Application of focused ultrasound in the treatment of epilepsy

The high prevalence of pharmacoresistant epilepsy requires the use of nonpharmacological, including surgical approaches to the treatment of this disease. The surgical methods currently used to treat epilepsy (resection, stimulation, and disconnection) carry certain risks of developing intra- and pos...

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Main Authors: S. G. Burd, A. V. Lebedeva, G. G. Avakyan, Yu. V. Rubleva, I. V. Senko, N. V. Pantina, A. V. Yurchenko, I. I. Kovaleva
Format: Article
Language:Russian
Published: IRBIS LLC 2022-10-01
Series:Эпилепсия и пароксизмальные состояния
Subjects:
Online Access:https://www.epilepsia.su/jour/article/view/824
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author S. G. Burd
A. V. Lebedeva
G. G. Avakyan
Yu. V. Rubleva
I. V. Senko
N. V. Pantina
A. V. Yurchenko
I. I. Kovaleva
author_facet S. G. Burd
A. V. Lebedeva
G. G. Avakyan
Yu. V. Rubleva
I. V. Senko
N. V. Pantina
A. V. Yurchenko
I. I. Kovaleva
author_sort S. G. Burd
collection DOAJ
description The high prevalence of pharmacoresistant epilepsy requires the use of nonpharmacological, including surgical approaches to the treatment of this disease. The surgical methods currently used to treat epilepsy (resection, stimulation, and disconnection) carry certain risks of developing intra- and postoperative complications. The technique of magnetic resonance-guided focused ultrasound (MRgFUS) may be an alternative to traditional neurosurgical interventions. Currently, MRgFUS is successfully used in the treatment of essential tremor and Parkinson’s tremor. As the literature data show, the use of focused ultrasound is a promising method in the treatment of epilepsy. It has been reported about successful FUS application for neuromodulation in animal epilepsy models. Studies related to FUS ablation of epileptogenic foci, neuromodulation in humans with epilepsy are currently underway. The technique of locally increased permeability of the blood-brain barrier after FUS, used for the treatment of brain oncological diseases and neurodegenerative disorders is also of interest in the targeted delivery of antiepileptic drugs. However, some experimental works are contradictory, and the lack of large-scale studies of MRgFUS in patients with epilepsy requires further investigation of this technique and its effectiveness.
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spelling doaj.art-84ca58483caa4ec8bb934e6b16c1d59d2023-03-13T07:44:18ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882022-10-0114329430310.17749/2077-8333/epi.par.con.2022.120587Application of focused ultrasound in the treatment of epilepsyS. G. Burd0A. V. Lebedeva1G. G. Avakyan2Yu. V. Rubleva3I. V. Senko4N. V. Pantina5A. V. Yurchenko6I. I. Kovaleva7Pirogov Russian National Research Medical University; Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of RussiaPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical University; Federal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of RussiaFederal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of RussiaFederal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of RussiaFederal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of RussiaFederal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of RussiaFederal Center of Brain and Neurotechnologies, Federal Medical and Biological Agency of RussiaThe high prevalence of pharmacoresistant epilepsy requires the use of nonpharmacological, including surgical approaches to the treatment of this disease. The surgical methods currently used to treat epilepsy (resection, stimulation, and disconnection) carry certain risks of developing intra- and postoperative complications. The technique of magnetic resonance-guided focused ultrasound (MRgFUS) may be an alternative to traditional neurosurgical interventions. Currently, MRgFUS is successfully used in the treatment of essential tremor and Parkinson’s tremor. As the literature data show, the use of focused ultrasound is a promising method in the treatment of epilepsy. It has been reported about successful FUS application for neuromodulation in animal epilepsy models. Studies related to FUS ablation of epileptogenic foci, neuromodulation in humans with epilepsy are currently underway. The technique of locally increased permeability of the blood-brain barrier after FUS, used for the treatment of brain oncological diseases and neurodegenerative disorders is also of interest in the targeted delivery of antiepileptic drugs. However, some experimental works are contradictory, and the lack of large-scale studies of MRgFUS in patients with epilepsy requires further investigation of this technique and its effectiveness.https://www.epilepsia.su/jour/article/view/824epilepsyfocused ultrasounddrug resistanceablationneuromodulation
spellingShingle S. G. Burd
A. V. Lebedeva
G. G. Avakyan
Yu. V. Rubleva
I. V. Senko
N. V. Pantina
A. V. Yurchenko
I. I. Kovaleva
Application of focused ultrasound in the treatment of epilepsy
Эпилепсия и пароксизмальные состояния
epilepsy
focused ultrasound
drug resistance
ablation
neuromodulation
title Application of focused ultrasound in the treatment of epilepsy
title_full Application of focused ultrasound in the treatment of epilepsy
title_fullStr Application of focused ultrasound in the treatment of epilepsy
title_full_unstemmed Application of focused ultrasound in the treatment of epilepsy
title_short Application of focused ultrasound in the treatment of epilepsy
title_sort application of focused ultrasound in the treatment of epilepsy
topic epilepsy
focused ultrasound
drug resistance
ablation
neuromodulation
url https://www.epilepsia.su/jour/article/view/824
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AT ivsenko applicationoffocusedultrasoundinthetreatmentofepilepsy
AT nvpantina applicationoffocusedultrasoundinthetreatmentofepilepsy
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