van Drongelen Wim, Lee Hyong C, Stevens Rick L, Hereld Mark
Department of Pediatrics, The University of Chicago, Chicago, Illinois 60637-1470, USA.
J Clin Neurophysiol. 2007 Apr;24(2):182-8. doi: 10.1097/WNP.0b013e318039b4de.
Seizures in pediatric epilepsy are often associated with spreading, repetitive bursting activity in neocortex. The authors examined onset and propagation of seizure-like activity using a computational model of cortical circuitry. The model includes two pyramidal cell types and four types of inhibitory interneurons. Each neuron is represented by a multicompartmental model with biophysically realistic ion channels. The authors determined the role of bursting neurons and found that their capability of driving network oscillations is most prominent in networks with either weak or relatively strong excitatory synaptic coupling. Synaptic coupling strength was varied in a separate set of simulations to examine its role in network bursting. Oscillations both between cortical layers (vertical oscillations) and between cortical areas (horizontal oscillations) emerge at moderate excitatory coupling strengths. For horizontal propagation, existence of a fast-conducting fiber system and its properties are critical. Seizure-like oscillatory activity may originate from single neurons or small networks, and that activity may propagate in two principal fashions: one that can be represented by a unidirectional (pacemaker)-type process and the other as multi- or bidirectional propagating waves. The frequency of the bursting patterns relates to underlying propagating activity that can either sustain or disrupt the ongoing oscillation.
小儿癫痫发作通常与新皮质中扩散的、重复性爆发活动相关。作者使用皮质回路计算模型研究了癫痫样活动的起始和传播。该模型包括两种锥体细胞类型和四种抑制性中间神经元类型。每个神经元由具有生物物理逼真离子通道的多房室模型表示。作者确定了爆发神经元的作用,发现它们驱动网络振荡的能力在兴奋性突触耦合较弱或相对较强的网络中最为突出。在另一组模拟中改变突触耦合强度,以研究其在网络爆发中的作用。在中等兴奋性耦合强度下,皮质层之间(垂直振荡)和皮质区域之间(水平振荡)都会出现振荡。对于水平传播,快速传导纤维系统的存在及其特性至关重要。癫痫样振荡活动可能起源于单个神经元或小网络,并且该活动可能以两种主要方式传播:一种可以由单向(起搏器)型过程表示,另一种是多向或双向传播波。爆发模式的频率与潜在的传播活动有关,该活动可以维持或破坏正在进行的振荡。