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1.
Psychopharmacology (Berl) ; 241(4): 653-685, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38430396

RESUMEN

BACKGROUND: Varenicline is considered one of the most effective treatment options for smoking cessation. Nonetheless, it is only modestly effective. A deeper comprehension of the effects of varenicline by means of the in-depth review of relevant fMRI studies may assist in paving the development of more targeted and effective treatments. METHODOLOGY: A search of PubMed and Google Scholar databases was conducted with the keywords "functional magnetic resonance imaging" or "fMRI", and "varenicline". All peer-reviewed articles regarding the assessment of smokers with fMRI while undergoing treatment with varenicline and meeting the predefined criteria were included. RESULTS: Several studies utilizing different methodologies and targeting different aspects of brain function were identified. During nicotine withdrawal, decreased mesocorticolimbic activity and increased amygdala activity, as well as elevated amygdala-insula and insula-default-mode-network functional connectivity are alleviated by varenicline under specific testing conditions. However, other nicotine withdrawal-induced changes, including the decreased reward responsivity of the ventral striatum, the bilateral dorsal striatum and the anterior cingulate cortex are not influenced by varenicline suggesting a task-dependent divergence in neurocircuitry activation. Under satiety, varenicline treatment is associated with diminished cue-induced activation of the ventral striatum and medial orbitofrontal cortex concomitant with reduced cravings; during the resting state, varenicline induces activation of the lateral orbitofrontal cortex and suppression of the right amygdala. CONCLUSIONS: The current review provides important clues with regard to the neurobiological mechanism of action of varenicline and highlights promising research opportunities regarding the development of more selective and effective treatments and predictive biomarkers for treatment efficacy.


Asunto(s)
Cese del Hábito de Fumar , Síndrome de Abstinencia a Sustancias , Humanos , Vareniclina/farmacología , Vareniclina/uso terapéutico , Cese del Hábito de Fumar/métodos , Nicotina , Imagen por Resonancia Magnética , Agonistas Nicotínicos/uso terapéutico , Encéfalo/diagnóstico por imagen
2.
Epileptic Disord ; 15(1): 14-26, 2013 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-23702456

RESUMEN

The EEG in childhood absence epilepsy (CAE) may contain focal and generalised spike-wave discharges (SWDs) with focal, mainly frontal, "lead-in". The term "frontal absence" has been used to imply fast, secondary, 3-Hz generalisation from occult frontal foci with potential impact on clinical EEG interpretation and syndrome classification. The aim of this study was to investigate the relationship between focal and generalised SWDs. We studied five children with CAE and examined a sufficient number of focal ("interictal") and generalised SWDs in order to obtain reliable analysis. All generalised SWDs with focal lead-in were "decomposed" into their "pre-generalisation" focal and "generalised" constituents, which were studied separately. Two types of focal SWD ("interictal" and "pre-generalisation") and generalised SWD were visually clustered into groups, waveform-averaged, and plotted in the 2D-electrode space. Spatiotemporal analysis demonstrated a variety (mean: 4.2 per child; SD: 2.12) of mainly frontal and occipital locations for pre-generalisation focal SWDs with propagation along the longitudinal axis in either direction and across homologous sites. Interictal focal SWDs demonstrated similar spatiotemporal characteristics. In contrast, the topography and propagation patterns of the first generalised spike of the SWD showed less variability (mean: 2.5 per child; SD: 2.07), mainly involved the fronto-temporal/temporal areas, and correlated poorly (<10%) with that of the pre-generalisation focal SWD. Our findings suggest that the process of generalised epileptogenesis in genetic epilepsies with electrographic "frontal absences" is far more complex than that proposed by the model for occult frontal focus with fast secondary generalisation. (Published with Supplemental data).


Asunto(s)
Encéfalo/fisiopatología , Electroencefalografía , Epilepsia Tipo Ausencia/fisiopatología , Mapeo Encefálico , Niño , Femenino , Humanos , Masculino , Estudios Retrospectivos
3.
Epilepsia ; 53(5): 840-9, 2012 May.
Artículo en Inglés | MEDLINE | ID: mdl-22360352

