Epilepsy is one of the common chronic diseases in neurology, and antiepileptic medication is the main treatment method. Studies have shown that epileptic seizures may disrupt the permeability of the blood brain barrier (BBB), and BBB disruption may also lead to epilepsy. This article reviews the mechanism of BBB in the pathogenesis of epilepsy based on relevant research progress, elucidates the relationship between BBB and epilepsy, and proposes possible directions for future research and development of antiepileptic drugs.
                                 
                               
                                     
                                  
                       
                           Citation:
                           WANG Baoxiang, ZHANG Xiutian, CHAI Changfeng. Mechanism of blood brain barrier in the pathogenesis of epilepsy. West China Medical Journal, 2025, 40(5): 817-820. doi: 10.7507/1002-0179.202408289
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				                                                                | 2. | van Vliet EA, da Costa Araújo S, Redeker S, et al. Blood-brain barrier leakage may lead to progression of temporal lobe epilepsy. Brain, 2007, 130(Pt 2): 521-534. | 
				                                                        
				                                                            
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				                                                                | 5. | Rigau V, Morin M, Rousset MC, et al. Angiogenesis is associated with blood-brain barrier permeability in temporal lobe epilepsy. Brain, 2007, 130(Pt 7): 1942-1956. | 
				                                                        
				                                                            
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				                                                                | 40. | 中国抗癫痫协会. 临床诊疗指南癫痫病分册(2023 修订版). 北京: 人民卫生出版社, 2023. | 
				                                                        
				                                                    
				                                                 
				                                             
				                                            
                             
                            
                                
                               		 
		                                
		                                    - 1.  		                                    
		                                    
- 2.  van Vliet EA, da Costa Araújo S, Redeker S, et al. Blood-brain barrier leakage may lead to progression of temporal lobe epilepsy. Brain, 2007, 130(Pt 2): 521-534.		                                    
		                                    
- 3.  		                                    
		                                    
- 4.  		                                    
		                                    
- 5.  Rigau V, Morin M, Rousset MC, et al. Angiogenesis is associated with blood-brain barrier permeability in temporal lobe epilepsy. Brain, 2007, 130(Pt 7): 1942-1956.		                                    
		                                    
- 6.  		                                    
		                                    
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- 35.  		                                    
		                                    
- 36.  		                                    
		                                    
- 37.  		                                    
		                                    
- 38.  		                                    
		                                    
- 39.  		                                    
		                                    
- 40.  中国抗癫痫协会. 临床诊疗指南癫痫病分册(2023 修订版). 北京: 人民卫生出版社, 2023.