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On the Origin of Interictal Activity in Human Temporal Lobe Epilepsy in Vitro
Ivan Cohen,1Vincent Navarro,24Stéphane Clemenceau,13Michel Baulac,12Richard Miles1*
The origin and mechanisms of human interictal epileptic
discharges remain unclear. Here, we describe a spontaneous, rhythmicactivity initiated in the subiculum of slices from patients withtemporal lobe epilepsy. Synchronous events were similar to interictaldischarges of patient electroencephalograms. They were suppressedby
antagonists of either glutamatergic or -aminobutyric acid(GABA)-ergic signaling. The network of neurons discharging duringpopulation events comprises both subicular interneurons and asubgroup
of pyramidal cells. In these pyramidal cells, GABAergicsynaptic events
reversed at depolarized potentials. DepolarizingGABAergic responses in
neurons downstream to the sclerotic CA1region contribute to human
interictal activity.
1 EMI 0224, CHU
Pitié-Salpêtrière, Université Paris VI, 75013 Paris, France.
2 Epilepsy Unit,
3 Department of Neurosurgery,
4 CNRS
UPR640, Hôpital Pitié-Salpêtrière AP-HP, 75013, Paris, France.
*
To whom correspondence should be addressed. E-mail:
rmiles{at}biomedicale.univ-paris5.fr.
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Christian Wozny, Anatol Kivi, Thomas-Nicolas Lehmann, Christoph Dehnicke, Uwe Heinemann, and Joachim Behr (25 July 2003) Science301 (5632), 463c.
[DOI: 10.1126/science.1084237] |Full Text »|PDF »
TECHNICAL COMMENTS
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Comment on "On the Origin of Interictal Activity in Human Temporal Lobe Epilepsy in Vitro".
C. Wozny, A. Kivi, T.-N. Lehmann, C. Dehnicke, U. Heinemann, and J. Behr (2003)
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Response to Comment on "On the Origin of Interictal Activity in Human Temporal Lobe Epilepsy in Vitro".
I. Cohen, V. Navarro, G. Huberfeld, S. Clemenceau, M. Baulac, and R. Miles (2003)
Science
301, 463d
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