INVASIVE BRAIN STIMULATION IN THE TREATMENT OF EPILEPSY

被引:0
作者
Sprengers, Mathieu [1 ]
Raedt, Robrecht [1 ]
Meurs, Alfred [1 ]
Carrette, Evelien [1 ]
van Roost, Dirk [2 ]
Boon, Paul [1 ]
Vonck, Kristl [1 ]
机构
[1] Ghent Univ Hosp, Dept Neurol, De Pintelaan 185, B-9000 Ghent, Belgium
[2] Ghent Univ Hosp, Dept Neurosurg, B-9000 Ghent, Belgium
来源
RECENT ADVANCES IN PREDICTING AND PREVENTING EPILEPTIC SEIZURES | 2013年
关键词
TEMPORAL-LOBE EPILEPSY; CENTROMEDIAN THALAMIC NUCLEUS; CHRONIC ELECTRICAL-STIMULATION; HIGH-FREQUENCY STIMULATION; TERM-FOLLOW-UP; CHRONIC CEREBELLAR STIMULATION; PILOCARPINE-INDUCED SEIZURES; INTRACTABLE PARTIAL EPILEPSY; LONG-TERM; ANTERIOR NUCLEUS;
D O I
暂无
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Invasive brain stimulation has emerged as an alternative treatment for refractory epilepsy patients and an increasing number of trials evaluating its efficacy and safety have been published. Various brain structures have been targeted, including the cerebellum, the anterior and centromedian thalamic nucleus, the hippocampus, the ictal onset zone and the subthalamic and caudate nucleus. The rationale for each of these targets and the results obtained in open-label and randomized controlled trials (RCTs) are discussed, with particular emphasis on two large RCTs that investigated open-loop anterior thalamic deep brain stimulation and responsive stimulation of the ictal onset zone. We conclude that promising results have been published for most targets, mainly in open-label trials, and that more RCTs are needed.
引用
收藏
页码:42 / 59
页数:18
相关论文
共 107 条
[1]  
Alaraj A., 2001, NEUR DEF FUT CLEV OH
[2]   Implantation of a responsive neurostimulator device in patients with refractory epilepsy [J].
Anderson, William S. ;
Kossoff, Eric H. ;
Bergey, Gregory K. ;
Jallo, George I. .
NEUROSURGICAL FOCUS, 2008, 25 (03)
[3]   Long-term follow-up of patients with thalamic deep brain stimulation for epilepsy [J].
Andrade, D. M. ;
Zumsteg, D. ;
Hamani, C. ;
Hodaie, M. ;
Sarkissian, S. ;
Lozano, A. M. ;
Wennberg, R. A. .
NEUROLOGY, 2006, 66 (10) :1571-1573
[4]  
[Anonymous], 2012, EPILEPSY RES TREAT
[5]   Chronic deep brain stimulation in mesial temporal lobe epilepsy [J].
Boex, Colette ;
Seeck, Margitta ;
Vulliemoz, Serge ;
Rossetti, Andrea O. ;
Staedler, Claudio ;
Spinelli, Laurent ;
Pegna, Alan J. ;
Pralong, Etienne ;
Villemure, Jean-Guy ;
Foletti, Giovanni ;
Pollo, Claudio .
SEIZURE-EUROPEAN JOURNAL OF EPILEPSY, 2011, 20 (06) :485-490
[6]   Deep brain stimulation in patients with refractory temporal lobe epilepsy [J].
Boon, Paul ;
Vonck, Kristl ;
De Herdt, Veerle ;
Van Dycke, Annelies ;
Goethals, Maarten ;
Goossens, Lut ;
Van Zandijcke, Michel ;
De Smedt, Tim ;
Dewaele, Isabelle ;
Achten, Rik ;
Wadman, Wytse ;
Dewaele, Frank ;
Caemaert, Jacques ;
Van Roost, Dirk .
EPILEPSIA, 2007, 48 (08) :1551-1560
[7]  
Brown-Sequard C.E., 1856, BOSTON MED SURG J, V55-57
[8]  
Chabardès S, 2002, EPILEPTIC DISORD, V4, pS83
[9]   Effects of therapeutic stimulation of nucleus caudatus on epileptic electrical activity of brain in patients with intractable epilepsy [J].
Chkhenkeli, SA ;
Chkhenkeli, IS .
STEREOTACTIC AND FUNCTIONAL NEUROSURGERY, 1997, 69 (1-4) :221-224
[10]   Electrophysiological effects and clinical results of direct brain stimulation for intractable epilepsy [J].
Chkhenkeli, SA ;
Sramka, M ;
Lortkipanidze, GS ;
Rakviashvili, TN ;
Bregvadze, ES ;
Magalashvili, GE ;
Gagoshidze, TS ;
Chkhenkeli, IS .
CLINICAL NEUROLOGY AND NEUROSURGERY, 2004, 106 (04) :318-329