Epilepsia




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سفارش

Time-to-event clinical trial designs: Existing evidence and remaining concerns

Wesley T. Kerr, Stéphane Auvin, Serge Van der Geyten, Christopher Kenney, Gerald Novak, Nathan B. Fountain, Caitlin Grzeskowiak, Jacqueline A. French

doi : 10.1111/epi.17621

Well-designed placebo-controlled clinical trials are critical to the development of novel treatments for epilepsy, but their design has not changed for decades. Patients, clinicians, regulators, and innovators all have concerns that recruiting for trials is challenging, in part, due to the static design of maintaining participants for long periods on add-on placebo when there are an increasing number of options for therapy.

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Impact of epilepsy surgery on quality of life: Systematic review and meta-analysis

Lubna Shakhatreh, Emma Foster, Pakeeran Siriratnam, Andrew Neal, Patrick W. Carney, Graeme D. Jackson, Terence J. O'Brien, Patrick Kwan, Zhibin Chen, Zanfina Ademi

doi : 10.1111/epi.17644

Improved quality of life (QoL) is an important outcome goal following epilepsy surgery. This study aims to quantify change in QoL for adults with drug-resistant epilepsy (DRE) who undergo epilepsy surgery, and to explore clinicodemographic factors associated with these changes. We conducted a systematic review and meta-analysis using Medline, Embase, and Cochrane Central Register of Controlled Trials.

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A meta-analytic review of the effectiveness of psychological treatment of functional/dissociative seizures on non-seizure outcomes in adults

Chris Gaskell, Niall Power, Barbora Novakova, Melanie Simmonds-Buckley, Markus Reuber, Stephen Kellett, Gregg H. Rawlings

doi : 10.1111/epi.17626

Psychological therapies are considered the treatment of choice for functional/dissociative seizures (FDSs). Although most previous studies have focused on seizure persistence or frequency, it has been argued that well-being or health-related quality of life outcomes may actually be more meaningful.

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Twenty-four hour pattern of childhood febrile seizures substantiated by time series meta-analysis: Circadian medicine perspectives

Michael H. Smolensky, Ami P. Shah, José R. Fernández, Linda Sackett-Lundeen, Ramon C. Hermida

doi : 10.1111/epi.17639

Major objectives of this work were to: (1) substantiate the 24-hour pattern in the occurrence of childhood febrile seizures (CFSs) by a novel time series meta-analysis of past reported time-of-day data and (2) discuss its potential circadian rhythm-dependencies.

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Intracerebroventricular administration for delivery of antiseizure therapeutics: Challenges and opportunities

Firas Fahoum, Sara Eyal

doi : 10.1111/epi.17625

Intracerebroventricular (ICV) administration is increasingly being explored as a means for delivering antiseizure and antiepileptic therapies to epileptic brain tissue. This route bypasses the blood–brain barrier, thus enabling the delivery of therapeutics that are restricted from the brain, while reducing the risk of systemic adverse reactions.

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Integrated psychological care services within seizure settings: Key components and implementation factors among example services in four ILAE regions: A report by the ILAE Psychiatry Commission

Milena Gandy, Rosa Michaelis, Jayne Acraman, Kirsten A. Donald, Michael Fitzpatrick, W. Curt LaFrance Jr., Seth A. Margolis, Avani C. Modi, Markus Reuber, Venus Tang, Zoe Thayer, Kirsten Verity, Janelle L. Wagner, Jo Wilmshurst, Sarah Whittaker, Heidi M. Munger Clary

doi : 10.1111/epi.17647

Mental health comorbidities are prevalent and problematic in patients with seizures but often suboptimally managed. To address common gaps in care, the Integrated Mental Health Care Pathways Task Force of the International League Against Epilepsy (ILAE) Psychiatry Commission was tasked with providing education and guidance on the integration of mental health management (e.g., screening, referral, treatment) into routine seizure care.

