Brain pathology in focal status epilepticus : evidence from experimental models
(2021) In Neuroscience and Biobehavioral Reviews 131. p.834-846- Abstract
Status Epilepticus (SE) is often a neurological emergency characterized by abnormally sustained, longer than habitual seizures. The new ILAE classification reports that SE “…can have long-term consequences including neuronal death, neuronal injury…depending on the type and duration of seizures”. While it is accepted that generalized convulsive SE exerts detrimental effects on the brain, it is not clear if other forms of SE, such as focal non-convulsive SE, leads to brain pathology and contributes to long-term deficits in patients. With the available clinical and experimental data, it is hard to discriminate the specific action of the underlying SE etiologies from that exerted by epileptiform activity. This information is highly relevant... (More)
Status Epilepticus (SE) is often a neurological emergency characterized by abnormally sustained, longer than habitual seizures. The new ILAE classification reports that SE “…can have long-term consequences including neuronal death, neuronal injury…depending on the type and duration of seizures”. While it is accepted that generalized convulsive SE exerts detrimental effects on the brain, it is not clear if other forms of SE, such as focal non-convulsive SE, leads to brain pathology and contributes to long-term deficits in patients. With the available clinical and experimental data, it is hard to discriminate the specific action of the underlying SE etiologies from that exerted by epileptiform activity. This information is highly relevant in the clinic for better treatment stratification, which may include both medical and surgical intervention for seizure control. Here we review experimental studies of focal SE, with an emphasis on focal non-convulsive SE. We present a repertoire of brain pathologies observed in the most commonly used animal models and attempt to establish a link between experimental findings and human condition(s). The extensive literature on focal SE animal models suggest that the current approaches have significant limitations in terms of translatability of the findings to the clinic. We highlight the need for a more stringent description of SE features and brain pathology in experimental studies in animal models, to improve the accuracy in predicting clinical translation.
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- author
- de Curtis, Marco ; Rossetti, Andrea O. ; Verde, Diogo Vila ; van Vliet, Erwin A. and Ekdahl, Christine T. LU
- organization
- publishing date
- 2021-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Animal models, Brain damage, Epilepsy, Gliosis, Status epilepticus
- in
- Neuroscience and Biobehavioral Reviews
- volume
- 131
- pages
- 13 pages
- publisher
- Elsevier
- external identifiers
-
- scopus:85116895870
- pmid:34517036
- ISSN
- 0149-7634
- DOI
- 10.1016/j.neubiorev.2021.09.011
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2021 Elsevier Ltd
- id
- 1afc22f7-a22c-4736-b810-2a3fc1cc9f86
- date added to LUP
- 2021-11-01 14:05:26
- date last changed
- 2024-12-16 15:06:46
@article{1afc22f7-a22c-4736-b810-2a3fc1cc9f86,
abstract = {{<p>Status Epilepticus (SE) is often a neurological emergency characterized by abnormally sustained, longer than habitual seizures. The new ILAE classification reports that SE “…can have long-term consequences including neuronal death, neuronal injury…depending on the type and duration of seizures”. While it is accepted that generalized convulsive SE exerts detrimental effects on the brain, it is not clear if other forms of SE, such as focal non-convulsive SE, leads to brain pathology and contributes to long-term deficits in patients. With the available clinical and experimental data, it is hard to discriminate the specific action of the underlying SE etiologies from that exerted by epileptiform activity. This information is highly relevant in the clinic for better treatment stratification, which may include both medical and surgical intervention for seizure control. Here we review experimental studies of focal SE, with an emphasis on focal non-convulsive SE. We present a repertoire of brain pathologies observed in the most commonly used animal models and attempt to establish a link between experimental findings and human condition(s). The extensive literature on focal SE animal models suggest that the current approaches have significant limitations in terms of translatability of the findings to the clinic. We highlight the need for a more stringent description of SE features and brain pathology in experimental studies in animal models, to improve the accuracy in predicting clinical translation.</p>}},
author = {{de Curtis, Marco and Rossetti, Andrea O. and Verde, Diogo Vila and van Vliet, Erwin A. and Ekdahl, Christine T.}},
issn = {{0149-7634}},
keywords = {{Animal models; Brain damage; Epilepsy; Gliosis; Status epilepticus}},
language = {{eng}},
pages = {{834--846}},
publisher = {{Elsevier}},
series = {{Neuroscience and Biobehavioral Reviews}},
title = {{Brain pathology in focal status epilepticus : evidence from experimental models}},
url = {{http://dx.doi.org/10.1016/j.neubiorev.2021.09.011}},
doi = {{10.1016/j.neubiorev.2021.09.011}},
volume = {{131}},
year = {{2021}},
}