Epilepsy Current Biology

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Presentation transcript:

Epilepsy Current Biology Vikram R. Rao, Daniel H. Lowenstein  Current Biology  Volume 25, Issue 17, Pages R742-R746 (August 2015) DOI: 10.1016/j.cub.2015.07.072 Copyright © 2015 Elsevier Ltd Terms and Conditions

Figure 1 Scalp EEG recording of a focal seizure. High-amplitude, rhythmic waveforms (box) arise from electrodes overlying the right temporal lobe. Clinically, the patient experienced a rising epigastric sensation and déjà vu before becoming confused, features typical of temporal lobe seizures. Current Biology 2015 25, R742-R746DOI: (10.1016/j.cub.2015.07.072) Copyright © 2015 Elsevier Ltd Terms and Conditions

Figure 2 Intracranial EEG recording demonstrating onset and spread of a seizure. (A) Seizure activity arises focally and propagates across an array of electrodes placed directly on the brain surface. (B) Three-dimensional reconstruction of implanted electrodes covering the left cerebral hemisphere. Superimposed heatmap indicates seizure onset zone as determined by intracranial EEG. (C) The seizure onset zone is conceptualized as a core of intense, hypersynchronous neuronal firing surrounded by an inhibitory penumbra with desynchronized neuronal firing that restrains seizure propagation. Current Biology 2015 25, R742-R746DOI: (10.1016/j.cub.2015.07.072) Copyright © 2015 Elsevier Ltd Terms and Conditions

Figure 3 Biological effects of genetic mutations associated with epilepsy. Over 400 genes have been implicated in human epilepsy, and abnormal gene products can disrupt neural circuit function at various cell biological levels. Three genes thought to function at each level are shown to illustrate the diversity of epilepsy pathogenesis. Current Biology 2015 25, R742-R746DOI: (10.1016/j.cub.2015.07.072) Copyright © 2015 Elsevier Ltd Terms and Conditions