Browning R A
Life Sci. 1986 Sep 8;39(10):857-67. doi: 10.1016/0024-3205(86)90367-x.
Identification of the neural substrates subserving audiogenic convulsions in the GEPR is an important task and while it is not yet complete, many laboratories employing various techniques have contributed importantly to our current understanding. The present review focuses on the use of lesions to identify the neural substrates of audiogenic convulsions. Lesions in brain stem nuclei appear to have a much greater ability to attenuate audiogenic convulsions than do forebrain lesions. In fact, some forebrain lesions (dorsal hippocampus, caudate, intralaminar thalamic nuclei) appear to enhance the severity of audiogenic seizures. On the other hand, bilateral lesions in the inferior colliculus (IC) have been shown to completely abolish audiogenic convulsions, while lesions in the pontine reticular formation (PRF nucleus) abolish all aspects except the running episode suggesting that these two brain stem structures are important neural substrates involved in the expression of audiogenic convulsions. Large bilateral lesions of the substantia nigra also appear to attenuate audiogenic convulsions. The effect of lesions on audiogenic convulsions is basically similar to their effect on other generalized seizure models and the data appear to support the hypothesis that there are two anatomical systems involved in the expression of all generalized convulsions: a forebrain system responsible for the expression of face and forelimb clonus; and a brain stem system responsible in the expression of running-bouncing clonus and tonus.
确定GEPR中引发听源性惊厥的神经基质是一项重要任务,虽然尚未完成,但许多采用各种技术的实验室为我们目前的理解做出了重要贡献。本综述重点关注利用损伤来确定听源性惊厥的神经基质。脑干核团的损伤似乎比前脑损伤更能有效减轻听源性惊厥。事实上,一些前脑损伤(背侧海马、尾状核、丘脑板内核)似乎会加重听源性癫痫发作的严重程度。另一方面,下丘(IC)的双侧损伤已被证明能完全消除听源性惊厥,而脑桥网状结构(PRF核)的损伤则消除了除奔跑发作外的所有方面,这表明这两个脑干结构是参与听源性惊厥发作的重要神经基质。黑质的大型双侧损伤似乎也能减轻听源性惊厥。损伤对听源性惊厥的影响与它们对其他全身性癫痫模型的影响基本相似,这些数据似乎支持这样一种假说,即存在两个解剖系统参与所有全身性惊厥的发作:一个前脑系统负责面部和前肢阵挛的发作;一个脑干系统负责奔跑-跳跃阵挛和强直的发作。