RESUMEN

PURPOSE: To better understand the nature of the focal spike-wave discharges (FSWDs) and focally led generalized spike-wave discharges (GSWDs) in typical childhood absence epilepsy (CAE) and by implication their nosologic and taxonomic significance. METHODS: Twenty-four abnormal video-electroencephalography (EEG) studies from 13 consecutive children with CAE and good response to appropriate antiepileptic drugs (AEDs) were analyzed. We studied the association between the topography of absence onset and the ictal automatisms, and the topographic correlation between FSWDs and GSWDs and their respective behavior during hyperventilation and the different states of phasic and nonphasic non-rapid eye movement (NREM) sleep. GSWDs were considered as of "focal" onset if a lead-in could be visibly recognized at a paper speed of 60 mm/s, and were classified by their topography. KEY FINDINGS: (1) Multifocal absences occurred in 10 children; anterior onset was noted in 81 absences (73.6%) from 12 children and posterior in 18 (16.4%) from 7 children; there was no association between topography of absence onset and ictal automatisms; (2) FSWDs occurred in 85% of children and were multifocal in 73% of them; 85% of FSWDs were anterior and 14% posterior; (3) there was good topographic association between FSWDs and the leading spike of GSWDs of "focal" onset in all children with FSWDs; (4) both FSWDs and GSWDs increased during hyperventilation; (5) FSWDs occurred mainly during noncyclical NREM sleep and during periods of reduced vigilance of cyclical NREM sleep, whereas GSWDs occurred during the periods of enhanced vigilance of NREM sleep; GSWDs occurred significantly more frequently than FSWDs at the transition from reduced to enhanced vigilance of NREM sleep. SIGNIFICANCE: Our findings suggest that in CAE focal EEG paroxysms reflect a system of multifocal nonlocalizing electrically unstable cortical areas that under the facilitatory influence of exogenous or endogenous factors like sleep instability can foster a corticothalamic response of sufficient strength to generate 3-Hz GSWDs that are conditionally sustainable and potentially ictal. FSWDs can be viewed as incomplete forms of the GSWDs; together they define the EEG identity of idiopathic "generalized" epileptogenesis.


Asunto(s)
Ondas Encefálicas/fisiología , Electroencefalografía , Epilepsia Tipo Ausencia/fisiopatología , Sueño REM/fisiología , Adolescente , Niño , Epilepsia Tipo Ausencia/diagnóstico , Epilepsia Tipo Ausencia/rehabilitación , Femenino , Humanos , Estudios Longitudinales , Masculino , Parasomnias/etiología , Respiración Artificial/métodos , Grabación en Video , Adulto Joven
5.
J Sleep Res ; 20(1 Pt 1): 57-72, 2011 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-20477951

RESUMEN

The purpose of this study was to investigate a potential relation between the K-complex (KC) and sleep spindles of non-rapid eye movement (NREM) stage II of human sleep. Using 58 electroencephalogram electrodes, plus standard electrooculogram and electromyogram derivations for sleep staging, brain activity during undisturbed whole-night sleep was recorded in six young adults (one of them participated twice). NREM stage II spindles (1256 fast and 345 slow) and 1131 singular generalized KCs were selected from all sleep cycles. The negative peak of the KC, the positive peak of the KC (where applicable), and the prominent negative wave peak of slow and fast spindles were marked as events of reference. Fast Fourier transform-based time-frequency analysis was performed over the marked events, which showed that: (a) fast spindles that happen to coincide with KC are interrupted (100% of 403 cases) and in their place a slower rhythmic oscillation often (80%) appears; and (b) spindles that are usually (72% of 1131) following KCs always have a higher frequency (by ∼1 Hz) than both the interrupted spindles and the individual fast spindles that are not in any way associated with a KC. This enhancement of spindle frequency could not be correlated to any of the KC parameters studied. The results of this study reveal a consistent interaction between the KC and the sleep spindle during NREM stage II in human sleep.


Asunto(s)
Encéfalo/fisiología , Fases del Sueño/fisiología , Adulto , Nivel de Alerta/fisiología , Electroencefalografía , Electromiografía , Electrooculografía , Femenino , Humanos , Masculino , Sueño REM/fisiología , Factores de Tiempo
6.
Neuroimage ; 44(2): 455-68, 2009 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-18950718

