Division of Pediatric Neurology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Curr Top Behav Neurosci. 2022;55:3-15. doi: 10.1007/7854_2020_189.
Epilepsy, a complex neurological disorder of recurrent seizures, is associated with significant impacts on the developing brain. Patients commonly face multiple comorbidities, including debilitating effects on cognition, behavior, and psychiatric outcomes. These conditions can be a source of great distress for patients that may even be greater than the burden of epilepsy itself. Here we investigate the relationship between seizures and the development of these comorbidities, specifically cognition, memory, learning, behavior, and psychiatric disorders. We first delineate the current research methodology in clinical and basic science that is employed to study the impact of epilepsy and seizures. We then explore neurobiological mechanisms underlying the development of seizures and cognitive and behavioral outcomes. Potential avenues of intervention to best support individuals and optimize their neurodevelopmental progress are also highlighted.
癫痫是一种反复发作的复杂神经系统疾病,与大脑发育有显著影响。患者通常面临多种合并症,包括认知、行为和精神方面的致残影响。这些情况可能会给患者带来极大的痛苦,甚至超过癫痫本身的负担。在这里,我们研究了癫痫发作与这些合并症(特别是认知、记忆、学习、行为和精神障碍)的发展之间的关系。我们首先描述了目前用于研究癫痫和癫痫发作影响的临床和基础科学研究方法。然后,我们探讨了癫痫发作和认知及行为结果发展的神经生物学机制。还强调了最佳支持个人并优化其神经发育进展的潜在干预途径。