampal dentate gyrus in humans with mesial temporal lobe epilepsy

2009 ◽  
Vol 111 (6) ◽  
pp. 1237-1247 ◽  
Author(s):  
László Seress ◽  
Hajnalka Ábrahám ◽  
Zsolt Horváth ◽  
Tamás Dóczi ◽  
József Janszky ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Dentate Gyrus ◽  
Temporal Lobe ◽  
Pyramidal Neurons ◽  
Hippocampal Sclerosis ◽  
Mesial Temporal Lobe Epilepsy ◽  
Drug Resistant ◽  
Hippocampal Dentate Gyrus ◽  
Mossy Cells ◽  
Mesial Temporal Lobe

Object Hippocampal sclerosis can be identified in most patients with mesial temporal lobe epilepsy (TLE). Surgical removal of the sclerotic hippocampus is widely performed to treat patients with drug-resistant mesial TLE. In general, both epilepsy-prone and epilepsy-resistant neurons are believed to be in the hippocampal formation. The hilar mossy cells of the hippocampal dentate gyrus are usually considered one of the most vulnerable types of neurons. The aim of this study was to clarify the fate of mossy cells in the hippocampus in epileptic humans. Methods Of the 19 patients included in this study, 15 underwent temporal lobe resection because of drug-resistant TLE. Four patients were used as controls because they harbored tumors that had not invaded the hippocampus and they had experienced no seizures. Histological evaluation of resected hippocampal tissues was performed using immunohistochemistry. Results Mossy cells were identified in the control as well as the epileptic hippocampi by using cocaine- and amphetamine-regulated transcript peptide immunohistochemistry. In most cases the number of mossy cells was reduced and thorny excrescences were smaller in the epileptic hippocampi than in controls; however, there was a significant loss of pyramidal cells and a partial loss of granule cells in the same epileptic hippocampi in which mossy cell loss was apparent. The loss of mossy cells could be correlated with the extent of hippocampal sclerosis, patient age at seizure onset, duration of epilepsy, and frequency of seizures. Conclusions In many cases large numbers of mossy cells were present in the hilus of the dentate gyrus when most pyramidal neurons of the CA1 and CA3 areas of the Ammon's horn were lost, suggesting that mossy cells may not be more vulnerable to epileptic seizures than the hippocampal pyramidal neurons.

scholarly journals Patient-Specific Detection of Cerebral Blood Flow Alterations as Assessed by Arterial Spin Labeling in Drug-Resistant Epileptic Patients

PLoS ONE ◽  
2015 ◽  
Vol 10 (5) ◽  
pp. e0123975 ◽  
Author(s):  
Ilaria Boscolo Galazzo ◽  
Silvia Francesca Storti ◽  
Alessandra Del Felice ◽  
Francesca Benedetta Pizzini ◽  
Chiara Arcaro ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Arterial Spin Labeling ◽  
Spin Labeling ◽  
Patient Specific ◽  
Drug Resistant ◽  
Specific Detection ◽  
Epileptic Patients

Surgical treatment of drug-resistant epilepsy following hippocampal sclerosis

2021 ◽  
Vol 85 (5) ◽  
pp. 31
Author(s):  
D.I. Pitskhelauri ◽  
E.S. Kudieva ◽  
A.G. Melikyan ◽  
P.A. Vlasov ◽  
M.I. Kamenetskaya ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Hippocampal Sclerosis ◽  
Drug Resistant ◽  
Drug Resistant Epilepsy

Fruits for Seizures? A Systematic Review on the Potential Anti- Convulsant Effects of Fruits and its Phytochemicals

2021 ◽  
Vol 19 ◽  
Author(s):  
Lee Hsien Siang ◽  
Alina Arulsamy ◽  
Yeong Keng Yoon ◽  
Mohd. Farooq Shaikh
Keyword(s):  
Critical Appraisal ◽  
Treatment Strategies ◽  
Alternative Methods ◽  
Drug Resistant ◽  
Future Studies ◽  
Seizure Models ◽  
Epileptic Patients ◽  
Anti Oxidant ◽  
Excitatory Neurotransmission ◽  
Harmful Effects

: Epilepsy is a devastating neurological disorder. Current anti-convulsant drugs are only effective in about 70% of patients, while the rest remain drug-resistant. Thus, alternative methods have been explored to control seizures in these drug-resistant patients. One such method may be through the utilization of fruit phytochemicals. These phytochemicals have been reported to have beneficial properties such as anti-convulsant, anti-oxidant and anti-inflammatory activities. However, some fruits may also elicit harmful effects. This review aims to summarize and elucidate the anti- or pro- convulsant effects of fruits used in relation to seizures, in hopes to provide a good therapeutic reference to epileptic patients and their carers. Three databases; SCOPUS, ScienceDirect and PubMed were utilized for the literature search. Based on the PRISMA guidelines, a total of 40 articles were selected for critical appraisal in this review. Overall, the extracts and phytochemicals of fruits managed to effectively reduce seizure activities in various preclinical seizure models, acting mainly through the activation of the inhibitory neurotransmission and blocking the excitatory neurotransmission. Only star fruit has been identified as a pro-convulsant fruit, which was attributed to the its caramboxin and oxalate compounds. Future studies should focus more on utilizing these fruits as possible treatment strategies for epilepsy.

