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新皮层癫痫发作的内在光学信号成像:“癫痫波谷”

Intrinsic optical signal imaging of neocortical seizures: the 'epileptic dip'.

作者信息

Bahar Sonya, Suh Minah, Zhao Mingrui, Schwartz Theodore H

机构信息

Department of Neurological Surgery, Weill-Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA.

出版信息

Neuroreport. 2006 Apr 3;17(5):499-503. doi: 10.1097/01.wnr.0000209010.78599.f5.

Abstract

Focal neocortical seizures, induced by injection of 4-aminopyridine, were imaged in the rat neocortex using the intrinsic optical signal, with incident light at various wavelengths. We observed focal, reproducible and prolonged reflectance drops following seizure onset, regardless of wavelength, in the ictal onset zone. A persistent drop in light reflectance with incident orange light, which corresponds to a decrease in oxygenated hemoglobin, was observed. We describe this phenomenon as an 'epileptic dip' as it is reminiscent of the 'initial dip' observed using the intrinsic optical signal, and also with blood oxygen level-dependent functional magnetic resonance imaging, after normal sensory processing, although with much longer duration. This persistent ictal ischemia was confirmed by direct measurement of tissue oxygenation using oxygen-sensitive electrodes.

摘要

通过注射4-氨基吡啶诱导大鼠新皮质局灶性癫痫发作,利用内在光学信号在不同波长入射光下对大鼠新皮质进行成像。我们观察到,在发作起始区,癫痫发作开始后,无论波长如何,都会出现局灶性、可重复且持续时间较长的反射率下降。观察到用橙色入射光时,光反射率持续下降,这对应于氧合血红蛋白的减少。我们将这种现象描述为“癫痫性下降”,因为它让人联想到在正常感觉处理后,利用内在光学信号以及血氧水平依赖性功能磁共振成像观察到的“初始下降”,尽管持续时间长得多。使用氧敏感电极直接测量组织氧合作用证实了这种持续性发作期缺血。

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