RESUMEN

All sleep stages contain epochs with high-amplitude electrophysiological phasic events, alternating with quieter "core periods." High-amplitude and core state properties cannot be disentangled with PET and fMRI. Here from high temporal resolution magnetoencephalography data, regional changes in neuronal activity were extracted during core periods in different frequency bands for each sleep stage and waking. We found that gamma-band activity increases in precuneus during light sleep (stages 1/2) and in the left dorso-medial prefrontal cortex (L-DMPFC) during deep sleep (stages 3/4). The L-DMPFC activated area expands laterally during rapid eye movement (REM) sleep, into a volume of about 5 cm(3) bounded by regions attributed to Theory of Mind (ToM) and default systems, both involved in introspection. Gamma band activity in this area was higher during REM sleep than other sleep stages and active wakefulness. There is a tantalizing correspondence between increased wide-band activity (dominated by low frequencies) in early non-REM (NREM) sleep stages and increases in gamma-band activity in late NREM and REM periods that we attribute to a lateral disinhibition mechanism. The results provide a description of regional electrophysiological changes in awake state, light and deep sleep, and REM sleep. These changes are most pronounced in the L-DMPFC and the other areas around the dorsal midline that are close to, but do not overlap with areas of the default and ToM systems, suggesting that the DMPFC, particularly in the left hemisphere, plays an important role in late NREM stages, in REM and possibly in dreaming.


Asunto(s)
Mapeo Encefálico/métodos , Encéfalo/fisiología , Magnetoencefalografía/métodos , Fases del Sueño/fisiología , Adulto , Humanos , Masculino
7.
Cell Physiol Biochem ; 24(3-4): 291-306, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19710544

RESUMEN

Hepatic encephalopathy (HE) in chronic liver disease is characterized by neuropsychiatric and motor disturbances and associated with a net increase of inhibitory neurotransmission. Though many studies, mostly carried out in animal models, have linked dysfunctions of single neurotransmitter systems with the pathogenesis of HE, reports concerning neurotransmitter receptor alterations are controversial. Little is known about the situation in humans. We carried out a multireceptor assessment of HE-associated changes in neurotransmitter receptor densities and affinities in human post-mortem brain samples. Dissociation constants and densities of different binding sites for glutamate, GABA, acetylcholine, norepinephrine, serotonin, dopamine and adenosine were determined by in vitro binding assays and quantitative receptor autoradiography in the motor cortex and putamen of HE and control brains. HE cases do not build a homogeneous group, but differ concerning direction and intensity of binding site density divergences from control values. The acetylcholine M2 binding site dissociation constant was significantly higher in HE brains. Nicotinic acetylcholine and adenosine type 1 and 2A densities were significantly down-regulated in the putamen of HE brains. Our data suggest that neurotransmitter alterations are probably not the primary key factor responsible for the neuropsychiatric and motor disturbances associated with HE.


Asunto(s)
Ganglios Basales/fisiopatología , Encefalopatía Hepática/fisiopatología , Corteza Motora/metabolismo , Corteza Motora/fisiopatología , Receptores de Neurotransmisores/metabolismo , Acetilcolina/metabolismo , Adenosina/metabolismo , Adulto , Anciano , Autorradiografía , Sitios de Unión , Estudios de Casos y Controles , Dopamina/metabolismo , Resultado Fatal , Femenino , Ácido Glutámico/metabolismo , Humanos , Cirrosis Hepática/metabolismo , Cirrosis Hepática Alcohólica/metabolismo , Masculino , Persona de Mediana Edad , Norepinefrina/metabolismo , Unión Proteica , Serotonina/metabolismo , Ácido gamma-Aminobutírico/metabolismo
8.
Front Neurosci ; 13: 814, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31447635

RESUMEN

The large multicomponent K-complex (KC) and the rhythmic spindle are the hallmarks of non-rapid eye movement (NREM)-2 sleep stage. We studied with magnetoencephalography (MEG) the progress of light sleep (NREM-1 and NREM-2) and emergence of KCs and spindles. Seven periods of interest (POI) were analyzed: wakefulness, the two quiet "core" periods of light sleep (periods free from any prominent phasic or oscillatory events) and four periods before and during spindles and KCs. For each POI, eight 2-s (1250 time slices) segments were used. We employed magnetic field tomography (MFT) to extract an independent tomographic estimate of brain activity from each MEG data sample. The spectral power was then computed for each voxel in the brain for each segment of each POI. The sets of eight maps from two POIs were contrasted using a voxel-by-voxel t-test. Only increased spectral power was identified in the four key contrasts between POIs before and during spindles and KCs versus the NREM2 core. Common increases were identified for all four subjects, especially within and close to the anterior cingulate cortex (ACC). These common increases were widespread for low frequencies, while for higher frequencies they were focal, confined to specific brain areas. For the pre-KC POI, only one prominent increase was identified, confined to the theta/alpha bands in a small area in the dorsal caudal part of ACC (dcACC). During KCs, the activity in this area grows in intensity and extent (in space and frequency), filling the space between the areas that expanded their low frequency activity (in the delta band) during NREM2 compared to NREM1. Our main finding is that prominent spectral power increases before NREM2 graphoelements are confined to the dcACC, and only for KCs, sharing common features with changes of activity in dcACC of the well-studied error related negativity (ERN). ERN is seen in awake state, in perceptual conflict and situations where there is a difference between expected and actual environmental or internal events. These results suggest that a KC is the sleep side of the awake state ERN, both serving their putative sentinel roles in the frame of the saliency network.

