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[癫痫活动复合体的决定因素及形成原理]

[Principle of the determinant and formation of complexes of epileptic activity].

作者信息

Kryzhanovskiĭ G N, Makul'kin R F, Shandra A A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1978;78(4):547-56.

PMID:654729
Abstract

Experiments on cats under nembutal anesthesia demonstrated that the focus in cerebral cortex with a high level of convulsive activity increases the activity in foci with a low level of convulsive activity, unites them into a functional complex of epileptic activity and determines the behaviour of this complex. Such a focus has been named a determinant. An abolishment of the determinant focus entails a breakage of this complex. The abolishment of any dependent foci fails to produce such effect. The dependent foci are suppressed first of all under ether or halothane anesthesia. Bemegrid injected intravenously revealed first of all the latent determinant foci. The results of such studies as well as some problems of the pathogenesis, diagnosis, therapy and terminology of focal epilepsia are discussed from the point of view of a general conception of the role of the determinant structures in the CNS activity and the theories of generator mechanisms of neuropathologic syndromes characterized by hyperactivity of the systems.

摘要

在戊巴比妥麻醉下对猫进行的实验表明,大脑皮层中具有高惊厥活动水平的病灶会增加具有低惊厥活动水平病灶的活动,将它们整合为癫痫活动的功能复合体,并决定该复合体的行为。这样的病灶被称为决定性病灶。消除决定性病灶会导致该复合体的瓦解。消除任何从属病灶都不会产生这种效果。在乙醚或氟烷麻醉下,从属病灶首先会受到抑制。静脉注射贝美格首先会揭示出潜在的决定性病灶。从决定性结构在中枢神经系统活动中的作用的一般概念以及以系统活动亢进为特征的神经病理综合征的发生器机制理论的角度,讨论了这些研究结果以及局灶性癫痫的发病机制、诊断、治疗和术语的一些问题。

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