Does gender influence susceptibility and consequences of acquired epilepsies?

Piero Perucca, Peter Camfield, Carol Camfield

Research output: Contribution to journalReview ArticleOtherpeer-review

14 Citations (Scopus)

Abstract

Gender differences in the incidence and clinical course of acquired and "cryptogenic" epilepsy are reviewed based on a literature search. We emphasized incidence and population-based studies because they are best suited to assess the effect of gender on susceptibility and clinical evolution of these epilepsies and may control for potential confounding factors. However, such studies were only available for a few acquired etiologies. These included tumor, prenatal and perinatal brain insults, cerebrovascular disease, infection, trauma, neurodegenerative disease, and autoimmune disorders. None of these acquired causes has been consistently shown to affect women or men to a greater or lesser degree, although some of the literature is contradictory or inadequate. There is almost no literature that addresses the effect of gender on the clinical course of epilepsy associated with these acquired causes. In addition, most studies of acquired causes do not take into account the incidence of the cause in the population with or without associated epilepsy. In children, "cryptogenic" epilepsy (non-syndromic and without causative MRI lesion) does not appear to have a gender preference and gender does not seem to affect the likelihood of remission. As further population-based studies of the etiology and clinical course of epilepsy are undertaken, it may be worthwhile to more specifically define the role of gender.

Original languageEnglish
Pages (from-to)125-130
Number of pages6
JournalNeurobiology of Disease
Volume72
Issue numberPB
DOIs
Publication statusPublished - 1 Dec 2014
Externally publishedYes

Keywords

  • Acquired epilepsy
  • Cryptogenic epilepsy
  • Gender
  • Hippocampal sclerosis
  • Incidence
  • Prognosis
  • Stroke
  • Symptomatic epilepsy
  • Traumatic brain injury
  • Tumor

Cite this