@article{
author = "Ristic, Aleksandar J. and Sokic, Dragoslav and Bascarevic, Vladimir and Spasic, Snezana and Vojvodic, Nikola and Savic, Slobodan and Raicevic, Savo and Kovacevic, Masa and Savić, Danijela and Spasojevic, Ivan",
year = "2014",
abstract = "An altered metal and electrolyte profile has been implicated in the
pathologic mechanisms of chronic epilepsy; however, no study has
comprehensively measured hippocampal concentrations of these elements in
patients with mesial temporal lobe epilepsy and hippocampal sclerosis
(mTLE-HS). We therefore analyzed hippocampi of 24 patients with
drug-resistant mTLE-HS (mean age 35.69.4years) who underwent anterior
temporal lobe resection and amygdalohippocampectomy and 17 hippocampi
obtained by autopsy from 13 controls (mean age 40.5 +/- 12.9years),
using inductively coupled plasma optical emission spectrometry
(ICP-OES). Epileptic hippocampi showed significantly lower
concentrations (g/g of tissue) of copper (HS: 2.34 +/- 0.12; control
{[}C]: 3.57 +/- 0.33; p<0.001), manganese (HS: 0.205 +/- 0.030; C: 0.409
+/- 0.064; p=0.004), and potassium (HS: 2,001 +/- 59; C: 2,322 +/- 61;
p<0.001), and increased sodium levels (HS: 1,131 +/- 22; C: 1,040 +/-
25; p=0.010). Zinc, iron, calcium, and magnesium levels did not differ
in HS and controls. In summary, copper and manganese levels are
deficient, whereas iron level is unchanged in hippocampi from patients
with mTLE-HS. Our results provide a basis for understanding the
potential involvement of different metals and electrolytes in the
pathology of HS. A PowerPoint slide summarizing this article is
available for download in the Supporting Information section .",
journal = "Epilepsia",
title = "Metals and electrolytes in sclerotic hippocampi in patients with
drug-resistant mesial temporal lobe epilepsy",
number = "5",
volume = "55",
doi = "10.1111/epi.12593",
pages = "E34-E37"
}