Neuronal circuits in epilepsy: do they matter?
Open accessAbstract
Seizures occur in groups of neurons and involve complex interactions across several regions. The focus of much epilepsy research has been on changes in single neuronal populations but the interpretation of the implications of these changes is often limited by not being able to place those observed changes appropriately in the overall function of the brain. Understanding regional interactions at the beginning and during the evolution of a seizure may help place the changes in the appropriate context of the pathophysiology of epilepsy and guide us in identifying more effective therapies. In this paper we will focus on the circuits that support the different stages of seizures. Although we are far from knowing how the system works to initiate and spread seizures, we hope to provide a framework upon which we can place cellular changes. The concepts of seizure focus, initiating seizure circuits, paths of spread and neuromodulatory centers will be used to develop a system's view of epilepsy.
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Limbic epileptogenesis involves a partially-understood molecular cascade that results in aberrant neuronal connectivity and chronic recurrent spontaneous seizures.
“Development of TLE or limbic epileptogenesis [4, 5] involves a partially-understood molecular cascade [6] that results in aberrant neuronal connectivity [7, 8] from a multi-architecture neuronal network of the limbic system connected to hippocampal formation [9] that contributes to a systemic process in the brain that leads to chronic recurrent spontaneous seizures [10].”
From Hippocampal neuro-networks and dendritic spine perturbations in epileptogenesis are attenuated by neuroprotectin D1 (2015) · cites this paper as [8]
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- Authors
- Bertram, E. H.
- Affiliations
- University of Virginia (US)
- Corresponding author
- Bertram, Edward H.
- ORCID
- Bertram, Edward H.
- Venue
- Experimental Neurology
- Publisher
- Elsevier BV
- Published
- 2013-06
- Volume
- 244
- Pages
- 67-74
- ISSN
- 0014-4886 (ISSN-L)
- PMC
- PMC4266595
- OpenAlex
- W2060279210
- Cited by
- 112
- References
- 42
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 7 · 2023: 6 · 2022: 6 · 2021: 8 · 2020: 16 · 2019: 9 · 2018: 8 · 2017: 9 · 2016: 9 · 2015: 8 · 2014: 15 · 2013: 3
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Experimental Neurology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Neurological Disorders and Stroke (NS 49617, R01NS025605, R21NS049617, NS-25605)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Epilepsy research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural dynamics and brain function
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- epilepsy, neural circuits, seizure pathophysiology, seizure initiation, seizure propagation, seizure focus, epilepsy treatment
- MeSH terms
- Animals, Brain, Brain Mapping, Epilepsy, Humans, Nerve Net, Neural Pathways
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