Epilepsy is one of the most common neurologic disorders affecting a substantial part of the population worldwide. Epileptic seizures represent the situation of increased neuronal activity associated with the enhanced demands for sufficient energy supply. For that purpose, very efficient regulatory mechanisms have to operate to ensure that cerebral blood flow, delivery of oxygen, and nutrients are continuously adapted to the local metabolic needs. The sophisticated regulation has to function in concert at several levels (systemic, tissue, cellular, and subcellular). Particularly, mitochondria play a key role not only in the energy production, but they are also central to many other processes including those leading to neuronal death. Impairment of any of the involved pathways can result in serious functional alterations, neurodegeneration, and potentially in epileptogenesis. The present review will address some of the important issues concerning vascular and metabolic changes in pathophysiology of epilepsy.

Department of Epileptology University of Bonn Bonn Germany

Department of Neurology The Joseph Sagol Neuroscience Center The Chaim Sheba Medical Center Tel HaShomer Israel; Talpiot Medical Leadership Program The Chaim Sheba Medical Center Tel HaShomer Israel

Institute for Neurophysiology Charité Medical University Berlin Berlin Germany

Institute of Physiology v v i Academy of Sciences of the Czech Republic Prague Czech Republic

References provided by Crossref.org

Epilepsy Research in the Institute of Physiology of the Czech Academy of Sciences in Prague

In vitro human cell culture models in a bench-to-bedside approach to epilepsy

Sulforaphane Ameliorates Metabolic Changes Associated With Status Epilepticus in Immature Rats

Bioenergetic Mechanisms of Seizure Control