Gallego José M, Ortiz Laura, Gutiérrez Rafael, Barcia Juan A
Servicio de Neurocirugía, Hospital General Universitario de Valencia, Spain.
Seizure. 2009 Sep;18(7):537-40. doi: 10.1016/j.seizure.2009.05.002. Epub 2009 Jun 24.
In order to assess the role of continuous intracerebral infusion of GABA over the propagation of generalized seizures from the amygdala, Wistar rats were subjected to a kindling procedure at the left basolateral amygdala. Subsequently, they were implanted with miniosmotic pumps filled with 100mg/mL of GABA in saline, connected to catheters whose tips were placed bilaterally at both dorsomedian nuclei of the thalamus (DMNT). The threshold intensity to provoke local afterdischarges (ADT) and generalized seizures (GST) were measured before, during and after GABA infusion, as well as seizure intensity and signs of ataxia and sedation. While there was no observed variation on ADT, the median GST was significantly increased during, but not after infusion of GABA (P=0.047, compared to the preinfusion value). Seizure intensity was not changed. No signs of neurologic side effects were recorded. These data emphasize the role of DMNT in the generalization of seizures originated at the amygdala.
为了评估持续脑室内注入γ-氨基丁酸(GABA)对源自杏仁核的全身性癫痫发作传播的作用,对Wistar大鼠左侧基底外侧杏仁核进行点燃程序。随后,给它们植入充满100mg/mL GABA生理盐水溶液的微型渗透泵,该泵连接到导管,导管尖端双侧置于丘脑背内侧核(DMNT)。在注入GABA之前、期间和之后测量引发局部后放电(ADT)和全身性癫痫发作(GST)的阈值强度,以及癫痫发作强度、共济失调和镇静的体征。虽然未观察到ADT有变化,但在注入GABA期间,GST中位数显著增加,但注入后未增加(与注入前值相比,P = 0.047)。癫痫发作强度未改变。未记录到神经副作用的体征。这些数据强调了DMNT在源自杏仁核的癫痫发作泛化中的作用。