机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Lab Diag Ctr, Beijing 100050, Peoples R China;首都医科大学附属天坛医院[2]Chinese Peoples Liberat Army Gen Hosp, Affiliated Hosp 1, Dept Neurosurg, Capital Epilepsy Therapy Ctr, Beijing 100048, Peoples R China
A large number of epileptic patients suffer from refractory epilepsy, despite optimal treatment; thus these patients require new therapeutic approaches. Focal seizure activity is typically initiated in a fixed and localized region, which subsequently spreads to neighboring regions or more distant areas. At the initial onset of a seizure, the epileptic discharge will generate a relatively high voltage in seizure focus, and the discharge subsequently spreads to other relatively low-voltage regions. However, it is unknown whether seizure can be controlled through current shunt using a conduction microelectrode to conduct the epileptic discharge with a relatively high voltage in the seizure focus outside the brain. The current therapies for epilepsy, including drugs, resective surgery and neuromodulation, focus on inhibiting abnormal excessive or synchronous neuronal activity to control seizures; thus, the basic mechanism underlying these therapies is "inhibition". In contrast, we proposed a "conduction" mechanism, whereby a current shunt with conduction electrode is used to control seizures. To our knowledge, this therapeutic strategy has not been previously reported, and we propose that this approach might be an alternative choice for the treatment of refractory partial epilepsy in the future. (C) 2013 Elsevier Ltd. All rights reserved.
基金:
National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81000555]; Beijing Science & Technology New-star Training Program [20108084]
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Lab Diag Ctr, Beijing 100050, Peoples R China;[2]Chinese Peoples Liberat Army Gen Hosp, Affiliated Hosp 1, Dept Neurosurg, Capital Epilepsy Therapy Ctr, Beijing 100048, Peoples R China
通讯作者:
通讯机构:[2]Chinese Peoples Liberat Army Gen Hosp, Affiliated Hosp 1, Dept Neurosurg, Capital Epilepsy Therapy Ctr, Beijing 100048, Peoples R China
推荐引用方式(GB/T 7714):
Zhang Limin,Liang Shuli,Zhang Guojun,et al.A new therapy for refractory partial epilepsy: Current shunt[J].MEDICAL HYPOTHESES.2013,81(5):763-765.doi:10.1016/j.mehy.2013.07.046.
APA:
Zhang, Limin,Liang, Shuli,Zhang, Guojun&Kang, Xixiong.(2013).A new therapy for refractory partial epilepsy: Current shunt.MEDICAL HYPOTHESES,81,(5)
MLA:
Zhang, Limin,et al."A new therapy for refractory partial epilepsy: Current shunt".MEDICAL HYPOTHESES 81..5(2013):763-765