alexa Malformations of cortical development and aberrant cortical networks: epileptogenesis and functional organization.
Neurology

Neurology

Journal of Neurology & Neurophysiology

Author(s): Guerrini R, Barba C, Guerrini R, Barba C

Abstract Share this page

Abstract Malformations of cortical development are a major cause of drug-resistant epilepsy. Focal cortical dysplasia, heterotopia, and polymicrogyria are often manifested as discrete areas of abnormal neuronal migration and improper development of the cerebral cortex. Some of the patients harboring these malformations have obvious neurologic impairment, but others show unexpected deficits that are detectable only by screening. The role of surgical treatment of epilepsy due to localized malformations of cortical development is now established. However, its technical application can be challenging in that localization of function based on anatomic landmarks may not be reliable. Intracranial recordings have shown a high propensity for complex epileptogenic networks that may include remote cortical and subcortical regions. The MRI visible area of cortical abnormality should therefore be regarded as just an indicator of the epileptogenic zone rather than its tangible substrate. Completeness of resection, after delineation of the ictal onset zone, a key factor for successful epilepsy surgery, may be particularly difficult, and invasive EEG monitoring is necessary in most patients. Neural plasticity issues are of primary importance to surgical planning as the possibility of removing eloquent cortex permits more complete procedures with potentially higher rates of success. However, the functional consequences of malformative lesions are still poorly understood; conservation of function in the dysplastic cortex, its atypical representation, and relocation outside the malformed area are all possible. Surgical planning for associated epilepsy should therefore be based on individual assessments of structural imaging and of the major functions relevant to the area in question in the individual patient. This article was published in J Clin Neurophysiol and referenced in Journal of Neurology & Neurophysiology

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

agrifoodaquavet@omicsonline.com

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

clinical_biochem@omicsonline.com

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

business@omicsonline.com

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

chemicaleng_chemistry@omicsonline.com

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

environmentalsci@omicsonline.com

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

engineering@omicsonline.com

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

generalsci_healthcare@omicsonline.com

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

genetics_molbio@omicsonline.com

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

immuno_microbio@omicsonline.com

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

omics@omicsonline.com

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

materialsci@omicsonline.com

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

mathematics_physics@omicsonline.com

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

medical@omicsonline.com

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

neuro_psychology@omicsonline.com

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

pharma@omicsonline.com

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

social_politicalsci@omicsonline.com

1-702-714-7001 Extn: 9042

 
© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version