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来自患者和动物模型的局灶性癫痫发作中的快速活动啁啾模式。

Fast activity chirp patterns in focal seizures from patients and animal models.

作者信息

Lévesque Maxime, Gnatkovsky Vadym, Li Fei Ran, Scalmani Paolo, Uva Laura, Avoli Massimo, de Curtis Marco

机构信息

Department of Neurology and Neurosurgery, Montreal Neurological Institute-Hospital, Montreal, Quebec, Canada.

Epilepsy Unit, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Neurologico Carlo Besta, Milan, Italy.

出版信息

Epilepsia. 2025 Mar;66(3):621-631. doi: 10.1111/epi.18245. Epub 2024 Dec 26.

Abstract

Time-frequency analysis of focal seizure electroencephalographic signals performed with depth electrodes in human temporal lobe structures has revealed the occurrence at onset of oscillations at approximately 30-100 Hz that feature a monotonic rapid decay in frequency content. This seizure onset pattern, referred to as chirp, has been identified as a highly specific and sensitive marker of focal seizures that are characterized by low-voltage fast activity. We report that this chirp pattern is also observed in animal models of temporal lobe epilepsy in both in vivo and in vitro preparations. We propose here that chirps mirror the involvement of synchronous interneuron firing that is known to represent a specific cellular mechanism leading to the initiation of focal seizures, in particular those characterized by low-voltage fast activity.

摘要

利用深度电极对人类颞叶结构中的局灶性癫痫脑电图信号进行时频分析,结果显示,癫痫发作开始时会出现频率约为30 - 100Hz的振荡,其频率成分呈单调快速衰减。这种癫痫发作起始模式被称为线性调频脉冲,已被确定为以低电压快速活动为特征的局灶性癫痫的高度特异性和敏感性标志物。我们报告,在颞叶癫痫的动物模型中,无论是体内还是体外实验中,都观察到了这种线性调频脉冲模式。我们在此提出,线性调频脉冲反映了同步中间神经元放电的参与,已知这种放电代表了导致局灶性癫痫发作起始的一种特定细胞机制,特别是那些以低电压快速活动为特征的癫痫发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/701b/11908669/86e23acea30d/EPI-66-621-g005.jpg

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