恶性脑与相关的发性的特征
Naoki Yamada1, Ichiro Kuki1, Masataka Fukuoka1
1Department of Pediatric Neurology, Osaka City General Hospital, Osaka, Japan.
概括
恶性脑瘤很少引起性,而性往往是耐药的. 早期的术前评估至关重要,因为手术可以控制发作并改善这些罕见病例的发育结果.
科学领域:
- 神经瘤学神经瘤学
- 儿科神经学 儿科神经学
- 发病学 (Epileptology) 是一个专业的学科.
背景情况:
- 是一种常见的脑瘤并发症,但发作很罕见.
- 恶性 (三至四级) 脑与发作相关的瘤很少被报告.
- 现有的文献主要将低级质瘤与发作联系起来.
研究的目的:
- 为了研究恶性脑与相关的发作的临床特征.
- 识别控制和潜在治疗疗效方面的挑战.
- 强调早期手术前评估在管理这些罕见病例中的重要性.
主要方法:
- 对患有恶性脑瘤和性的患者进行了回顾性审查.
- 收集有关人口统计,瘤组织学,神经成像,发作特征,脑电图和治疗反应的数据.
- 对符合纳入标准的六例患者病例的分析.
主要成果:
- 所有六名患者都患有婴儿发作的 supratentorial 恶性脑瘤.
- 在初级脑瘤治疗完成后,发作开始.
- 抗发作药物在很大程度上是无效的;两名患者通过手术实现了无发作.
- 在发作开始后,发育回归恶化,没有发作的患者有所改善.
结论:
- 恶性脑与相关的发发作带来了严重的控制挑战.
- 手术在某些特定情况下显示出潜在的疗效.
- 由于潜在的耐药性和对发育的影响,早期手术前评估至关重要.
更多相关视频
08:23A Multimodal Imaging- and Stimulation-based Method of Evaluating Connectivity-related Brain Excitability in Patients with Epilepsy
Published on: November 13, 2016
11.2K
06:58Non-restraining EEG Radiotelemetry: Epidural and Deep Intracerebral Stereotaxic EEG Electrode Placement
Published on: June 25, 2016
19.1K
相关概念视频
Seizures: Classification
335
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
335
Antiepileptic Drugs: Glutamate Antagonists
319
Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
319
Arteries of the Lower Limbs
187
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
187
Antiepileptic Drugs: GABAergic Pathway Potentiators
385
γ-aminobutyric acid or GABA, plays a pivotal role as an inhibitory neurotransmitter in the brain. GABA pathway potentiators, also known as GABAergic drugs, are a class of pharmaceutical agents designed to enhance the functioning of the GABAergic system. These medications primarily treat epilepsy, a neurological disorder characterized by recurrent seizures.
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
The key GABA pathway potentiators used in epilepsy management are as follows.
Benzodiazepines are a well-known class of drugs used for...
385
Antiepileptic Drugs: Modulators of Neurotransmitter Release Mediated by SV2A Protein
286
Antiepileptic drugs, such as levetiracetam (Keppra) and brivaracetam (Briviact), have emerged as crucial tools in managing epilepsy. These medications exert their therapeutic effects by targeting the synaptic vesicle protein SV2A, a transmembrane glycoprotein primarily found in the brain.
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
SV2A is a transmembrane glycoprotein located predominantly in the brain, modulating the release of neurotransmitters for neuronal communication. Both levetiracetam and brivaracetam exhibit a high affinity for...
286
