Funkční důsledky epileptických záchvatů a hypoxicko-ischemického poškození CNS

• Main Author: Krýsl, David
• Other Authors: Mareš, Jan
• Format: Doctoral Thesis
• Language: Czech
• Published: 2013
• Online Access: http://www.nusl.cz/ntk/nusl-326176

Hypoxic - ischemic CNS lesions and epileptic seizures share many common pathophysiologic features. Basic mechanisms , either detrimental ( excitotoxicity , free radicals, inflammation , changes in permeability of the blood brain barrier , particularly necrotic and apoptotic cell death) , or reparative ( gliosis , neuroplasticity , neurogenesis , vascular proliferation ) occur in Both types of damage , but may be expressed in varying degrees, and may take place in different time term. Hypoxia , but also global and focal ischemia, CNS are in humans and in experimental models under certain conditions accompanied by epileptic seizures. Epileptic seizures vice versa acutely and chronically affect cerebral blood flow (CBF ) . CBF and cerebral metabolism is significantly affected during status epilepticus ( SE). CBF changes can significantly contribute to pathophysiological consequences of seizures and may have links with some of their clinical manifestations (eg Todd's postparoxysmální hemiparesis ( MS Mathews et al. , 2008; Yarnell PR 1975) ) . Focal ischemia, CNS has often consequences in distant , but functionally linked areas ( diaschisis ) . There is a remote influence not only the blood flow and metabolism , but also excitability (Andrews, RJ , 1991 Buchkremer - Ratzmann I. et al. 1996b ) . Also in the...