Antiepileptic effects of electrical stimulation of the piriform cortex.

Cerebro-cerebral evoked potentials (CCEPs) Kainic acid (KA) Low-frequency stimulation (LFS) Piriform cortex (PC) Radial arm maze (RAM)

Journal

Experimental neurology
ISSN: 1090-2430
Titre abrégé: Exp Neurol
Pays: United States
ID NLM: 0370712

Informations de publication

Date de publication:
03 2020
Historique:
received: 10 03 2019
revised: 17 09 2019
accepted: 24 09 2019
pubmed: 30 11 2019
medline: 24 10 2020
entrez: 29 11 2019
Statut: ppublish

Résumé

Deep brain stimulation (DBS) may help control seizures in individuals with medically intractable epilepsy who are not candidates for resective surgery. The current review focuses on some preclinical studies of DBS of the piriform cortex (PC), an area involved in the generation and maintenance of seizures, as a potential therapeutic option for refractory epilepsy. We also present findings suggesting the safety of low frequency stimulation (LFS) of the PC on memory. A variety of LFS parameters have been suggested as an effective treatment strategy for refractory epilepsy. In generalized epilepsy, however, recent studies suggest that LFS may exacerbate seizures and high frequency stimulation (HFS) might be an alternative. Hence, further studies are required to explore the potential therapeutic targets and proper stimulation parameters for the successful translation of DBS of the PC to the clinic.

Identifiants

pubmed: 31778664
pii: S0014-4886(19)30219-5
doi: 10.1016/j.expneurol.2019.113070
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

113070

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure of conflicts of interest This work was supported by the George Washington University and pilot grant from Clinical and Translational Science Institute at Children's National for Mohamad Z. Koubeissi. There are no other conflicts of interest related to this work. The remaining authors have no conflict of interest.

Auteurs

Lalitha Kurada (L)

Department of Neurology, George Washington University, Washington, DC 20037, USA.

Arezou Bayat (A)

Department of Neurology, George Washington University, Washington, DC 20037, USA.

Sweta Joshi (S)

Department of Neurology, George Washington University, Washington, DC 20037, USA.

Ahmad Chahine (A)

Department of Neurology, George Washington University, Washington, DC 20037, USA.

Mohamad Z Koubeissi (MZ)

Department of Neurology, George Washington University, Washington, DC 20037, USA. Electronic address: mkoubeissi@mfa.gwu.edu.

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Classifications MeSH