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Dynamics of interictal spikes and high-frequency oscillations during epileptogenesis in temporal lobe epilepsy

机译:颞叶癫痫发作期间发作间期尖峰和高频振荡的动力学

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Mesial temporal lobe epilepsy (MTLE) is characterized in humans and in animal models by a seizure-free latent phase that follows an initial brain insu this period is presumably associated to plastic changes in temporal lobe excitability and connectivity. Here, we analyzed the occurrence of interictal spikes and high frequency oscillations (HFOs; ripples: 80-200 Hz and fast ripples: 250-500 Hz) from 48 h before to 96 h after the first seizure in the rat pilocarpine model of MTLE. Interictal spikes recorded with depth EEG electrodes from the hippocampus CA3 area and entorhinal cortex (EC) were classified as type 1 (characterized by a spike followed by a wave) or type 2 (characterized by a spike with no wave). We found that: (i) there was a switch in the distribution of both types of interictal spikes before and after the occurrence of the first seizure; during the latent phase both types of interictal spikes predominated in the EC whereas during the chronic phase both types of spikes predominated in CA3; (ii) type 2 spike duration decreased in both regions from the latent to the chronic phase; (iii) type 2 spikes associated to fast ripples occurred at higher rates in EC compared to CA3 during the latent phase while they occurred at similar rates in both regions in the chronic phase; and (iv) rates of fast ripples outside of spikes were higher in EC compared to CA3 during the latent phase. Our findings demonstrate that the transition from the latent to the chronic phase is paralleled by dynamic changes in interictal spike and HFO expression in EC and CA3. We propose that these changes may represent biomarkers of epileptogenicity in MTLE.
机译:在人类和动物模型中,颞颞叶癫痫病(MTLE)的特征是在最初的脑部感染后出现无癫痫的潜伏期。这个时期大概与颞叶兴奋性和连接性的塑性变化有关。在这里,我们分析了在MTLE大鼠毛细毛果芸香碱模型首次发作前48小时至96 h之间的发作期尖峰和高频振荡(HFO;波纹:80-200 Hz和快速波纹:250-500 Hz)的发生。用海马CA3区的深度EEG电极和内嗅皮层(EC)记录的发作期尖峰分为1型(特征是尖峰,然后是波浪)或2型(特征是尖峰而没有波浪)。我们发现:(i)第一次发作之前和之后,两种类型的尖峰尖峰的分布都有变化;在潜伏期,两种类型的尖峰在EC中占主导地位,而在慢性期,两种尖峰在CA3中占主导。 (ii)从潜伏期到慢性期,两个区域的2型尖峰持续时间都减少了; (iii)在潜伏期,与快速脉动相关的2型尖峰在EC中的发生率高于CA3,而在慢性期两个区域中它们以相似的速率发生; (iv)在潜伏期,与CA3相比,EC尖峰外的快速波动率更高。我们的研究结果表明,从潜伏期到慢性期的转变与EC和CA3中壁突峰和HFO表达的动态变化平行。我们建议这些变化可能代表MTLE中癫痫发生的生物标志物。

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