El s\u00edmptoma m\u00e9s conegut de l\u2019epil\u00e8psia s\u00f3n les crisis, m\u00e9s o menys recurrents, que poden anar acompanyades o no de convulsions. En el cas de l\u2019epil\u00e8psia del l\u00f2bul temporal, aquestes episodis venen causats per un increment excessiu de desc\u00e0rregues nervioses en una zona determinada del l\u00f2bul temporal del cervell. La principal forma de tractament de l\u2019epil\u00e8psia \u00e9s la medicaci\u00f3, que normalment permet assolir el control dels brots i seguir una vida normal, per\u00f2 a vegades aquesta mesura no \u00e9s efectiva i cal rec\u00f3rrer a la neurocirurgia, que resecciona o desconnecta la zona problem\u00e0tica de la resta del cervell. Aix\u00f2 permet curar l\u2019epil\u00e8psia o almenys reduir la freq\u00fc\u00e8ncia dels brots, per\u00f2 aproximadament la meitat dels pacients segueixen patint crisis a llarg termini.<\/p>\n
En general \u00e9s molt dif\u00edcil predir el resultat i l\u2019evoluci\u00f3 del pacient despr\u00e9s d\u2019una cirurgia, ja que l\u2019epil\u00e8psia \u00e9s una malaltia molt variable. Per aix\u00f2, abans de procedir amb aquesta intervenci\u00f3, s\u2019ha de fer una avaluaci\u00f3 personalitzada relativament complicada. En aquesta l\u00ednia, s\u2019han anat descobrint eines de neuroimatge que poden ajudar a fer aquesta avaluaci\u00f3, entre elles \u00e9s la resson\u00e0ncia magn\u00e8tica funcional en rep\u00f2s, que mesura l\u2019activitat neuronal.<\/p>\n
El grup de Cognici\u00f3 i Plasticitat Cerebral<\/strong><\/a> de l\u2019IDIBELL, l\u2019Hospital Universitari de Bellvitge i la Universitat de Barcelona, en un estudi liderat per la Dra. Estela C\u00e0mara<\/strong> i el Dr. Jacint Sala<\/strong>, ha utilitzat aquesta eina de resson\u00e0ncia magn\u00e8tica funcional per identificar quins pacients es podrien beneficiar m\u00e9s de la neurocirurgia i proporcionar un pron\u00f2stic m\u00e9s fiable des d\u2019abans de la intervenci\u00f3. Els resultats han estat publicats a la revista BMC Neurology<\/em><\/a> i mostren que els pacients que presenten una major connectivitat neuronal en la zona m\u00e9s afectada del cervell tenen un millor pron\u00f2stic per despr\u00e9s de la resecci\u00f3. Els participants de l\u2019estudi han estat en seguiment m\u00e9s de 6 anys despr\u00e9s de la intervenci\u00f3, cosa que ha perm\u00e8s confirmar quins realment han deixat de tenir crisis epil\u00e8ptiques i, per tant, s\u2019han curat.<\/p>\n \u201cAquests resultats s\u00f3n una gran aportaci\u00f3 per la medicina personalitzada en termes d\u2019avaluaci\u00f3 pre-quir\u00fargica de persones amb epil\u00e8psia<\/em>\u201d, afirma la Dra C\u00e0mara<\/strong>, \u201cper\u00f2 tot i ser bastant prometedors, encara necessiten ser ampliats a mostres m\u00e9s grans per tal d\u2019incloure\u2019ls a la pr\u00e0ctica cl\u00ednica amb seguretat<\/em>\u201d.<\/p>\n <\/p>\n L\u2019Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge (IDIBELL) \u00e9s un centre de recerca en biomedicina creat l\u2019any 2004. Est\u00e0 participat per l\u2019Hospital Universitari de Bellvitge i l\u2019Hospital de Viladecans de l\u2019Institut Catal\u00e0 de la Salut, l\u2019Institut Catal\u00e0 d\u2019Oncologia, la Universitat de Barcelona i l\u2019Ajuntament de l\u2019Hospitalet de Llobregat.<\/em><\/p>\n L\u2019IDIBELL \u00e9s membre del Campus d\u2019Excel\u00b7l\u00e8ncia Internacional de la Universitat de Barcelona HUBc i forma part de la instituci\u00f3 CERCA de la Generalitat de Catalunya. L\u2019any 2009 es va convertir en un dels cinc primers centres d\u2019investigaci\u00f3 espanyols acreditats com a institut d\u2019investigaci\u00f3 sanit\u00e0ria per l\u2019Instituto de Salud Carlos III. A m\u00e9s, forma part del programa \u201cHR Excellence in Research\u201d de la Uni\u00f3 Europea i \u00e9s membre de EATRIS i REGIC. Des de l\u2019any 2018, l\u2019IDIBELL \u00e9s un Centro Acreditado de la Fundaci\u00f3n Cient\u00edfica AECC (FCAECC).<\/em><\/p>\n","protected":false},"excerpt":{"rendered":" El s\u00edmptoma m\u00e9s conegut de l\u2019epil\u00e8psia s\u00f3n les crisis, m\u00e9s o menys recurrents, que poden anar acompanyades o no de convulsions. En el cas de l\u2019epil\u00e8psia del l\u00f2bul temporal, aquestes episodis venen causats per un increment excessiu de desc\u00e0rregues nervioses en una zona determinada del l\u00f2bul temporal del cervell. La principal forma de tractament de […]<\/p>\n","protected":false},"author":8,"featured_media":19884,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[368,340,457],"tags":[],"class_list":["post-19881","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cognicio-i-plasticitat-cerebral","category-neurociencies","category-p-de-neurociencies"],"publishpress_future_action":{"enabled":false,"date":"2024-12-29 03:11:09","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/19881","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/comments?post=19881"}],"version-history":[{"count":3,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/19881\/revisions"}],"predecessor-version":[{"id":19889,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/posts\/19881\/revisions\/19889"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media\/19884"}],"wp:attachment":[{"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/media?parent=19881"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/categories?post=19881"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/idibell.cat\/wp-json\/wp\/v2\/tags?post=19881"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}