2014
Modern Techniques of Epileptic Focus Localization
MARTINKOVIC, L., H. HECIMOVIC, V. SULC, Radek MAREČEK, Petr MARUSIČ et. al.Základní údaje
Originální název
Modern Techniques of Epileptic Focus Localization
Autoři
MARTINKOVIC, L. (203 Česká republika), H. HECIMOVIC (191 Chorvatsko), V. SULC (203 Česká republika), Radek MAREČEK (203 Česká republika, garant, domácí) a Petr MARUSIČ (203 Česká republika)
Vydání
114. vyd. SAN DIEGO, International Review of Neurobiology, od s. 245-278, 34 s. Modern Concepts of Focal Epileptic Networks, 2014
Nakladatel
ELSEVIER ACADEMIC PRESS INC
Další údaje
Jazyk
angličtina
Typ výsledku
Kapitola resp. kapitoly v odborné knize
Obor
30000 3. Medical and Health Sciences
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Forma vydání
tištěná verze "print"
Odkazy
Kód RIV
RIV/00216224:14740/14:00079992
Organizační jednotka
Středoevropský technologický institut
ISBN
978-0-12-418693-4
UT WoS
000340439500010
Klíčová slova anglicky
TEMPORAL-LOBE EPILEPSY; POSITRON-EMISSION-TOMOGRAPHY; VOXEL-BASED MORPHOMETRY; GENERALIZED TONICCLONIC SEIZURES
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 7. 4. 2015 09:45, Martina Prášilová
Anotace
V originále
A clear concept of epileptic zones remains of high clinical relevance in presurgical evaluation of refractory epilepsy patients and in resection planning. Recent advances in understanding how each of the epileptic zones is functionally organized strengthened the importance of the network concept. It has been shown that neuronal networks underlying the individual epileptic zone may involve multiple brain structures with complex interactions between them. The network concept has impact not only for better understanding of pathophysiology of partial epilepsy but also for clinical practice, particularly for epilepsy surgery. This review examines recent reports on the use of advanced imaging techniques which enable to map the epileptic zones and their structural and functional organization. Magnetic resonance postprocessing substantially improved the accuracy in detection of the epileptogenic lesions. The seizure-onset zone is primarily determined by electrophysiology but can also be localized using single photon emission computed tomography. The functional deficit zone is commonly assessed by a number of tests including methods of functional neuroimaging (positron emission tomography) which can delineate hypometabolic cortical areas and subcortical structures. Hemodynamic fluctuations associated with interictal epileptiform discharges can be detected by novel functional magnetic resonance technique which is nowadays widely used for the irritative zone localization. These techniques open new prospect for epilepsy surgery in patients who were previously considered as not suitable candidates of surgical treatment.