Magistris M R, Mouradian M S, Gloor P
Department of Neurology and Neurosurgery, McGill University, Montréal, Québec, Canada.
Epilepsia. 1988 Jul-Aug;29(4):379-88. doi: 10.1111/j.1528-1157.1988.tb03735.x.
The respective capabilities of forebrain, brainstem, and spinal cord to generate seizures in response to intravenous pentylenetetrazol (PTZ) were determined in intact, precollicular, and spinal cord transected (C2-C3) cats. Threshold doses for the induction of generalized EEG seizures were similar, approximately 26 mg/kg, in all groups, but only in intact cats was this associated with generalized clonic convulsions. In cats with precollicular transection, in spite of an unchanged EEG seizure threshold, induction of convulsions required on average 63 mg/kg of PTZ. They consisted of generalized tonic contractions. In cats with spinal cord transection, convulsions began with a mean dose of 167 mg/kg of PTZ. They consisted of bilateral, frequently asynchronous jerks, although tonic contractions were also observed. These experiments show widespread central nervous system (CNS) sensitivity to PTZ, and demonstrate that (a) ictal EEG activity in the forebrain, normally associated with clonic convulsions, may occur independently from brainstem influence; (b) clonic convulsions in intact cats likely originate from the forebrain with little contribution from the brainstem; and (c) the brainstem and spinal cord can induce tonic and predominantly clonic seizures, respectively, at PTZ levels exceeding those required to induce seizures in intact cats.
在完整的、中脑前横断的和脊髓横断(C2 - C3)的猫中,确定了前脑、脑干和脊髓对静脉注射戊四氮(PTZ)产生癫痫发作的各自能力。所有组中诱发全身性脑电图癫痫发作的阈剂量相似,约为26mg/kg,但只有在完整的猫中,这才与全身性阵挛性惊厥相关。在中脑前横断的猫中,尽管脑电图癫痫发作阈值未变,但诱发惊厥平均需要63mg/kg的PTZ。惊厥表现为全身性强直性收缩。在脊髓横断的猫中,惊厥开始时的平均PTZ剂量为167mg/kg。惊厥表现为双侧的、常常不同步的抽搐,不过也观察到了强直性收缩。这些实验表明中枢神经系统(CNS)对PTZ具有广泛的敏感性,并证明:(a)前脑中通常与阵挛性惊厥相关的发作期脑电图活动可能独立于脑干的影响而发生;(b)完整猫中的阵挛性惊厥可能主要起源于前脑,脑干的贡献很小;(c)脑干和脊髓分别可以在超过完整猫诱发癫痫发作所需剂量的PTZ水平下诱发强直性和主要为阵挛性的癫痫发作。