Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
6010092 | Epilepsy & Behavior | 2016 | 14 Pages |
Abstract
The experimental finding that a paroxysmal depolarizing shift (PDS), an electrophysiological correlate of seizure activity, is a giant excitatory postsynaptic potential (EPSP) necessitates a mechanism for spatially summating several EPSPs at the level of the postsynaptic terminals (dendritic spines). In this context, we will examine reversible interpostsynaptic functional LINKs (IPLs), a proposed mechanism for inducing first-person virtual internal sensations of higher brain functions concurrent with triggering behavioral motor activity for possible pathological changes that may contribute to seizures. Pathological conditions can trigger a rapid chain generation and propagation of different forms of IPLs leading to seizure generation. A large number of observations made at different levels during both ictal and interictal periods are explained by this mechanism, including the tonic and clonic motor activity, different types of hallucinations, loss of consciousness, gradual worsening of cognitive abilities, a relationship with kindling (which uses an augmented stimulation protocol than that used for inducing long-term potentiation (LTP), which is an electrophysiological correlate of behavioral makers of internal sensation of memory), effect of a ketogenic diet on seizure prevention, dendritic spine loss in seizure disorders, neurodegenerative changes, and associated behavioral changes. The interconnectable nature of these findings is explained as loss of function states of a proposed normal functioning of the nervous system.
Keywords
AMPAGluA1IPLMecp2SNAREN-methyl-d-aspartateNMDAECMHyperpolarization-activated cyclic nucleotide-gatedLC-PUFAPDSPostsynapseHCNSeizure generationVDCCEPSPn-3 PUFALinkα-amino-3-hydroxy-5-methyl-4-isoxazolepropionic aciddocosahexaenoic acidgamma-aminobutyric acidElectroencephalogramOmega-3 polyunsaturated fatty acidMRIAuraMagnetic resonance imagingParoxysmal depolarizing shiftParoxysmal depolarization shiftlong-term potentiationLTPIsletConsciousnessDHADendritic spineExtracellular matrixEEGHallucinationexcitatory postsynaptic potentialmethyl CpG binding protein 2SK ChannelsGABA
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Authors
Kunjumon I. Vadakkan,