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Identification of a common brain network associated with lesional epilepsy

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机构: [1]Department of Neurology, Clinical Center for Epilepsy, Xuanwu Hospital, Capital Medical University, NO.45 Changchun Street, Beijing 100053, Xicheng District, China [2]National Center for Neurological Disorders, Beijing 100053, China [3]Chinese Institute for Brain Research, Beijing 100053, China
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关键词: Poststroke epilepsy Lesion network mapping Brain network Neuromodulation

摘要:
Stroke is the leading cause of neurological diseases globally. Remarkably, epilepsy is a common complication of stroke, which greatly impairs the quality of life of patients and poses a significant clinical challenge. Therefore, a better understanding of the risk factors for poststroke epilepsy is crucial. A recent study published in JAMA Neurology studied the brain network associated with poststroke epilepsy in a group of 76 patients compared to a cohort of 625 control patients using lesion mapping techniques. The results showed that negative functional connectivity between lesion locations and regions in the basal ganglia and cerebellum confers a higher risk of developing epilepsy after stroke. The lesion network nodes associated with epilepsy were identical across different lesion types including hematomas, traumas, tumors, and tubers. Furthermore, the poststroke epilepsy brain network has potential therapeutic relevance to deep brain stimulation (DBS). In a cohort of 30 patients, the functional connectivity between anterior thalamic DBS sites and the lesion network nodes was found to correlate with seizure control after DBS. In summary, the finding provides a novel method for predicting the risk of poststroke epilepsy in patients and may guide brain stimulation treatments for epilepsy.

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Q4 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版]

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第一作者机构: [1]Department of Neurology, Clinical Center for Epilepsy, Xuanwu Hospital, Capital Medical University, NO.45 Changchun Street, Beijing 100053, Xicheng District, China [2]National Center for Neurological Disorders, Beijing 100053, China
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通讯机构: [1]Department of Neurology, Clinical Center for Epilepsy, Xuanwu Hospital, Capital Medical University, NO.45 Changchun Street, Beijing 100053, Xicheng District, China [2]National Center for Neurological Disorders, Beijing 100053, China [3]Chinese Institute for Brain Research, Beijing 100053, China
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