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皮层性癫痫发作的棘波-慢波复合波与快速成分。II. 细胞外和细胞内模式。

Spike-wave complexes and fast components of cortically generated seizures. II. Extra- and intracellular patterns.

作者信息

Steriade M, Amzica F, Neckelmann D, Timofeev I

机构信息

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

出版信息

J Neurophysiol. 1998 Sep;80(3):1456-79. doi: 10.1152/jn.1998.80.3.1456.

Abstract

In the previous paper we have demonstrated, by means of field potential and extracellular unit recordings, that bicuculline-induced seizures, which include spike-wave (SW) or polyspike-wave (PSW) complexes, are initiated intracortically and survive ipsilateral thalamectomy. Here, we used multisite field potential and extracellular recordings to validate the patterns of cortical SW/PSW seizures in chronically implanted, behaving cats. To investigate the cellular patterns and excitability during spontaneously occurring and electrically elicited cortical seizures, we used single and dual intracellular recordings from regular-spiking (RS) and fast-rhythmic-bursting (FRB) cortical neurons, in conjunction with field potential recordings from neocortex and related thalamic nuclei, in cats maintained under ketamine-xylazine anesthesia. 1) Invariably, the spontaneous or electrically induced seizures were initiated within the cortex of both behaving and anesthetized animals. Spontaneously occurring, compound seizures consisting of SW/PSW complexes at 2-4 Hz and fast runs at 10-15 Hz, developed without discontinuity from the slow (mainly 0.5-0.9 Hz), sleeplike, cortically generated oscillation. 2) During SW/PSW complexes, RS neurons discharged spike trains during the depth-negative component of the cortical "spike" component of field potentials and were hyperpolarized during the depth-positive field wave. The FRB neurons fired many more action potentials than RS cells during SW/PSW complexes. Averaged activities triggered by the spiky field potentials or by the steepest slope of depolarization in cortical neurons demonstrated similar relations between intracellular activities and field potentials during sleep and seizure epochs, the latter-being an exaggeration of the depolarizing and hyperpolarizing components of the slow sleep oscillation. 3) During the fast runs, RS cells were tonically depolarized and discharged single action potentials or spike doublets (usually with pronounced spike inactivation), whereas FRB cells discharged rhythmic spike bursts, time locked with the depth-negative field potentials. 4) Neuronal excitability, tested by depolarizing current pulses applied throughout the seizures and compared with pre- and postseizure epochs, showed a decreased number of evoked action potentials during both seizure components (SW/PSW complexes and fast runs), eventually leading to null responses during the postictal depression. 5) Data suggest that interconnected FRB neurons may play an important role in the initiation of cortical seizures. We discuss the similarities between the electrographic patterns described in this study and those found in different forms of clinical seizures.

摘要

在之前的论文中,我们通过场电位和细胞外单位记录证明,荷包牡丹碱诱发的癫痫发作,包括棘波-慢波(SW)或多棘波-慢波(PSW)复合体,是在皮质内起始的,并且在同侧丘脑切除术后依然存在。在此,我们使用多部位场电位和细胞外记录来验证慢性植入且处于行为状态的猫的皮质SW/PSW癫痫发作模式。为了研究自发发生的和电诱发的皮质癫痫发作期间的细胞模式和兴奋性,我们在氯胺酮-赛拉嗪麻醉下的猫中,对规则发放(RS)和快速节律性爆发(FRB)皮质神经元进行单细胞和双细胞内记录,并结合新皮质和相关丘脑核的场电位记录。1)自发的或电诱发的癫痫发作总是在行为状态和麻醉状态的动物的皮质内起始。自发发生的复合癫痫发作,由2-4Hz的SW/PSW复合体和10-15Hz的快速活动组成,从缓慢的(主要是0.5-0.9Hz)、类似睡眠的、皮质产生的振荡连续发展而来。2)在SW/PSW复合体期间,RS神经元在场电位的皮质“棘波”成分的深度负向成分期间发放动作电位序列,并在深度正向场波期间发生超极化。FRB神经元在SW/PSW复合体期间发放的动作电位比RS细胞多得多。由尖锐的场电位或皮质神经元去极化的最陡斜率触发的平均活动表明,在睡眠和癫痫发作期,细胞内活动与场电位之间存在相似的关系,后者是慢睡眠振荡的去极化和超极化成分的放大。3)在快速活动期间,RS细胞持续去极化并发放单个动作电位或动作电位双峰(通常伴有明显的动作电位失活),而FRB细胞发放节律性动作电位爆发,与深度负向场电位锁时。4)通过在整个癫痫发作期间施加去极化电流脉冲进行测试,并与癫痫发作前和发作后的时期进行比较,神经元兴奋性在癫痫发作的两个成分(SW/PSW复合体和快速活动)期间诱发的动作电位数量均减少,最终在发作后抑郁期间导致无反应。5)数据表明,相互连接的FRB神经元可能在皮质癫痫发作的起始中起重要作用。我们讨论了本研究中描述的脑电图模式与在不同形式的临床癫痫发作中发现的模式之间的相似性。

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