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An Official Journal of Epilepsy Society of Thailand

CONTENTS
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Epilepsy Highlight:
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- B'n European Congress on Epileptology U

September 21-25,2008 rnyiru rLdvra?Joirerx fil#er;raraulq 6oflr?l:r:fi'r:al'rFrdoerfl lufltua.r


- Epilepsy & Inflammatron 2 4iddd
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Continuum: ?r? dt? E1 n ur:-l t{o fl 0 { yn { fl ?t'r Ft }..r (www. th ai epi lepsysoeiety, com )
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- Difficult to treat epilepsy fl{1.{'tEytT}.t to Lx{tool.{til:918.J%1.t 71lf Ft6r[y1j::el]']fint:?'t?fi1:fl0fl0:JFtill
- Antiepileptic drugs & Drug interaction 1 otqI:I
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- Value of screening for bone demineralization in


an urban population of patienis with epilepsy I I
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Current Practices and Quizs. oir.:t:-lqrntes.r ttiu nrroonqrf;p.iru M-current potassium channel
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Current Practices and Quizs 9qJ

vd tection utnytilu antiepileptogenesis 6': taattsJfitnr:YnrqrT:enelfn


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FAQ rfi r': o ri r t ro^ r : uo n qr n filusj r r rl :; ril e( il { li ar"t6o':'r x 5vr r r fi r u p h ar-
1t macogenomrcs a.n'tfftunr:qqJ,cJ urn oulfftunr:rYon:ot ffrjrsfifiIonr a urvl
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HEAD OFFICE d I q a u T u ,l dt !4 vl v I q - ut JX
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European epilepsy congress fre.lrua.n tufr:{o "The role of Inflam-
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mation in the development ol Epilepsy" 6trfluvY:{ofifinr:ndllfitffu
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L%r6u;il a:u original article tqsJ orqr:rorusrl,\r:9 lrn; Continuum
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roor,Hoyar uolden Jubilee Builorng ernaosu FAQ/Current Practices & Quizs ffna:-lauo{q?ratnulqrot
Soi Soonvijai, New Petchburi Road, v I
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Huaykwang, Bangkok 10310 Thailand
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E-mail: c nabangchang@hotmail.com
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EPILEPSY HIGHLIGHT
Highlight from 8'h European on Epileptology September 2L-25,2OO8
Epilepsy 8c Inflammation
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lmmune system :-i:vnor6':a 2 nntn 6o innate immune tunr: ufi orl:o n a.r fr'n'tfi urri

system ttn; adaptive immune system 1 nr:fi steroids 6',:lilu anti-inflammatory drug fi

@ lnnate immune system uflunn[n4fifrruvnufiil,:nta :-ntrrrlunr:fn:srT:an8.r#nrrtrfio utiu Landau-


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filfrfi3enoio antigen 6:et phagocytic cells 6o monocyte, Kleffner syndrome, CSWS tilufru
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., I v fl??ailL proinflammarory morecules rrierrrnfiulu
antigen Loerordu cell fiu3sJn'jr antigen presenting cell (APC)
I a ,a a , I : o vd L q trynil:varrrun: glial cell "tufr:-Lrrfr tr.rero:-Lauo''rsio
ry{Evtnol]fln:8't910t1.{0{71 receptor yll 114}.tnl:%n{ medrator
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! cytokine rtiu lL-1 B, tL-t l" uun: lL-r RA ( nterleukin-1


tt,lorErn:vr-l:JilTvfi 'rylnnr':fi blood-brain barrier iBBB) runr
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!av,dl antiinflammatory agents fi orqqt?i-tl"Li;'^ :i-'r. rraorlu


te..r0tno?u?%ntT0ntd:_J (tnllamrnatton) rfrnnt1,{o9r'tf 6l

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qJs-in1:?nr cytokine ttnv mediator gt'tf 6l oon[..]'t sr':oal',:tt'u atTlfTt l
interleukin-1 beta (lt-1 B) 6ozruydfiTru{'rr.li'rfir-lvr:-lrvrl%nrr

lfio hyperexcitation virl#rfioornr:#n"tuffsr5vrono{'td ra6o Inflammation in Human epilepsy & Seizure disorders

nuclear factortcB(NFl(B) d*',r-,.ronrvfr% proinflammatory Inflammatory markers


Epileptic syndrome

genes 6,: rilu gene fivitvrrirfi .n.ooing cytokines ttny Convulsive disorder Plasma or CSF Brain tissue Antiinflammatory treatments
Basmussen encephalit s GluR3 Ab, Munc-|8 Ab GluR3 Ah ACTH, steroids, lVlg

chemokine protein fi tfietr{atffinl:n:vfru comptement, CD-8+lymphocytes PEX,PAL,immunosuppressant


GrB; MAC; cytok nes
West Syndrome IFN-a plta, TNF-alpha, lL2 n.d, ACTH, steroids, lVlg
cycrooxygenase-2, ttdv nitric oxide 6.lqvvit"t#finr:virnrel Lennox-Gastaul d,syndrome n n d, ACTH, steroids, lVlg
Landau Kleffner syndrome n.d nd ADTH, steroids, lVlg
tfr dd r_l :g fi I vt sn ?.t a-.1't
Febr e seizures ll-l bela, ll-l Ra, lL-6 nd nd
lL-1 0, TNF-alpha
A d a4 4 v v
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lL-1, NFkB-
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EJ P.t 0Lnn tn u ? ?J 0 I u ta m ate seizures ll-h, lL-la1pha, ll-lbeta
Ton c-c onic n.d, n.d.
Tuberous Sclerosis n.d
Iosorqqvfi o'nar fi o:Jn6fi receptor fi nr:"oofu reuptake rLo',:
CD-68 macrophages
ICAM- 1, TNF-alpha,
n.d

NFKB, IVAPK
glutamate ra6ofinr:n:vfiunl:u*': glutamate 6u^rtiluzun
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t#rfio excitation arrnfiu run;vir1#rfionr:u:-1fifl%uldr blood-

brain barrier nra-J?-n ffuur[rjainr:vi'rd'rEJLflnfrl:varrrunv qJ


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r,llilfi neuronal loss i':eln-:-t gliosis fil3r:rx CA1 uuny dentate
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nr : lfi o n I : ffn ua:-l ( i nf am m at on ) o I aqy id fl 'J { o t n-:-t v',r s r6
immunohistochemistry lu cell fi erfirlmicroglia turdoaero,:fi
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setzure r{il81f t?ll1n ?1T0t1/\{tn90'tnlTtn Lfi 3lq
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inflammatorv resoonse ilu?t{ q%nr r:n :9'r o ? u I m m u nomod u I ative aqent fi uu at I y ael ri ot:L
evrrvtricztlv
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Epnrpsy Drcrsr O ctob er-D e cemb er" 200 I 3


CONTINUUM:
Difficult to treat epil.psy vda.a
u.w. t{t6l77n ?fzt [d?na 9

Io eJ a 6r^ a il :-l'i r 5 o a n ; 6o-7 0 I o t fr :l r erT: o n et fr'n q J d I e-.t I:n 4.2 nr: e]r 6'oinurl:er n xfn
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