White L E, Price J L
Department of Anatomy and Neurobiology, Washington University School of Medicine, St. Louis, Missouri 63110.
J Neurosci. 1993 Nov;13(11):4810-30. doi: 10.1523/JNEUROSCI.13-11-04810.1993.
Limbic status epilepticus was induced in awake, unrestrained rats by electrically stimulating the anterior piriform cortex or the basal amygdaloid nucleus for about 40 min. As described in the preceding article (White and Price, 1993), one of four stable forms of status may be induced. Each form is characterized on the basis of its behavioral and electroencephalographic manifestations, and its distinct patterns of 14C-2-deoxyglucose uptake and Fos-like immunoreactivity. This study was directed at identifying the epileptogenic foci of the two major forms of status, types II and III, by deactivating the basal amygdaloid nucleus, ventral hippocampal formation, amygdalohippocampal area, or anterior piriform cortex during these seizure states. Infusions of the local anesthetic lidocaine, the GABA agonist muscimol, or a vehicle solution alone were made into each of these structures during ongoing type II or type III status. The major finding is that deactivation of the basal amygdaloid nucleus terminated both types of status. This indicates that the basal nucleus is primarily responsible for the generation of widespread status epilepticus activity. Deactivation of the ventral hippocampal formation did not terminate the subconvulsive levels of status, but did prevent the recurrent development of sustained seizures with facial and forelimb clonus that characterize type III status. These models of status epilepticus may be particularly important for understanding seizure mechanisms that are not dependent upon the hippocampal formation. The possible clinical relevance of these findings is discussed in relation to temporal lobe epilepsy.
通过电刺激清醒、不受束缚的大鼠的前梨状皮质或基底杏仁核约40分钟来诱发边缘系统癫痫持续状态。如前文所述(怀特和普赖斯,1993年),可能诱发四种稳定形式的癫痫持续状态之一。每种形式都根据其行为和脑电图表现以及其独特的14C-2-脱氧葡萄糖摄取模式和Fos样免疫反应性来表征。本研究旨在通过在这些癫痫发作状态期间使基底杏仁核、腹侧海马结构、杏仁核海马区或前梨状皮质失活,来确定癫痫持续状态两种主要形式(II型和III型)的致痫灶。在持续的II型或III型癫痫持续状态期间,将局部麻醉药利多卡因、GABA激动剂蝇蕈醇或单独的溶媒溶液注入这些结构中的每一个。主要发现是基底杏仁核失活可终止两种类型的癫痫持续状态。这表明基底核主要负责广泛的癫痫持续状态活动的产生。腹侧海马结构失活并未终止癫痫持续状态的亚惊厥水平,但确实阻止了以面部和前肢阵挛为特征的III型癫痫持续状态的持续性癫痫发作的反复发展。这些癫痫持续状态模型对于理解不依赖海马结构的癫痫发作机制可能特别重要。结合颞叶癫痫讨论了这些发现可能的临床相关性。