Hosokawa C, Ochi H, Yamagami S, Kawabe J, Kobashi T, Okamura T, Yamada R
Department of Radiology, Osaka City University Medical School.
Kaku Igaku. 1995 Sep;32(9):979-87.
Local cerebral blood flow and glucose metabolism were examined in spontaneously epileptic El mice using autoradiography with 125I-IMP and 14C-DG in the interictal phase and during seizure. El (+) mice that developed generalized tonic-clonic convulsions and El (-) mice that received no stimulation and had no history of epileptic seizures were examined. The seizure non-susceptible, maternal strain ddY mice were used as control. Uptake ratios for IMP and DG in mouse brain were calculated using the autoradiographic density. In the interictal phase, the pattern of local cerebral blood flow of El (+) mice was similar to that of ddY and El (-) mice, and glucose metabolism in the hippocampus was higher in El (+) mice than in El (-) and ddY mice, but flow and metabolism were nearly matched. During seizure, no significant changed blood flow and increased glucose metabolism in the hippocampus, the epileptic focus, and no markedly changed blood flow and depressed glucose metabolism in other brain regions were observed and considered to be flow-metabolism uncoupling. These observations have never been reported in clinical or experimental studies of epilepsy. Seizures did not cause large regional differences in cerebral blood flow. Therefore, only glucose metabolism is useful for detection of the focus of secondary generalized seizures in El mice, and appeared possibly to be related to the pathophysiology of secondary generalized epilepsy in El mice.
在发作间期和癫痫发作期间,使用¹²⁵I-IMP和¹⁴C-DG放射自显影技术,对自发性癫痫El小鼠的局部脑血流量和葡萄糖代谢进行了检测。对出现全身性强直阵挛性惊厥的El(+)小鼠和未接受刺激且无癫痫发作史的El(-)小鼠进行了检查。将不易发生癫痫的母系ddY小鼠用作对照。使用放射自显影片密度计算小鼠脑内IMP和DG的摄取率。在发作间期,El(+)小鼠的局部脑血流模式与ddY和El(-)小鼠相似,El(+)小鼠海马中的葡萄糖代谢高于El(-)和ddY小鼠,但血流和代谢基本匹配。在癫痫发作期间,未观察到海马(癫痫病灶)血流有明显变化且葡萄糖代谢增加,而其他脑区血流无明显变化且葡萄糖代谢降低,这被认为是血流-代谢解偶联。这些观察结果在癫痫的临床或实验研究中从未有过报道。癫痫发作并未导致脑血流量出现较大的区域差异。因此,只有葡萄糖代谢对于检测El小鼠继发性全身性癫痫发作的病灶有用,并且可能与El小鼠继发性全身性癫痫的病理生理学相关。