Naquet R, Catier J, Menini C
Adv Neurol. 1975;10:107-18.
This chapter critically reviews arguments supporting the role of the frontal cortex in light-sensitive epilepsy of the baboon Papio papio in the light of the most recent neurophysiological research. In particular, it is known that spontaneous or ILS-induced paroxysmal discharges, as well as generalized seizures, originate in the frontorolandic cortical region. In this region during ILS, neurons behave in the same manner as hyperexcitable neurons in focal epileptogenic lesions of animals and man. Aso, section of the corpus callosum causes deterioration or even destruction of the synchronization that exists naturally between the two frontorolandic areas. Lastly experimental focal irritative lesions enhance light sensitivity if they are located in the frontorolandic region and inhibit it if they are located in the occipital cortex. Opposing these arguments are those that support the important role the occipital cortex plays, since its ablation makes excessive light sensitivity in the baboon disappear. Studies of the primary and nonprimary visual messages and pathways have also contributed evidence. In particular, demonstration of the existence of large numbers of direct occipitofrontal connections may help reconcile the two opposing arguments. Other evidence favoring the role of the frontal cortex is furnished by the still fragmentary studies on activation of the motor pathways and by studies in neuropharmacology. The significance and value of this type of epilepsy as an animal model of the generalized reflex epilepsies of man are discussed.
本章根据最新的神经生理学研究,批判性地回顾了支持狒狒(Papio papio)光敏感性癫痫中额叶皮质作用的观点。特别是,已知自发或ILS诱导的阵发性放电以及全身性癫痫发作起源于额颞叶皮质区域。在ILS期间,该区域的神经元表现与动物和人类局灶性致痫病变中的兴奋性过高的神经元相同。此外,胼胝体切断会导致两个额颞叶区域之间自然存在的同步性恶化甚至破坏。最后,如果实验性局灶性刺激性病变位于额颞叶区域,会增强光敏感性;如果位于枕叶皮质,则会抑制光敏感性。与之相反的观点则支持枕叶皮质起重要作用,因为切除枕叶皮质会使狒狒的过度光敏感性消失。对初级和非初级视觉信息及通路的研究也提供了证据。特别是,大量直接枕额连接的存在证明可能有助于调和这两种对立观点。关于运动通路激活的仍不完整的研究以及神经药理学研究提供了支持额叶皮质作用的其他证据。讨论了这种类型的癫痫作为人类全身性反射性癫痫动物模型的意义和价值。