Dyer R S, Swartzwelder H S, Eccles C U, Annau Z
Neurobehav Toxicol. 1979 Spring;1(1):5-19.
Two types of AD and post-AD sequences are described. Type 1, which were most common (83%), are followed by a profound post-ictal depression (PID). PIDs can be quantitatively measured by integrating the EEG. The post-ictal EEG power normally returned to 75% of its prestimulation power within 4-5 min. PIDs are usually interrupted by a brief rebound AD, occurring about 1.5 min after the end of the AD. Wet dog shakes (WDSs) often punctuate the end of the AD and the end of the rebound AD. Type II ADs (12% of those recorded) do not have profound PID, but do have irregular post-ictal spikes which may persist for over 30 min. Type IIa ADs do not have the post-ictal spikes or the PID, and represented 5% of the ADs recorded. Females had higher AD thresholds than males, and had more Type IIa ADs than males during threshold testing. AD durations were longest in the subiculum and shortest in the area dentata. Correlations among the different measures of AD activity are discussed. With repeated elicitation, AD and PID durations increased. Stimuli 400% of threshold produced shorter ADs and longer PIDs than stimuli 115% of threshold. High intensity stimuli did not significantly alter frequency of WDSs or rebound AD characteristics. Increasing dosages of sodium pentobarbital decreased AD duration, increased threshold, decreased the probability of a Type I AD and produced depressions which were not accompanied by rebound ADs. At the highest (30 mg/kg) dosage of sodium pentobarbital, the spike frequency within the AD was decreased. When PIDs occurred, they were somewhat longer at higher dosages of sodium pentobarbital. The feasibility of the AD as an index of neurotoxicity is discussed, and it is concluded that it may provide a valuable mirror of dysfunction in the hippocampal formation. Further work must determine its sensitivity to toxicant-induced alterations.
描述了两种类型的强直性惊厥(AD)及强直性惊厥后序列。1型最为常见(83%),其后会出现深度发作后抑郁(PID)。PID可通过整合脑电图进行定量测量。发作后脑电图功率通常会在4 - 5分钟内恢复到刺激前功率的75%。PID通常会被短暂的反弹型AD打断,这种反弹型AD在强直性惊厥结束后约1.5分钟出现。湿狗样抖动(WDS)常出现在强直性惊厥结束时以及反弹型强直性惊厥结束时。2型强直性惊厥(占记录病例的12%)没有深度PID,但有不规则的发作后尖波,可能持续超过30分钟。2a型强直性惊厥没有发作后尖波或PID,占记录的强直性惊厥病例的5%。在阈值测试期间,雌性的强直性惊厥阈值高于雄性,且2a型强直性惊厥比雄性更多。强直性惊厥持续时间在海马下托最长,在齿状回最短。讨论了强直性惊厥活动不同测量指标之间的相关性。随着反复诱发,强直性惊厥和PID持续时间增加。阈值400%的刺激比阈值115%的刺激产生的强直性惊厥持续时间更短、PID持续时间更长。高强度刺激并未显著改变WDS的频率或反弹型强直性惊厥的特征。戊巴比妥钠剂量增加会缩短强直性惊厥持续时间、提高阈值、降低1型强直性惊厥的发生概率,并产生不伴有反弹型强直性惊厥的抑郁。在戊巴比妥钠最高剂量(30mg/kg)时,强直性惊厥期间的尖波频率降低。当出现PID时,在戊巴比妥钠较高剂量下,其持续时间会稍长一些。讨论了强直性惊厥作为神经毒性指标的可行性,并得出结论,它可能为海马结构功能障碍提供有价值的反映。进一步的研究必须确定其对毒物诱导改变的敏感性。