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Life following epilepsy surgery: Building a holistic framework for enhancing postsurgical recovery and rehabilitation

Lorryn Delle Baite, Evelyn E. Harvey, Michael W. K. Fong, Aileen McGonigal, Sarah J. Wilson

doi : 10.1111/epi.17646

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Automated, machine learning–based alerts increase epilepsy surgery referrals: A randomized controlled trial

Benjamin D. Wissel, Hansel M. Greiner, Tracy A. Glauser, Francesco T. Mangano, Katherine D. Holland-Bouley, Nanhua Zhang, Rhonda D. Szczesniak, Daniel Santel, John P. Pestian, Judith W. Dexheimer

doi : 10.1111/epi.17629

To determine whether automated, electronic alerts increased referrals for epilepsy surgery.

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Hemispherotomy in children: A retrospective analysis of 152 surgeries at a single center and predictors for long-term seizure outcome

Thilo Kalbhenn, Thomas Cloppenborg, Friedrich G. Woermann, Anne Hagemann, Tilman Polster, Roland Coras, Ingmar Blümcke, Christian G. Bien, Matthias Simon

doi : 10.1111/epi.17632

Completeness as a predictor of seizure freedom is broadly accepted in epilepsy surgery. We focused on the requirements for a complete hemispherotomy and hypothesized that the disconnection of the insula contributes to a favorable postoperative seizure outcome. We analyzed surgical and nonsurgical predictors influencing long-term seizure outcome before and after a modification of our hemispherotomy technique.

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Seizure-free days as a novel outcome in patients with Lennox–Gastaut syndrome: Post hoc analysis of patients receiving cannabidiol in two randomized controlled trials

Stéphane Auvin, Charlotte Nortvedt, Douglas S. Fuller, Farhad Sahebkar

doi : 10.1111/epi.17618

In this post hoc analysis, we aimed to assess seizure-free days as a potential new outcome measure to use in randomized placebo-controlled trials (RCTs) of patients with Lennox–Gastaut syndrome (LGS).

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Epileptic spasms in CDKL5 deficiency disorder: Delayed treatment and poor response to first-line therapies

Heather E. Olson, Scott Demarest, Elia Pestana-Knight, Ahsan N. Moosa, Xiaoming Zhang, José R. Pérez-Pérez, Judy Weisenberg, Erin O’Connor Prange, Eric D. Marsh, Rajsekar R. Rajaraman, Bernhard Suter, Akshat Katyayan, Isabel Haviland, Carolyn Daniels, Bo Zhang, Caitlin Greene, Michelle DeLeo, Lindsay Swanson, Jamie Love-Nichols, Timothy Benke, Chellamani Harini, Annapurna Poduri

doi : 10.1111/epi.17630

We aimed to assess the treatment response of infantile-onset epileptic spasms (ES) in CDKL5 deficiency disorder (CDD) vs other etiologies.

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Recognition and epileptology of protracted CLN3 disease

Jillian M. Cameron, John A. Damiano, Bronwyn Grinton, Patrick W. Carney, Penny McKelvie, Peter Silbert, Nicholas Lawn, Ingrid E. Scheffer, Karen L. Oliver, Michael S. Hildebrand, Samuel F. Berkovic

doi : 10.1111/epi.17616

This study was undertaken to analyze phenotypic features of a cohort of patients with protracted CLN3 disease to improve recognition of the disorder.

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Predicting posttraumatic epilepsy using admission electroencephalography after severe traumatic brain injury

Matthew Pease, Jonathan Elmer, Ameneh Zare Shahabadi, Arka N. Mallela, Juan F. Ruiz-Rodriguez, Daniel Sexton, Niravkumar Barot, Jorge A. Gonzalez-Martinez, Lori Shutter, David O. Okonkwo, James F. Castellano

doi : 10.1111/epi.17622

Posttraumatic epilepsy (PTE) develops in as many as one third of severe traumatic brain injury (TBI) patients, often years after injury. Analysis of early electroencephalographic (EEG) features, by both standardized visual interpretation (viEEG) and quantitative EEG (qEEG) analysis, may aid early identification of patients at high risk for PTE.

