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2011, nr. 1 - Academia de Ştiinţe a Moldovei

2011, nr. 1 - Academia de Ştiinţe a Moldovei

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Rezumat<br />

Căile din creierul nostru sunt reţele <strong>de</strong> comunicare<br />

și starea lor fi zică infl uenţează efi cienţa comunicaţiei și,<br />

respectiv, manifestarea comportamentală. Schimbările din<br />

structura substanţei albe, datorită proceselor <strong>de</strong> plasticitate<br />

și adaptare la factorii extrinseci și intrinseci, pot amplifi ca<br />

sau pot diminua efi cienţa comunicării, <strong>de</strong>terminând mo-<br />

Buletinul AŞM<br />

difi cări comportamentale. Descărcările epileptice cu certitudine<br />

provoacă și, <strong>de</strong> asemenea, <strong>de</strong>termină schimbările<br />

secundare din aceste reţele <strong>de</strong> comunicare, cu reorganizare<br />

funcţională și structurală. Studiile recente atestă schimbări<br />

ale conectivităţii structurale în regiunile epileptogenice și<br />

ariile interconectate. Reţelele talamocorticale ar putea juca<br />

un rol important în cadrul acestei interacţiuni. Articolul<br />

dat prezintă o revizuire a studiilor recente <strong>de</strong> conectivitate<br />

în epilepsii. Sunt prezentate problemele <strong>de</strong> conectivitate<br />

structurală și funcţională.<br />

Summary<br />

Th e pathways within our brain are networks of<br />

communication, and their physical condition infl uences<br />

communication’s effi ciency and behaviour performance respectively.<br />

Changes in white matter structure, due to plasticity<br />

and adaptation processes to extrinsic and intrinsic<br />

factors can enhance or diminish communication effi ciency,<br />

<strong>de</strong>termining behavioral changes. Epileptic discharges undoubtedly<br />

arise but also <strong>de</strong>termine secondarily changes in<br />

these communication networks, with both functional and<br />

structural reorganization. Recent studies present changes<br />

of structural connectivity in epileptogenic regions and interconnected<br />

areas. Th alamo-cortical pathway may play an<br />

important role in this interaction. Th is article presents an<br />

overview of recent connectivity studies in epilepsies. Matters<br />

of structural and functional connectivity are presented.<br />

Резюме<br />

Проводящие пути в нашем мозге являются<br />

сетями связи и их физическое состояние влияет<br />

на эффективность связи и, соответственно, на<br />

поведенческие проявления. Изменения в структуре<br />

белого вещества, которые возникают в результате<br />

процессов пластичности и адаптации к внешним и<br />

внутренним факторам, могут усилить или ослабить<br />

эффективность связи, определяя этим поведенческие<br />

изменения. Эпилептические разряды несомненно<br />

провоцируют, но также приводят к вторичным<br />

изменениям в этих сетях связи в виде функциональной<br />

и структурной реорганизации. Последние<br />

исследования показывают изменение структурной<br />

связи в эпилептогенных зонах и связанных с ними<br />

областях. Таламо-кортикальные сети могут играть<br />

важную роль в этом взаимодействии. В данной статье<br />

представлен обзор последних исследований связи в<br />

эпилепсии. Представлены вопросы структурной и<br />

функциональной связи.

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