9.
J Neurosci Methods ; 312: 16-26, 2019 01 15.
Artículo en Inglés | MEDLINE | ID: mdl-30408558

RESUMEN

BACKGROUND: The microstructural EEG elements and their functional networks relate to many neurophysiological functions of the brain and can reveal abnormalities. Despite the blooming variety of methods for estimating connectivity in the EEG of a single subject, a common pitfall is seen in relevant studies; grand averaging is used for estimating the characteristic connectivity patterns of a group of subjects. This averaging may distort results and fail to account for the internal variability of connectivity results across the subjects of a group. NEW METHOD: In this study, we propose a novel methodology for the cross-subject network investigation of EEG graphoelements. We used dimensionality reduction techniques in order to reveal internal connectivity properties and to examine how consistent these are across a number of subjects. In addition, graph theoretical measures were utilized to prioritize regions according to their network attributes. RESULTS: As proof of concept, we applied this method on fast sleep spindles across 10 healthy subjects. Neurophysiological findings revealed subnetworks of the spindle events across subjects, highlighting a predominance for occipito-parietal areas and their connectivity with frontal regions. COMPARISON WITH EXISTING METHODS: This is a new approach for the examination of within-group connectivities in EEG research. The results accounted for more than 85% of the overall data variance and the detected subnetworks were found to be meaningful down-projections of the grand average of the group, suggesting sufficient performance for the proposed methodology. CONCLUSION: We conclude that the proposed methodology can serve as an observatory tool for the EEG connectivity patterns across subjects, providing a supplementary analysis of the existing topography techniques.


Asunto(s)
Encéfalo/fisiología , Electroencefalografía/métodos , Polisomnografía/métodos , Procesamiento de Señales Asistido por Computador , Sueño/fisiología , Adulto , Interpretación Estadística de Datos , Femenino , Humanos , Masculino , Vías Nerviosas/fisiología , Análisis de Componente Principal , Reproducibilidad de los Resultados , Adulto Joven
10.
Sleep ; 42(4)2019 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-30566659

RESUMEN

The cyclic alternating pattern (CAP) encompasses the pseudoperiodic appearance of synchronized brain waves and rhythms and is considered a regulator of the nonrapid eye movement (NREM) sleep vigilance level, reflecting sleep instability. To determine the brain regions responsible for this phenomenon, we scored and analyzed sleep functional magnetic resonance imaging data acquired with simultaneous electroencephalography (EEG-fMRI). Group analysis revealed a set of brain areas showing statistically significant blood oxygen-level dependent signal correlated positively with the synchronization phase of the CAP, most prominent being the insula, the middle cingulate gyrus, and the basal forebrain. These areas may form a network acting as a synchronization pacemaker, controlling the level of NREM sleep vigilance and the sleeper's arousability.


Asunto(s)
Prosencéfalo Basal/fisiología , Ondas Encefálicas/fisiología , Fases del Sueño/fisiología , Sueño/fisiología , Adulto , Electroencefalografía/métodos , Femenino , Hemodinámica/fisiología , Humanos , Imagen por Resonancia Magnética/métodos , Masculino , Polisomnografía/métodos , Vigilia/fisiología
11.
Brain Res ; 1207: 43-59, 2008 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-18374306