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Time-dependent risk factors for epileptic seizures in glioblastoma patients: A retrospective analysis of 520 cases

Jenny Stritzelberger, Anna Gesmann, Imke Fuhrmann, Sebastian Brandner, Tamara M. Welte, Stefanie Balk, Felix Eisenhut, Arnd Dörfler, Roland Coras, Werner Adler, Stefan Schwab, Florian Putz, Rainer Fietkau, Luitpold Distel, Hajo Hamer

doi : 10.1111/epi.17658

Epilepsy is a common comorbidity of glioblastoma. Seizures may occur in various phases of the disease. We aimed to assess potential risk factors for seizures in accordance with the point in time at which they occurred.

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Characterizing the treatment gap in the United States among adult patients with a new diagnosis of epilepsy

Barbara M. Decker, Colin A. Ellis, Emily Schriver, Kelly Fischbein, Debbie Smith, Jason T. Moyer, Catherine V. Kulick-Soper, Danielle Mowery, Brian Litt, Chloe E. Hill

doi : 10.1111/epi.17641

Epilepsy is largely a treatable condition with antiseizure medication (ASM). Recent national administrative claims data suggest one third of newly diagnosed adult epilepsy patients remain untreated 3 years after diagnosis. We aimed to quantify and characterize this treatment gap within a large US academic health system leveraging the electronic health record for enriched clinical detail.

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The “make or break� impact of family dynamics on psychological outcomes in focal epilepsy

Genevieve Rayner, Jessamae Pieters, Grace Broomfield, Jacquie Eyres, Jasmine Schipp, Sarah J. Wilson

doi : 10.1111/epi.17619

Living with epilepsy can shape the dynamics of the whole family unit. The first objective of this study was to establish the reliability and validity of our purpose-built online family mapping tool: “Living with Epilepsy.

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Domain-specific relationships of subjective and objective cognition in epilepsy

Louisa Hohmann, Justus Berger, Shirley-Uloma Kastell, Martin Holtkamp

doi : 10.1111/epi.17624

Many people with epilepsy report subjective cognitive impairment (SCI), i.e., problems with memory, attention, or executive functions, reducing quality of life. Nevertheless, overlap with objective cognitive impairment (OCI) is often weak.

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Long-term epilepsy outcome dynamics revealed by natural language processing of clinic notes

Kevin Xie, Ryan S. Gallagher, Russell T. Shinohara, Sharon X. Xie, Chloe E. Hill, Erin C. Conrad, Kathryn A. Davis, Dan Roth, Brian Litt, Colin A. Ellis

doi : 10.1111/epi.17633

Electronic medical records allow for retrospective clinical research with large patient cohorts. However, epilepsy outcomes are often contained in free text notes that are difficult to mine. We recently developed and validated novel natural language processing (NLP) algorithms to automatically extract key epilepsy outcome measures from clinic notes. In this study, we assessed the feasibility of extracting these measures to study the natural history of epilepsy at our center.

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Flexible, high-resolution cortical arrays with large coverage capture microscale high-frequency oscillations in patients with epilepsy

Katrina J. Barth, James Sun, Chia-Han Chiang, Shaoyu Qiao, Charles Wang, Shervin Rahimpour, Michael Trumpis, Suseendrakumar Duraivel, Agrita Dubey, Katie E. Wingel, Alex E. Voinas, Breonna Ferrentino, Werner Doyle, Derek G. Southwell, Michael M. Haglund, Matthew Vestal, Stephen C. Harward, Florian Solzbacher, Sasha Devore, Orrin Devinsky, Daniel Friedman, Bijan Pesaran, Saurabh R. Sinha, Gregory B. Cogan, Justin Blanco, Jonathan Viventi

doi : 10.1111/epi.17642

Effective surgical treatment of drug-resistant epilepsy depends on accurate localization of the epileptogenic zone (EZ). High-frequency oscillations (HFOs) are potential biomarkers of the EZ.

