The system epilepsies: a pathophysiological hypothesis
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Updated: May 22, 2026

Generation and On-Demand Initiation of Acute Ictal Activity in Rodent and Human Tissue
Published on: January 19, 2019
Giuliano Avanzini1, Paolo Manganotti, Stefano Meletti
1Department of Neurophysiology, IRCCS Foundation Neurological Institute Carlo Besta, Milan, Italy. avanzini@istituto-besta.it
Abstract:
We postulate that "system epilepsies" (SystE) are due to an enduring propensity to generate seizures of functionally characterized brain systems. Data supporting this hypothesis-that some types of epilepsy depend on the dysfunction of specific neural systems-are reviewed. The SystE hypothesis may drive pathophysiologic and clinical studies that can advance our understanding of epilepsies and can open up new therapeutic perspectives.
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