J 2016

Cerebellar Dysfunction and Ataxia in Patients with Epilepsy: Coincidence, Consequence, or Cause?

MARCIÁN, Václav, Pavel FILIP, Martin BAREŠ a Milan BRÁZDIL

Základní údaje

Originální název

Cerebellar Dysfunction and Ataxia in Patients with Epilepsy: Coincidence, Consequence, or Cause?

Autoři

MARCIÁN, Václav (703 Slovensko, domácí), Pavel FILIP (203 Česká republika), Martin BAREŠ (203 Česká republika, domácí) a Milan BRÁZDIL (203 Česká republika, garant, domácí)

Vydání

Tremor and Other Hyperkinetic Movements, New York, The Center for Digital Research and Scholarship, Columbia University Libraries / Information Services, 2016, 2160-8288

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30210 Clinical neurology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Kód RIV

RIV/00216224:14110/16:00092463

Organizační jednotka

Lékařská fakulta

UT WoS

000443789200021

Klíčová slova anglicky

Ataxia; epilepsy; seizures; atrophy; stimulation

Štítky

Změněno: 27. 4. 2020 15:20, Mgr. Tereza Miškechová

Anotace

V originále

Basic epilepsy teachings assert that seizures arise from the cerebral cortex, glossing over infratentorial structures such as the cerebellum that are believed to modulate rather than generate seizures. Nonetheless, ataxia and other clinical findings in epileptic patients are slowly but inevitably drawing attention to this neural node. Tracing the evolution of this line of inquiry from the observed coincidence of cerebellar atrophy and cerebellar dysfunction (most apparently manifested as ataxia) in epilepsy to their close association, this review considers converging clinical, physiological, histological, and neuroimaging evidence that support incorporating the cerebellum into epilepsy pathology. We examine reports of still controversial cerebellar epilepsy, studies of cerebellar stimulation alleviating paroxysmal epileptic activity, studies and case reports of cerebellar lesions directly associated with seizures, and conditions in which ataxia is accompanied by epileptic seizures. Finally, the review substantiates the role of this complex brain structure in epilepsy whether by coincidence, as a consequence of deleterious cortical epileptic activity or antiepileptic drugs, or the very cause of the disease.