MARTINKOVIC, L., H. HECIMOVIC, V. SULC, Radek MAREČEK and Petr MARUSIČ. Modern Techniques of Epileptic Focus Localization. In Jiruska P. International Review of Neurobiology. 114th ed. SAN DIEGO: ELSEVIER ACADEMIC PRESS INC, 2014, p. 245-278. Modern Concepts of Focal Epileptic Networks. ISBN 978-0-12-418693-4. Available from: https://dx.doi.org/10.1016/B978-0-12-418693-4.00010-8.
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Basic information
Original name Modern Techniques of Epileptic Focus Localization
Authors MARTINKOVIC, L. (203 Czech Republic), H. HECIMOVIC (191 Croatia), V. SULC (203 Czech Republic), Radek MAREČEK (203 Czech Republic, guarantor, belonging to the institution) and Petr MARUSIČ (203 Czech Republic).
Edition 114. vyd. SAN DIEGO, International Review of Neurobiology, p. 245-278, 34 pp. Modern Concepts of Focal Epileptic Networks, 2014.
Publisher ELSEVIER ACADEMIC PRESS INC
Other information
Original language English
Type of outcome Chapter(s) of a specialized book
Field of Study 30000 3. Medical and Health Sciences
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Publication form printed version "print"
WWW URL
RIV identification code RIV/00216224:14740/14:00079992
Organization unit Central European Institute of Technology
ISBN 978-0-12-418693-4
Doi http://dx.doi.org/10.1016/B978-0-12-418693-4.00010-8
UT WoS 000340439500010
Keywords in English TEMPORAL-LOBE EPILEPSY; POSITRON-EMISSION-TOMOGRAPHY; VOXEL-BASED MORPHOMETRY; GENERALIZED TONICCLONIC SEIZURES
Tags kontrola MP, MP, rivok
Tags International impact, Reviewed
Changed by Changed by: Martina Prášilová, učo 342282. Changed: 7/4/2015 09:45.
Abstract
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.
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