在内侧颞叶癫痫手术脑切除中寻找人类疱疹病毒-6

M. K. Hole, S. Rider, Paul Kwon, R. Worth, Liang Cheng, E. Hattab, Tina Y. Fodrie, V. Salanova, D. Sokol
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摘要

人类疱疹病毒-6 (HHV-6)引起婴儿红疹,并与多发性硬化症、癫痫、脑膜炎和脑膜脑炎有关。2003年的一项研究从8例内侧颞叶癫痫(MTLE)患者中4例手术切除的颞叶脑组织的星形细胞样细胞中分离出HHV-6 DNA。这表明星形胶质细胞中HHV-6的初始感染或再激活在MTLE的发展中起作用。我们试图在18例接受肺叶切除术的难治性癫痫患者中复制这一发现,这些患者有玫瑰疹和MTLE病史。我们在18例MTLE患者的颞叶标本中未发现HHV-6 DNA的证据。
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Search for Human Herpesvirus-6 in Mesial Temporal Lobe Epilepsy Surgical Brain Resections
Human Herpesvirus-6 (HHV-6) causes roseola infantum and has been associated with multiple sclerosis, seizures, meningitis, and meningoencephalitis. A 2003 study isolated HHV-6 DNA in astrocyte-resembling cells of temporal lobe surgical brain tissue resections in four of eight patients with mesial temporal lobe epilepsy (MTLE). This suggests that the initial infection or reactivation of HHV-6 in astrocytes plays a role in the development of MTLE. We sought to replicate this finding in 18 patients undergoing lobectomy for medically refractory seizures with history of roseola and MTLE. We found no evidence of HHV-6 DNA in temporal lobe specimens of 18 patients with MTLE.
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