机构:[1]Beihang Univ, Sch Engn Med, Beijing, Peoples R China[2]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing, Peoples R China首都医科大学宣武医院[3]Capital Med Univ, Xuanwu Hosp, Dept Neurol, Beijing, Peoples R China首都医科大学宣武医院[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首都医科大学宣武医院[8]Beijing Municipal Geriatr Med Res Ctr, Beijing, Peoples R China
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:
National Natural Science Foundation of China [82030037, 81871009, 82071454]; National Key R&D Program of China [2021ZD0201801]; Beijing Municipal Health Commission [2022-2-2011, 11000022T000000444685]; Natural Science Foundation of Beijing Municipality [7202062]; Beijing Municipal Science & Technology Commission [Z211100002921032]; Cooperation Project of Chinese Institute for Brain Research [2020-NKX-XM-13]; Fundamental Research Funds for the Central Universities [KG16115101]
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):
Wang Di,Zhang Huaqiang,Fan Xiaotong,et al.Epileptic Network Surgery: From Network Basis to Clinical Practice[J].ACTA NEUROLOGICA SCANDINAVICA.2024,2024:doi:10.1155/2024/1735404.
APA:
Wang, Di,Zhang, Huaqiang,Fan, Xiaotong,Yang, Yanfeng,Ren, Liankun...&Zhao, Guoguang.(2024).Epileptic Network Surgery: From Network Basis to Clinical Practice.ACTA NEUROLOGICA SCANDINAVICA,2024,
MLA:
Wang, Di,et al."Epileptic Network Surgery: From Network Basis to Clinical Practice".ACTA NEUROLOGICA SCANDINAVICA 2024.(2024)