Albright P S, Burnham W M
Epilepsia. 1980 Dec;21(6):681-9. doi: 10.1111/j.1528-1157.1980.tb04321.x.
The potency of eight standard anticonvulsants was tested in dose-response studies on kindled rats. Animals with either amygdala- or cortical-generalized seizures were used, and the effects of drugs were assessed on: (1) amygdala focal activity; (2) cortical focal activity; and (3) the generalized convulsion triggered from either focus. Ethosuximide, which is used against absence attacks, was not effective at subtoxic levels against any type of kindled seizure. The seven other drugs, all of which are effective against tonic-clonic seizures, were found to be: (a) most potent against generalized convulsive seizures; (b) slightly less potent against cortical focal activity; and (c) only partially effective against amygdala focal activity even at high (toxic) doses. The effect of these drugs on kindled seizures closely parallels their known clinical effects against (respectively) tonic-clonic, simple partial, and complex partial attacks. It is concluded that the kindling preparation could provide new pharmacological models for several different types of clinical seizure. Its most important use, however, is likely to be as a model for complex partial seizures, since there is at present no satisfactory pharmacological model for these common and drug-resistant attacks.
在点燃大鼠的剂量反应研究中测试了八种标准抗惊厥药的效力。使用了患有杏仁核或皮层全身性癫痫发作的动物,并评估药物对以下方面的影响:(1)杏仁核局部活动;(2)皮层局部活动;以及(3)由任一病灶引发的全身性惊厥。用于治疗失神发作的乙琥胺在亚中毒水平下对任何类型的点燃性癫痫发作均无效。发现其他七种药物,所有这些药物均对强直阵挛性发作有效,它们:(a)对全身性惊厥性癫痫发作效力最强;(b)对皮层局部活动的效力稍弱;以及(c)即使在高(中毒)剂量下对杏仁核局部活动也仅部分有效。这些药物对点燃性癫痫发作的作用与其已知的针对(分别)强直阵挛性、简单部分性和复杂部分性发作的临床作用密切平行。得出的结论是,点燃模型可为几种不同类型的临床癫痫发作提供新的药理学模型。然而,其最重要的用途可能是作为复杂部分性发作的模型,因为目前对于这些常见且耐药的发作尚无令人满意的药理学模型。