McCown T J, Breese G R
Department of Psychiatry, University of North Carolina, Chapel Hill 27599-7250.
Alcohol Clin Exp Res. 1990 Jun;14(3):394-9. doi: 10.1111/j.1530-0277.1990.tb00492.x.
The present investigation tested the hypothesis that multiple withdrawals from chronic ethanol treatment "kindles" seizure activity. Two animal models of kindled seizure activity--electrical stimulation of the inferior collicular cortex or the amygdala--were used to evaluate this hypothesis. Four withdrawals from a 12-day ethanol-liquid diet regimen facilitated the seizure kindling rate in the inferior collicular cortex, when the stimulation was initiated 7 days after the last withdrawal. In contrast, four withdrawals from this chronic ethanol regimen significantly attenuated the rate of amygdaloid kindling. When the withdrawals were increased to six or 10 using a 5-day chronic ethanol treatment schedule, the kindling rate in the inferior collicular cortex proved directly proportional to the withdrawal number. Continuous ethanol exposure over the same period as the 10 withdrawal group also facilitated the inferior collicular kindling rate, but not to the extent found in the 10 withdrawal group. A before, 10 withdrawals from the 5-day chronic ethanol liquid diet treatment attenuated the rate of amygdaloid kindling. Thus, this kindling action of repeated ethanol withdrawals appears specific to seizures originating from the inferior collicular cortex, not the limbic system. These findings support a previous hypothesis for a kindling etiology of alcoholism related seizures.
长期乙醇治疗多次戒断会“点燃”癫痫发作活动。使用两种点燃癫痫发作活动的动物模型——刺激下丘皮质或杏仁核——来评估这一假设。在12天乙醇液体饮食方案中进行四次戒断后,当在最后一次戒断7天后开始刺激时,促进了下丘皮质的癫痫发作点燃率。相比之下,从这种长期乙醇方案中进行四次戒断显著降低了杏仁核点燃率。当使用5天的长期乙醇治疗方案将戒断次数增加到六次或十次时,下丘皮质的点燃率与戒断次数成正比。在与十次戒断组相同的时间段内持续暴露于乙醇也促进了下丘皮质的点燃率,但程度不及十次戒断组。之前,从5天的长期乙醇液体饮食治疗中进行十次戒断降低了杏仁核点燃率。因此,重复乙醇戒断的这种点燃作用似乎特定于起源于下丘皮质而非边缘系统的癫痫发作。这些发现支持了先前关于酒精中毒相关癫痫发作的点燃病因学假设。