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Developmental Epilepsy: From Clinical Medicine To Neurobiological Mechanisms (Hardcover)
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Developmental Epilepsy: From Clinical Medicine To Neurobiological Mechanisms (Hardcover)
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'It is a small treasure chest of information presented in a compact
textbook format. The unique contribution of this volume is the
authors' ability to seamlessly bridge our current understanding of
the basic science and genetics of this group of disorders to the
clinical aspects of each epilepsy ... In short, those who practice
in the field of epilepsy will find this text an easily accessible
mini encyclopedia of reviews of our current understanding of the
mechanisms that underlie the various childhood epilepsies. Readers
will appreciate the digestible length and level of detail of each
chapter and enjoy grabbing this book off the shelf.'Journal of
Paediatric Epilepsy This is a collection of chapters from renowned
authors focused on the contemporary issues in developmental
epilepsy, from both clinical and basic science perspectives.
Developmental epilepsy (or epilepsy syndromes), while receiving
much more attention than 20 years ago, is still not well
understood. This lag in research is reflected in the challenges of
treating developmental epilepsy. The book discusses these
challenges in the clinic and brings them back to the laboratory
bench (and in some cases back to the bedside). This book fills a
gap in the literature on developing epilepsy by bridging current
clinical knowledge with basic and translational research in the
developing brain relevant for developmental epilepsy.The book is
introduced by a chapter on brain development to provide a
background for understanding when and how seizures and epilepsy can
emerge. Recent clinical research indicates strong relationship
between childhood epilepsy and developmental cognitive impairment.
This connection can be studied in experimental animals and can
uncover developmental mechanisms common to both conditions.
Targeting those mechanisms might reveal disease-modifying
treatments. Febrile seizures are very common in the pediatric
population and their impact on further epilepsy development is
explored. The link between immunity, inflammation and
epileptogenesis in the developing brain is explored. Many
developmental epilepsies arise from brain malformations or neuronal
migration deficits; some juvenile epilepsies have a clear genetic
basis while the etiology of others is less certain. Recently, the
involvement of the mTOR pathway in certain childhood epilepsy
syndromes was recognized, prompting the repurposing of drugs used
in cancer treatment for therapy of these specific epilepsy
syndromes. Steroid hormones have significant hormonal effects on
neurotransmitter receptors and function, and therefore have an
impact on childhood epilepsy; sex steroids may have long term
organizational effects on brain structure and epilepsy development.
Stress, even early in development, may affect the developing brain
and lead to behavioral changes as well as increased susceptibility
to seizures.
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