RESUMEN

The positive modulation of the GABA(A) receptor (GABA(A)R) is presumably one of the main mechanisms by which several sedatives mediate their actions in the central nervous system. This modulation appears to depend on the presence of alpha and beta GABA(A)R subunits, whose distinct expression in dorsal and ventral hippocampus has been recently shown. Using population spike recordings from the CA1 area of dorsal (DHS) and ventral (VHS) hippocampal slices we compared the effects of seven sedative/anesthetic drugs (diazepam, midazolam, phenobarbital, propofol, pentobarbital, thiopental and alfaxalone) on the GABAergic recurrent inhibition (RI) between the two hippocampal poles. The strength and duration of RI was quantified by measuring an antidromic stimulation-induced suppression of the orthodromic population spike at varying inter-pulse intervals. All drugs enhanced RI in both DHS and VHS but high concentrations of barbiturates and alfaxalone prolonged RI considerably more compared to benzodiazepines or low doses of barbiturates and propofol. Furthermore, the drug-induced prolongation of RI was significantly greater in DHS than in VHS. Thus, RI was enhanced by thiopental (50 microM), alfaxalone (2.5 microM) and pentobarbital (50 microM) up to 150 ms, 150 ms and 270 ms respectively in DHS, and up to 70 ms, 100 ms and 150 ms respectively in VHS. In addition, under GABA(B) receptor blockade, thiopental (100 microM) and alfaxalone (10 microM) prolonged GABA(A)R-mediated RI significantly more in DH (up to 900 ms) than in VH (up to 430 ms and 600 ms respectively). This finding provides support to the notion of diversification of intrinsic organization along the septotemporal axis of the hippocampus. Finally, an interesting link was revealed between the magnitude of drug-induced enhancement of RI and the reported sedative potency of the drugs used, suggesting that deep sedation and anesthesia may involve prolongation of GABAergic inhibition.


Asunto(s)
Anestésicos/farmacología , Hipocampo/efectos de los fármacos , Inhibición Neural/efectos de los fármacos , Ácido gamma-Aminobutírico/metabolismo , Animales , Relación Dosis-Respuesta a Droga , Relación Dosis-Respuesta en la Radiación , Estimulación Eléctrica/métodos , Hipocampo/citología , Técnicas In Vitro , Masculino , Inhibición Neural/fisiología , Inhibición Neural/efectos de la radiación , Neuronas/efectos de los fármacos , Neuronas/efectos de la radiación , Técnicas de Placa-Clamp/métodos , Vía Perforante/efectos de los fármacos , Vía Perforante/fisiología , Vía Perforante/efectos de la radiación , Ratas , Ratas Wistar , Transmisión Sináptica/efectos de los fármacos , Transmisión Sináptica/fisiología , Transmisión Sináptica/efectos de la radiación , Factores de Tiempo
13.
Epilepsia Open ; 2(4): 472-475, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-29588978

RESUMEN

We studied slow (≤2.5 Hz) nonevolving generalized periodic epileptiform discharges (GPEDs) in the electroencephalogram (EEG) of comatose patients after cardiac arrest (CA) in search of evidence that could assist early diagnosis of possible hypoxic nonconvulsive status epilepticus (NCSE) and its differentiation from terminal brain anoxia (BA), which can present with a similar EEG pattern. We investigated the topography of the GPEDs in the first post-CA EEGs of 13 patients, using voltage-mapping, and compared findings between two patients with NCSE and GPEDs > 2.5 Hz (group 1), and 11 with GPEDs ≤ 2 Hz, of whom six had possible NCSE (group 2) and five had terminal BA (group 3). Voltage mapping showed frontal maximum for the negative phase of the GPEDs in all patients of groups 1 and 2, but not in any of the patients of group 3, who invariably showed maximization of the negative phase posteriorly. Morphology, amplitude, and duration of the GPEDs varied across the groups, without distinctive features for possible NCSE. These findings provide evidence that, in hypoxic coma after CA with slow GPEDs, anterior topography of the maximum GPED negativity on voltage mapping may be a distinctive biomarker for possible NCSE contributing to the coma.

