Molecular Basis and Novel Treatment of Epilepsy

A special issue of Biomolecules (ISSN 2218-273X). This special issue belongs to the section "Molecular Biology".

Deadline for manuscript submissions: 31 October 2025 | Viewed by 727

Special Issue Editor

College of Medicine, UAMS, Little Rock, AR, USA
Interests: epilepsy; genetic basis; epileptogenesis; antiseizure drugs; novel treatment; translational research

Special Issue Information

Dear Colleagues,

This Special Issue of Biomolecules focuses on the molecular mechanisms that contribute to epilepsy and the development of novel treatments. Epilepsy is a neurological disorder that manifests as seizures and is one of the leading global health burdens. Although there is continuous development of anti-seizure drugs, one-third of patients remain refractory. Therefore, there is an urgent need to identify novel molecular targets for the future development of new treatments for epilepsy. This Special Issue will present up-to-date reviews and original research articles on the genetic basis of human epilepsy, molecular mechanisms of epileptogenesis, and translational research on novel treatments for epilepsy.

Dr. Fang Zheng
Guest Editor

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Keywords

  • epilepsy
  • genetic basis
  • epileptogenesis
  • antiseizure drugs
  • novel treatment
  • translational research

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Published Papers (1 paper)

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Review

10 pages, 428 KiB  
Review
Consideration of Anesthesia Techniques for Deep Brain Stimulation Implantation in the Treatment of Drug-Resistant Epilepsy: A Narrative Review
by Alan D. Kaye, Benjamin Esneault, Shreya Deshpande, Joseph Wentling, Shahab Ahmadzadeh, Pooja Potharaju and Sahar Shekoohi
Biomolecules 2025, 15(6), 784; https://doi.org/10.3390/biom15060784 - 28 May 2025
Viewed by 384
Abstract
Epilepsy is a neurological disorder characterized by recurrent, unprovoked seizures, affecting millions worldwide. While anti-seizure medications serve as first-line treatment, approximately one-third of patients develop drug-resistant epilepsy (DRE), necessitating alternative interventions. Deep brain stimulation (DBS) has emerged as a promising therapy for DRE, [...] Read more.
Epilepsy is a neurological disorder characterized by recurrent, unprovoked seizures, affecting millions worldwide. While anti-seizure medications serve as first-line treatment, approximately one-third of patients develop drug-resistant epilepsy (DRE), necessitating alternative interventions. Deep brain stimulation (DBS) has emerged as a promising therapy for DRE, particularly for patients who are ineligible for resective surgery. DBS involves stereotactic implantation of electrodes into target brain regions, such as the anterior nucleus of the thalamus (ANT), centromedian nucleus (CMT), and hippocampus (HC), to modulate aberrant neural activity and to reduce seizure frequency. Anesthesia plays a critical role in DBS implantation, influencing both patient safety and procedural success. The choice of anesthetic technique must balance patient comfort with the preservation of neurophysiological signals used for intraoperative electrode localization. A well-chosen anesthetic strategy can enhance the efficacy of electrode placement by minimizing patient movement and preserving critical neurophysiological signals for real-time monitoring. This precise targeting enhances safety via a reduction in perioperative risks and an improvement in long-term seizure control. Anesthetic considerations in epilepsy patients differ from those in movement disorders due to variations in their nuclei targets during DBS. Despite the increasing use of DBS for epilepsy following its FDA approval in 2018, research on anesthetic effects specific to this population remains limited. This narrative review, therefore, examines anesthetic approaches, pharmacological implications, potential complications, and evolving methods for DBS implantation in epilepsy patients, highlighting new insights and unique considerations in this population. Understanding these factors is essential for optimizing surgical outcomes and improving the safety and efficacy of DBS in epilepsy treatment. Full article
(This article belongs to the Special Issue Molecular Basis and Novel Treatment of Epilepsy)
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