Brain, Vol 121, Issue 6 1073-1087, Copyright © 1998 by Oxford University Press
R Kohling, A Lucke, H Straub, EJ Speckmann, I Tuxhorn, P Wolf, H Pannek and F Oppel
Human neocortical temporal lobe tissue resected for treatment of
pharmacoresistant epilepsy was investigated. In slices prepared from this
tissue, field potentials sometimes superimposed by population spikes were
found to appear spontaneously. In individual slices, they were generalized
or highly localized to a field of approximately 200 microns in diameter.
Synchronous with these potentials, hyperpolarizing and depolarizing
postsynaptic potentials were recorded from neurons in the vicinity of the
field potential electrode. Hyperpolarizing postsynaptic potentials appeared
to be mainly chloride mediated. All potentials, i.e. sharp field potentials
as well as postsynaptic potentials, were reversibly suppressed by blockade
of the non-NMDA (non- N-methyl-D-aspartate) glutamate-subreceptor and of
the GABAA (gamma- aminobutyric acid) receptor, and by application of the
organic calcium channel blocker verapamil. By contrast, all potentials
remained unaffected by blockade of the NMDA glutamate-subreceptor and the
GABAB receptor. The antiepileptic drugs carbamazepine and phenytoin failed
to suppress the spontaneous potentials at therapeutic concentrations.
Washout of Mg2+ from the superfusate left the spontaneous potentials
unchanged or converted them to ictal-type discharges. This epileptiform
activity was not suppressed, but augmented by blockade of the GABAA
receptor. As a whole, the spontaneously appearing field potentials may be
assumed to reflect a state of increased neuronal synchronization.
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Spontaneous sharp waves in human neocortical slices excised from epileptic patients
Institut fur Physiologie, Munster, Germany.
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