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裂脑猫中氧化铝乳膏癫痫病灶发展的脑电图及临床研究。

EEG and clinical studies of the development of alumina cream epileptic focus in split-brain cats.

作者信息

Majkowski J, Sobieszek A, Bilińska-Nigot B, Karliński A

出版信息

Epilepsia. 1976 Sep;17(3):257-6. doi: 10.1111/j.1528-1157.1976.tb03404.x.

Abstract

Alumina cream epileptic focus was established in the right sensorimotor cortex in 20 split-brain cats (partial or complete). EEG and behavioral observations were made in a period ranging from 24 to 836 days. Four types of EEG changes after alumina cream injection were differentiated. These types could be related to the direct effects of brain damage and to development of epilepsy. Spikes and sharp waves and paroxysmal discharges (focal and multifocal) were observed in about 60% of the cats. Clinical seizures developed in about the same percentage of the animals. These values are below those reported for cats with intact interhemispheric commissures. Diphenylhydantoin (DPH) was given orally in a daily dose of up to 15 mg/kg body weight in 9 animals with developed epileptic EEG activity. Five of them had epileptic seizures. DPH was introduced not earlier than 1.5 months after intracortical alumina cream injection. The plasma level of DPH varied between 7-20 mug/ml. This dose produced chronic symptoms of intoxication. Neither EEG changes nor clinical seizures were entirely controlled by this drug. Additional doses of Relanium (diazepam), and phenobarbital were necessary to stop generalized seizures or status epilepticus.

摘要

在20只(部分或完全)裂脑猫的右侧感觉运动皮层建立了氧化铝霜癫痫病灶。在24至836天的时间段内进行脑电图(EEG)和行为观察。区分了注射氧化铝霜后四种类型的脑电图变化。这些类型可能与脑损伤的直接影响以及癫痫的发展有关。约60%的猫观察到棘波、尖波和阵发性放电(局灶性和多灶性)。约相同比例的动物出现临床癫痫发作。这些数值低于报道的半球间连合完整的猫的数值。对9只脑电图出现癫痫活动的动物口服二苯妥英(DPH),每日剂量高达15mg/kg体重。其中5只出现癫痫发作。DPH在皮层内注射氧化铝霜后不早于1.5个月开始使用。DPH的血浆水平在7 - 20μg/ml之间变化。该剂量产生了慢性中毒症状。该药物既不能完全控制脑电图变化,也不能完全控制临床癫痫发作。需要额外剂量的利眠宁(地西泮)和苯巴比妥来停止全身性癫痫发作或癫痫持续状态。

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