Transhemispheric horizontal channels for transmission of epileptic information. 1991

J A Wada
Department of Neurosciences and Neurology, University Hospital, University of British Columbia, Vancouver, Canada.

1) To gain insight into the complex pathophysiology of epilepsy in the human brain, the synthesis of information derived from various animal models representing appropriate components of human epileptic seizure is required. For epileptic seizure propagation, the availability of anatomical pathways and their physiological connectivity according to the site of seizure origin must be considered. The reason for the notion of a preferential nature of certain pathways over others remains unknown but may be due, in part, to past history and the participation of a genetically-determined differential susceptibility. In this context, the following factors need to be considered: a) the significance of use-dependent functional/structural change of the neuronal system, b) the importance of understanding the divergent nature of neuronal connectivity, the potential role of genetic predisposition, and c) the morphological difference which exists according to ascending phylogenesis and hence the presumable functional difference across the species. 2) The corpus callosum is the major and rapid route of transhemispheric transmission of epileptic seizure in man. In the case of seizure of temporal lobe origin, its transhemispheric transmission may use the temporalipsilateral frontal through the corpus callosum to the contralateral frontal and then to the contralateral temporal limbic system. In contrast, the significance of the anterior commissure and the hippocampal commissure in man is debatable since both of these pathways have a very definite regressive tendency according to ascending phylogenesis. The specific reason why these pathways are sometimes used in a minority of temporal lobe seizure cases remains unknown.(ABSTRACT TRUNCATED AT 250 WORDS)

UI MeSH Term Description Entries
D009434 Neural Pathways Neural tracts connecting one part of the nervous system with another. Neural Interconnections,Interconnection, Neural,Interconnections, Neural,Neural Interconnection,Neural Pathway,Pathway, Neural,Pathways, Neural
D009435 Synaptic Transmission The communication from a NEURON to a target (neuron, muscle, or secretory cell) across a SYNAPSE. In chemical synaptic transmission, the presynaptic neuron releases a NEUROTRANSMITTER that diffuses across the synaptic cleft and binds to specific synaptic receptors, activating them. The activated receptors modulate specific ion channels and/or second-messenger systems in the postsynaptic cell. In electrical synaptic transmission, electrical signals are communicated as an ionic current flow across ELECTRICAL SYNAPSES. Neural Transmission,Neurotransmission,Transmission, Neural,Transmission, Synaptic
D001931 Brain Mapping Imaging techniques used to colocalize sites of brain functions or physiological activity with brain structures. Brain Electrical Activity Mapping,Functional Cerebral Localization,Topographic Brain Mapping,Brain Mapping, Topographic,Functional Cerebral Localizations,Mapping, Brain,Mapping, Topographic Brain
D002540 Cerebral Cortex The thin layer of GRAY MATTER on the surface of the CEREBRAL HEMISPHERES that develops from the TELENCEPHALON and folds into gyri and sulci. It reaches its highest development in humans and is responsible for intellectual faculties and higher mental functions. Allocortex,Archipallium,Cortex Cerebri,Cortical Plate,Paleocortex,Periallocortex,Allocortices,Archipalliums,Cerebral Cortices,Cortex Cerebrus,Cortex, Cerebral,Cortical Plates,Paleocortices,Periallocortices,Plate, Cortical
D004292 Dominance, Cerebral Dominance of one cerebral hemisphere over the other in cerebral functions. Cerebral Dominance,Hemispheric Specialization,Dominances, Cerebral,Specialization, Hemispheric
D004569 Electroencephalography Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain. EEG,Electroencephalogram,Electroencephalograms
D004827 Epilepsy A disorder characterized by recurrent episodes of paroxysmal brain dysfunction due to a sudden, disorderly, and excessive neuronal discharge. Epilepsy classification systems are generally based upon: (1) clinical features of the seizure episodes (e.g., motor seizure), (2) etiology (e.g., post-traumatic), (3) anatomic site of seizure origin (e.g., frontal lobe seizure), (4) tendency to spread to other structures in the brain, and (5) temporal patterns (e.g., nocturnal epilepsy). (From Adams et al., Principles of Neurology, 6th ed, p313) Aura,Awakening Epilepsy,Seizure Disorder,Epilepsy, Cryptogenic,Auras,Cryptogenic Epilepsies,Cryptogenic Epilepsy,Epilepsies,Epilepsies, Cryptogenic,Epilepsy, Awakening,Seizure Disorders
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

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