Sysoeva M V, Sitnikova E, Sysoev I V
Zh Vyssh Nerv Deiat Im I P Pavlova. 2016 Jan-Feb;66(1):103-12.
Generalized spike and wave discharges (SWDs) are generated within the cortico-thalamo-cortical system, being an electroencephalographic sign of absence epilepsy. The current work aims to identify mechanisms of SWD initiation, maintenance and termination. Dynamics and directionality of mutual interactions between neocortex (occipital (OC) and frontal (FC) cortex) and thalamus (reticular (RTN) and ventral postero medial (VPM) thalamic nuclei) were investigated. SWD initiation process is revealed several seconds before seizure onset in interaction between all brain areas, except intrathalamic pair (RTN-VPM). This process begins at different moments relatively to SWD onset. The interaction increase is observed earlier and most obviously when thalamus and OC drive FC. The maintenance process (the first few seconds of SWD) is accompanied with high level interaction inside thalamus and increase of driving from thalamus to occipital cortex. Thus interaction from thalamus and occipital cortex to frontal cortex and influence to VPM occur to be below baseline level. At the SWD offset thalamo-cortical interactions were found to return to baseline level quickly.
广泛性棘慢波放电(SWDs)在皮质-丘脑-皮质系统内产生,是失神癫痫的一种脑电图征象。当前的研究旨在确定SWD起始、维持和终止的机制。研究了新皮质(枕叶(OC)和额叶(FC)皮质)与丘脑(网状核(RTN)和腹后内侧核(VPM))之间相互作用的动力学和方向性。除丘脑内配对(RTN-VPM)外,在所有脑区之间的相互作用中,SWD起始过程在癫痫发作开始前几秒就已显现。这个过程相对于SWD发作在不同时刻开始。当丘脑和枕叶驱动额叶时,相互作用增加更早且最明显。维持过程(SWD的最初几秒)伴随着丘脑内部的高水平相互作用以及从丘脑到枕叶皮质驱动的增加。因此,从丘脑和枕叶皮质到额叶皮质的相互作用以及对VPM的影响低于基线水平。在SWD结束时,丘脑-皮质相互作用迅速恢复到基线水平。