Department of Anatomy, St. John's Medical College, Bangalore, India.
J ECT. 2013 Sep;29(3):156-7. doi: 10.1097/YCT.0b013e318282a6b1.
Stress and depression are associated with aberrant neuroplasticity in the amygdala: there is increased dendritic arborization and synaptogenesis, perhaps explaining the increased anxiety and fear that are often apparent in depressed patients. Light microscopy images are presented, which show that 6 once-daily high (but not low)-dose electroconvulsive shocks attenuated dendritic arborization in the basolateral amygdala of Wistar rats, which changes were apparent even 1 month after the last electroconvulsive shock. These changes may explain a part of the mechanism of action of electroconvulsive therapy in conditions such as depression and posttraumatic stress disorder.
树突分支和突触形成增加,这也许可以解释抑郁患者中常见的焦虑和恐惧增加。本文呈现了光镜图像,结果显示,6 次每日高(而非低)剂量电休克治疗可减弱 Wistar 大鼠基底外侧杏仁核的树突分支,甚至在最后一次电休克治疗后 1 个月,这些变化仍很明显。这些变化可能解释了电惊厥疗法在抑郁和创伤后应激障碍等疾病中的部分作用机制。