Epilepsia




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سفارش

Artificial intelligence for the detection of focal cortical dysplasia: Challenges in translating algorithms into clinical practice

Lennart Walger, Sophie Adler, Konrad Wagstyl, Leonie Henschel, Bastian David, Valeri Borger, Elke Hattingen, Hartmut Vatter, Christian E. Elger, Torsten Baldeweg, Felix Rosenow, Horst Urbach, Albert Becker, Alexander Radbruch, Rainer Surges, Martin Reuter, Fernando Cendes, Zhong Irene Wang, Hans-Jürgen Huppertz, Theodor Rüber

doi : 10.1111/epi.17522

Focal cortical dysplasias (FCDs) are malformations of cortical development and one of the most common pathologies causing pharmacoresistant focal epilepsy. Resective neurosurgery yields high success rates, especially if the full extent of the lesion is correctly identified and completely removed.

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The etiology and mortality of new-onset refractory status epilepticus (NORSE) in adults: A systematic review and meta-analysis

Thahesh Tharmaraja, Jamie Sin Ying Ho, Aidan Neligan, Sanjeev Rajakulendran

doi : 10.1111/epi.17523

New-onset refractory status epilepticus (NORSE) is a devastating neurological presentation. There is a paucity of large studies on NORSE as it is a relatively new clinical syndrome. The aim of this review was to summarize the etiologies and establish a mortality rate for NORSE.

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Prognostic interictal electroencephalographic biomarkers and models to assess antiseizure medication efficacy for clinical practice: A scoping review

Ashley Reynolds, Michaela Vranic-Peters, Alan Lai, David B. Grayden, Mark J. Cook, Andre Peterson

doi : 10.1111/epi.17548

Antiseizure medication (ASM) is the primary treatment for epilepsy. In clinical practice, methods to assess ASM efficacy (predict seizure freedom or seizure reduction), during any phase of the drug treatment lifecycle, are limited.

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Animal models and human tissue compared to better understand and treat the epilepsies

Giampaolo Milior, Mélanie Morin-Brureau, Johan Pallud, Richard Miles, Gilles Huberfeld

doi : 10.1111/epi.17552

Animal models of human brain disorders permit researchers to explore disease mechanisms and to test potential therapies. However, therapeutic molecules derived from animal models often translate poorly to the clinic.

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Can machine learning solve this one? Clinical pitfalls in surgical outcome prediction

Daniel M. Goldenholz

doi : 10.1111/epi.17559

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Are AI language models such as ChatGPT ready to improve the care of individuals with epilepsy?

Christian M. Boßelmann, Costin Leu, Dennis Lal

doi : 10.1111/epi.17570

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Critical role of the ventral temporal lobe in naming

Kathryn M. Snyder, Kiefer J. Forseth, Cristian Donos, Patrick S. Rollo, Simon Fischer-Baum, Joshua Breier, Nitin Tandon

doi : 10.1111/epi.17555

Lexical retrieval deficits are characteristic of a variety of different neurological disorders. However, the exact substrates responsible for this are not known. We studied a large cohort of patients undergoing surgery in the dominant temporal lobe for medically intractable epilepsy (n = 95) to localize brain regions that were associated with anomia.

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Not surgical technique, but etiology, contralateral MRI, prior surgery, and side of surgery determine seizure outcome after pediatric hemispherotomy

Georgia Ramantani, Christine Bulteau, Dorottya Cserpan, Willem M. Otte, Georg Dorfmüller, J. Helen Cross, Josef Zentner, Martin Tisdall, Kees P. J. Braun

doi : 10.1111/epi.17574

We aimed to assess determinants of seizure outcome following pediatric hemispherotomy in a contemporary cohort.

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Adjunctive cenobamate in highly active and ultra-refractory focal epilepsy: A “real-world� retrospective study

Javier Peña-Ceballos, Patrick B. Moloney, Tudor Munteanu, Michael Doyle, Niamh Colleran, Brenda Liggan, Annette Breen, Sinead Murphy, Hany El-Naggar, Peter Widdess-Walsh, Norman Delanty

doi : 10.1111/epi.17549

Recent clinical trials have shown that cenobamate substantially improves seizure control in focal-onset drug-resistant epilepsy (DRE). However, little is known about cenobamate's performance in highly active (≥20 seizures/month) and ultra-refractory focal epilepsy (≥6 failed epilepsy treatments, including antiseizure medications [ASMs], epilepsy surgery, and vagus nerve stimulation). Here, we studied cenobamate's efficacy and tolerability in a “real-world� severe DRE cohort.

