Tanaka T, Fujita T, Tanaka S, Araki T, Yonemasu Y
Department of Neurosurgery, Asahikawa Medical College, Japan.
Jpn J Psychiatry Neurol. 1991 Jun;45(2):243-8. doi: 10.1111/j.1440-1819.1991.tb02464.x.
Seizure propagation was studied with different seizure models induced by a kainic acid (KA) microinjection in nonanesthetized cats. These seizures were characterized with a focal onset of seizures followed by secondarily generalized seizures. The mesencephalic reticular formation (MRF) played an important role when an epileptogenic focus was located in a unilateral amygdala, hippocampus, thalamus or visual cortex. When the focus was located in a unilateral lateral geniculate body, a fast, synchronous and bidirectional propagation was observed in the sensorimotor cortex (SMC) and MRF. Brain stem seizure (generalized tonic seizure) was elicited by the KA injection into MRF. The EEG of generalized seizure was characterized by the propagations of seizure activities of MRF immediately to the bilateral SMC and thalamus. The results suggested that MRF participated actively in the generalization of the KA-induced seizures.
在未麻醉的猫中,通过海人酸(KA)微量注射诱导不同的癫痫发作模型,研究癫痫发作的传播。这些癫痫发作的特征是癫痫发作从局灶性开始,随后继发全身性癫痫发作。当中枢性致痫灶位于单侧杏仁核、海马、丘脑或视觉皮层时,中脑网状结构(MRF)起重要作用。当致痫灶位于单侧外侧膝状体时,在感觉运动皮层(SMC)和MRF中观察到快速、同步和双向传播。向MRF注射KA可诱发脑干癫痫发作(全身性强直发作)。全身性癫痫发作的脑电图特征是MRF的癫痫活动立即向双侧SMC和丘脑传播。结果表明,MRF积极参与KA诱导的癫痫发作的泛化。