Lehmkuhle M J, Thomson K E, Scheerlinck P, Pouliot W, Greger B, Dudek F E
Department of Physiology, University of Utah School of Medicine, 420 Chipeta Way, Suite 1700, Salt Lake City, UT 84108, USA.
J Neurophysiol. 2009 Mar;101(3):1660-70. doi: 10.1152/jn.91062.2008. Epub 2009 Jan 7.
Electrographic status epilepticus (ESE) is a medical emergency consisting of repetitive seizures and may result in death or severe brain damage. Epilepsy can develop following ESE. The properties of ESE (e.g., duration and intensity) are variable, as are the effects of putative therapeutic treatments. Therefore a straightforward method to quantify different components of ESE would be beneficial for both researchers and clinicians. A frequency range close to the gamma band was selected for extraction of seizure-related activity from the EEG. This filtering strategy reduced motion artifacts and other noise sources in the electrophysiological recordings, thus increasing the signal-to-noise ratio of the EEG spike activity. EEG spiking was quantified using an energy operator and modeled by an eighth-order polynomial. In a benzodiazepine-resistant rat model of pilocarpine-induced ESE, the efficacy of various pharmaceutical agents at suppressing ESE was analyzed with this and other methods on data collected for < or =24 h after ESE induction. This approach allows for the objective, quantitative, and rapid assessment of the effects of both short- and long-lasting pharmacological manipulations on ESE and other forms of prolonged repetitive electrical activity.
脑电图癫痫持续状态(ESE)是一种由重复性癫痫发作构成的医疗急症,可能导致死亡或严重脑损伤。ESE后可能会发展为癫痫。ESE的特性(如持续时间和强度)各不相同,假定的治疗方法的效果也是如此。因此,一种直接量化ESE不同成分的方法对研究人员和临床医生都将是有益的。选择接近伽马波段的频率范围从脑电图中提取癫痫相关活动。这种滤波策略减少了电生理记录中的运动伪迹和其他噪声源,从而提高了脑电图棘波活动的信噪比。使用能量算子对脑电图棘波进行量化,并通过八阶多项式进行建模。在毛果芸香碱诱导的ESE的苯二氮䓬耐药大鼠模型中,在ESE诱导后≤24小时收集的数据上,用这种方法和其他方法分析了各种药剂抑制ESE的疗效。这种方法能够客观、定量且快速地评估短期和长期药理操作对ESE及其他形式的长时间重复性电活动的影响。