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影像学癫痫发生

Imaging epileptogenesis
课程网址: http://videolectures.net/snc2015_koepp_imaging_epileptogenesis/  
主讲教师: Matthias Koepp
开课单位: 伦敦大学学院
开课时间: 2015-09-07
课程语种: 英语
中文简介:
50%以上的新发局灶性癫痫患者的临床神经影像正常,而特发性全身性癫痫患者的临床神经影像正常。高级功能和结构成像如何进一步加深我们对局灶性和全身性癫痫的致痫作用和认知功能的理解,神经成像在未来如何用于改善手术结果以及预测药物反应?基于功能磁共振成像(fMRI)和扩散张量成像的功能、结构和有效连接性组分析为参与癫痫活动调节的独特解剖结构及其在特定综合征中的作用提供了证据。虽然有证据表明,局灶性癫痫发作是在相互连接的大脑区域网络中发生和持续的,但梨状皮质深部额叶在调节癫痫发作活动中起着重要作用。与辅助运动区连接的改变可能是青少年肌阵挛性癫痫运动性发作认知触发的解剖学基础。神经影像学未来应用的一个主要挑战是将应用范围扩大到“外科影像学”之外,以包括疾病进展和药物反应的个体预测。
课程简介: Clinical neuroimaging is normal in over 50% of new-onset focal epilepsies, and generally normal in idiopathic generalised epilepsies. How can advanced functional and structural imaging further our understanding of epileptogenesis and cognitive functions in focal and generalised epilepsies, and how might neuroimaging be used in the future to improve surgical outcome, as well as predicting response to medication? Group analyses of functional, structural and effective connectivity based on functional magnetic resonance imaging (fMRI) and diffusion tensor imaging provide evidence for unique anatomical structures that are involved in the modulation of seizure activity, and their role in specific syndromes. Whilst there is evidence that focal seizures arise and are sustained within a network of interconnected brain regions, the deep frontal piriform cortex plays an important role in modulating seizure activity. Altered connectivity with the supplementary motor area may represent the anatomical basis for cognitive triggering of motor seizures in juvenile myoclonic epilepsy. A major challenge for the future use of neuroimaging is the widening of applications beyond ‘surgical imaging’ to include individual predictions of disease progression and of response to medication.
关 键 词: 神经成像; 扩散张量成像; 癫痫
课程来源: 视频讲座网
数据采集: 2021-12-11:nkq
最后编审: 2021-12-11:nkq
阅读次数: 59