Uyanikgil Yiğit, Baka Meral, Yurtseven Mine, Turgut Mehmet
Department of Histology and Embryology, Ege University School of Medicine, Izmir, Turkey.
Childs Nerv Syst. 2004 Mar;20(3):176-82. doi: 10.1007/s00381-003-0901-3. Epub 2004 Feb 10.
Recent knowledge regarding the effect of epileptic seizures in pregnant women on newborns was limited and, therefore, it was difficult to suggest the proper clinical guidelines and to take precautions against it. Studies evaluating the morphological effects of epileptic seizure during pregnancy on newborns in various experimental models are valuable. Therefore, the current study was designed to investigate the morphological changes in the cerebellum of newborn pups of rats subjected to experimental epilepsy during pregnancy.
Swiss Albino rats were divided into three groups (six animals in each). In the first group (experimental group) an acute grand mal epileptic seizure was induced by 400 IU penicillin-G administration into their intrahippocampal CA3 region with a stereotaxic device during the 13th day of their pregnancy. The second group (intrahippocampal saline-injected sham group) and the third group (untreated animals) were the control groups. On the 1st neonatal day, pups were perfused with intracardiac fixative solution under anesthesia, and newborn cerebellums were dissected surgically for light and electron microscopic studies.
In an immunohistochemical study using Rat-401 monoclonal antibody and peroxidase, the intermediate filament nestin was detected in the developing cerebellar tissue. Histologically, normal migration and cerebellar maturation were determined in the newborn rat cerebellum in the control and sham-operated groups. It was observed that the morphological structure of the cerebellar cortex in the experimental group was compromised in the early embryonal period. In contrast to the control and sham groups, it was found that nestin (+) cell density was increased in the experimental epilepsy group.
It has been concluded that epileptic convulsions during embryonic life may cause early neurogenesis and delayed maturation, which explains the harmful effects of epileptic grand mal seizures, hypoxia, and obstetric trauma to the embryo at the early stage of neuronal differentiation. However, further studies are necessary to investigate epileptic pregnant phenomena and to characterize the possible relationship between epilepsy and congenital malformations as well as mental retardation.
关于孕妇癫痫发作对新生儿的影响,近期的相关知识有限,因此,很难提出恰当的临床指南并采取预防措施。在各种实验模型中评估孕期癫痫发作对新生儿的形态学影响的研究很有价值。因此,本研究旨在调查孕期经历实验性癫痫的大鼠新生幼崽小脑的形态学变化。
将瑞士白化大鼠分为三组(每组六只动物)。第一组(实验组)在妊娠第13天通过立体定位装置向其海马CA3区注射400 IU青霉素G诱导急性全身性癫痫发作。第二组(海马内注射生理盐水的假手术组)和第三组(未处理动物组)为对照组。在出生第1天,幼崽在麻醉下经心内灌注固定液,然后手术解剖取出新生小脑用于光镜和电镜研究。
在使用大鼠401单克隆抗体和过氧化物酶的免疫组织化学研究中,在发育中的小脑组织中检测到中间丝巢蛋白。组织学上,对照组和假手术组新生大鼠小脑确定有正常的迁移和小脑成熟。观察到实验组小脑皮质的形态结构在胚胎早期受到损害。与对照组和假手术组相比,发现实验性癫痫组巢蛋白(+)细胞密度增加。
得出的结论是,胚胎期癫痫惊厥可能导致早期神经发生和成熟延迟,这解释了癫痫全身性大发作、缺氧和产科创伤在神经元分化早期对胚胎的有害影响。然而,有必要进一步研究癫痫孕妇现象,并确定癫痫与先天性畸形以及智力迟钝之间可能的关系。