251. Clinical and experimental studies of epilepsy associated with focal cortical dysplasia
- Author
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Kiyotaka Hashizume, Akira Hodozuka, Tatsuya Tanaka, and Hiroshige Tsuda
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Autopsy ,Electroencephalography ,Ictal-Interictal SPECT Analysis by SPM ,Epilepsy ,Excitatory Amino Acid Agonists ,Medicine ,Animals ,Ictal ,Rats, Wistar ,Kainic Acid ,medicine.diagnostic_test ,business.industry ,Brain Neoplasms ,General Neuroscience ,Dysembryoplastic Neuroepithelial Tumor ,Motor Cortex ,Brain ,General Medicine ,Hypervascularity ,Somatosensory Cortex ,Cortical dysplasia ,medicine.disease ,Immunohistochemistry ,Neoplasms, Neuroepithelial ,Rats ,Psychiatry and Mental health ,Disease Models, Animal ,Neurology ,Animals, Newborn ,Cerebrovascular Circulation ,Blood Vessels ,Neurology (clinical) ,business - Abstract
The definitive version is available at www.blackwell-synergy.com, The results of clinical and experimental studies on epilepsy associated with focal cortical dysplasia (FCD) are presented. We have been interested in the findings of abnormal increases in the numbers of small vessels in specimens of FCD resected from epilepsy patients. In the clinical study of 13 patients with epilepsy, specimens of FCD or dysembryoplastic neuroepithelial tumor (DNT) were examined using immunohistochemistry. The number of vessels in both lesions were greater than those in cortical specimens of autopsy cases without epilepsy. Because the vessels showed negative staining of VEGF, it was thought that the phenomenon of increase in the number of vessels was simply a hypervascularity, not a neovascularity. The local hypervascularity was expected to show local hyperperfusion in CBF-SPECT study, but interictal SPECT demonstrated local hypoperfusion and ictal SPECT showed hyperperfusion. This may have been caused by a functional change in those vessels. In the experimental study, we tried to make a new animal model of FCD to study epileptogenicity of FCD. When kainic acid had been infused into the neocortex in the neonatal rats, FCD was induced in adult Wistar rats. Histopathological examination revealed cortical dyslamination and abnormal neurons. On EEG, local spike bursts were elicited from the lesions, however, clinical seizures were not detected. Although the data are preliminary and observation over a longer period is required to determine whether spontaneous seizures will occur in this model, it is expected that this new model will be useful for studying epilepsy associated with FCD.
- Published
- 2004