14.
Front Hum Neurosci ; 11: 313, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28670270

RESUMEN

We used tomographic analysis of MEG signals to characterize regional spectral changes in the brain at sleep onset and during light sleep. We identified two key processes that may causally link to loss of consciousness during the quiet or "core" periods of NREM1. First, active inhibition in the frontal lobe leads to delta and theta spectral power increases. Second, activation suppression leads to sharp drop of spectral power in alpha and higher frequencies in posterior parietal cortex. During NREM2 core periods, the changes identified in NREM1 become more widespread, but focal increases also emerge in alpha and low sigma band power in frontal midline cortical structures, suggesting reemergence of some monitoring of internal and external environment. Just before spindles and K-complexes (KCs), the hallmarks of NREM2, we identified focal spectral power changes in pre-frontal cortex, mid cingulate, and areas involved in environmental and internal monitoring, i.e., the rostral and sub-genual anterior cingulate. During both spindles and KCs, alpha and low sigma bands increases. Spindles emerge after further active inhibition (increase in delta power) of the frontal areas responsible for environmental monitoring, while in posterior parietal cortex, power increases in low and high sigma bands. KCs are correlated with increase in alpha power in the monitoring areas. These specific regional changes suggest strong and varied vigilance changes for KCs, but vigilance suppression and sharpening of cognitive processing for spindles. This is consistent with processes designed to ensure accurate and uncorrupted memory consolidation. The changes during KCs suggest a sentinel role: evaluation of the salience of provoking events to decide whether to increase processing and possibly wake up, or to actively inhibit further processing of intruding influences. The regional spectral patterns of NREM1, NREM2, and their dynamic changes just before spindles and KCs reveal an edge effect facilitating the emergence of spindles and KCs and defining the precise loci where they might emerge. In the time domain, the spindles are seen in widespread areas of the cortex just as reported from analysis of intracranial data, consistent with the emerging consensus of a differential topography that depends on the kind of memory stored.

15.
Clin Neurophysiol ; 128(9): 1553-1562, 2017 09.
Artículo en Inglés | MEDLINE | ID: mdl-28709121

RESUMEN

OBJECTIVE: This work investigates the spatial distribution in time of generalized ictal spikes in the typical absences of childhood absence epilepsy (CAE). METHODS: We studied twelve children with CAE, who had more than two typical absences during their routine video-EEG. Seizures were identified, and ictal spikes were marked over the maximum electronegative peak, clustered, waveform-averaged and spatiotemporaly analyzed in 2D electrode space. RESULTS: Consistency of spatiotemporal patterns of ictal spikes was high between the absences of the same child, but low between children. Three main discharge patterns were identified: of anterio-posterior propagation, of posterio-anterior propagation and confined to the frontal/prefrontal regions. In 4 patients, the propagation patterns transformed during the seizure into either a lateralized diminished or a non-lateralized reverse direction form. Most spikes originated fronto-temporaly, all maximized over the frontal/prefrontal electrodes and mostly decayed prefrontaly. In 4 patients, lateralized propagation patterns were identified. CONCLUSIONS: Ictal spike propagation patterns suggest that epileptogenic CAE networks are personalized, interconnect distal areas in the brain - not the entire cortex - with a tendency to generate bilateral symmetrical discharges, sometimes unsuccessfully. The transformation of propagation patterns during the seizure indicates the existence of dynamic interplay within epileptogenic networks. SIGNIFICANCE: Our results support the revised concept of ictogenesis of ILAE definition in genetic (also known as idiopathic) generalized epilepsies. Understanding the focal features in CAE avoids misdiagnosis as focal epilepsy and inappropriate treatment.


Asunto(s)
Potenciales de Acción/fisiología , Encéfalo/fisiopatología , Electroencefalografía , Epilepsia Tipo Ausencia/diagnóstico , Epilepsia Tipo Ausencia/fisiopatología , Niño , Preescolar , Electroencefalografía/métodos , Femenino , Humanos , Masculino , Factores de Tiempo
16.
J Neurosci Methods ; 260: 175-84, 2016 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-26343323

RESUMEN

This article reviews the contribution of pharmacologically induced acute and chronic animal models to our understanding of epilepsies featuring non-convulsive generalized seizures, the typical and atypical absence seizures. Typical absences comprise about 5% of all epilepsies regardless of age and the atypical ones are even more common. Although absence epilepsy was thought to be relatively benign, children with childhood epilepsy (CAE) turn out to have a high rate of pretreatment attention deficits that persist despite seizure freedom. The phenomenon of the absence seizure has long attracted research interest because of the clear temporal relationship of the conspicuous EEG rhythm of 3 Hz generalized spike and wave discharges (GSWD) and the parallel transient "loss of consciousness" characterizing these seizures which is time-locked with the GSWD. Indeed, clinical epileptologists, basic scientists and neurophysiologists have long recognized in GSWD a unique electrographic and behavioral marker of the genetic predisposition to most types of epilepsy. Interestingly, the subject is still controversial since it has recently been proposed that both classification terms of CAE currently in use: idiopathic and primary generalized, be abandoned - a point of debate. Both issues - underlying mechanisms and focal origin of absence seizures - may be further enlightened by observations in valid animal models.


