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高频脑电图活动与婴儿痉挛动物模型中的癫痫发作有关。

High frequency EEG activity associated with ictal events in an animal model of infantile spasms.

机构信息

Department of Neurology Neuroscience, Baylor College of Medicine, Houston, Texas, USA.

出版信息

Epilepsia. 2011 Jan;52(1):53-62. doi: 10.1111/j.1528-1167.2010.02887.x. Epub 2011 Jan 4.

Abstract

PURPOSE

To describe high frequency (HF) electrographic activity accompanying ictal discharges in the tetrodotoxin (TTX) model of infantile spasms. Previous studies of HF oscillations in humans and animals suggest that they arise at sites of seizure onset. We compared HF oscillations at several cortical sites to determine regional differences.

METHODS

TTX was infused for 4 weeks into the neocortex of rats beginning on postnatal days 11 or 12. Electroencephalography (EEG) electrodes were implanted 2 weeks later and video-EEG recordings were analyzed between postnatal days 31 and 47. EEG recordings were digitally sampled at 2,048 Hz. HF EEG activity (20-900 Hz) was quantified using compressed spectral arrays and band-pass filtering.

KEY FINDINGS

Multiple seizures were analyzed in 10 rats. Ictal onset was associated with multiple bands of rhythmic HF activity that could extend to 700 Hz. The earliest and most intense discharging typically occurred contralaterally to where TTX was infused. HF activity continued to occur throughout the seizure (even during the electrodecrement that is recorded with more traditional filter settings), although there was a gradual decrease of the intensity of the highest frequency components as the amplitude of lower frequency oscillations increased. Higher frequencies sometimes reappeared in association with spike/sharp-waves at seizure termination.

SIGNIFICANCE

The findings show that HF EEG activity accompanies ictal events in the TTX model. Results also suggest that the seizures in this model do not originate from the TTX infusion site. Instead HF discharges are usually most intense and occur earliest contralaterally, suggesting that these homologous regions may be involved in seizure generation.

摘要

目的

描述河豚毒素(TTX)婴儿痉挛模型中伴随发作放电的高频(HF)电活动。先前关于人类和动物高频振荡的研究表明,它们出现在发作起始部位。我们比较了几个皮质部位的高频振荡,以确定区域差异。

方法

TTX 在出生后第 11 或 12 天开始注入新生大鼠的新皮质,两周后植入脑电图(EEG)电极,并在出生后第 31 至 47 天进行视频-EEG 记录分析。脑电图记录以 2,048 Hz 的数字采样。使用压缩频谱阵列和带通滤波对高频 EEG 活动(20-900 Hz)进行量化。

主要发现

在 10 只大鼠中分析了多次癫痫发作。发作起始与多频段节律性 HF 活动相关,其频率可扩展至 700 Hz。最早和最强烈的放电通常发生在 TTX 注射的对侧。高频活动在整个发作过程中持续发生(即使在传统滤波器设置记录的电极衰减期间),尽管随着低频振荡幅度的增加,最高频率成分的强度逐渐降低。较高的频率有时会在发作结束时与尖波/锐波重新出现。

意义

这些发现表明高频 EEG 活动在 TTX 模型中伴随发作事件。结果还表明,该模型中的癫痫发作并非起源于 TTX 注射部位。相反,HF 放电通常在对侧最为强烈且最早发生,这表明这些同源区域可能参与了发作的产生。

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