2017
DOI: 10.5698/1535-7511.17.2.107
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Theta Rhythmopathy as a Cause of Cognitive Disability in TLE

Abstract: Cognitive dysfunction in TLEMemory deficits have long been associated with temporal lobe epilepsy (TLE) (1-4). In particular, episodic memory deficits in individuals with TLE are prominent and progressive (3-5). Though seizure control has been correlated with improved cognition, it is clear that anticonvulsants can cause additional memory impairments (6). Possibly due partly to the cognitive deficits associated with it, TLE can be accompanied by setbacks in school and occupational performance (7). Therefore, t… Show more

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Cited by 40 publications
(55 citation statements)
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References 72 publications
(91 reference statements)
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“…The rhythm is also tuned by arousal and anxiety (Jeewajee, Lever, Burton, O'Keefe, & Burgess, 2008;Penley et al, 2013;Wells et al, 2013). Alterations of the pacemaker structure, sprouting connections between oscillators (Christenson et al, 2017;Dudek & Shao, 2004;Houser et al, 1990), changes in neuronal resonance properties (Marcelin et al, 2009;Wolfart & Laker, 2015) or different anxiety or arousal levels thus are potential causes for a frequency reduction (reviewed in Shuman et al, 2017). Worsening of the disease in chronic state might also have an impact on all of these processes and therefore progressively decrease theta frequency.…”
Section: Mechanisms Of Theta Frequency Reductionmentioning
confidence: 99%
See 1 more Smart Citation
“…The rhythm is also tuned by arousal and anxiety (Jeewajee, Lever, Burton, O'Keefe, & Burgess, 2008;Penley et al, 2013;Wells et al, 2013). Alterations of the pacemaker structure, sprouting connections between oscillators (Christenson et al, 2017;Dudek & Shao, 2004;Houser et al, 1990), changes in neuronal resonance properties (Marcelin et al, 2009;Wolfart & Laker, 2015) or different anxiety or arousal levels thus are potential causes for a frequency reduction (reviewed in Shuman et al, 2017). Worsening of the disease in chronic state might also have an impact on all of these processes and therefore progressively decrease theta frequency.…”
Section: Mechanisms Of Theta Frequency Reductionmentioning
confidence: 99%
“…Furthermore, memory deficits were correlated with changes in theta band oscillations (5–12 Hz, Chauvière et al, ; Inostroza et al, ). Since under healthy conditions these oscillations are tightly coupled to spatial navigation and memory in both, humans (Kahana, Sekuler, Caplan, Kirschen, & Madsen, ; Cornwell, Johnson, Holroyd, Carver, & Grillon, ; Miller et al, ) and rodents (Buzsáki & Moser, ), impairment of theta oscillations has been proposed as a potential cause for memory deficits in MTLE (Shuman, Amendolara, & Golshani, ). The rescue of hippocampal theta oscillation and improvement of spatial memory by septal theta stimulation during epileptogenesis further supported this (Lee et al, ).…”
Section: Introductionmentioning
confidence: 99%
“…In particular, in chronically epileptic mice, new functional inhibitory connections form within the DG 6 , between CA1 and DG 7 , and even across hemispheres 25 . Concurrently, network activity is altered in the hippocampus of epileptic mice, with reductions in the power of theta oscillations that correlate with memory impairments [26][27][28] . In addition, changes in the synchrony of hippocampal rhythms have been hypothesized to underlie cognitive deficits 28,29 .…”
Section: Main Textmentioning
confidence: 99%
“…Finally, given that network theta and gamma activity are often compromised in a variety of neurological and psychiatric disorders [85][86][87][88][89][90][91], and abnormal activities of hippocampal interneurons are often associated with these diseases [92][93][94][95][96][97][98][99][100], future research should also determine if disruption of intrinsic oscillations in one or more of the major interneuron subtypes occurs in neuropathological conditions such as epilepsy. The results from such research will provide new insights into the mechanisms underlying compromised hippocampal rhythmogenesis in various diseases, and could provide a basis for novel interventions to restore compromised hippocampal theta and gamma oscillations.…”
Section: Frequency Specific Hippocampal Interneuronsmentioning
confidence: 99%