Pearce J M
Lancet. 1985 Oct 5;2(8458):763-6. doi: 10.1016/s0140-6736(85)90639-7.
Spreading depression (SD) is a severe but transient disruption of neural activity in the brain, which spreads like waves in a pond in which a stone has been cast. It propagates to normal tissues and is accompanied by flux of Na+, Ca++, and Cl- ions into the cells, resulting in a brief burst of action potentials followed by electrical silence. Its rate of spread correlates almost exactly with the observed spread of the aura of classical migraine. It is accompanied in animal experiments by changes in regional cerebral blood flow which closely simulate changes observed in man during the migraine aura. There are serious difficulties in extrapolating from SD in animals to migraine in man, but the possibility of SD as the initiating event accords with the notion of migraine as a cerebral (neural) disorder and encourages further investigation in man.
扩散性抑制(SD)是大脑中神经活动的一种严重但短暂的紊乱,它像向池塘里投了一块石头后产生的水波一样扩散。它会传播到正常组织,并伴随着钠离子、钙离子和氯离子流入细胞,导致动作电位短暂爆发,随后出现电静息。其传播速度几乎与经典偏头痛先兆的观察到的传播速度完全相关。在动物实验中,它伴随着局部脑血流的变化,这与人类偏头痛先兆期间观察到的变化非常相似。从动物的扩散性抑制推断人类偏头痛存在严重困难,但扩散性抑制作为起始事件的可能性与偏头痛是一种脑部(神经)疾病的概念相符,并鼓励对人类进行进一步研究。