Epilepsy Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, via Amadeo 42, 20133 Milano, Italy.
Epilepsy Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, via Amadeo 42, 20133 Milano, Italy.
Exp Neurol. 2021 Aug;342:113727. doi: 10.1016/j.expneurol.2021.113727. Epub 2021 Apr 27.
Specific neurophysiological seizure patterns in patients with focal epilepsy depend on cerebral location and the underlying neuropathology. Location-specific patterns have been also reported in experimental models. Two focal seizure patterns, named p-type and l-type, typical of neocortical and mesial temporal regions were identified in both patients explored with intracerebral EEG and in animal models. These two patterns were recorded in the olfactory regions and in the entorhinal cortex after either 4AP or BMI administration. Here we mapped epileptiform activities in other cortices to verify the existence of specific epileptiform patterns. Field potentials were simultaneously recorded at multiple locations in olfactory, limbic and neocortical regions of the isolated guinea pig brain after arterial administration of either 4AP or BMI. Most neocortical areas did not generate new distinctive focal seizure-like event (SLE), beside the p-type and l-type patterns. Spiking activity was typically recorded after BMI in all new analyzed regions, whereas SLEs were commonly observed during 4AP perfusion. We confirmed the presence of reproducible region-specific epileptiform patterns in all explored cortical areas and demonstrated that strongly inter-connected areas generate similar SLEs. Our study suggests that p- and l-type SLE represent the most common focal seizure patterns during acute manipulations with pro-epileptic compounds.
局灶性癫痫患者的特定神经生理发作模式取决于大脑位置和潜在的神经病理学。在实验模型中也报道了位置特异性模式。在接受颅内 EEG 检查的患者和动物模型中,均发现了两种局灶性发作模式,分别命名为 p 型和 l 型,这两种模式分别是皮质和内侧颞叶区域的典型特征。这两种模式在 4AP 或 BMI 给药后分别在嗅区和内嗅皮层中记录到。在这里,我们在其他皮质区映射了癫痫样活动,以验证特定癫痫样模式的存在。动脉内给予 4AP 或 BMI 后,在隔离的豚鼠脑的嗅区、边缘区和新皮质区的多个部位同时记录场电位。除了 p 型和 l 型模式外,大多数新皮质区没有产生新的独特局灶性癫痫样事件(SLE)。在所有新分析的区域中,通常在 BMI 后记录到尖峰活动,而在 4AP 灌注期间通常观察到 SLE。我们在所有探索的皮质区均证实存在可重现的、特定区域的癫痫样模式,并证明了紧密相连的区域会产生类似的 SLE。我们的研究表明,p 型和 l 型 SLE 代表急性癫痫化合物处理期间最常见的局灶性癫痫发作模式。