Asunto(s)
Encéfalo/efectos de los fármacos , Convulsivantes , Modelos Animales de Enfermedad , Electroencefalografía/efectos de los fármacos , Epilepsia Tipo Ausencia/inducido químicamente , Epilepsia Tipo Ausencia/fisiopatología , Enfermedad Aguda , Animales , Encéfalo/fisiopatología , Colinérgicos , Enfermedad Crónica , Antagonistas del GABA , Red Nerviosa/efectos de los fármacos , Red Nerviosa/fisiopatología , Bloqueadores de los Canales de Potasio
17.
Front Neuroinform ; 10: 5, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26924980

RESUMEN

During Non-Rapid Eye Movement sleep (NREM) the brain is relatively disconnected from the environment, while connectedness between brain areas is also decreased. Evidence indicates, that these dynamic connectivity changes are delivered by microstructural elements of sleep: short periods of environmental stimuli evaluation followed by sleep promoting procedures. The connectivity patterns of the latter, among other aspects of sleep microstructure, are still to be fully elucidated. We suggest here a methodology for the assessment and investigation of the connectivity patterns of EEG microstructural elements, such as sleep spindles. The methodology combines techniques in the preprocessing, estimation, error assessing and visualization of results levels in order to allow the detailed examination of the connectivity aspects (levels and directionality of information flow) over frequency and time with notable resolution, while dealing with the volume conduction and EEG reference assessment. The high temporal and frequency resolution of the methodology will allow the association between the microelements and the dynamically forming networks that characterize them, and consequently possibly reveal aspects of the EEG microstructure. The proposed methodology is initially tested on artificially generated signals for proof of concept and subsequently applied to real EEG recordings via a custom built MATLAB-based tool developed for such studies. Preliminary results from 843 fast sleep spindles recorded in whole night sleep of 5 healthy volunteers indicate a prevailing pattern of interactions between centroparietal and frontal regions. We demonstrate hereby, an opening to our knowledge attempt to estimate the scalp EEG connectivity that characterizes fast sleep spindles via an "EEG-element connectivity" methodology we propose. The application of the latter, via a computational tool we developed suggests it is able to investigate the connectivity patterns related to the occurrence of EEG microstructural elements. Network characterization of specified physiological or pathological EEG microstructural elements can potentially be of great importance in the understanding, identification, and prediction of health and disease.

18.
Brain Res ; 1032(1-2): 94-103, 2005 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-15680946

RESUMEN

The effects of the hexapeptide angiotensin II (3-8) ANG IV, the selective A(1) receptor agonist cyclohexyladenosine (CHA) and the combination of ANG IV + CHA on pentylenetetrazol (PTZ)-generalized seizures; kindling development and maintenance were studied. By using in vitro quantitative receptor autoradiography, the regulation of adenosine A(1) receptor density at different time points during the kindling procedure and postkindling period was determined. ANG IV and CHA effectively reduced clonic seizures in PTZ-generalized seizure model, in PTZ-kindled mice as well as during kindling development and a week later by rechallenge with PTZ. Furthermore, coadministration of ANG IV and CHA had a strong anticonvulsant effect, both compounds acting synergistically. A significant increase of adenosine A(1) receptor density was detected in somatosensory cortex, hippocampus, amygdala and geniculate nuclei early in the kindling procedure (after the 3rd injection), which persisted at least 1 month after the end of kindling procedure. In addition, a delayed up-regulation of adenosine A(1) receptor binding was observed a week after kindling in the mamillary bodies and a month later in the motor cortex. The pretreatment with ANG IV caused a down-regulation of adenosine A(1) receptor density to the control level in most time points and brain areas. In conclusion, PTZ kindling-induced increase of adenosine A(1) receptor binding at different time points and in specific brain structures might represent an adaptive mechanism for coping with the hyperexcitability typical for this phenomenon. The antiepileptogenic effect of ANG IV could be realized partly through an adenosine-dependent mechanism.


