2007
DOI: 10.1111/j.1528-1167.2007.01046.x
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Neocortical Gliosis in Temporal Lobe Epilepsy: Gender‐Based Differences

Abstract: Summary:Objective: Sex hormones can influence the timing and frequency of seizure activity. In addition, gender may influence the age of epilepsy onset and hemispheric location of focal epilepsy. Whether gender alters temporal lobe pathologies differentially is not clear. In this study, we assess if neocortical or hippocampal pathologies from patients who underwent en bloc anteriomedial temporal lobectomy (AMTR) for medically refractory epilepsy differ by gender.Method: Consecutive en bloc AMTR resections (n =… Show more

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Cited by 16 publications
(17 citation statements)
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“…In addition, reduced glutamate uptake in female astrocytes would lead to a reduction in Na + /K + -ATPase activity (99) and reduced glycolysis (93). This result is also consistent with sexually dimorphic astrocyte dysfunction observed in patients with temporal lobe epilepsy, with females showing more pronounced intracortical gliosis (32). In male astrocyte cultures, although Eaat2 mRNA levels were increased, there was no corresponding increase in glutamate uptake with exposure.…”
Section: Figuresupporting
confidence: 76%
“…In addition, reduced glutamate uptake in female astrocytes would lead to a reduction in Na + /K + -ATPase activity (99) and reduced glycolysis (93). This result is also consistent with sexually dimorphic astrocyte dysfunction observed in patients with temporal lobe epilepsy, with females showing more pronounced intracortical gliosis (32). In male astrocyte cultures, although Eaat2 mRNA levels were increased, there was no corresponding increase in glutamate uptake with exposure.…”
Section: Figuresupporting
confidence: 76%
“…Gender-based changes in gray matter were previously measured in Alzheimer’s disease (AD), where male AD patients showed higher gray matter loss in anterior cingulate than did female AD patients [4], whereas, based on the cortical thickness analyses, no gender-based difference in AD patients was observed [37]. Other studies on patients with temporal lobe epilepsy and schizophrenia depicted lower cortical thickness in female than in male patients [18, 22]. We suggest that the differential disease pathology in PD affects the male more than it does the female.…”
Section: Discussionmentioning
confidence: 99%
“…Also, the thickness of subpial Chaslin gliosis, thickness of gliosis in the molecular layer of the neocortex, and total thickness of the neocortex were each measured as we described previously (Doherty et al, 2007). Intracortical reactive gliosis was measured as the mean number of glial fibrillary acidic proteinpositive astrocyte nuclei in a surgical specimen of the middle temporal gyrus in neocortical layers III to V seen per microscopic high power field (·400) was calculated from a count of 10 random fields in one slide.…”
Section: Surgery and Histopathologymentioning
confidence: 99%
“…In a previous study, we described four measures of pathologic assessment of neocortex: number of reactive astrocytes in LNC layers III to V (intracortical gliosis), thickness of Chaslin gliosis, LNC molecular layer (layer I) gliosis, and total thickness of the LNC (Doherty et al, 2007). In a previous study, we described four measures of pathologic assessment of neocortex: number of reactive astrocytes in LNC layers III to V (intracortical gliosis), thickness of Chaslin gliosis, LNC molecular layer (layer I) gliosis, and total thickness of the LNC (Doherty et al, 2007).…”
mentioning
confidence: 99%