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Stimulation-induced respiratory enhancement in corticothalamic regions

Blanca Talavera, Ganne Chaitanya, Norma Hupp, Sandipan Pati, Johnson P. Hampson, Xi Luo, Jaison Hampson, Yash S. Vakilna, M. R. Sandhya Rani, Rabeha Noor, John C. Mosher, Nitin Tandon, Samden D. Lhatoo, Nuria Lacuey

doi : 10.1111/epi.17635

We aimed to identify corticothalamic areas and electrical stimulation paradigms that optimally enhance breathing.

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Excitatory–inhibitory mismatch shapes node recruitment in an epileptic network

Peijuan Luo, Fan Yang, Jing Li, James E. Niemeyer, Fengrui Zhan, Joshua Estin, Mingrui Zhao, Dan Li, Weihong Lin, Jyun-You Liou, Hongtao Ma, Theodore H. Schwartz

doi : 10.1111/epi.17638

Focal epilepsy is thought to be a network disease, in which epileptiform activity can spread noncontiguously through the brain via highly interconnected nodes, or hubs, within existing networks. Animal models confirming this hypothesis are scarce, and our understanding of how distant nodes are recruited is also lacking. Whether interictal spikes (IISs) also create and reverberate through a network is not well understood.

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Antiseizure medications in the World Health Organization list of “essential medicines�

Ali A. Asadi-Pooya, Alla Guekht

doi : 10.1111/epi.17649

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Epilepsia�July 2023�Announcements

doi : 10.1111/epi.17681

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Correction to “Heterozygous GABAA receptor β3 subunit N110D knock-in mice have epileptic spasms�

doi : 10.1111/epi.17667

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Chronic intracranial recordings after resection for epilepsy reveal a "running down" of epileptiform activity

Bornali Kundu, Chantel M. Charlebois, Daria Nesterovich Anderson, Angela Peters, John D. Rolston

doi : 10.1111/epi.17645

We describe an electrical "running down" phenomenon and also a consistent spectral change (in the aperiodic component of the power spectrum) derived from chronic interictal electrocorticography (ECoG) after surgery in a patient with drug-resistant epilepsy. These data were recorded using a closed-loop neurostimulation system that was implanted after resection.

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Ezogabine impacts seizures and development in patients with KCNQ2 developmental and epileptic encephalopathy

Devon Knight, Sonal Mahida, Mckenna Kelly, Annapurna Poduri, Heather E. Olson

doi : 10.1111/epi.17627

Genetic variants in KCNQ2 are associated with a range of epilepsies, from self- limited (familial) neonatal-infantile epilepsy to developmental and epileptic encephalopathy (DEE). We retrospectively reviewed clinical data from eight patients with KCNQ2-related DEE who were treated with ezogabine.

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A novel KCNC1 gain-of-function variant causing developmental and epileptic encephalopathy: “Precision medicine� approach with fluoxetine

Paolo Ambrosino, Francesca Ragona, Ilaria Mosca, Chiara Vannicola, Laura Canafoglia, Roberta Solazzi, Ilaria Rivolta, Elena Freri, Tiziana Granata, Giuliana Messina, Barbara Castellotti, Cinzia Gellera, Maria Virginia Soldovieri, Jacopo Cosimo DiFrancesco, Maurizio Taglialatela

doi : 10.1111/epi.17656

Variable phenotypes, including developmental encephalopathy with (DEE) or without seizures and myoclonic epilepsy and ataxia due to potassium channel mutation, are caused by pathogenetic variants in KCNC1, encoding for Kv3.1 channel subunits.

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