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氨甲环酸(AMCA)诱发的猫全身性癫痫

Feline generalized epilepsy induced by tranexamic acid (AMCA).

作者信息

Pellegrini A, Giaretta D, Chemello R, Zanotto L, Testa G

出版信息

Epilepsia. 1982 Feb;23(1):35-45. doi: 10.1111/j.1528-1157.1982.tb05051.x.

Abstract

Epileptic activities induced by topical application of tranexamic acid (AMCA) and penicillin to the cortex of 12 cats in acute experiments were compared. Both substances when diffusely applied on a wide cortical area of both hemispheres at very low concentration produced an EEG pattern consisting of spike-wave bursts similar to the electrographic manifestations seen in feline generalized epilepsy induced by large parenteral doses of sodium penicillin. These epileptic bursts could be triggered by repetitive stimulation of nucleus centralis medialis. Increased concentrations of both AMCA and penicillin led to the appearance of bilaterally synchronous spikes and poly-spikes which were not further excited by NCM stimulation. Two factors seem to play an important role in eliciting spike-wave bursts in both models: (1) the area of the cortex exposed to the epileptogenic agent and (2) the concentration of the epileptogenic agent used. The similar effects observed in 5 chronic animals either by intravenous injection of high doses of AMCA or by intramuscular injection of sodium penicillin confirm the results obtained in acute experiments and suggest a new way of inducing feline generalized epilepsy.

摘要

在急性实验中,比较了在12只猫的皮层局部应用氨甲环酸(AMCA)和青霉素所诱发的癫痫活动。当以极低浓度将这两种物质广泛扩散应用于双侧大脑半球的大面积皮层时,都会产生一种脑电图模式,该模式由棘波 - 波爆发组成,类似于大剂量肠胃外注射青霉素钠诱发的猫全身性癫痫的电图表现。这些癫痫爆发可由反复刺激内侧中央核引发。AMCA和青霉素浓度的增加会导致双侧同步棘波和多棘波的出现,而内侧中央核刺激不会进一步激发这些波形。在这两种模型中,似乎有两个因素在引发棘波 - 波爆发中起重要作用:(1)暴露于致痫剂的皮层面积;(2)所用致痫剂的浓度。在5只慢性动物中,通过静脉注射高剂量AMCA或肌肉注射青霉素钠观察到的类似效果,证实了急性实验中获得的结果,并提示了一种诱发猫全身性癫痫的新方法。

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