Pockberger H
Institute für Neurophysiologie, Universität Wien.
Wien Klin Wochenschr. 1990 Mar 30;102(7):201-5.
This paper describes essential mechanisms underlying focal epileptic activity. Within the centre of an epileptic focus neurons display a characteristic phenomenon - the paroxysmal depolarization shift. This type of activity is partly caused by membrane-intrinsic mechanisms and also by postsynaptic excitation. Burster neurons seem to play a special role in this mechanism. Whereas the centre of an epileptic focus is distinguished by its massive excitation, the immediate surrounding are characterized by massive inhibitory phenomena ("epileptic inhibition"). The transition from interictal to ictal phenomena goes along with the spread of activity to adjacent neocortical areas. Experimental studies give strong evidence that this epileptic spread is dependent on neocortical anatomy.
本文描述了局灶性癫痫活动的基本机制。在癫痫病灶中心,神经元表现出一种特征性现象——阵发性去极化漂移。这种活动类型部分由膜内在机制引起,也由突触后兴奋引起。爆发神经元似乎在这一机制中发挥特殊作用。癫痫病灶中心以大量兴奋为特征,而其紧邻区域则以大量抑制现象(“癫痫抑制”)为特征。从发作间期现象到发作期现象的转变伴随着活动向相邻新皮质区域的扩散。实验研究提供了强有力的证据,表明这种癫痫扩散依赖于新皮质解剖结构。