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[狒狒(巴氏狒狒)的额叶大脑皮层与光敏感性癫痫(作者译)]

[Frontal cerebral cortex and photic epilepsy of the baboon Papio papio (author transl)].

作者信息

Ménini C

出版信息

J Physiol (Paris). 1976 Mar;72(1):5-44.

PMID:819647
Abstract

It was discovered in 1966 that the senegalese baboon (Papio papio) exhibits a photosensitive epilepsy. This finding has led, among other work, to the neurophysiological study of this epilepsy. Although in some characteristics the baboon's photosensitive epilepsy differs from that of man, it can be considered that this animal presents a real model of essential epilepsy, for the study of the human disease. 2. In the baboon, the EEG disturbances triggered by intermittent light stimulation at 25 Hz appear first at the level of the frontal cortex (area 6). At this level, recordings of single unit discharges show an activation of cortical neurones similar to that observed in human patients with focal epileptic lesions ; at the occipital level, the only modification observed is a change in the resting membrane potentials, in the direction of disinhibition. 3. The analysis of cortical visual evoked responses demonstrated the presence of short latency visual afferents at the frontal cortex level, as well as a high level of hyperexcitability for the visual modality. The most photosensitive animals can be distinguished by a more marked frontal hyperexcitability and by slight differences in the form of both the occipital evoked responses (decrease in amplitude of the early part of the response, frequent absence of wave IV) and the frontal ones (higher amplitude of the later part of the responses). In some of the animals, whether they were photosensitive or not, we found high amplitude frontal visual evoked responses resembling spikes and waves. 4. Certain observations in both man and the photosensitive baboon suggested the possible involvement of periocular somatic afferents in the triggering of paroxysmal manifestations. The study of these cortical projections in the baboon showed that they possess certain specific characteristics which distinguish them from the other somatic projections (short latency, large frontal spread and ipsilateral responses of higher amplitude than contralateral). It seems, however, that if they play a role in the epileptic manifestations, these periocular projections are not required to trigger this behaviour. 5. The baboon frontal lobes seem therefore to be an area receiving multimodal projections, possessing a particular sensitivity to visual afferents, and functionally equivalent to a zone of focal epilepsy as might be met with in man or animals. 6. The results are discussed in the light of observations made on the same or other species, or on other types of epilepsy. In particular, the totality of the visual afferents arriving at the occipital level appears to be necessary to trigger epileptic manifestations. Finally, these results present several arguments in favour of the cortical theory of generalised epilepsies, as well as substantiating the value of the baboon as an animal model for photosensitive epilepsy in man.

摘要

1966年人们发现,塞内加尔狒狒(巴氏狒狒)患有光敏性癫痫。这一发现促使人们对这种癫痫进行了神经生理学研究等诸多工作。尽管狒狒的光敏性癫痫在某些特征上与人类的不同,但可以认为这种动物为人类疾病的研究提供了一种真正的原发性癫痫模型。2. 在狒狒中,25赫兹的间歇性光刺激引发的脑电图紊乱首先出现在额叶皮质(6区)水平。在此水平,单个单位放电记录显示皮质神经元的激活类似于在患有局灶性癫痫病变的人类患者中观察到的情况;在枕叶水平,观察到的唯一变化是静息膜电位朝着去抑制方向改变。3. 对皮质视觉诱发电位的分析表明,额叶皮质水平存在短潜伏期视觉传入,并且视觉模态的兴奋性很高。最易光敏的动物的特征是额叶兴奋性更明显,枕叶诱发电位(反应早期部分的幅度降低,IV波经常缺失)和额叶诱发电位(反应后期部分的幅度更高)的形式略有不同。在一些动物中,无论它们是否光敏,我们都发现了类似于棘波和慢波的高幅度额叶视觉诱发电位。4. 对人类和光敏狒狒的某些观察表明,眼周躯体传入可能参与了阵发性表现的触发。对狒狒中这些皮质投射的研究表明,它们具有某些特定特征,使其与其他躯体投射区分开来(短潜伏期、额叶广泛分布以及同侧反应幅度高于对侧)。然而,似乎如果它们在癫痫表现中起作用,这些眼周投射并非触发这种行为所必需。5. 因此,狒狒的额叶似乎是一个接受多模态投射的区域,对视觉传入具有特殊敏感性,并且在功能上等同于人类或动物中可能遇到的局灶性癫痫区域。6. 根据对相同或其他物种或其他类型癫痫的观察结果对这些结果进行了讨论。特别是,到达枕叶水平的所有视觉传入似乎是触发癫痫表现所必需的。最后,这些结果为全身性癫痫的皮质理论提供了几个论据,也证实了狒狒作为人类光敏性癫痫动物模型的价值。

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