O'Connell B K, Towfighi J, Kofke W A, Hawkins R A
Department of Anesthesia, M.S. Hershey Medical Center, Pennsylvania State University, College of Medicine, Hershey 17033.
Acta Neuropathol. 1988;77(1):47-54. doi: 10.1007/BF00688242.
Neuropathological studies of rats were made after seizures of different durations. Seizures were produced by mercaptopropionic acid in paralyzed, ventilated rats that were perfusion-fixed immediately (acute) or after 2-7 days of recovery (chronic). Analysis of chronic rats, which had only 20-min seizures, showed that damage occurred to several structures including: the substantia nigra pars reticulata, the hypothalamus, the diagonal band of Broca, and the globus pallidus; the damage was worse with longer seizures. In rats perfused acutely no changes were detected in paraffin sections in the aforementioned structures if the length of seizures was 45 min or less. It was concluded that: (1) mercaptopropionic acid-induced seizures cause permanent lesions to specific brain areas, with the most pronounced effect in the substantia nigra pars reticulata; (2) the lesions result from the seizures, and they are roughly proportional to the seizures duration; and (3) permanent lesions may begin within 20 min but require longer times to become visible on light microscopy.
对经历不同时长癫痫发作的大鼠进行了神经病理学研究。通过在瘫痪且通气的大鼠中注射巯基丙酸诱发癫痫发作,这些大鼠在发作后立即(急性)或恢复2至7天后(慢性)进行灌注固定。对仅经历20分钟癫痫发作的慢性大鼠的分析表明,包括黑质网状部、下丘脑、布罗卡斜带和苍白球在内的多个结构出现了损伤;癫痫发作时间越长,损伤越严重。在发作时长为45分钟或更短的情况下,对急性灌注的大鼠进行石蜡切片检查,未在上述结构中检测到变化。得出的结论是:(1)巯基丙酸诱发的癫痫发作会对特定脑区造成永久性损伤,其中对黑质网状部的影响最为明显;(2)这些损伤是由癫痫发作导致的,且大致与发作时长成正比;(3)永久性损伤可能在20分钟内开始,但在光学显微镜下需要更长时间才能显现。