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皮质源性癫痫发作的棘慢复合波和快速成分。I. 新皮质和丘脑的作用。

Spike-wave complexes and fast components of cortically generated seizures. I. Role of neocortex and thalamus.

作者信息

Steriade M, Contreras D

机构信息

Laboratoire de Neurophysiologie, Faculté de Médecine, Université Laval, Quebec, Canada.

出版信息

J Neurophysiol. 1998 Sep;80(3):1439-55. doi: 10.1152/jn.1998.80.3.1439.

Abstract

We explored the relative contributions of cortical and thalamic neuronal networks in the generation of electrical seizures that include spike-wave (SW) and polyspike-wave (PSW) complexes. Seizures were induced by systemic or local cortical injections of bicuculline, a gamma-aminobutyric acid-A (GABAA) antagonist, in cats under barbiturate anesthesia. Field potentials and extracellular neuronal discharges were recorded through arrays of eight tungsten electrodes (0.4 or 1 mm apart) placed over the cortical suprasylvian gyrus and within the thalamus. 1) Systemic injections of bicuculline induced SW/PSW seizures in cortex, whereas spindle sequences continued to be present in the thalamus. 2) Cortical suprasylvian injection of bicuculline induced focal paroxysmal single spikes that developed into full-blown seizures throughout the suprasylvian cortex. The seizures were characterized by highly synchronized SW or PSW complexes at 2-4 Hz, interspersed with runs of fast (10-15 Hz) activity. The intracellular aspects of this complex pattern in different types of neocortical neurons are described in the following paper. Complete decortication abolished the seizure, leaving intact thalamic spindles. Injections of bicuculline in the cortex of athalamic cats resulted in similar components as those occurring with an intact thalamus. 3) Injection of bicuculline in the thalamus decreased the frequency of barbiturate spindles and increased the synchrony of spike bursts fired by thalamocortical and thalamic reticular cells but did not induce seizures. Decortication did not modify the effects of bicuculline injection in the thalamus. Our results indicate that the minimal substrate that is necessary for the production of seizures consisting of SW/PSW complexes and runs of fast activity is the neocortex.

摘要

我们探究了皮质和丘脑神经元网络在包括棘慢波(SW)和多棘慢波(PSW)复合波在内的电惊厥产生过程中的相对作用。在巴比妥类麻醉的猫身上,通过全身或局部皮质注射γ-氨基丁酸-A(GABAA)拮抗剂荷包牡丹碱来诱发惊厥。通过放置在皮质上薛氏回和丘脑内的八根钨电极阵列(相距0.4或1毫米)记录场电位和细胞外神经元放电。1)全身注射荷包牡丹碱可在皮质诱发SW/PSW惊厥,而丘脑的纺锤波序列仍持续存在。2)在皮质上薛氏回注射荷包牡丹碱可诱发局灶性阵发性单棘波,这些单棘波会在整个上薛氏回皮质发展为全面惊厥。惊厥的特征是在2 - 4赫兹出现高度同步的SW或PSW复合波,其间穿插着快速(10 - 15赫兹)活动。不同类型新皮质神经元中这种复杂模式的细胞内情况在后续论文中描述。完全去皮质可消除惊厥,而丘脑纺锤波保持完整。在无丘脑猫的皮质注射荷包牡丹碱产生的成分与有完整丘脑时相似。3)在丘脑注射荷包牡丹碱会降低巴比妥类纺锤波频率,并增加丘脑皮质和丘脑网状细胞发放的棘波爆发的同步性,但不会诱发惊厥。去皮质不会改变在丘脑注射荷包牡丹碱的效果。我们的结果表明,产生由SW/PSW复合波和快速活动序列组成的惊厥所需的最小底物是新皮质。

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