Bekhtereva N P
Zh Nevropatol Psikhiatr Im S S Korsakova. 1980;80(8):1127-33.
The author substantiates the necessity of searching for new means producing a therapeutic effect on the brain of epileptic patients that would be similar, in principle, to the brain's own protective mechanisms. This can be done, in the author's opinion, on the basis of studying the most probable bioelectric equivalents of the protective mechanisms. The author suggests a new method for suppressing the epileptogenic focus. This suppression, close to the physiological one, is effected by applying a weak sinusoidal current to the focus via intracerebrally implanted electrodes. Data on the suppression of the epileptiform activity within the zone of the current application, as well as data confirming the local character of the current action are presented. The place of the new method in the system of complex therapy, particularly of epilepsy, is determined with consideration of the role of the stable pathological state. Probable neurophysiological mechanisms of the sinusoidal current action on the epileptogenic focus are discussed.
作者证实了寻找对癫痫患者大脑产生治疗作用的新方法的必要性,这种方法原则上应类似于大脑自身的保护机制。作者认为,这可以在研究保护机制最可能的生物电等效物的基础上实现。作者提出了一种抑制致痫灶的新方法。这种接近生理性的抑制是通过经脑内植入电极向致痫灶施加微弱的正弦电流来实现的。文中给出了关于在电流施加区域内癫痫样活动抑制的数据,以及证实电流作用具有局部性的数据。考虑到稳定病理状态的作用,确定了这种新方法在综合治疗体系,特别是癫痫治疗体系中的地位。文中还讨论了正弦电流作用于致痫灶的可能神经生理机制。