Raol Y H, Meti B L
Department of Neurophysiology, National Institute of Mental Health and Neuro Sciences, Bangalore, India.
Epilepsia. 1998 Nov;39(11):1133-7. doi: 10.1111/j.1528-1157.1998.tb01303.x.
Our aim was to study the relation between epilepsy and sleep-wakefulness cycles in the amygdala-kindling model of temporal lobe epilepsy.
Adult male Wistar rats were electrically kindled through bipolar electrodes implanted in the anterior amygdala. Polysomnographic recordings were taken before and after kindled seizures for 6 h. For the studies on the effects of a single, full-blown seizure, recordings were taken immediately after the seizure and daily thereafter until the recordings returned to baseline values. For studies on the effects of five full-blown seizures, recordings were taken immediately after the fifth seizure and then on day 1, 2, 3, 5, 7, 14, 21, and 28.
Polysomnographic recordings taken immediately after the first full-blown seizure revealed an initial increase in the duration of deep slow-wave sleep (SII), a decrease in the light slow-wave sleep (SI) stage of non-rapid eye movement (NREM) sleep, and a decrease in the quiet wakefulness (W2) stage of wakefulness. All these parameters returned to baseline values after 24 h. The duration of rapid eye movement (REM) sleep increased and returned to the baseline value after 48 h. Five consecutive full-blown seizures caused an increase in the duration of SII from the day the seizures occured until day 28, whereas the duration of SI decreased for 72 h. The duration of REM sleep, decreased only on the day of the seizures and day 1, while decreases in the number of REM episodes were observed on the day of the seizure, day 2 and day 14.
Our study indicates that even a single, full-blown seizure can cause alterations in the architecture of sleep-wakefulness cycles for a short duration, and that multiple seizures produce long-term effects.
我们的目的是研究颞叶癫痫杏仁核点燃模型中癫痫与睡眠-觉醒周期之间的关系。
成年雄性Wistar大鼠通过植入前杏仁核的双极电极进行电点燃。在点燃性癫痫发作前后进行6小时的多导睡眠图记录。对于单次全面发作影响的研究,在发作后立即进行记录,此后每天记录,直至记录恢复到基线值。对于五次全面发作影响的研究,在第五次发作后立即进行记录,然后在第1、2、3、5、7、14、21和28天进行记录。
首次全面发作后立即进行的多导睡眠图记录显示,深度慢波睡眠(SII)持续时间最初增加,非快速眼动(NREM)睡眠的浅慢波睡眠(SI)阶段减少,清醒的安静觉醒(W2)阶段减少。所有这些参数在24小时后恢复到基线值。快速眼动(REM)睡眠持续时间增加,并在48小时后恢复到基线值。连续五次全面发作导致从发作日到第28天SII持续时间增加,而SI持续时间减少72小时。REM睡眠持续时间仅在发作日和第1天减少,而在发作日、第2天和第14天观察到REM发作次数减少。
我们的研究表明,即使是单次全面发作也可在短时间内引起睡眠-觉醒周期结构的改变,而多次发作会产生长期影响。