Structural And Functional Networks In The Human Brain: Disturbance In Disease And Influence Of Genes.
Funder
National Health and Medical Research Council
Funding Amount
$568,892.00
Summary
Professor Graeme Jackson is a Neurologist at the Austin Hospital whose research is dedicated to the problem of understanding how epilepsy occurs and devising strategies for successful treatment. He is Deputy Director and head of the epilepsy division of the Florey Neuroscience Institutes which has research dedicated advanced MR imaging systems and physics support largely dedicated to solving these problems in epilepsy. He has 170 plus papers, 10 cited over 200 times. Career citations exceed 6000 ....Professor Graeme Jackson is a Neurologist at the Austin Hospital whose research is dedicated to the problem of understanding how epilepsy occurs and devising strategies for successful treatment. He is Deputy Director and head of the epilepsy division of the Florey Neuroscience Institutes which has research dedicated advanced MR imaging systems and physics support largely dedicated to solving these problems in epilepsy. He has 170 plus papers, 10 cited over 200 times. Career citations exceed 6000.Read moreRead less
My aim is to use advanced Neuroimaging to further our understanding of the pathophysiology of brain disorders, in particular Epilepsy, but also Sleep disorders, Schizophrenia, the Dementias. In the case of my main research interest (Epilepsy) it is to red
Tuberous Sclerosis And Epilepsy: Using Resected Tissue To Understand Pathogenesis And Inform Management
Funder
National Health and Medical Research Council
Funding Amount
$339,261.00
Summary
Epilepsy is the commonest neurological disorder in childhood and seizures cannot be fully controlled by medications in 30%, often leading to developmental consequences. A major cause of drug-resistant epilepsy is a malformation of the brain’s surface. Surgery is sometimes used to remove these lesions to treat the epilepsy. We will study this tissue to understand its architecture, genetic basis and how it causes seizures. Our results will guide treatment including the best surgical approach.
Epileptic convulsions are common, disrupt social life and may occasionally cause death. They can occur spontaneously in individuals whose brains appear to be physically normal. Apart from the fact that epilepsy may run in families, the processes leading to spontaneous convulsions are not known. We measure the brain's electrical rhythms (EEG) to find out which rhythms are disturbed in people with epilepsy and whether these rhythms disrupt the brain to cause attacks. In preliminary studies in pati ....Epileptic convulsions are common, disrupt social life and may occasionally cause death. They can occur spontaneously in individuals whose brains appear to be physically normal. Apart from the fact that epilepsy may run in families, the processes leading to spontaneous convulsions are not known. We measure the brain's electrical rhythms (EEG) to find out which rhythms are disturbed in people with epilepsy and whether these rhythms disrupt the brain to cause attacks. In preliminary studies in patients with generalised epilepsy, we have identified abnormally strong rhythms that are almost certainly related to epilepsy causation and our studies are in part aimed at making our findings into a diagnostic test. Our findings may even enable individuals with epilepsy to test themselves for their immediate risk of seizure. Both of these outcomes should enable improved treatment for epilepsy. In addition to benefits in epilepsy, there are potential benefits in the diagnosis of cerebral degenerative disorders if changes in the rhythms also occur in these conditions.Read moreRead less
Novel MRI Approaches To Map Focal Cortical Dysplasia In Focal Epilepsy
Funder
National Health and Medical Research Council
Funding Amount
$465,489.00
Summary
Focal cortical dysplasia (FCD) is a common cause of focal epilepsy that is resistant to medication. When it can be identified clearly, surgical removal can cure the epilepsy but better methods of detecting and mapping FCD are required because standard imaging techniques are negative in 30% of patients. In this project, we plan to develop new MRI methods to diagnose FCD, thereby creating a new MRI-based diagnostic tool for patients with focal epilepsy who are potential surgical candidates.
Non-invasive Methods For Localising Epileptic Brain Activity
Funder
National Health and Medical Research Council
Funding Amount
$662,889.00
Summary
Drug-resistant epilepsy, which arises from areas of damaged brain surface, affects 20 million people. A major challenge is the accurate identification of the location of seizure origin. We will measure the brain's electrical activity (EEG) and changes in blood oxygenation (fMRI), and combine both using advanced mathematical techniques in order to non-invasively pinpoint damaged regions for targeted removal or implantation of a seizure control device.
