2011, nr. 1 - Academia de Ştiinţe a Moldovei
2011, nr. 1 - Academia de Ştiinţe a Moldovei
2011, nr. 1 - Academia de Ştiinţe a Moldovei
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90<br />
47. Vergnes M. et al. Mapping of spontaneous spike<br />
and wave discharges in Wistar rats with genetic generalized<br />
non-convulsive epilepsy. Brain Research, 1990; 1:87-91.<br />
48. Enev M. et al. Imaging Onset and Propagation of<br />
ECT-induced Seizures. Epilepsia, 2007; 2:238-244.<br />
49. Archer J. S. et al. fMRI “<strong>de</strong>activation” of the posterior<br />
cingulate during generalized spike and wave. NeuroImage,<br />
2003; 4:1915-1922.<br />
50. Seeck M. et al. Subcortical Nuclei Volumetry in<br />
Idiopathic Generalized Epilepsy. Epilepsia, 2005; 10:1642-<br />
1645.<br />
51. Paz J. T. et al. Rhythmic Bursting in the Cortico-<br />
Subthalamo-Pallidal Network during Spontaneous Genetically<br />
Determined Spike and Wave Discharges. J. Neurosci.,<br />
2005; 8:2092-2101.<br />
52. Dreifuss S. et al. Volumetric measurements of subcortical<br />
nuclei in patients with temporal lobe epilepsy. Neurology,<br />
2001; 9:1636.<br />
53. Gärtner B. et al., Patients with extratemporal lobe<br />
epilepsy do not diff er from healthy subjects with respect to<br />
subcortical volumes. J. Neurol. Neurosurg. Psychiatry, 2004;<br />
4:588-592.<br />
54. Rodrigo S. et al. Uncinate fasciculus fi ber tracking<br />
in mesial temporal lobe epilepsy. Initial fi ndings. European<br />
Radiology, 2007; 7:1663-1668.<br />
55. Baldwin G. N. et al. Th e fornix in patients with seizures<br />
caused by unilateral hippocampal sclerosis: <strong>de</strong>tection<br />
of unilateral volume loss on MR images. Am. J. Roentgenol.,<br />
1994; 5:1185-1189.<br />
56. Hamandi K. et al. Combined EEG-fMRI and tractography<br />
to visualise propagation of epileptic activity. J. Neurol.<br />
Neurosurg. Psychiatry, 2008; 5:594-597.<br />
57. Vaudano A. E. et al. Causal hierarchy within the<br />
thalamo-cortical network in spike and wave discharges. PLoS<br />
ONE, 2009; 8:6475.<br />
58. Wendling F. et al. Epileptic fast intracerebral EEG<br />
activity: evi<strong>de</strong>nce for spatial <strong>de</strong>correlation at seizure onset.<br />
Brain, 2003; 6:1449-1459.<br />
59. Guye M. et al., Th e role of corticothalamic coupling<br />
in human temporal lobe epilepsy. Brain, 2006; 7:1917.<br />
60. Bartolomei F. et al., Epileptogenicity of brain structures<br />
in human temporal lobe epilepsy: a quantifi ed study<br />
from intracerebral EEG. Brain, 2008; 7:1818.<br />
61. Arthuis M. et al., Impaired consciousness during<br />
temporal lobe seizures is related to increased long-distance<br />
cortical-subcortical synchronization. Brain, 2009; 8: 2091.<br />
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.