当前位置: 首页 > 详情页

Epileptic Network Surgery: From Network Basis to Clinical Practice

文献详情

资源类型:
WOS体系:

收录情况: ◇ SCIE

机构: [1]Beihang Univ, Sch Engn Med, Beijing, Peoples R China [2]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China [4]Beijing Inst Brain Disorders, Beijing, Peoples R China [5]Natl Med Ctr Neurol Dis, Beijing, Peoples R China [6]China Int Neurosci Inst, Beijing, Peoples R China [7]Capital Med Univ, Xuanwu Hosp, Clin Res Ctr Epilepsy, Beijing, Peoples R China [8]Beijing Municipal Geriatr Med Res Ctr, Beijing, Peoples R China
出处:
ISSN:

摘要:
Epilepsy is a common chronic neurologic disorder, with about 30%-40% of patients suffering from recurrent seizures despite receiving enough antiseizure medication. Growing evidence of extensive structural and functional research has revealed that epilepsy is a network disorder, and the network investigation is crucial in the presurgical evaluation. This narrative review is aimed at providing an overview of the conceptual development of epileptic surgery, the epileptic network formation, and the network-oriented strategy in clinical practice. We searched the PubMed database before October 2022 with no language or regional restrictions for studies of network exploration in epilepsy patients. The study eligibility criteria were original connectivity or network research studies using neuroimaging or neurophysiological approaches, focusing on seizure localization, neuropsychological evaluation, neuromodulation, or surgical prognosis. The initial search revealed 2046 studies. The selection process presented 746 papers that meet the inclusion criteria. The results indicated that epilepsy was characterized by the alternation of brain networks, which account for the clinical, electrographic, and neurocognitive phenomena related to human seizures and changes across different disease stages. Hubs have garnered significant attention due to their extensive connections, which make them prone to facilitating the spread of seizures to various brain regions. Unlike the seizure onset zone, the removal of the majority of these ictogenic nodes demonstrated a significant correlation with positive outcomes. Therefore, performing a network analysis during the epilepsy presurgical evaluation seems essential and will influence surgical decisions. It is hoped that studying the network of epilepsy will enhance our ability to determine the most appropriate surgical strategy for patients with epilepsy, thus contributing to success in terms of effective seizure control with maximal sparing or even improvement of brain functioning.

基金:
语种:
WOS:
中科院(CAS)分区:
出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学
JCR分区:
出版当年[2022]版:
Q2 CLINICAL NEUROLOGY
最新[2023]版:
Q2 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者:
第一作者机构: [1]Beihang Univ, Sch Engn Med, Beijing, Peoples R China
共同第一作者:
通讯作者:
通讯机构: [1]Beihang Univ, Sch Engn Med, Beijing, Peoples R China [4]Beijing Inst Brain Disorders, Beijing, Peoples R China [5]Natl Med Ctr Neurol Dis, Beijing, Peoples R China [6]China Int Neurosci Inst, Beijing, Peoples R China [7]Capital Med Univ, Xuanwu Hosp, Clin Res Ctr Epilepsy, Beijing, Peoples R China [8]Beijing Municipal Geriatr Med Res Ctr, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:16409 今日访问量:0 总访问量:869 更新日期:2025-01-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学宣武医院 技术支持:重庆聚合科技有限公司 地址:北京市西城区长椿街45号宣武医院