Health-Related Quality Of Life In Intractable Paediatric Epilepsy: Using A New Measure To Improve Management
Funder
National Health and Medical Research Council
Funding Amount
$252,940.00
Summary
Until recently there was no adequate measure to assess the quality of life of children with epilepsy. Our Australian centre was the first to develop, validate and publish such an instrument; the Quality of Life in Childhood Epilepsy Questionnaire (QOLCE). We now aim to collect more data using the QOLCE to gain further understanding of the effects of epilepsy and its treatment on the quality of life of children. We will determine if surgery in children stops seizures and improves quality of life. ....Until recently there was no adequate measure to assess the quality of life of children with epilepsy. Our Australian centre was the first to develop, validate and publish such an instrument; the Quality of Life in Childhood Epilepsy Questionnaire (QOLCE). We now aim to collect more data using the QOLCE to gain further understanding of the effects of epilepsy and its treatment on the quality of life of children. We will determine if surgery in children stops seizures and improves quality of life. We also aim to find out if children with different types of epilepsies have unique quality of life issues. Finally, we aim to determine if the quality of a child's life depends on how well they are thinking and learning or how often they are having seizures. We will conduct this study in children with difficult epilepsy recruited from three major children's hospitals (Sydney Children's Hospital, the Children's Hospital, Westmead, Miami Children's Hospital, Florida USA) using a well designed methodology. Each child will have their particular type of epilepsy characterised using video and brain wave analysis. Each parent and older child will receive a quality of life package including the QOLCE to assess life function. In addition, all children will have an assessment of their thinking and learning by a child psychologist. At the completion of this project we will have established whether surgical treatment in children with epilepsy stops seizures and improves quality of life. This will allow clinicians and parents to better understand the effects of surgical treatment in this population. In addition, we will determine if problems in quality of life are associated with specific types of epilepsy. This information can be used to counsel families and tailor interventions and treatments. Finally, we will know whether a child's quality of life is determined by problems with thinking and learning and-or seizures.Read moreRead less
Disruption Of The Ability To Simulate One’s Personal Future: Insights From Epilepsy And Implications For Neurosurgical Planning And Presurgical Counselling
Funder
National Health and Medical Research Council
Funding Amount
$353,711.00
Summary
The human memory system supports not only recollecting the past but also imagining the future (prospection). This is an important skill, enabling us to envision the consequences of alternative courses of action. Patients with temporal lobe epilepsy (TLE) frequently experience memory problems, suggesting that they will show parallel difficulties with prospection. We will study prospection in TLE patients before and after temporal lobe surgery, and the clinical implications thereof.
A Systematic Evaluation Of The Neurosurgical Application Of Peri-operative And Intra-operative MR Tractography In Different Paediatric Disease States
Funder
National Health and Medical Research Council
Funding Amount
$130,910.00
Summary
My research investigates changes in brain nerve fibre tracts/white matter in paediatric disease states and changes related to surgery by using nerve fibre tract imaging before, during and after surgery. It will also generate an imaging atlas to help understand white matter pathway development. It then serves as normative comparison to better understand aberrations in diseased neural pathways. The outcome will aid understanding in brain development, recovery and plasticity, and helps improve whit ....My research investigates changes in brain nerve fibre tracts/white matter in paediatric disease states and changes related to surgery by using nerve fibre tract imaging before, during and after surgery. It will also generate an imaging atlas to help understand white matter pathway development. It then serves as normative comparison to better understand aberrations in diseased neural pathways. The outcome will aid understanding in brain development, recovery and plasticity, and helps improve white matter lesion localisation.Read moreRead less
NEURONAL RESPONSES ELICITED BY VIEWING HUMAN BODY MOTION AND GESTURE.
Funder
National Health and Medical Research Council
Funding Amount
$135,822.00
Summary
This project aims to study human brain regions active in viewing movements of the body, face and hands, as well as gestures (i.e. movements with meaning). We will map the location of these human motion sensitive brain regions relative to brain areas dealing with other visual functions. We will use a new method of brain scanning (functional MRI) and recordings of the electrical activity of the brain to achieve these goals. Subjects for this project will be epilepsy patients undergoing investigati ....This project aims to study human brain regions active in viewing movements of the body, face and hands, as well as gestures (i.e. movements with meaning). We will map the location of these human motion sensitive brain regions relative to brain areas dealing with other visual functions. We will use a new method of brain scanning (functional MRI) and recordings of the electrical activity of the brain to achieve these goals. Subjects for this project will be epilepsy patients undergoing investigation for seizure surgery at the A and RMC and Royal Children's Hospitals in Melbourne. Functional MRI - a new non-invasive method for studying brain function - will locate the brain structures involved in the detection and analysis of human motion. Recording electrodes are surgically placed inside the brains of these patients in order to find the source of their seizures, and these electrodes will be utilised for this study. A number of facial, hand and body movement and gestural stimuli will be used. First, brain locations responding to face, hand and body movements will be identified. It is predicted that regions sensitive to hand motion could be located near areas known to participate in adjusting the subject's own visually-guided reaching behaviour. Similarly, regions sensitive to facial motion could be located near areas thought to deal with lip-reading. Second, differences in brain activity to gestures and movements of the face and hand will be studied, so as identify brain regions that process increasingly complex information. Third, differences in brain responses to incompatible (e.g. head facing left and moving right) versus compatible human motion will be studied. A brain 'map' with locations of these human motion sensitive regions relative to visually sensitive regions will be generated. These data will not only aid planning for future seizure surgery, but have implications for our understanding of the visual aspects of motor apraxia.Read moreRead less