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A pharmacokinetic model of antiseizure medication load to guide care in the epilepsy monitoring unit

Nina J. Ghosn, Kevin Xie, Akash R. Pattnaik, James J. Gugger, Colin A. Ellis, Elizabeth Sweeney, Emily Fox, John M. Bernabei, Jenaye Johnson, Jacqueline Boccanfuso, Brian Litt, Erin C. Conrad

doi : 10.1111/epi.17558

Evaluating patients with drug-resistant epilepsy often requires inducing seizures by tapering antiseizure medications (ASMs) in the epilepsy monitoring unit (EMU). The relationship between ASM taper strategy, seizure timing, and severity remains unclear.

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Should substitution monotherapy or combination therapy be used after failure of the first antiseizure medication? Observations from a 30-year cohort study

Haris Hakeem, Bshra Ali A. Alsfouk, Patrick Kwan, Martin J. Brodie, Zhibin Chen

doi : 10.1111/epi.17573

To assess the temporal trends in the use of second antiseizure (ASM) regimens and compare the efficacy of substitution monotherapy and combination therapy after failure of initial monotherapy in people with epilepsy.

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Effects of dosage in new users of lamotrigine inducing epidermal necrolysis: Results of the German Registry of Severe Skin Reactions

Sophie Diederich, Ulrich Hemmeter, Maren Paulmann, Maja Mockenhaupt

doi : 10.1111/epi.17563

This study was undertaken to determine the impact of dosage in new users of lamotrigine (LTG) and the concomitant intake of valproic acid (VPA) on epidermal necrolysis (EN).

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Mortality after a first-ever unprovoked seizure

Elaine W. Pang, Nicholas D. Lawn, Judy Lee, John W. Dunne

doi : 10.1111/epi.17567

Although increased mortality associated with epilepsy is well understood, data in patients after their first-ever seizure are limited. We aimed to assess mortality after a first-ever unprovoked seizure and identify causes of death (CODs) and risk factors.

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Altered spreading of neuronal avalanches in temporal lobe epilepsy relates to cognitive performance: A resting-state hdEEG study

Gian Marco Duma, Alberto Danieli, Giovanni Mento, Valerio Vitale, Raffaella Scotto Opipari, Viktor Jirsa, Paolo Bonanni, Pierpaolo Sorrentino

doi : 10.1111/epi.17551

Large aperiodic bursts of activations named neuronal avalanches have been used to characterize whole-brain activity, as their presence typically relates to optimal dynamics. Epilepsy is characterized by alterations in large-scale brain network dynamics.

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Concordance between focal brain temperature elevations and focal edema in temporal lobe epilepsy

Ayushe A. Sharma, Rodolphe Nenert, Adam Goodman, Jerzy P. Szaflarski

doi : 10.1111/epi.17538

Neuroinflammation (NI) is a pathophysiological factor in many neurological disorders, including epilepsy. Because NI causes microstructural tissue damage that worsens with increasing brain temperature, abnormally elevated brain temperatures may be a surrogate measure of the biochemical consequences of NI.

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Resting state functional connectivity demonstrates increased segregation in bilateral temporal lobe epilepsy

Alfredo Lucas, Eli J. Cornblath, Nishant Sinha, Peter Hadar, Lorenzo Caciagli, Simon S. Keller, Leonardo Bonilha, Russell T. Shinohara, Joel M. Stein, Sandhitsu Das, Ezequiel Gleichgerrcht, Kathryn A. Davis

doi : 10.1111/epi.17565

Temporal lobe epilepsy (TLE) is the most common type of focal epilepsy. An increasingly identified subset of patients with TLE consists of those who show bilaterally independent temporal lobe seizures. The purpose of this study was to leverage network neuroscience to better understand the interictal whole brain network of bilateral TLE (BiTLE).

