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Depression and temporal lobe epilepsy represent an epiphenomenon sharing similar neural networks: clinical and brain structural evidences
The relationship between depression and epilepsy has been known since ancient times, however, to date, it is not fully understood. The prevalence of psychiatric disorders in persons with epilepsy is high compared to general population. It is assumed that the rate of depression ranges from 20 to 55%...
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Published in: | Arquivos de neuro-psiquiatria 2013-03, Vol.71 (3), p.183-190 |
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description | The relationship between depression and epilepsy has been known since ancient times, however, to date, it is not fully understood. The prevalence of psychiatric disorders in persons with epilepsy is high compared to general population. It is assumed that the rate of depression ranges from 20 to 55% in patients with refractory epilepsy, especially considering those with temporal lobe epilepsy caused by mesial temporal sclerosis. Temporal lobe epilepsy is a good biological model to understand the common structural basis between depression and epilepsy. Interestingly, mesial temporal lobe epilepsy and depression share a similar neurocircuitry involving: temporal lobes with hippocampus, amygdala and entorhinal and neocortical cortex; the frontal lobes with cingulate gyrus; subcortical structures, such as basal ganglia and thalamus; and the connecting pathways. We provide clinical and brain structural evidences that depression and epilepsy represent an epiphenomenon sharing similar neural networks. |
doi_str_mv | 10.1590/S0004-282X2013000300011 |
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The prevalence of psychiatric disorders in persons with epilepsy is high compared to general population. It is assumed that the rate of depression ranges from 20 to 55% in patients with refractory epilepsy, especially considering those with temporal lobe epilepsy caused by mesial temporal sclerosis. Temporal lobe epilepsy is a good biological model to understand the common structural basis between depression and epilepsy. Interestingly, mesial temporal lobe epilepsy and depression share a similar neurocircuitry involving: temporal lobes with hippocampus, amygdala and entorhinal and neocortical cortex; the frontal lobes with cingulate gyrus; subcortical structures, such as basal ganglia and thalamus; and the connecting pathways. 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The prevalence of psychiatric disorders in persons with epilepsy is high compared to general population. It is assumed that the rate of depression ranges from 20 to 55% in patients with refractory epilepsy, especially considering those with temporal lobe epilepsy caused by mesial temporal sclerosis. Temporal lobe epilepsy is a good biological model to understand the common structural basis between depression and epilepsy. Interestingly, mesial temporal lobe epilepsy and depression share a similar neurocircuitry involving: temporal lobes with hippocampus, amygdala and entorhinal and neocortical cortex; the frontal lobes with cingulate gyrus; subcortical structures, such as basal ganglia and thalamus; and the connecting pathways. We provide clinical and brain structural evidences that depression and epilepsy represent an epiphenomenon sharing similar neural networks.</description><subject>Brain - pathology</subject><subject>Brain - physiopathology</subject><subject>Depression - pathology</subject><subject>Depression - physiopathology</subject><subject>Epilepsy, Temporal Lobe - pathology</subject><subject>Epilepsy, Temporal Lobe - physiopathology</subject><subject>Humans</subject><subject>Nerve Net - pathology</subject><subject>Nerve Net - physiopathology</subject><subject>Neuroimaging</subject><subject>NEUROSCIENCES</subject><subject>PSYCHIATRY</subject><issn>0004-282X</issn><issn>1678-4227</issn><issn>1678-4227</issn><issn>0004-282X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNptkUtLxDAUhYMoOj7-gmbppppXX-7ENwguVHBX0vTWyZgmNWkVf4L_2nRGBcHFJeTwnXvhHIQOKDmiaUmO7wkhImEFe2KE8viZhtI1NKNZXiSCsXwdzX6hLbQdwoIQJsoy30RbjKcZzxmZoc9z6D2EoJ3F0jZ4gK53XhpsXA0Yem2gDx_YLymwQ4QmtZ-DdV0ci8Ncem2fcdCdNtJjC-PktzC8O_8STrAy2moVpWl_7aWOnsGPalhy8KYbsArCLtpopQmw9_3uoMfLi4ez6-T27urm7PQ2USJNh0TVomiYaKRqc5oRAZTznMiCQRlVwrmgWZs2tRIZzTjjnBQSBAemQDElcr6DjlZ7g9JgXLVwo7fxYLXMtPqbKS14NByuDL13ryOEoep0UGCMtODGUFEeY03LrBQRzVeo8i4ED23Ve91J_1FRUk3F_XskFhed-99HxrqD5tf30xT_AiDClDA</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Valente, Kette D R</creator><creator>Busatto Filho, Geraldo</creator><general>Academia Brasileira de Neurologia - ABNEURO</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>GPN</scope></search><sort><creationdate>20130301</creationdate><title>Depression and temporal lobe epilepsy represent an epiphenomenon sharing similar neural networks: clinical and brain structural evidences</title><author>Valente, Kette D R ; Busatto Filho, Geraldo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-cb48d24dacf71604e13370a82e924d033416f5dbc4616323308ae43e2cec2c473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Brain - pathology</topic><topic>Brain - physiopathology</topic><topic>Depression - pathology</topic><topic>Depression - physiopathology</topic><topic>Epilepsy, Temporal Lobe - pathology</topic><topic>Epilepsy, Temporal Lobe - physiopathology</topic><topic>Humans</topic><topic>Nerve Net - pathology</topic><topic>Nerve Net - physiopathology</topic><topic>Neuroimaging</topic><topic>NEUROSCIENCES</topic><topic>PSYCHIATRY</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valente, Kette D R</creatorcontrib><creatorcontrib>Busatto Filho, Geraldo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SciELO</collection><jtitle>Arquivos de neuro-psiquiatria</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valente, Kette D R</au><au>Busatto Filho, Geraldo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depression and temporal lobe epilepsy represent an epiphenomenon sharing similar neural networks: clinical and brain structural evidences</atitle><jtitle>Arquivos de neuro-psiquiatria</jtitle><addtitle>Arq Neuropsiquiatr</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>71</volume><issue>3</issue><spage>183</spage><epage>190</epage><pages>183-190</pages><issn>0004-282X</issn><issn>1678-4227</issn><eissn>1678-4227</eissn><eissn>0004-282X</eissn><abstract>The relationship between depression and epilepsy has been known since ancient times, however, to date, it is not fully understood. 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subjects | Brain - pathology Brain - physiopathology Depression - pathology Depression - physiopathology Epilepsy, Temporal Lobe - pathology Epilepsy, Temporal Lobe - physiopathology Humans Nerve Net - pathology Nerve Net - physiopathology Neuroimaging NEUROSCIENCES PSYCHIATRY |
title | Depression and temporal lobe epilepsy represent an epiphenomenon sharing similar neural networks: clinical and brain structural evidences |
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