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The hypothalamic-pituitary-gonadal axis and epilepsy: mutual relationships
Čuchalová, Marcela ; Herink, Josef (advisor) ; Semecký, Vladimír (referee)
Charles University in Prague Faculty of Pharmacy in Hradec Králové Department of Biological and Medical Science Author: Marcela Čuchalová Supervisor: doc. MUDr. Josef Herink, DrSc. Title of diploma thesis: The hypothalamic - pituitary - gonadal axis and epilepsy: mutual relationships The content of the diploma thesis is an overview of the anatomy and physiology of the hypothalamic-pituitary-gonadal axis (HHG). Further chapters are devoted to the influence of epilepsy on HHG function, the effect of HHG hormones on epileptic activity itself. The effect of anti-epileptics on HHG functions will also be elucidated. The second part of the diploma thesis deals with separate chapters - catamenial epilepsy and epilepsy during pregnancy. Keywords: antiepileptic drugs, gonadotropin, hypothalamic-pituitary-gonadal axis, prolactin, sex hormones, temporal lobe epilepsy.
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Signs of the temporolimbic dysfunction in epileptics
Nováková, Vladimíra ; Herink, Josef (advisor) ; Kudláčková, Zděnka (referee)
v anglickém jazyce Charles University in Prague Faculty of Pharmacy in Hradec Králové Department of Biological and Medical Sciences Author: Bc. Vladimíra Nováková Supervisor: Doc. MUDr. Josef Herink, DrSc. Title of diploma thesis: Signs of the temporolimbic dysfunction in epileptics The diploma thesis deals with signs of the temporolimbic dysfunction in epileptics and it is divided into the two main parts. The theoretical part summarized the issue of the temporo-limbic dysfunction. Then a survey of the basic knowledge of epilepsy with concentration on characteristic of temporal epilepsy is given. The practical part is targeted to the questionnaire chosen evaluation and of the working hypotheses confirmation. The main aim of the diploma thesis was the incidence of the epilepsy spectrum disorder evaluation. Keywords: temporal lobe, limbic system, temporal epilepsy, temporolimbic dysfunction, questionnaire assessment
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Comparison of diagnostic yield of different MRI protocols and PET in relation to time an finance demands in patients with temporal epilepsy
FILÍPKOVÁ, Brigita
This Thesis called Comparison of diagnostic yield of different MRI protocols and PET in relation to time and finance demands in patients with temporal epilepsy deals with time and economic aspects of diagnostics of pharmacoresistant temporal epilepsies. Temporal epilepsies are the most frequent focal epilepsies (up to 85 %) and pharmacologic control is only successful in about 25 % cases. On the other hand it is the best type of epilepsy to be solved surgically. Timely and precise diagnostics enables a timely surgical intervention. The time and economic demands increase the same way as the demands for technical staff. The Thesis was aimed at finding a protocol advantageous in terms of both, time and cost saving, maintaining the diagnostic yield in comparison of two neuroimaging methods - functional (PET) and morphological (MR), where we also compared two protocols for brain examination - a standard one and a special epileptological one. Methodology: A retrospective study of 44 patients with clinically confirmed focal epilepsy examined by MR and PET, who underwent a microsurgical intervention and have been without fits since then. We compared the individual protocols on MR - standard (sequence T2/PD tse tra, FLAIR tra, T2* tra and T1 se sag) and epileptological (extended by 3DT1 ge, T2 tse fs cor and FLAIR cor) in terms of possible diagnostics (examination read by an experienced radiologist) and evaluated their time and cost demands. We also evaluated a PET examination, which is performed by one protocol, the same way. The results demonstrate the difference in examination time and costs between the standard and the epileptological protocols on MR and between the MR and PET methods. There are also results of reading MR and PET images and their correlates presented there. We may conclude that the epileptological protocol on MR cannot be substituted by a standard protocol. Time may be saved by better organization of work or by suitable adjustment of parameters of the individual sequences maintaining sufficient MR image quality. We are also convinced that both the methods, MR and PET are important for safe diagnosis. Cost saving is impossible in pre-operation diagnostics.
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