Durand D
Department of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio 44106.
J Clin Neurophysiol. 1993 Jul;10(3):281-97. doi: 10.1097/00004691-199307000-00004.
The goal of this article is to review many of the animal models that have been used for epilepsy research. The intent is to present the behavioral and electrographic patterns observed in these models and to relate those patterns to human epilepsy. This review is organized into three sections. The first section deals with the methods used in the study of epilepsy. These methods range from in vivo preparations, through in vitro brain slice preparations and neural grafting methods, to computer simulation methods. The second section of the review deals with agents capable of inducing epilepsy. Some of the agents include chemical convulsants, ionic changes in the tissue, changes in osmolarity, and withdrawal from drugs. The effects of these agents are reviewed with their relation to the mechanisms of action. Finally, the methods used to control epilepsy are reviewed. These methods include the application of anticonvulsants, changes in the osmolarity, neuronal grafts and electrical currents. Examples of epileptiform activity obtained from animal models published in the literature are shown in several figures for comparison to human patterns. It is clear from this review that animal models are capable of reproducing many of the seizure types found in clinical situations. Although we have some understanding of the mechanisms underlying the abnormal behavior in these animal models, we are unable to explain the mechanisms underlying human epilepsy. However, the combination of existing animal models, in vitro human tissue experiments, and computer stimulation should allow us to advance rapidly toward a solution.
本文的目的是回顾许多已用于癫痫研究的动物模型。目的是呈现这些模型中观察到的行为和脑电图模式,并将这些模式与人类癫痫联系起来。本综述分为三个部分。第一部分涉及癫痫研究中使用的方法。这些方法范围从体内实验准备,到体外脑片准备和神经移植方法,再到计算机模拟方法。综述的第二部分涉及能够诱发癫痫的因素。其中一些因素包括化学惊厥剂、组织中的离子变化、渗透压变化以及药物戒断。这些因素的作用与其作用机制相关联进行了综述。最后,对用于控制癫痫的方法进行了综述。这些方法包括应用抗惊厥药物、渗透压变化、神经元移植和电流。文献中发表的动物模型获得的癫痫样活动示例在几个图中展示,以便与人类模式进行比较。从本综述中可以清楚地看出,动物模型能够重现临床情况中发现的许多癫痫发作类型。尽管我们对这些动物模型中异常行为的潜在机制有一些了解,但我们无法解释人类癫痫的潜在机制。然而,现有动物模型、体外人体组织实验和计算机刺激的结合应该使我们能够迅速朝着解决方案前进。