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综述:与长期癫痫相关的肿瘤(LEATs)的分子特征和肿瘤相关癫痫(TRE)的发生机制。

Review: Molecular characteristics of long-term epilepsy-associated tumours (LEATs) and mechanisms for tumour-related epilepsy (TRE).

机构信息

Developmental Biology and Cancer Programme, UCL Great Ormond Street Institute of Child Health, London, UK.

Department of Histopathology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.

出版信息

Neuropathol Appl Neurobiol. 2018 Feb;44(1):56-69. doi: 10.1111/nan.12459.

Abstract

Brain tumours are the second most common cause of seizures identified in epilepsy surgical series. While any tumour involving the brain has the potential to cause seizures, specific subtypes are more frequently associated with epilepsy. Tumour-related epilepsy (TRE) has a profound impact on patients with brain tumours and these seizures are often refractory to anti-epileptic treatments, resulting in long-term disability and patient morbidity. Despite the drastic impact of epilepsy-associated tumours on patients, they have not traditionally enjoyed as much attention as more malignant neoplasms. However, recently a number of developments have been achieved towards further understanding of the molecular and developmental backgrounds of specific epilepsy-associated tumours. In addition, the past decade has seen an expansion in the literature on the pathophysiology of TRE. In this review, we aim to summarize the mechanisms by which tumours may cause seizures and detail recent data regarding the pathogenesis of specific developmental epilepsy-associated tumours.

摘要

脑肿瘤是癫痫外科系列中确定的癫痫发作的第二大常见原因。虽然任何涉及大脑的肿瘤都有可能引起癫痫发作,但特定的亚型更常与癫痫相关。肿瘤相关性癫痫(TRE)对脑肿瘤患者有深远的影响,这些癫痫发作往往对抗癫痫治疗有抗性,导致长期残疾和患者发病。尽管与癫痫相关的肿瘤对患者有巨大的影响,但它们并没有像更恶性的肿瘤那样受到传统的关注。然而,最近在进一步了解特定与癫痫相关的肿瘤的分子和发育背景方面取得了一些进展。此外,过去十年中,关于 TRE 的病理生理学的文献也有所增加。在这篇综述中,我们旨在总结肿瘤引起癫痫发作的机制,并详细介绍特定发育性与癫痫相关肿瘤发病机制的最新数据。

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