Invasive Electrophysiology for Circuit Discovery and Study of Comorbid Psychiatric Disorders in Patients With Epilepsy: Challenges, Opportunities, and Novel Technologies

Autor: Irena Balzekas, Vladimir Sladky, Petr Nejedly, Benjamin H. Brinkmann, Daniel Crepeau, Filip Mivalt, Nicholas M. Gregg, Tal Pal Attia, Victoria S. Marks, Lydia Wheeler, Tori E. Riccelli, Jeffrey P. Staab, Brian Nils Lundstrom, Kai J. Miller, Jamie Van Gompel, Vaclav Kremen, Paul E. Croarkin, Gregory A. Worrell
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Frontiers in Human Neuroscience, Vol 15 (2021)
Druh dokumentu: article
ISSN: 1662-5161
DOI: 10.3389/fnhum.2021.702605
Popis: Intracranial electroencephalographic (iEEG) recordings from patients with epilepsy provide distinct opportunities and novel data for the study of co-occurring psychiatric disorders. Comorbid psychiatric disorders are very common in drug-resistant epilepsy and their added complexity warrants careful consideration. In this review, we first discuss psychiatric comorbidities and symptoms in patients with epilepsy. We describe how epilepsy can potentially impact patient presentation and how these factors can be addressed in the experimental designs of studies focused on the electrophysiologic correlates of mood. Second, we review emerging technologies to integrate long-term iEEG recording with dense behavioral tracking in naturalistic environments. Third, we explore questions on how best to address the intersection between epilepsy and psychiatric comorbidities. Advances in ambulatory iEEG and long-term behavioral monitoring technologies will be instrumental in studying the intersection of seizures, epilepsy, psychiatric comorbidities, and their underlying circuitry.
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