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抗惊厥药对海马体引发癫痫的影响。

Effects of anticonvulsants on hippocampus-generating seizures.

作者信息

Emori K, Minabe Y

机构信息

Department of Neuropsychiatry, Toyama Medical and Pharmaceutical University, Japan.

出版信息

Brain Res. 1990 Mar 19;511(2):217-21. doi: 10.1016/0006-8993(90)90164-7.

Abstract

Acute effects of 4 anticonvulsants on hippocampal kindled seizures induced with about 3 Hz electrical stimulations were assessed in cats. The number of stimulating pulses required for the triggering of epileptic afterdischarge (pulse-number threshold, PNT) was used as the indicator for the seizure threshold. Duration of afterdischarge (ADD), ictal and interictal behaviors and serum drug levels were also recorded. PB produced a PNT-increase more prominently than an ADD-decrease with seizure stage regression. PHT produced only a proconvulsive effect by decreasing PNT. CBZ also produced a proconvulsive effect by decreasing PNT at a low dose, and decreased PNT and ADD simultaneously at a high dose. Conversely VPA increased PNT and ADD simultaneously. These results were discussed comparing mainly with a previous study of amygdala-generating seizures.

摘要

在猫身上评估了4种抗惊厥药对约3Hz电刺激诱发的海马点燃性癫痫发作的急性效应。将引发癫痫后放电所需的刺激脉冲数(脉冲数阈值,PNT)用作癫痫发作阈值的指标。还记录了后放电持续时间(ADD)、发作期和发作间期行为以及血清药物水平。苯巴比妥(PB)随着癫痫发作阶段的消退,PNT升高比ADD降低更为显著。苯妥英钠(PHT)仅通过降低PNT产生促惊厥作用。卡马西平(CBZ)在低剂量时也通过降低PNT产生促惊厥作用,在高剂量时同时降低PNT和ADD。相反,丙戊酸(VPA)同时增加PNT和ADD。主要与先前关于杏仁核引发癫痫发作的研究进行比较讨论了这些结果。

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