
pmid: 22503905
In the presurgical evaluation of patients with pharmacoresistant epilepsies, the borders between disciplines tend to oscillate. In particular, the necessity to evaluate the functional capacity of a cortical area that has been shown to be epileptogenic and is thus being considered for resection often makes it impossible not to trespass between neurophysiology and neuropsychology. In epilepsy surgery, the principle of “first, do no harm”, often blurs the distinction between “bed and bench”: findings from basic sciences that implicate a certain brain region in specific neurological or neuropsychological functions must be taken into account when an elective resection of a structure is considered – even if resection might relieve the patient from frequent intolerable seizures. That may seem to go without saying and, in fact, several examinations that are used routinely in modern presurgical evaluation are really shortcuts in the path from bench to bed. It may be an excuse that there are still are no generally accepted protocols for examinations such as the intracarotid amobarbital (“Wada”) test or language mapping by electro-stimulation, be the latter intrasurgical or by chronically implanted subdural electrodes. On the other hand, the opposite way “from bed to bench and back” has a famous history in epilepsy surgery: a new area of memory research followed Brenda Milner’s analysis of the famous anterograde amnesia caused by the resection of both hippocampi in Henry Molaison (H.M.) and, eventually, this has led to important clinical applications in both neuropsychology and neurophysiology.
Cerebral Cortex, Male, Brain Mapping, 610 Medicine & health, Electroencephalography, Functional Laterality, 10040 Clinic for Neurology, 10180 Clinic for Neurosurgery, 2809 Sensory Systems, 2728 Neurology (clinical), 2737 Physiology (medical), 2808 Neurology, Humans, Female, 610 Medicine & health, Language
Cerebral Cortex, Male, Brain Mapping, 610 Medicine & health, Electroencephalography, Functional Laterality, 10040 Clinic for Neurology, 10180 Clinic for Neurosurgery, 2809 Sensory Systems, 2728 Neurology (clinical), 2737 Physiology (medical), 2808 Neurology, Humans, Female, 610 Medicine & health, Language
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 1 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
