Unit of Experimental Epileptology and Neurophysiology, Fondazione Istituto Neurologico Carlo Besta, Milano, Italy.
Cereb Cortex. 2014 Jan;24(1):163-73. doi: 10.1093/cercor/bhs298. Epub 2012 Oct 9.
Seizure patterns in temporal lobe epilepsies have been described both in humans and in animal models. The involvement of specific hippocampal-parahippocampal subregions in the initiation and progression of temporal lobe seizures is not defined yet. We analyzed limbic network dynamics during seizures induced by 3-min arterial perfusion of 50 µM bicuculline in the in vitro isolated guinea pig brain preparation. As for human and animal temporal lobe epilepsies, 2 seizure types characterized at onset by either fast activity (FA) or hypersynchronous activity (HSA) were observed in our acute model. Simultaneous extracellular recordings were performed from ventral hippocampal-parahippocampal subregions with multichannel electrodes, and laminar analysis and propagation directions were computed to define reciprocal interactions during seizures. FA seizures started with fast oscillations generated in CA1-subiculum and entorhinal cortex, followed by irregular spikes and progressively regular bursts well defined in all subfields, with the exception of pre- and parasubiculum that do not participate in seizure activity. Dentate gyrus was not involved at FA seizure onset and became prominent during the transition to bursting in both FA and HSA patterns. HSA seizures were similar to FA events, but lacked initial FA. During seizures, reliable and steady propagation within the intra-hippocampal re-entrant loop was observed.
颞叶癫痫中的发作模式在人类和动物模型中都有描述。特定的海马-海马旁区域在颞叶癫痫发作的起始和进展中的参与尚未确定。我们分析了在体外分离的豚鼠脑制备物中,通过 3 分钟动脉灌注 50µM 荷包牡丹碱诱导的发作期间边缘网络动力学。与人类和动物颞叶癫痫一样,在我们的急性模型中观察到两种以快速活动 (FA) 或超同步活动 (HSA) 为特征的发作类型。使用多通道电极从腹侧海马-海马旁区域进行同时的细胞外记录,并进行层分析和传播方向计算,以定义发作期间的相互作用。FA 发作始于 CA1-下托和内嗅皮层产生的快速振荡,随后出现不规则的棘波,并逐渐在所有亚区中形成规则的爆发,除了前和副下托亚区不参与发作活动。齿状回在 FA 发作起始时不参与,并且在 FA 和 HSA 模式下向爆发的转变过程中变得明显。HSA 发作与 FA 事件相似,但缺乏初始 FA。在发作期间,观察到在海马内折返环路内可靠且稳定的传播。