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电惊厥休克对大鼠短潜伏期体感诱发电位的影响。

The effects of electroconvulsive shock on the short-latency somatosensory evoked potential in the rat.

作者信息

Shaw N A

机构信息

Department of Physiology, School of Medicine, University of Auckland, New Zealand.

出版信息

Brain Res Bull. 1998;45(4):427-33. doi: 10.1016/s0361-9230(97)00368-7.

DOI:10.1016/s0361-9230(97)00368-7
PMID:9527018
Abstract

The effects of electroconvulsive shock (ECS) were examined on the short-latency somatosensory evoked potential (SEP) in the awake rat. Immediately after the induction of generalized seizure activity (GSA), the primary cortical response was lost although the preceding far field thalamic component appeared to be preserved basically intact. Within 1 minute the cortical potential had begun to reemerge, albeit with an attenuated amplitude and a prolonged latency. Recordings made at 2 and 3 minutes revealed evidence of a slight postictal enhancement of the cortical potential. Within 6 minutes, a near normal waveform had been restored. It is concluded that the principal site of impact of ECS resides at the cortical level and that the somatosensory impulse is, therefore, able to traverse the central pathways unimpeded by GSA until it is finally blocked at the primary sensory cortex. The present findings are compared to previous attempts to record cortical SEPs from patients undergoing electroconvulsive therapy (ECT). It is presumed that the failure of ECT to abolish the SEP in these circumstances was due either to the protective role played by concurrent medication or because of a post-ECS delay in restarting the recordings. The relevance of the findings to an understanding of the physiology of electrical stunning is discussed.

摘要

研究了电惊厥休克(ECS)对清醒大鼠短潜伏期体感诱发电位(SEP)的影响。在诱发全身性癫痫活动(GSA)后,尽管之前的远场丘脑成分基本保持完整,但初级皮层反应消失。在1分钟内,皮层电位开始重新出现,尽管其振幅减小且潜伏期延长。在2分钟和3分钟时的记录显示有癫痫发作后皮层电位轻微增强的迹象。在6分钟内,恢复了接近正常的波形。得出的结论是,ECS的主要作用部位位于皮层水平,因此体感冲动能够在不受GSA阻碍的情况下穿过中枢通路,直到最终在初级感觉皮层被阻断。将目前的研究结果与之前从接受电惊厥治疗(ECT)的患者记录皮层SEP的尝试进行了比较。据推测,在这些情况下ECT未能消除SEP,要么是由于同时使用的药物起到了保护作用,要么是由于ECS后重新开始记录存在延迟。讨论了这些发现与理解电击昏生理机制的相关性。

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