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find Author "赵秀鹤" 4 results
  • 线粒体病与癫痫的研究进展

    线粒体病是指由于线粒体 DNA(mitochondrial DNA,mtDNA)或核 DNA(nuclear DNA,nDNA)缺陷引起线粒体呼吸链氧化磷酸化功能障碍的一组遗传性疾病,临床表现多样,其中癫痫发作是线粒体病常见的神经系统表现。线粒体病中癫痫的发生机制极其复杂,迄今为止广为接受的机制包括离子机制、神经递质机制、氧化应激损伤和能量机制等;反之,癫痫反复发作可加重线粒体损伤,形成线粒体病-癫痫发作之间的恶性循环。在线粒体病中,不同的癫痫发作类型均有可能发生,甚至可能是各种癫痫发作类型的组合。线粒体病患者的脑电图多数可出现异常,表现为背景节律慢化或癫痫样放电。现文章旨在结合文献分析常见线粒体病中癫痫发作的临床及电生理特点,并探讨其可能的病理生理机制,以深入理解线粒体功能障碍在癫痫的发生发展过程中的作用及线粒体病的癫痫发作特性,为临床诊治伴癫痫发作的线粒体病提供更好的方向。

    Release date:2018-05-22 02:14 Export PDF Favorites Scan
  • 电刺激癫痫动物模型的研究进展

    癫痫以脑神经元异常放电引起反复痫性发作为特征。建立癫痫动物模型对研究癫痫的发病机制及治疗具有重要意义。近年来建立了多种动物模型, 主要包括化学点燃和电点燃模型等。经典的癫痫电点燃是对大脑边缘结构进行重复的电刺激, 导致逐渐增强的后放电和行为学上的癫痫发作。电点燃形成后, 即使不再给予刺激, 异常的痫性放电可以持续很长时间, 甚至终生。电刺激癫痫动物模型具有诱导致痫的优点, 而且与人类癫痫发生和形成极为相似。现就电点燃模型、电刺激的部位、参数, 动物点燃的行为表现、点燃方法及病理机制进行综述

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  • Neuroprotective effects and mechanisms of selective histone deacetylases inhibitor MS-275 on lithium-pilocarpine induced seizures in rats

    ObjectiveTo investigate the neuroprotective effects and mechanisms of selective histone deacetylases inhibitor MS-275 on rats after seizures. MethodsA total of 75 rats were randomly divided into 5 groups for treatment:control group,pilocarpine group, treatment group Ⅰ(administered with MS-275, 20mg/kg, once a day,intraperitoneally in 7 consecutive days), treatment group Ⅱ(administered with MS-275, 40mg/kg, once a day, intraperitoneally in 7 consecutive days), MS-275 pretreatment group. We used lithium and pilocarpin to induce seizures. Behaviors of rats in each group were observed. At 72 hours after seizures, Nissl staining and immunohistochemical were respectively used to evaluate the loss of neurons and histone acetylation levels of hippocampal CA1 and CA3 regions in each group. Escape latency in the control group, treatment group Ⅰ, treatment group Ⅱ and MS-275 pretreatment group were longer than pilocarpine group(P<0.05). ResultsCompared with the pilocarpine group, rats in MS-275 pretreatment group could delay pilocarpine-induced seizures and reduce mortality (P<0.05). Degree of neuronal loss and degeneration in both treatment group Ⅰ and treatment group Ⅱ were reduced compared with the pilocarpine group (P<0.05) and the level of histone acetylation in hippocampal CA1 and CA3 regions of the rats were increased compared with the pilocarpine group (P<0.05). ConclusionHDACs inhibitors MS-275 can improve the neuronal damage, histone deacetylation of rats' brain and rats cognitive decline, which can exert an neuroprotective effect on rats after seizures, whose mechanism may be related to its antiinflammatory effect.

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  • Clinical and electroencephalogram features of dyssynergia cerebellaris myoclonica

    ObjectiveWe report two family and one sporadic case with dyssynergia cerebellaris myoclonica, investigate the clinical and neural electrophysiological features. MethodsThe proband and sporadic patient was examined by clinical, neuroimaging, video-EEG and synchronous electromyography. ResultsThere were 6 patients with dyssynergia cerebellaris myoclonica of the 27 family members in the first family(3 male and 3 female). There were 4 patients with dyssynergia cerebellaris myoclonica of the 20 family members in the second family(2 male and 2 female). All patiens had disproportionately myoclonus, epilepsy and progressive cerebellar ataxia. EEG showed bursts of spike-slow wave, polyspilke-slow wave distributing in the bilateral brain both in ictal and interictal period, sometimes it is especially in central, parietal and frontal area. EEG showed bursts of spike-slow wave, polyspilke-slow wave distributing in the central, parietal and frontal area in interictal period. Pathology of the skin and muscles are normal. ConclusionThe diagnosis of dyssynergia cerebellaris myoclonica was mainly based on typical clinical manifestations, brain MRI and EEG changes.Long time video EEG and synchronous EMG is important for the diagnosis. Skin and muscles pathology can be normal.

    Release date:2016-10-02 06:51 Export PDF Favorites Scan
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