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SCN1A gain-of-function mutation causing an early onset epileptic encephalopathy

Jérôme Clatot, Shridhar Parthasarathy, Stacey Cohen, Jillian L. McKee, Shavonne Massey, Ala Somarowthu, Ethan M. Goldberg, Ingo Helbig

doi : 10.1111/epi.17444

Loss-of-function variants in SCN1A cause Dravet syndrome, the most common genetic developmental and epileptic encephalopathy (DEE). However, emerging evidence suggests separate entities of SCN1A-related disorders due to gain-of-function variants. Here, we aim to refine the clinical, genetic, and functional electrophysiological features of a recurrent p.R1636Q gain-of-function variant, identified in four individuals at a single center.

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Gain of function SCN1A disease-causing variants: Expanding the phenotypic spectrum and functional studies guiding the choice of effective antiseizure medication

Sara Matricardi, Sandrine Cestèle, Marina Trivisano, Benedetta Kassabian, Nathalie Leroudier, Roberta Vittorini, Margherita Nosadini, Elisabetta Cesaroni, Sabrina Siliquini, Cristina Marinaccio, Francesca Longaretti, Barbara Podestà, Francesca Felicia Operto, Concetta Luisi, Stefano Sartori, Clementina Boniver, Nicola Specchio, Federico Vigevano, Carla Marini, Massimo Mantegazza

doi : 10.1111/epi.17509

This study was undertaken to refine the spectrum of SCN1A epileptic disorders other than Dravet syndrome (DS) and genetic epilepsy with febrile seizures plus (GEFS+) and optimize antiseizure management by correlating phenotype–genotype relationship and functional consequences of SCN1A variants in a cohort of patients.

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The fascinating phenotypic spectrum of SCN1A gain-of-function epilepsies

Ingrid E. Scheffer

doi : 10.1111/epi.17562

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WWOX developmental and epileptic encephalopathy: Understanding the epileptology and the mortality risk

Karen L. Oliver, Marina Trivisano, Simone A. Mandelstam, Angela De Dominicis, David I. Francis, Timothy E. Green, Alison M. Muir, Apoorva Chowdhary, Christoph Hertzberg, Klaus Goldhahn, Julia Metreau, Christine Prager, Jason Pinner, Michael Cardamone, Kenneth A. Myers, Richard J. Leventer, Gaetan Lesca, Melanie Bahlo, Michael S. Hildebrand, Heather C. Mefford, Angela M. Kaindl, Nicola Specchio, Ingrid E. Scheffer

doi : 10.1111/epi.17542

WWOX is an autosomal recessive cause of early infantile developmental and epileptic encephalopathy (WWOX-DEE), also known as WOREE (WWOX-related epileptic encephalopathy). We analyzed the epileptology and imaging features of WWOX-DEE, and investigated genotype–phenotype correlations, particularly with regard to survival.

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Genes4Epilepsy: An epilepsy gene resource

Karen L. Oliver, Ingrid E. Scheffer, Mark F. Bennett, Bronwyn E. Grinton, Melanie Bahlo, Samuel F. Berkovic

doi : 10.1111/epi.17547

“How many epilepsy genes are there?� is a frequently asked question. We sought to (1) provide a curated list of genes that cause monogenic epilepsies, and (2) compare and contrast epilepsy gene panels from multiple sources.

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Antiepileptogenic effects of trilostane in the kainic acid model of temporal lobe epilepsy

Anna Maria Costa, Mohammad Gol, Chiara Lucchi, Giuseppe Biagini

doi : 10.1111/epi.17561

Epileptogenesis after status epilepticus (SE) has a faster onset in rats treated to reduce brain levels of the anticonvulsant neurosteroid allopregnanolone with the 5α-reductase inhibitor finasteride; however, it still has to be evaluated whether treatments aimed at increasing allopregnanolone levels could result in the opposite effect of delaying epileptogenesis.