Asunto(s)
Angiotensina II/análogos & derivados , Angiotensina II/farmacología , Excitación Neurológica/efectos de los fármacos , Pentilenotetrazol/farmacología , Fenilalanina/análogos & derivados , Receptor de Adenosina A1/metabolismo , Agonistas del Receptor de Adenosina A1 , Animales , Autorradiografía/métodos , Encéfalo/anatomía & histología , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Convulsivantes/farmacología , Relación Dosis-Respuesta a Droga , Interacciones Farmacológicas , Masculino , Ratones , Ratones Endogámicos BALB C , Fenilalanina/farmacología , Unión Proteica/efectos de los fármacos , Ensayo de Unión Radioligante/métodos , Coloración y Etiquetado/métodos , Factores de Tiempo
19.
J Neurosci Methods ; 127(2): 137-47, 2003 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-12906943

RESUMEN

Advances in hardware and software have made possible the reconstruction of brain activity from non-invasive electrophysiological measurements over a large part of the brain. The appreciation of the information content in the data is enhanced when relevant anatomical detail is also available for visualization. Different neuroscientific questions give rise to different requirements for optimal superposition of structure and function. Most available software deal with scalar measures of activity, especially hemodynamic changes. In contrast, the electrophysiological observables are generated by electrical activity, which depends on the synchrony of neuronal assemblies and the geometry of the local cortical surface. We describe methods for segmentation and visualization of spatio-temporal brain activity, which allow the interplay of geometry and scalar as well as vector properties of the current density directly in the representations. The utility of these methods is demonstrated through displays of tomographic reconstructions of early sensory processing in the somatosensory and visual modality extracted from magnetoencephalography (MEG) data. The activation course characteristic to a specific area could be observed as current density or statistical maps independently and/or contrasted to the activity in other areas or the whole brain. MEG and functional magnetic resonance imaging (fMRI) activations were simultaneously visualized. Integrating and visualizing complementary functional data into a single environment helps evaluating analysis and understanding structure/function relationships in normal and diseased brain.


Asunto(s)
Mapeo Encefálico , Encéfalo/fisiología , Fenómenos Electromagnéticos/métodos , Imagen por Resonancia Magnética/métodos , Neuronas/fisiología , Encéfalo/anatomía & histología , Simulación por Computador , Estimulación Eléctrica , Electroencefalografía/instrumentación , Electroencefalografía/métodos , Electrofisiología , Potenciales Evocados Visuales/fisiología , Procesamiento de Imagen Asistido por Computador/instrumentación , Procesamiento de Imagen Asistido por Computador/métodos , Imagenología Tridimensional , Imagen por Resonancia Magnética/instrumentación , Magnetoencefalografía/instrumentación , Magnetoencefalografía/métodos , Modelos Neurológicos , Red Nerviosa , Estimulación Luminosa , Corteza Somatosensorial/fisiología
20.
J Neurosci Methods ; 135(1-2): 175-91, 2004 May 30.
Artículo en Inglés | MEDLINE | ID: mdl-15020102

RESUMEN

Activity-dependent synaptic plasticity has important implications for network function. The previously developed model of the hippocampal CA1 area, which contained pyramidal cells (PC) and two types of interneurons involved in feed-forward and recurrent inhibition, respectively, and received synaptic inputs from CA3 neurons via the Schaffer collaterals, was enhanced by incorporating dynamic synaptic connections capable of changing their weights depending on presynaptic activation history. The model output was presented as field potentials, which were compared with those derived experimentally. The parameters of Schaffer collateral-PC excitatory model synapse were determined, with which the model successfully reproduced the complicated dynamics of train-stimulation sequential potentiation/depression observed in experimentally recorded field responses. It was found that the model better reproduces the time course of experimental field potentials if the inhibitory synapses on PC are also made dynamic, with expressed properties of frequency-dependent depression. This finding supports experimental evidence that these synapses are subject to activity-dependent depression. The model field potentials in response to various randomly generated and real (derived from recorded CA3 unit activity) long stimulating trains were calculated, illustrating that short-term plasticity with the observed characteristics could play specific roles in frequency processing in hippocampus and thus providing a new tool for the theoretical study of activity-dependent synaptic plasticity.


Asunto(s)
Simulación por Computador , Potenciales Evocados/fisiología , Hipocampo/fisiología , Redes Neurales de la Computación , Plasticidad Neuronal/fisiología , Animales , Estimulación Eléctrica , Potenciales Postsinápticos Excitadores/fisiología , Conducción Nerviosa , Inhibición Neural , Neurotransmisores/metabolismo , Dinámicas no Lineales , Factores de Tiempo
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