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从外侧隔核引发边缘系统癫痫发作期间大脑葡萄糖代谢的变化。

Change in cerebral glucose metabolism during limbic seizures elicited from lateral septal nucleus.

作者信息

Hashizume K, Tanaka T, Yonemasu Y

机构信息

Department of Neurosurgery, Asahikawa Medical College, Japan.

出版信息

Epilepsy Res. 1998 May;30(3):167-76. doi: 10.1016/s0920-1211(98)00006-0.

Abstract

The roles of the amygdala and hippocampus have been extensively studied in limbic seizures. Although the septal nuclei have a close connection to the hippocampus and affect emotional behavior, the effect on limbic seizures is still unclear. We have reported that characteristic sham-rage seizures were observed in cats, by administering a local injection of kainic acid (KA) into the lateral septal nucleus (LSN). This study investigated the electrophysiological features of KA-induced septal seizures in rats and analyzed the process in relation to the cerebral glucose metabolism using [14C]deoxyglucose autoradiography. On EEG, epileptic discharge eliciting from the LSN rapidly propagated to the hippocampus and the amygdala. Behavioral change was similar to that in limbic seizures induced by intraamygdaloid KA. Sham-rage seizure was not observed in rats. However, the local cerebral glucose metabolism during the seizures increased not only in the limbic structures including the LSN but also in the hypothalamus and periaqueductal grey matter of the midbrain. The findings were distinctive of septal seizures as compared with amygdaloid seizures. The results suggested that sham-rage seizures in cats might be caused by a secondary epileptogenic excitation in the hypothalamus or periaqueductal grey matter of the midbrain. The septal nuclei may play an important role in emotional behavior associated with limbic seizures even if there is a species difference in its function.

摘要

杏仁核和海马体在边缘系统癫痫发作中的作用已得到广泛研究。尽管隔核与海马体有密切联系并影响情绪行为,但对边缘系统癫痫发作的影响仍不清楚。我们曾报道,通过向猫的外侧隔核(LSN)局部注射红藻氨酸(KA),可观察到特征性的假怒发作。本研究调查了KA诱导的大鼠隔区癫痫发作的电生理特征,并使用[14C]脱氧葡萄糖放射自显影技术分析了与脑葡萄糖代谢相关的过程。在脑电图上,从LSN引发的癫痫放电迅速传播至海马体和杏仁核。行为变化与杏仁核内注射KA诱导的边缘系统癫痫发作相似。在大鼠中未观察到假怒发作。然而,癫痫发作期间局部脑葡萄糖代谢不仅在包括LSN在内的边缘结构中增加,在下丘脑和中脑导水管周围灰质中也增加。与杏仁核癫痫发作相比,这些发现是隔区癫痫发作所特有的。结果表明,猫的假怒发作可能是由下丘脑或中脑导水管周围灰质的继发性致痫性兴奋引起的。即使隔核的功能存在物种差异,它在与边缘系统癫痫发作相关的情绪行为中可能也起着重要作用。

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