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Pittau F, Mégevand P, Sheybani L, Abela E, Grouiller F, Spinelli L, Michel CM, Seeck M, Vulliemoz S. Mapping epileptic activity: sources or networks for the clinicians? Front Neurol 2014; 5:218. [PMID: 25414692 PMCID: PMC4220689 DOI: 10.3389/fneur.2014.00218] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2014] [Accepted: 10/08/2014] [Indexed: 01/03/2023] Open
Abstract
Epileptic seizures of focal origin are classically considered to arise from a focal epileptogenic zone and then spread to other brain regions. This is a key concept for semiological electro-clinical correlations, localization of relevant structural lesions, and selection of patients for epilepsy surgery. Recent development in neuro-imaging and electro-physiology and combinations, thereof, have been validated as contributory tools for focus localization. In parallel, these techniques have revealed that widespread networks of brain regions, rather than a single epileptogenic region, are implicated in focal epileptic activity. Sophisticated multimodal imaging and analysis strategies of brain connectivity patterns have been developed to characterize the spatio-temporal relationships within these networks by combining the strength of both techniques to optimize spatial and temporal resolution with whole-brain coverage and directional connectivity. In this paper, we review the potential clinical contribution of these functional mapping techniques as well as invasive electrophysiology in human beings and animal models for characterizing network connectivity.
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Affiliation(s)
- Francesca Pittau
- EEG and Epilepsy Unit, Neurology Department, University Hospitals and Faculty of Medicine of Geneva , Geneva , Switzerland
| | - Pierre Mégevand
- Laboratory for Multimodal Human Brain Mapping, Hofstra North Shore LIJ School of Medicine , Manhasset, NY , USA
| | - Laurent Sheybani
- Functional Brain Mapping Laboratory, Department of Fundamental Neurosciences, University of Geneva , Geneva , Switzerland
| | - Eugenio Abela
- Support Center of Advanced Neuroimaging (SCAN), Institute for Diagnostic and Interventional Neuroradiology, University Hospital Inselspital , Bern , Switzerland
| | - Frédéric Grouiller
- Radiology Department, University Hospitals and Faculty of Medicine of Geneva , Geneva , Switzerland
| | - Laurent Spinelli
- EEG and Epilepsy Unit, Neurology Department, University Hospitals and Faculty of Medicine of Geneva , Geneva , Switzerland
| | - Christoph M Michel
- Functional Brain Mapping Laboratory, Department of Fundamental Neurosciences, University of Geneva , Geneva , Switzerland
| | - Margitta Seeck
- EEG and Epilepsy Unit, Neurology Department, University Hospitals and Faculty of Medicine of Geneva , Geneva , Switzerland
| | - Serge Vulliemoz
- EEG and Epilepsy Unit, Neurology Department, University Hospitals and Faculty of Medicine of Geneva , Geneva , Switzerland
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