Mechanisms Responsible for Cognitive Impairment in Epilepsy

Cold Spring Harb Perspect Med. 2015 Sep 3;5(10):a022772. doi: 10.1101/cshperspect.a022772.

Abstract

Epilepsy is often associated with cognitive and behavioral impairments that can have profound impact on the quality of life of patients. Although the mechanisms of cognitive impairment are not completely understood, we make an attempt to describe, from a systems perspective, how information processing is affected in epilepsy disorders. The aim of this review is to (1) define the nature of cognitive deficits associated with epilepsy, (2) review fundamental systems-level mechanisms underlying information processing, and (3) describe how information processing is dysfunctional in epilepsy and investigate the relative contributions of etiology, seizures, and interictal discharges (IDs). We conclude that these mechanisms are likely to be important and deserve more detailed scrutiny in the future.

Publication types

  • Review

MeSH terms

  • Action Potentials / physiology
  • Animals
  • Brain Diseases / pathology
  • Brain Diseases / physiopathology
  • Cognition Disorders / etiology*
  • Cognition Disorders / pathology
  • Cognition Disorders / physiopathology
  • Disease Models, Animal
  • Epilepsy / pathology
  • Epilepsy / physiopathology
  • Epilepsy / psychology*
  • Hippocampus / pathology
  • Hippocampus / physiopathology
  • Humans
  • Memory / physiology
  • Mental Processes / physiology
  • Neuronal Plasticity / physiology
  • Neurons / physiology