scholarly journals Neurocysticercosis as a probable risk factor for hippocampal sclerosis

2018 ◽  
Vol 76 (11) ◽  
pp. 783-790 ◽  
Author(s):  
Gagandeep Singh ◽  
Josemir W. Sander
Keyword(s):  
Hippocampal Sclerosis ◽  
Taenia Solium ◽  
Population Based ◽  
Temporal Lobectomy ◽  
Epileptogenic Zone ◽  
Drug Resistant ◽  
Common Risk Factors ◽  
Longitudinal Imaging ◽  
Drug Resistant Epilepsy ◽  
Pathology Reports

ABSTRACT Neurocysticercosis is one of the most common risk factors for epilepsy but its association with drug-resistant epilepsy remains uncertain. Conjectures of an association with drug-resistant epilepsy have been fueled by reports of an association between calcific neurocysticercosis lesions (CNL) and hippocampal sclerosis (HS) from specialized epilepsy centers in Taenia solium-endemic regions. The debate arising from these reports is whether the association is causal. Evidence for the association is not high quality but sufficiently persuasive to merit further investigation with longitudinal imaging studies in population-based samples from geographically-diverse regions. The other controversial point is the choice of a surgical approach for drug-resistant epilepsy associated with CNL-HS. Three approaches have been described: standard anteromesial temporal lobectomy, lesionectomy involving a CNL alone and lesionectomy with anteromesial temporal lobectomy (for dual pathology); reports of the latter two approaches are limited. Presurgical evaluation should consider possibilities of delineating the epileptogenic zone/s in accordance with all three approaches.

scholarly journals Stereoelectroencephalography-Guided Radiofrequency Thermocoagulation (SEEG-Guided RF-TC) in Patients with Drug-Resistant Focal Epilepsy

2017 ◽  
Vol 3 (1) ◽  
pp. 40-47
Author(s):  
Chengwei Xu ◽  
Wenjing Zhou
Keyword(s):  
Radio Frequency ◽  
Surgical Resection ◽  
Seizure Frequency ◽  
Palliative Treatment ◽  
Focal Epilepsy ◽  
Epileptogenic Zone ◽  
Drug Resistant ◽  
Functional Area ◽  
Presurgical Evaluation ◽  
Epileptic Patients

For some patients with drug-resistant focal epilepsy, we usually select conventional surgical resection, which has brought better outcomes. However, others are not eligible for a conventional open surgical resection of the epileptogenic zone because of the proximity of a functional area or the implication of a larger epileptogenic network. Initially, stereoelectroencephalography (SEEG) exploration was a method of electroencephalography recording that was used in the presurgical evaluation of epileptic patients with complex epilepsy. Later, intracerebral electrodes used for SEEG were applied to produce radio frequency thermocoagulation (RF-TC) in epileptic patients. SEEG-guided RF-TC has produced some promising results, especially in the last dacade. Now, it has become popular as a palliative treatment to reduce seizure frequency in patients with drug-resistant focal epilepsy. This article presents a review of SEEG-guided RF-TC.

Comparison of Functional Deficit Zone Defined by FDG PET to the Epileptogenic Zones Described in Stereo-Electroencephalograph in Drug-Resistant Epileptic Patients Treated by Surgery

2019 ◽  
Vol 44 (7) ◽  
pp. 526-531 ◽  
Author(s):  
Marie-Soline Montaz-Rosset ◽  
Julia Scholly ◽  
Paul Voulleminot ◽  
François Severac ◽  
Edouard Hirsch ◽  
...  
Keyword(s):  
Fdg Pet ◽  
Drug Resistant ◽  
Functional Deficit ◽  
Epileptic Patients

scholarly journals Prevalence and Incidence of Drug-Resistant Temporal Lobe Epilepsy in Qatar

2020 ◽  
Vol 12 ◽  
pp. 117957352093503
Author(s):  
Boulenouar Mesraoua ◽  
Dirk Deleu ◽  
Hassan J Al Hail ◽  
Gayane Melikyan ◽  
Musab Abdalhalim Ali ◽  
...  
Keyword(s):  
Systematic Review ◽  
Developing Countries ◽  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Hippocampal Sclerosis ◽  
International Literature ◽  
Drug Resistant ◽  
Electronic Database ◽  
Search Terms

