MARCIÁN, Václav, Pavel FILIP, Martin BAREŠ and Milan BRÁZDIL. Cerebellar Dysfunction and Ataxia in Patients with Epilepsy: Coincidence, Consequence, or Cause? Tremor and Other Hyperkinetic Movements. New York: The Center for Digital Research and Scholarship, Columbia University Libraries / Information Services, 2016, vol. 2016, No 6, p. 1-12. ISSN 2160-8288. Available from: https://dx.doi.org/10.7916/D8KH0NBT.
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Basic information
Original name Cerebellar Dysfunction and Ataxia in Patients with Epilepsy: Coincidence, Consequence, or Cause?
Authors MARCIÁN, Václav (703 Slovakia, belonging to the institution), Pavel FILIP (203 Czech Republic), Martin BAREŠ (203 Czech Republic, belonging to the institution) and Milan BRÁZDIL (203 Czech Republic, guarantor, belonging to the institution).
Edition Tremor and Other Hyperkinetic Movements, New York, The Center for Digital Research and Scholarship, Columbia University Libraries / Information Services, 2016, 2160-8288.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30210 Clinical neurology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/16:00092463
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.7916/D8KH0NBT
UT WoS 000443789200021
Keywords in English Ataxia; epilepsy; seizures; atrophy; stimulation
Tags EL OK
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 27/4/2020 15:20.
Abstract
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.
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