Baram T Z, Gerth A, Schultz L
Department of Pediatrics, University of California, Irvine College of Medicine 92697-4475, USA.
Brain Res Dev Brain Res. 1997 Feb 20;98(2):265-70. doi: 10.1016/s0165-3806(96)00190-3.
Seizures induced by fever are the most prevalent age-specific seizures in infants and young children. Whether they result in long-term sequelae such as neuronal loss and temporal lobe epilepsy is controversial. Prospective studies of human febrile seizures have found no adverse effects on the developing brain. However, adults with temporal lobe epilepsy and associated limbic cell loss frequently have a history of prolonged febrile seizures in early life. These critical issues may be resolved using appropriate animal models. Published models of hyperthermic seizures have used 'adolescent' and older rats, have yielded a low percentage of animals with actual seizures, or have suffered from a high mortality, rendering them unsuitable for long-term studies. This article describes the establishment of a model of febrile seizures using the infant rat. Hyperthermia was induced by a regulated stream of mildly heated air, and the seizures were determined by both behavioral and electroencephalographic (EEG) criteria. Stereotyped seizures were generated in 93.6% of 10-11-day-old rats. EEG correlates of these seizures were not evident in cortical recordings, but were clearly present in depth recordings from the amygdala and hippocampus. Prolonged febrile seizures could be induced without burns, yielding a low mortality (11%) and long-term survival. In summary, in infant rat paradigm of EEG-confirmed, hyperthermia-induced seizures which is suitable for long-term studies is described. This model should be highly valuable for studying the mechanisms and sequelae of febrile seizures.
热性惊厥是婴幼儿时期最常见的特定年龄阶段惊厥。它们是否会导致如神经元丢失和颞叶癫痫等长期后遗症存在争议。对人类热性惊厥的前瞻性研究未发现对发育中大脑有不良影响。然而,患有颞叶癫痫及相关边缘细胞丢失的成年人在早年常有长时间热性惊厥病史。这些关键问题可通过合适的动物模型来解决。已发表的高温惊厥模型使用的是“青少年”及成年大鼠,实际发生惊厥的动物比例低,或死亡率高,不适合长期研究。本文描述了一种使用幼鼠建立热性惊厥模型的方法。通过调节温和加热的气流诱导体温过高,根据行为和脑电图(EEG)标准确定惊厥情况。在10 - 11日龄大鼠中,93.6%出现了刻板惊厥。这些惊厥在皮层记录中未发现明显的脑电图相关性,但在杏仁核和海马体的深度记录中明显存在。可在不造成烧伤的情况下诱导长时间热性惊厥,死亡率低(11%)且能长期存活。总之,本文描述了一种适合长期研究的、经脑电图证实的幼鼠高温诱导惊厥模型。该模型对于研究热性惊厥的机制和后遗症应具有很高价值。