Background: Information on the epidemiology of temporal lobe epilepsy associated with hippocampal sclerosis (TLE-HS) from Qatar and the developing countries is scarce. To acquire knowledge on the incidence and prevalence of drug-resistant TLE-HS in Qatar, we designed this analytical and extrapolative systematic review of the existing literature. Material and methods: We searched the electronic database PubMed from 1947 until April, 2018, using the following search terms in the title: “epilepsy” OR “temporal lobe” OR “hippocampal sclerosis” AND “epidemiology” OR “incidence” OR “prevalence.” Relevant original studies, reviews, and their references, were included. We extrapolated from the previous international literature to estimate the epidemiology of drug-resistant TLE-HS in Qatar. Results: The estimated Qatar incidence of epilepsy varies from 50 to 61 per 100 000 persons per year, and the estimated prevalence of epilepsy is 6.54 per 1000 population; the estimated incidence of TLE varies from 9.5 to 11.6 patients per 100 000 population per year and the estimated prevalence of TLE is 1.76 patients per 1000 people, with 4721 patients having TLE in Qatar. Finally, the reviewed studies also helped in making an estimate of the Qatar prevalence of drug-resistant TLE-HS to be between 0.3 and 0.6 cases per 1000 people (804-1609 current patients) and the Qatar incidence of drug-resistant TLE-HS (2.3-4.3 cases per 100 000 people, per year) with 62 to 116 new patients per year. Conclusion: Our study suggests that 804 to 1609 current patients (with 62-116 additional patients per year) in Qatar are suffering from drug-resistant TLE-HS; emphasis should be placed on the surgical aspect of the current Qatar Comprehensive Epilepsy Program.

scholarly journals ABCB1 Polymorphisms and Drug-Resistant Epilepsy in a Tunisian Population

2019 ◽  
Vol 2019 ◽  
pp. 1-16
Author(s):  
Malek Chouchi ◽  
Hedia Klaa ◽  
Ilhem Ben-Youssef Turki ◽  
Lamia Hila
Keyword(s):  
Treatment Response ◽  
Antiepileptic Drugs ◽  
Gene Polymorphisms ◽  
Tunisian Population ◽  
Drug Resistant ◽  
Population Genetic Analysis ◽  
Interindividual Variations ◽  
Treatment Failure Rate ◽  
Epileptic Patients ◽  
Drug Resistant Epilepsy

Background. Epilepsy is one of the most common neurological disorders with about 30% treatment failure rate. An interindividual variations in efficacy of antiepileptic drugs (AEDs) make the treatment of epilepsy challenging, which can be attributed to genetic factors such as ATP-Binding Cassette sub-family B, member1 (ABCB1) gene polymorphisms. Objective. The main objective of the present study is to evaluate the association of ABCB1 C1236T, G2677T, and C3435T polymorphisms with treatment response among Tunisian epileptic patients. Materials and Methods. One hundred epileptic patients, originated from north of Tunisia, were recruited and categorized into 50 drug-resistant and 50 drug-responsive patients treated with antiepileptic drugs (AEDs) as per the International League Against Epilepsy. DNA of patients was extracted and ABCB1 gene polymorphisms studied using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) method. Results. The C1236T, G2677T, and C3435T polymorphisms were involved into AED resistance. Significant genotypic (C1236T TT (p≤0.001); G2677T TT (p=0.001); C3435T TT (p≤0.001)) and allelic associations (C1236T T (3.650, p≤0.001); G2677TT (1.801, p=0.044); C3435T T (4.730, p≤0.001)) with drug resistance epilepsy (DRE) were observed. A significant level of linkage disequilibrium (LD) was also noted between ABCB1 polymorphisms. Patients with the haplotypes CT and TT (C1236T-G2677T); GT, TC, and TT (G2677T-C3435T); CT and TT (C1236T-C3435T); CTT, TTC, TGT, and TTT (C1236T-G2677T-C3435T) were also significantly associated to AED resistance. Conclusions. The response to antiepileptics seems to be modulated by TT genotypes, T alleles, and the predicted haplotypes for the tested SNPs in our population. Genetic analysis is a valuable tool for predicting treatment response and thus will contribute to personalized medicine for Tunisian epileptic patients.

Calcified Neurocysticercus Lesions and Hippocampal Sclerosis: Potential Dual Pathology? (P01.055)

Neurology ◽  
2012 ◽  
Vol 78 (Meeting Abstracts 1) ◽  
pp. P01.055-P01.055
Author(s):  
K. Radhakrishnan ◽  
C. Rathore ◽  
B. Thomas ◽  
C. Kesavadas
Keyword(s):  
Hippocampal Sclerosis ◽  
Dual Pathology
Sign in / Sign up

Export Citation Format

Share Document