Kofke W A, Ahdab-Barmada M, Rose M, Clyde C, Nemoto E
Department of Anesthesiology/CCM, School of Public Health, School of Medicine, University of Pittsburgh, PA 15261.
Neurol Res. 1993 Oct;15(5):333-8. doi: 10.1080/01616412.1993.11740157.
The substantia nigra pars reticularis (SNPR) of rats is highly susceptible to both seizure- and ischaemia-mediated damage. Hyperglycaemic exacerbation of brain damage similar to that observed after global brain ischaemia may also occur in rats with status epilepticus. We tested the hypotheses that hyperglycaemia exacerbates seizure-induced SNPR damage in rats and that SNPR lesions develop rapidly post-seizure. Halothane-anaesthetized, paralysed, and mechanically ventilated rats were prepared for haemodynamic and EEG monitoring. Halothane was discontinued, and mechanical ventilation on 30% oxygen/70% nitrous oxide was continued for 1 h. Three treatment groups (20 rats each) were studied: (1) control, lactated Ringer's solution; (2) equiosmolar control, 40% mannitol; and (3) hyperglycaemia, 50% dextrose. Infusions were started 5 min before seizures were induced with flurothyl 3% administered for either 45 (n = 10) or 75 (n = 10) min. Immediately after seizures, half of the animals underwent cerebral perfusion-fixation with formalin and half were allowed to recover for 2 h post-seizure and then perfused. Brain histology was assessed by light microscopy and scored 0-5 (0 = no damage) for the percentage of eosinophilic neurons and vacuolation in the SNPR. Glucose administration decreased the severity of SNPR damage in rats subjected to 75 min of seizures and 2 h recovery (pathology scores: control, eosinophilic neurons = 3.6, vacuolation = 4.0; hyperglycaemia, eosinophilic neurons = 3.0, vacuolation = 2.75; p < 0.05). SNPR damage was worse after 2 h of recovery (pathology scores: 0 h recovery, eosinophilic neurons = 0.9, vacuolation = 0.1; 2 h recovery, eosinophilic neurons = 3.9, vacuolation = 3.8; p < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
大鼠黑质网状部(SNPR)对癫痫发作和缺血介导的损伤高度敏感。癫痫持续状态的大鼠也可能出现类似于全脑缺血后观察到的高血糖加重脑损伤的情况。我们检验了以下假设:高血糖会加重大鼠癫痫发作诱导的SNPR损伤,且SNPR损伤在癫痫发作后迅速发展。制备了用氟烷麻醉、麻痹并机械通气的大鼠,用于血流动力学和脑电图监测。停止使用氟烷,继续在30%氧气/70%氧化亚氮条件下机械通气1小时。研究了三个治疗组(每组20只大鼠):(1)对照组,乳酸林格氏液;(2)等渗对照组,40%甘露醇;(3)高血糖组,50%葡萄糖。在使用3%三氟乙烯诱导癫痫发作前5分钟开始输注,输注时间为45分钟(n = 10)或75分钟(n = 10)。癫痫发作后立即将一半动物用福尔马林进行脑灌注固定,另一半在癫痫发作后恢复2小时,然后进行灌注。通过光学显微镜评估脑组织学,并根据SNPR中嗜酸性神经元百分比和空泡化情况评分为0 - 5分(0 = 无损伤)。给予葡萄糖可降低经历75分钟癫痫发作并恢复2小时的大鼠SNPR损伤的严重程度(病理评分:对照组,嗜酸性神经元 = 3.6,空泡化 = 4.0;高血糖组,嗜酸性神经元 = 3.0,空泡化 = 2.75;p < 0.05)。恢复2小时后的SNPR损伤更严重(病理评分:恢复0小时,嗜酸性神经元 = 0.9,空泡化 = 0.1;恢复2小时,嗜酸性神经元 = 3.9,空泡化 = 3.8;p < 0.05)。(摘要截断于第250个单词)