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大鼠新皮质中电刺激区域及癫痫病灶周围皮质扩散性抑制的传播

Circulation of cortical spreading depression around electrically stimulated areas and epileptic foci in the neocortex of rats.

作者信息

Koroleva V I, Bures J

出版信息

Brain Res. 1979 Sep 14;173(2):209-15. doi: 10.1016/0006-8993(79)90622-x.

Abstract

Spreading depression (SD) elicited in the cerebral cortex of anaesthetized rats does not penetrate into epileptic foci (penicillin) or cortical regions subjected to repetitive electrical stimulation (6--10 Hz, 0.05--0.01 msec). The extent of the SD block, monitored by the absence of the slow potential change and preservation of spontaneous and evoked EEG activity, can be varied in certain limits by changing the stimulus parameters. When the diameter of the block in the parietal cortex is reduced at a time when its temporal boundary is circumvented by an SD wave, propagating in the rostral direction, a strip of cortical tissue between the block and sagittal sulcus is opened for SD which spreads through this route from the frontal to the occipital cortex and starts reverberating around the block. Other methods for eliciting SD reverberation employ removal of an additional block in a section of the circular pathway and directionally biased propagation around the stimulation point. SD reverberation lasting for at least 3 cycles was observed 109 times (median number of completed cycles 5.2, average cycle duration 4.4 +/- 0.1 min). It is suggested that SD reverberation around an epileptic focus can account for slow oscillations of ictal and interictal discharge and for recurrent seizures.

摘要

在麻醉大鼠大脑皮层诱发的扩散性抑制(SD)不会渗透到癫痫病灶(青霉素所致)或接受重复电刺激(6 - 10赫兹,0.05 - 0.01毫秒)的皮层区域。通过慢电位变化的缺失以及自发和诱发脑电图活动的保留来监测的SD阻断范围,可通过改变刺激参数在一定限度内变化。当顶叶皮层中的阻断直径减小时,其时间边界被沿头端方向传播的SD波绕过,阻断与矢状沟之间的一条皮层组织带对SD开放,SD通过该途径从额叶皮层扩散到枕叶皮层并开始在阻断周围回荡。引发SD回荡的其他方法包括在圆形路径的一部分中去除额外的阻断以及在刺激点周围进行定向偏向传播。观察到SD回荡持续至少3个周期达109次(完成周期的中位数为5.2,平均周期持续时间为4.4±0.1分钟)。有人提出,癫痫病灶周围的SD回荡可解释发作期和发作间期放电的慢振荡以及复发性癫痫发作。

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