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Attenuation of initial pilocarpine-induced electrographic seizures by methionine sulfoximine pretreatment tightly correlates with the reduction of extracellular taurine in the hippocampus

Marek Pawlik, Anna Maria Czarnecka, Marcin KoÅ‚odziej, Katarzyna SkowroÅ„ska, MichaÅ‚ WÄ™grzynowicz, Martyna Podgajna, StanisÅ‚aw Jerzy Czuczwar, Jan Albrecht

doi : 10.1111/epi.17554

Initiation and development of early seizures by chemical stimuli is associated with brain cell swelling resulting in edema of seizure-vulnerable brain regions. We previously reported that pretreatment with a nonconvulsive dose of glutamine (Gln) synthetase inhibitor methionine sulfoximine (MSO) mitigates the intensity of initial pilocarpine (Pilo)-induced seizures in juvenile rats.

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Natural history variations for neuronal ceroid lipofuscinosis type 2: In support of newborn screening

Andrea Cabassa Miskimen, Lilian L. Cohen, Elissa G. Yozawitz, Zachary M. Grinspan

doi : 10.1111/epi.17544

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Epilepsia – May 2023 – Announcements

doi : 10.1111/epi.17615

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Stimulation better targets fast-ripple generating networks in super responders to the responsive neurostimulator system

Shennan Aibel Weiss, Dawn Eliashiv, John Stern, Daniel Rubinstein, Itzhak Fried, Chengyuan Wu, Ashwini Sharan, Jerome Engel, Richard Staba, Michael R. Sperling

doi : 10.1111/epi.17582

How responsive neurostimulation (RNS) decreases seizure frequency is unclear. Stimulation may alter epileptic networks during inter-ictal epochs. Definitions of the epileptic network vary but fast ripples (FRs) may be an important substrate.

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Reasons for ineligibility for clinical trials of patients with medication-resistant epilepsy

Wesley T. Kerr, Hai Chen, Mariana Figuera Losada, Christopher Cheng, Tiffany Liu, Jaqueline French

doi : 10.1111/epi.17568

Selection criteria for clinical trials for medication-resistant epilepsy are used to limit variability and to ensure safety. However, it has become more challenging to recruit subjects for trials.

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Primidone improves symptoms in TRPM3-linked developmental and epileptic encephalopathy with spike-and-wave activation in sleep

Lena-Luise Becker, Denise Horn, Felix Boschann, Evelien Van Hoeymissen, Thomas Voets, Joris Vriens, Christine Prager, Angela M. Kaindl

doi : 10.1111/epi.17586

Developmental and epileptic encephalopathy with continuous spike-and-wave activation in sleep (CSWS) or DEE-SWAS is an age-dependent disease, often accompanied by a decline in cognitive abilities.

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Health-related quality of life in adults with drug-resistant focal epilepsy treated with modified Atkins diet in a randomized clinical trial

Magnhild Kverneland, Karl Otto Nakken, Dag Hofoss, Annette Holth Skogan, Per Ole Iversen, Kaja Kristine Selmer, Morten Ingvar Lossius

doi : 10.1111/epi.17585

Ketogenic diet, a high-fat, low-carbohydrate diet, is an established treatment for patients with severe epilepsy. We have previously reported a moderate reduction in seizure frequency after treatment with a modified Atkins diet.

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Which is more deleterious to cognitive performance? Interictal epileptiform discharges vs anti-seizure medication

Nebras M. Warsi, Simeon M. Wong, Carolina Gorodetsky, Hrishikesh Suresh, Olivia N. Arski, Mark Ebden, Elizabeth N. Kerr, Mary Lou Smith, Ivanna Yau, Ayako Ochi, Hiroshi Otsubo, Rohit Sharma, Puneet Jain, Shelly Weiss, Elizabeth J. Donner, O. Carter Snead, George M. Ibrahim

doi : 10.1111/epi.17556

Children with epilepsy commonly have comorbid neurocognitive impairments that severely affect their psychosocial well-being, education, and future career prospects. Although the provenance of these deficits is multifactorial, the effects of interictal epileptiform discharges (IEDs) and anti-seizure medications (ASMs) are thought to be particularly severe.

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Distinct genetic basis of common epilepsies and structural magnetic resonance imaging measures

Remi Stevelink, Bobby P. C. Koeleman, Sanjay M. Sisodiya, International League Against Epilepsy Consortium on Complex Epilepsies

doi : 10.1111/epi.17529

Focal and generalized epilepsies are associated with robust differences in magnetic resonance imaging (MRI) measures of subcortical structures, gray matter, and white matter.

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