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海人酸诱发猫的边缘叶癫痫发作:关于睡眠 - 癫痫相互作用的一些思考

Kainic acid-induced limbic seizures in cats: some reflections on sleep-epilepsy interactions.

作者信息

Cepeda C, Pacheco M T, Hernandez S, Almanza X

出版信息

Epilepsia. 1986 Jul-Aug;27(4):375-84. doi: 10.1111/j.1528-1157.1986.tb03556.x.

Abstract

Sleep-epilepsy interactions were investigated in a model of temporal lobe seizures induced in cats by intra-amygdaloid kainic acid (KA) microinjections. We found that limbic status epilepticus disrupted sleep for 2 or 3 days after injection. Sleep, in turn, modulated the frequency of interictal discharges. However, such modulation was variable depending on the time elapsed since KA injection. For this and other reasons (such as the occurrence of subclinical seizures during paradoxical sleep), we postulate a dual effect--facilitatory or inhibitory--of paradoxical sleep on limbic epilepsy. A role in seizure induction for bulbopontine structures is proposed on the basis of seizure precipitation during phasic paradoxical sleep. Propagated limbic seizures and paradoxical sleep without atonia displayed similar behavioral patterns. This fact and the possibility that a seizure may substitute for paradoxical sleep, lead us to think that limbic seizures and paradoxical sleep subserve similar functions. One of them might be the elimination of a potentially neurotoxic endogenous product.

摘要

通过向猫杏仁核内微量注射红藻氨酸(KA)诱导颞叶癫痫模型,研究睡眠与癫痫之间的相互作用。我们发现,边缘性癫痫持续状态在注射后会扰乱睡眠2至3天。反过来,睡眠又会调节发作间期放电的频率。然而,这种调节因自KA注射后经过的时间不同而有所变化。基于这个以及其他原因(如在异相睡眠期间出现亚临床发作),我们推测异相睡眠对边缘性癫痫具有双重作用——促进或抑制。根据在异相睡眠阶段诱发出癫痫发作,提出脑桥延髓结构在癫痫发作诱导中起作用。传播性边缘性癫痫发作和无张力性异相睡眠表现出相似的行为模式。这一事实以及癫痫发作可能替代异相睡眠的可能性,使我们认为边缘性癫痫发作和异相睡眠具有相似的功能。其中一个功能可能是清除潜在的神经毒性内源性产物。

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