Journals / Anadolu Kliniği Tıp Bilimleri Dergisi / 2021 / Cilt: 26 - Sayı: 3

The Relationship between Dementia and Temporal Lobe Epilepsy

Demans ile Temporal Lob Epilepsisi Arasındaki İlişki

Pages
308–317
Publication Date
2022-10-11
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This relationship is also discussed in the context of accelerated long-term forgetting and consolidation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Temporal lobe epilepsy and Alzheimer’s disease (AD) are similar in their physiopathology in the hippocampus and mesial temporal structures.
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Key Findings & Data:In both diseases, there are neural network changes before the clinical manifestations.
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Conclusion & Impact:This relationship is also discussed in the context of accelerated long-term forgetting and consolidation.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Temporal lobe epilepsy and Alzheimer’s disease (AD) are similar in their physiopathology in the hippocampus and mesial temporal structures. In both diseases, there are neural network changes before the clinical manifestations. Considering this similarity between the two entities, the relationship between seizures and dementia has been investigated in various studies. In the present study, we attempt to answer the questions of whether individuals with mesial temporal sclerosis are more likely to develop dementia and whether AD causes epilepsy. With this design, we discuss the clinical findings of two patients in their seventies, of whom one was diagnosed with dementia while under epilepsy treatment for many years and the other received a concurrent diagnosis of epilepsy and dementia. Furthermore, whether AD causes seizures as another question arising from the high probability of seizures in AD and its relationship to cognitive impairment are discussed in the light of data from various studies. This relationship is also discussed in the context of accelerated long-term forgetting and consolidation.

Özet

Temporal lob epilepsisi ve Alzheimer hastalığı (AH), hipokampus ve meziyal temporal yapılarda benzer bir fizyopatoloji sergiler. Her iki hastalıkta da klinik bulgulardan önce nöral ağ değişiklikleri mevcuttur. İki antite arasındaki bu benzerlik nedeniyle, çeşitli çalışmalarda nöbetler ve bunama arasında nasıl bir ilişki olduğu araştırılmıştır. Bu çalışmada ise, meziyal temporal sklerozlu bireylerin demansa daha yatkın olup olmadığı ve AH’nin epilepsiye yol açıp açmadığı sorularına cevap aranmıştır. Bu doğrultuda, biri uzun yıllardır epilepsi tedavisi görmekteyken demans tanısı alan, diğerine ise aynı anda hem epilepsi hem demans tanısı konan yetmişli yaşlardaki iki hastanın klinik bulguları ele alınmıştır. Diğer bir konu olarak da, AH’de nöbet görülme olasılığının oldukça yüksek olmasından doğan AH’nin nöbetlere yol açıp açmadığı sorusu ve bunun kognitif yıkımla olan ilişkisi, çeşitli çalışmalardan veriler ışığında tartışılmıştır. Ayrıca bu ilişki hızlanmış unutma ve konsolidasyon bağlamında da ele alınmıştır.

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Cite This Article

YILDIRIM, E., HANOĞLU, L., KADAK, K. S. (2022). The Relationship between Dementia and Temporal Lobe Epilepsy. Anadolu Kliniği Tıp Bilimleri Dergisi, Cilt: 26 - Sayı: 3, 308–317. https://ajindex.com/articles/437620

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References (14)

  1. Chin J, Scharfman HE. Shared cognitive and behavioral impairments in epilepsy and Alzheimer’s disease and potential underlying mechanisms. Epilepsy Behav. 2013;26(3):343–51
  2. Horváth A, Szűcs A, Barcs G, Noebels JL, Kamondi A. Epileptic seizures in Alzheimer disease: a review. Alzheimer Dis Assoc Disord. 2016;30(2):186–92
  3. Palop JJ, Mucke L. Network abnormalities and interneuron dysfunction in Alzheimer disease. Nat Rev Neurosci. 2016;17(12):777–92
  4. Tai XY, Koepp M, Duncan JS, Fox N, Thompson P, Baxendale S, ve ark. Hyperphosphorylated tau in patients with refractory epilepsy correlates with cognitive decline: a study of temporal lobe resections. Brain J Neurol. 2016;139(9):2441–55
  5. Leverenz JB, Agustin CM, Tsuang D, Peskind ER, Edland SD, Nochlin D, ve ark. Clinical and neuropathological characteristics of hippocampal sclerosis: a community-based study. Arch Neurol. 2002;59(7):1099–106
  6. Onyike CU, Pletnikova O, Sloane KL, Sullivan C, Troncoso JC, Rabins PV. Hippocampal sclerosis dementia: an amnesic variant of frontotemporal degeneration. Dement Neuropsychol. 2013;7(1):83–7
  7. Probst A, Taylor KI, Tolnay M. Hippocampal sclerosis dementia: a reappraisal. Acta Neuropathol. 2007;114(4):335–45
  8. Tai XY, Bernhardt B, Thom M, Thompson P, Baxendale S, Koepp M, ve ark. Review: neurodegenerative processes in temporal lobe epilepsy with hippocampal sclerosis: clinical, pathological and neuroimaging evidence. Neuropathol Appl Neurobiol. 2018;44(1):70–90
  9. Sen A, Capelli V, Husain M. Cognition and dementia in older patients with epilepsy. Brain J Neurol. 2018;141(6):1592–608
  10. Helmstaedter C, Witt JA. Epilepsy and cognition—a bidirectional relationship? Seizure. 2017;49:83–9
  11. Subota A, Pham T, Jetté N, Sauro K, Lorenzetti D, Holroyd-Leduc J. The association between dementia and epilepsy: a systematic review and meta-analysis. Epilepsia. 2017;58(6):962–72
  12. Höller Y, Trinka E. What do temporal lobe epilepsy and progressive mild cognitive impairment have in common? Front Syst Neurosci. 2014;8:58
  13. Breuer LEM, Boon P, Bergmans JWM, Mess WH, Besseling RMH, de Louw A, ve ark. Cognitive deterioration in adult epilepsy: does accelerated cognitive ageing exist? Neurosci Biobehav Rev. 2016;64:1–11
  14. Martin R, Griffith HR, Sawrie S, Knowlton R, Faught E. Determining empirically based self-reported cognitive change: development of reliable change indices and standardized regression-based change norms for the multiple abilities self-report q