Brailowsky S, Kunimoto M, Silva-Barrat C, Menini C, Naquet R
Laboratoire de Physiologie Nerveuse, C.N.R.S. Gif-sur-Yvette, France.
Epilepsia. 1990 Jul-Aug;31(4):369-77. doi: 10.1111/j.1528-1157.1990.tb05490.x.
The spatial and temporal EEG features of the epileptogenic syndrome induced by cessation of chronic intracortical GABA infusion in normal rats are described. In the initial stages, the paroxysmal discharges (PDs) induced by withdrawal from unilateral GABA application may appear either unilaterally or bilaterally, although with greater amplitude on the infused side. PDs are transitorily accompanied by behavioral signs of distal myoclonus of the body territory corresponding to the infused area (contralateral hindlimb). Later, the paroxysmal activity becomes more localized, circumscribed to the cannula-infused site and with ipsilateral propagation to anterior cortical areas. The amplitude of PDs decreases progressively while their frequency increases, reaching its maximal value at about 4 h after the first PDs have appeared. In the final stages of the syndrome, which may last several days, clinical manifestations are absent and PDs are activated by slow-wave sleep and reduced during REM sleep and waking. Chronic intracortical applications of taurine failed to induce any electroclinical changes on withdrawal and were unable to inhibit the focus elicited by GABA withdrawal, whereas reinstatement of GABA infusion into the epileptogenic area was effective in blocking the paroxysmal activity. Intracortical infusion of baclofen induced the appearance of an epileptogenic focus that waned on withdrawal. The GABA-withdrawal syndrome appears to be a new model of focal status epilepticus; it may be useful as an experimental model of human partial epilepsy to investigate the role of GABAergic neurotransmission.
描述了正常大鼠慢性皮质内注射γ-氨基丁酸(GABA)停止后诱发的致痫综合征的时空脑电图特征。在初始阶段,单侧停用GABA所诱发的阵发性放电(PDs)可能单侧或双侧出现,尽管注入侧的放电幅度更大。PDs短暂地伴有与注入区域相对应的身体部位(对侧后肢)远端肌阵挛的行为体征。后来,阵发性活动变得更加局限,局限于套管注入部位,并向同侧前皮质区域扩散。PDs的幅度逐渐降低,而频率增加,在首次出现PDs后约4小时达到最大值。在该综合征的最后阶段,可能持续数天,无临床表现,PDs在慢波睡眠时被激活,在快速眼动睡眠和清醒时减少。慢性皮质内注射牛磺酸在停药时未诱发任何电临床变化,也无法抑制GABA停药所诱发的病灶,而向致痫区域恢复注入GABA可有效阻断阵发性活动。皮质内注射巴氯芬诱发了一个致痫灶,停药时该病灶减弱。GABA停药综合征似乎是局灶性癫痫持续状态的一种新模型;它可能作为人类部分性癫痫的实验模型,用于研究GABA能神经传递的作用。