Lockard J S, Wyler A R, Finch C A, Hurlburt K E
Epilepsia. 1977 Dec;18(4):471-9. doi: 10.1111/j.1528-1157.1977.tb04994.x.
EEG operant conditioning in an alumina-gel monkey model (N = 14) to decrease EMG, to increase 9 Hz or decrease 9 Hz, and to increase 23 Hz (18 Hz and 26 Hz in 2 pilot monkeys), respectively, was not consistently beneficial in reducing seizures. The data suggested: (1) that desynchronization of the EEG by reinforcing 18-26 Hz decreased in some animals the extent and severity of seizures while increasing seizure frequency; (2) that attending during conditioned EMG suppression reduced seizures somewhat; and (3) that the operant conditioning setting became stressful to the majority of monkeys under certain conditions, precipitating status epilepticus, gastrointestinal disturbances, and shock, which culminated in the death of 3 animals. Certain precautions are discussed in the therapeutic application of this technique to epileptic patients.
在氧化铝凝胶猴模型(N = 14)中进行脑电图操作性条件反射,分别用于降低肌电图、增加9赫兹或降低9赫兹以及增加23赫兹(2只实验猴为18赫兹和26赫兹),但在减少癫痫发作方面并非始终有效。数据表明:(1)通过强化18 - 26赫兹使脑电图去同步化,在一些动物中虽增加了癫痫发作频率,但降低了发作的程度和严重程度;(2)在条件性肌电图抑制期间集中注意力可在一定程度上减少癫痫发作;(3)在某些条件下,操作性条件反射环境会给大多数猴子带来压力,引发癫痫持续状态、胃肠道紊乱和休克,最终导致3只动物死亡。本文讨论了将该技术应用于癫痫患者治疗时的某些预防措施。