C 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.