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丘脑皮质网络中癫痫波形电刺激的对照分析

Control analysis of electrical stimulation for epilepsy waveforms in a thalamocortical network.

作者信息

Yan Luyao, Zhang Honghui, Sun Zhongkui, Shen Zhuan

机构信息

School of Mathematics and Statistics, Northwestern Polytechnical University, Xi'an, Shaanxi 710072, China.

School of Mathematics and Statistics, Northwestern Polytechnical University, Xi'an, Shaanxi 710072, China.

出版信息

J Theor Biol. 2020 Nov 7;504:110391. doi: 10.1016/j.jtbi.2020.110391. Epub 2020 Jul 5.

Abstract

Physiological experiments and computational models both show that the thalamic reticular nucleus (RE) participates in inducing various firing patterns of cortex. Absence seizure, featured by 2-4 Hz spike-wave discharges (SWD) oscillation, is a high incidence of disease in children. Lots of electrophysiological experiments have verified the correlation between absence seizures and RE, however, the dynamical mechanisms are not well understood. Based on previous Taylor model, we firstly study the effects of external input and self-inhibition of RE on epilepsy transition. We show that increasing external input and self-inhibition of RE can lead the system from epileptic state to normal state, and vice versa. Next, we explore two stimulus strategies added in RE and various transition behaviors can be induced, such as high saturated state to clonic. Meanwhile, as the intensity of stimulation increasing, they can not only suppress the SWD, but also produce tonic-clonic oscillation. Finally, the control of DBS on single neuron cluster and two neuron clusters are compared and we find stimulating RE and TC simultaneously is a superior mode to stimulate anyone of RE or TC. It is hoped that the results we obtained will have an enlightenment on clinical treatment.

摘要

生理实验和计算模型均表明,丘脑网状核(RE)参与诱导皮层的各种放电模式。失神发作以2 - 4赫兹的棘慢波放电(SWD)振荡为特征,是儿童中发病率较高的疾病。许多电生理实验已经证实了失神发作与RE之间的相关性,然而,其动力学机制尚未得到很好的理解。基于先前的泰勒模型,我们首先研究RE的外部输入和自我抑制对癫痫转变的影响。我们表明,增加RE的外部输入和自我抑制可以使系统从癫痫状态转变为正常状态,反之亦然。接下来,我们探索在RE中添加的两种刺激策略,可诱导出各种转变行为,如从高饱和状态到阵挛性发作。同时,随着刺激强度的增加,它们不仅可以抑制SWD,还可以产生强直 - 阵挛性振荡。最后,比较了深部脑刺激(DBS)对单个神经元簇和两个神经元簇的控制,我们发现同时刺激RE和丘脑 - 皮质(TC)是优于刺激RE或TC任何一方的模式。希望我们获得的结果将对临床治疗有所启示。

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