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青霉素诱导的运动皮层癫痫病灶:垂直抑制

Penicillin-induced epileptic foci in the motor cortex: vertical inhibition.

作者信息

Elger C E, Speckmann E J

出版信息

Electroencephalogr Clin Neurophysiol. 1983 Dec;56(6):604-22. doi: 10.1016/0013-4694(83)90028-7.

Abstract

Neuronal mechanisms responsible for a vertical restriction of focal seizure activity in the motor cortex were analysed. For this purpose intracellular recording from neurones in superficial (50-300 microns below cortical surface), middle (300-800 microns) and deep cortical layers (800-1300 microns) was performed. As a model of foci of various vertical extensions the spread of seizure activity from superficial to deeper cortical laminae following epicortical penicillin application was used. The appearance of characteristic epileptiform potentials in the surface record with a focus restricted to upper cortical laminae was accompanied (i) in superficial neurones by the development of paroxysmal depolarization shifts (PDS), (ii) in middle neurones by depolarization often followed by hyperpolarization, and (iii) in deep neurones by a sequence of membrane potential changes. The latter consisted of an initial depolarization, an early hyperpolarization, an intermediate depolarization, a late hyperpolarization and a final depolarization. The hyperpolarizing components led to complete suppression of action potentials (vertical inhibition). The early hyperpolarization and the first part of the late hyperpolarization were reduced in amplitude when the intracellular chloride activity was elevated. The intermediate depolarization was replaced by PDS with the enlargement of the epileptic focus into the cortex. The actual effect of the vertical inhibition may in part be responsible for the variability in epileptic motor phenomena coinciding with epileptiform potentials in the surface EEG.

摘要

分析了负责运动皮层局灶性癫痫活动垂直限制的神经元机制。为此,对浅表(皮层表面以下50 - 300微米)、中层(300 - 800微米)和深层皮层(800 - 1300微米)的神经元进行细胞内记录。作为各种垂直扩展病灶的模型,使用了皮层表面应用青霉素后癫痫活动从浅表皮层向深层皮层的扩散。在表面记录中出现局限于上层皮层的特征性癫痫样电位时,(i)在浅表神经元中伴有阵发性去极化移位(PDS)的发展,(ii)在中层神经元中伴有去极化,随后常伴有超极化,(iii)在深层神经元中伴有一系列膜电位变化。后者包括初始去极化、早期超极化、中间去极化、晚期超极化和最终去极化。超极化成分导致动作电位完全抑制(垂直抑制)。当细胞内氯离子活性升高时,早期超极化和晚期超极化的第一部分幅度减小。随着癫痫病灶向皮层扩大,中间去极化被PDS取代。垂直抑制的实际作用可能部分解释了与表面脑电图中癫痫样电位同时出现的癫痫运动现象的变异性。

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