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在离体豚鼠脑梨状皮质中,通过局部荷包牡丹碱喷射诱导的多灶性自发性癫痫活动。

Multifocal spontaneous epileptic activity induced by restricted bicuculline ejection in the piriform cortex of the isolated guinea pig brain.

作者信息

De Curtis M, Biella G, Forti M, Panzica F

机构信息

Department of Neurophysiology, Istituto Nazionale Neurologico, Milan, Italy.

出版信息

J Neurophysiol. 1994 Jun;71(6):2463-76. doi: 10.1152/jn.1994.71.6.2463.

Abstract
  1. We investigated the development of epileptic activity in the limbic lobe of the in vitro isolated brain preparation after induction of a restricted epileptic focus in the rostral portion of the anterior piriform cortex (APC) by means of local bicuculline ejection. 2. The modifications of the local responses evoked by stimulation of the lateral olfactory tract were consistent with an increase in excitability of layer II pyramidal neurons. The abnormal discharge output of the epileptic focus propagated throughout the piriform cortex (PC) and generated late synaptic stimulus-evoked epileptiform potentials in layer Ib, where corticocortical associative fibers contact the distal dendrites of pyramidal cells. 3. Spontaneous epileptiform potentials (SEPs) originated in the primary focus at the bicuculline ejection site 10-15 min after drug application and propagated via associative fibers to the posterior PC (PPC). 4. Autonomous secondary foci generating SEPs independently from the primary anterior focus developed in the PPC within 2 h after the bicuculline application. 5. Ictal events seldom occurred spontaneously in PC but could be induced by tetanic afferent stimulation. Evoked ictal events in PC had the characteristics of afterdischarges, being short in duration and localized in space and showing a progressively decreasing firing rate. 6. Self-sustained spontaneous ictal discharges were observed in the entorhinal cortex and hippocampus but not in PC after activation of the APC focus. 7. We conclude that in an acute pharmacological model of focal epilepsy, associative corticocortical connections hold a primary role 1) in the propagation of interictal epileptiform activity throughout the limbic lobe and 2) in the generation of secondary epileptic foci. We also demonstrate that self-sustained ictal events are not spontaneously generated in PC, although paroxysmal seizure-like discharges occur in hippocampus. We discuss the relevance of the rostral-to-caudal-directed associative fiber system in generation of limbic seizures.
摘要
  1. 我们通过局部荷包牡丹碱注射,在前梨状皮质(APC)吻部诱发局限性癫痫病灶,进而研究体外分离脑片边缘叶癫痫活动的发展情况。2. 刺激外侧嗅束所诱发的局部反应变化与II层锥体神经元兴奋性增加一致。癫痫病灶的异常放电输出传播至整个梨状皮质(PC),并在Ib层产生晚期突触刺激诱发的癫痫样电位,在此皮质-皮质联合纤维与锥体细胞的远端树突相接触。3. 自发癫痫样电位(SEP)在药物应用后10 - 15分钟起源于荷包牡丹碱注射部位的原发性病灶,并通过联合纤维传播至后梨状皮质(PPC)。4. 在荷包牡丹碱应用后2小时内,PPC内出现了独立于原发性前病灶产生SEP的自主性继发性病灶。5. 癫痫发作事件在PC中很少自发发生,但可由强直传入刺激诱发。PC中诱发的癫痫发作事件具有后放电特征,持续时间短,空间定位局限,且放电频率逐渐降低。6. 在激活APC病灶后,在内嗅皮质和海马中观察到了持续的自发癫痫发作放电,但在PC中未观察到。7. 我们得出结论,在局灶性癫痫的急性药理学模型中:1)联合皮质-皮质连接在发作间期癫痫样活动在整个边缘叶的传播中起主要作用;2)在继发性癫痫病灶的产生中起主要作用。我们还证明,尽管海马中会出现阵发性癫痫样放电,但PC中不会自发产生持续的癫痫发作事件。我们讨论了吻侧至尾侧定向联合纤维系统在边缘叶癫痫发作产生中的相关性。

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