Focal Cooling for Drug-Resistant Epilepsy: A Review.

Focal Cooling for Drug-Resistant Epilepsy: A Review.
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局部冷却治疗耐药性癫痫:综述。

DOI:
10.1001/jamaneurol.2022.1936
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发表时间:
2022-09-01
期刊:
影响因子:
29
通讯作者:
Goldenholz, Daniel M.
Goldenholz, Daniel M.
中科院分区:
医学1区
文献类型:
--
作者:
Niesvizky-Kogan, Itamar;Bass, Michelle;Goldenholz, Shira R.;Goldenholz, Daniel M.

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Epilepsy affects at least 1.2% of the population, with a third of cases considered drug-resistant epilepsy (DRE). For these cases, focal cooling therapy may be a potential avenue for treatment, offering hope to people with DRE for seizure-freedom. The therapy leverages neuroscience and engineering principles to deliver a reversible treatment unhindered by pharmacology. Analogous to (but safer than) the use of global cooling in post-cardiac arrest and neonatal ischemic injury, extensive research supports the premise that focal cooling as a long-term treatment for epilepsy could be effective. The potential advantages of focal cooling are trifold: stopping epileptiform discharges, seizures, and status epilepticus safely across species (including humans). This review presents the most current evidence supporting focal cooling in epilepsy. Cooling has been demonstrated as a potentially safe and effective treatment modality for DRE, although it is not yet ready for use in humans outside of controlled clinical trials. The review will also offer a brief overview of the technical challenges related to focal cooling in humans, including the optimal device design and cooling parameters.
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