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Seizure Activity Occurs in the Collagenase but not the Blood Infusion Model of Striatal Hemorrhagic Stroke in Rats

机译:大鼠纹状体出血性中风的胶原酶中有癫痫发作,但输血模型中没有

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Seizures are a frequent complication of brain injury, including intracerebral hemorrhage (ICH), where seizures occur in about a third of patients. Rodents are used to study pathophysiology and neuroprotective therapies after ICH, but there have been no studies assessing the occurrence of seizures in these models. Thus, we compared seizure incidence and characteristics after infusing collagenase (0.14 U), which degrades blood vessels, and autologous blood (100 mu L) into the striatum of rats. Saline was infused in others as a negative control, whereas iron, a by-product of degrading erythrocytes, served as a positive control. Ipsilateral and contralateral electroencephalographic (EEG) activity was continuously monitored with telemetry probes for a week after the stroke. There were no electrographic abnormalities during baseline recordings. As expected, saline did not elicit any epileptiform activity whereas iron caused seizure activity. Seizures occurred in 66 % of the collagenase group between 10 and 36 h, their duration ranged from 5 to 90 s, and these events were mostly observed bilaterally. No such activity occurred after blood infusion despite comparable lesion sizes of 32.5 and 40.9 mm(3) in the collagenase and blood models, respectively (p = 0.222). Therefore, seizures are a common acute occurrence in the collagenase but not whole blood models of striatal ICH (p = 0.028, for incidence). These findings have potential implications for ICH studies such as for understanding model differences, helping select which model to use, and determining how seizures may affect or be affected by treatments applied after stroke.
机译:癫痫发作是脑损伤的常见并发症,包括脑出血(ICH),约有三分之一的患者发生癫痫发作。啮齿动物用于研究ICH后的病理生理学和神经保护疗法,但尚无评估这些模型中癫痫发作发生的研究。因此,我们比较了将胶原酶(0.14 U)注入可降解血管的胶原酶和自体血(100μL)注入大鼠纹状体后癫痫发作的发生率和特征。在其他患者中,注入盐水作为阴性对照,而降解红细胞的副产品铁则作为阳性对照。脑卒中后一周,用遥测探头连续监测同侧和对侧脑电图(EEG)的活动。基线记录期间无电图异常。不出所料,盐水不会引起任何癫痫样活动,而铁会引起癫痫发作。在10到36小时之间,有66%的胶原酶组发生癫痫发作,持续时间为5到90 s,这些事件大多在双侧观察到。尽管胶原酶和血液模型的病变大小分别为32.5和40.9 mm(3),但在输血后没有发生这种活动(p = 0.222)。因此,癫痫发作是胶原酶的常见急性发作,而不是纹状体ICH的全血模型(发病率p = 0.028)。这些发现对ICH研究具有潜在的意义,例如了解模型差异,帮助选择要使用的模型以及确定癫痫发作可能如何影响卒中后的治疗或受其影响。

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