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抗抑郁药对海马体癫痫发作的急性影响。

Acute effects of antidepressants on hippocampal seizures.

作者信息

Clifford D B, Rutherford J L, Hicks F G, Zorumski C F

出版信息

Ann Neurol. 1985 Dec;18(6):692-7. doi: 10.1002/ana.410180611.

Abstract

Electrically kindled hippocampal seizures in rats were used to evaluate the acute effects of the antidepressants amitriptyline, imipramine, desipramine, bupropion, maprotiline, and trazodone on behavioral and electrical convulsions. All of the drugs reduced afterdischarge duration significantly. Behavioral seizures were not significantly reduced by bupropion or trazodone, whereas the other drugs did reduce seizure severity. Afterdischarge threshold was not modified by these drugs. In contrast, phenobarbital significantly elevated threshold and reduced seizure severity and afterdischarge duration. Amitriptyline was the most effective antidepressant, attenuating both seizure severity and afterdischarge duration.

摘要

采用电刺激诱发大鼠海马癫痫发作,以评估抗抑郁药阿米替林、丙咪嗪、地昔帕明、安非他酮、马普替林和曲唑酮对行为性和电惊厥的急性作用。所有药物均显著缩短了痫样放电持续时间。安非他酮或曲唑酮对行为性癫痫发作无显著影响,而其他药物确实降低了癫痫发作的严重程度。这些药物未改变痫样放电阈值。相比之下,苯巴比妥显著提高了阈值,降低了癫痫发作严重程度和痫样放电持续时间。阿米替林是最有效的抗抑郁药,可减轻癫痫发作严重程度和痫样放电持续时间。

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