Pathophysiology of epilepsy and basal ganglia
Epilepsy, movement disorders and some psychiatric pathologies are among the main targets for functional neurosurgery. They share several properties that make them interesting for our research line.
Drug-resistant epilepsy affects 20-30% of patients suffering epilepsy worldwide. One of the most efficacious treatments is surgery, including resective techniques and neuromodulation in different forms. Presurgical evaluation usually requires the use of very deep studies (e.g, morphological and functional MRi) or invasive techniques (intracranial electrodes), which are also used during treatment (electrocorticographic recordings or extracellular recordings for Deep Brain Stimulation -DBS). In the same way, several pathologies affecting basal ganglia need different ancillary tests to characterize the illness (genetic, nuclear medicine, morphological MRI) and to carry out the treatment (DBS).
Altogether, this set of human illness offers a unique opportunity to study the underlying pathophysiological processes. Understanding these processes is the first step to its rational treatment
Our research line is integrated by clinical researchers which are part of national reference units for the treatment of refractory epilepsy and surgical treatment of movement disorders. Therefore, our scientific interests include all aspects around functional neurosurgery and, especially, epilepsy and basal ganglia pathologies.
The topics we are working on include the following:
- Identification of basal ganglia subnuclei by extracellular recording.
- Physiopathology of somatosensory thalamus, by means of somatosensory evoked potentials, electrically elicited.
- Connectivity in epilepsy. To do that, we are studying diffusion tensor imaging and fractional anisotropy, as well as electrophisiological recordings acquired by means of scalp or intracranial recordings.
- Genetics and epi-genetics in epilepsy.
- Quantified EEG (qEEG) to use as biomarker for different pathologies. Among those fields specially targeted by this technique are patients in Intensive Care Units and neurological and psychiatric illness.
- Cortico-cortical connectivity, especially for language function.
Team members
Group leader: Jesús Pastor Gómez Hospital Universitario La Princesa |
Other team members. Hospital Universitario La Princesa:
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Pastor Gómez, Jesús. Tratamiento radioquirúrgico de alta precisión en epilepsia temporal mesial. PI12/02839. ISCIII. 2013-2015.
Pastor Gómez, Jesús. Monitorización neurofisiológica funcional intraoperatoria del lenguaje en pacientes con sedación. PI17/02193. ISCIII. 2018-2020.
Caracterizar y analizar la especificidad de las conexiones córtico-corticales mediantes potenciales evocados córtico-corticales de las áreas asociadas al lenguaje.
This grant is funded by the 2013-2016 Spanish Science, Technology and Innovation Research Plan and the ISCIII – Subdirectorate General for Evaluation and Promotion of Research – and co-financed by the European Regional Development Fund, Operational Programme Smart Growth 2014-2020 according to Regulation (EU) no. 1303/2013.
Torres Díaz, Cristina Virginia. Caracterización molecular, epigenética y estudio de tetraploidias en pacientes epilépticos fármaco resistentes del lóbulo temporal. PI17/02244. ISCIII. 2018-2020.
Caracterización de las variantes en genes, modificaciones epigenéticas y la presencia de tetraploidía en un grupo de pacientes seleccionados por la Unidad de Referencia Nacional para el Tratamiento de la Epilepsia Refractaria del Hospital Universitario La Princesa (CSUR-HUP), diagnosticados como pacientes con Epilepsia del Lóbulo Temporal.
This grant is funded by the 2013-2016 Spanish Science, Technology and Innovation Research Plan and the ISCIII – Subdirectorate General for Evaluation and Promotion of Research – and co-financed by the European Regional Development Fund, Operational Programme Smart Growth 2014-2020 according to Regulation (EU) no. 1303/2013.