University of Pittsburgh, Kaufmann Medical Building, 3471 Fifth Avenues, Suite 810, Pittsburgh, PA 15213, USA.
Neurosurg Clin N Am. 2020 Jul;31(3):319-324. doi: 10.1016/j.nec.2020.03.001. Epub 2020 Apr 16.
Epilepsy affects about 1% of the general population. Frontal lobe epilepsy is the second most common focal epilepsy accounting for nearly 25% of medically refractory epilepsies. This paper reviews frontal lobe epilepsy from a perspective of a network disease that may help us to understand epilepsy from the microscale of genes, to local neuronal circuits, to the macrolevel of a whole-brain network. Surgical interventions, such as ablation and resection act by removing the active target nodes in the network, while responsive neurostimulation and vagus nerve stimulation act by modulating networks at the local neuronal circuit level and whole-brain level.
癫痫影响着大约 1%的普通人群。额叶癫痫是第二常见的局灶性癫痫,占药物难治性癫痫的近 25%。本文从网络疾病的角度综述额叶癫痫,这可能有助于我们从基因的微观尺度、局部神经元回路到整个大脑网络的宏观尺度来理解癫痫。手术干预,如消融和切除,通过去除网络中的活跃目标节点来发挥作用,而反应性神经刺激和迷走神经刺激则通过调节局部神经元回路和整个大脑网络的水平来发挥作用。