Naquet R, Silva-Barrat C, Menini C
Institut Alfred Fessard, CNRS, Gif sur Yvette, France.
Ital J Neurol Sci. 1995 Feb-Mar;16(1-2):119-25. doi: 10.1007/BF02229084.
Papio-papio baboons may present two types of reflex paroxysmal manifestations: --Myoclonia and generalized seizures are induced by intermittent light stimulation in predisposed animals; this photosensitive epilepsy resembles that observed in some human patients; it involves mainly the cerebral cortex during myoclonia which are accompanied by EEG paroxysmal discharges, and the mesencephalic reticular formation during seizures; --Myoclonia of a different type, never accompanied by EEG paroxysmal discharged and never evolving into seizures, may occur during movement or agitation of predisposed animals; these myoclonia are considered "non-epileptic" since they do not involve the cerebral cortex but probably the lower brain stem; they resemble that observed in startle disease or in some human degenerative disorders. The paper demonstrates that these manifestations constitute two different entities with clinical and electrophysiological characteristics as well as pharmacological reactivities completely different one from the other. Their "epileptic" or "non-epileptic" nature is discussed.
——在易患动物中,间歇性光刺激可诱发肌阵挛和全身性癫痫发作;这种光敏性癫痫类似于在一些人类患者中观察到的情况;在伴有脑电图阵发性放电的肌阵挛期间,主要累及大脑皮层,而在癫痫发作期间累及中脑网状结构;——另一种类型的肌阵挛,从不伴有脑电图阵发性放电,也从不演变为癫痫发作,可能在易患动物运动或激动时出现;这些肌阵挛被认为是“非癫痫性的”,因为它们不涉及大脑皮层,而可能涉及低位脑干;它们类似于在惊吓症或一些人类退行性疾病中观察到的情况。本文表明,这些表现构成了两个不同的实体,其临床、电生理特征以及药理反应性彼此完全不同。对它们的“癫痫性”或“非癫痫性”本质进行了讨论。