Journal article
Synchronization of cardiac autonomic neural discharge with epileptogenic activity: the lockstep phenomenon
Electroencephalography and clinical neurophysiology, v 67(3)
1987
PMID: 2441959
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Abstract
Autonomic dysfunction has been implicated in the sudden, unexplained deaths which account for 5–17% of mortality in persons with epilepsy. This study was designed to determine if epileptogenic activity is associated with changes in the pattern of autonomic cardiac neural discharge and the development of arrhythmias. Nine cats, anesthetized with alpha-chloralose, received pentylenetetrazol (PTZ) 10, 20, 50, 100, 200 and 2000 mg/kg, i.v. at 10 min intervals. Cardiac postganglionic sympathetic and vagal nerve discharges were correlated with the interictal spikes, brief ictal discharges (bilateral polyspikes < 10 sec duration), and prolonged ictal discharges (polyspikes lasting > 10 sec). Cardiac sympathetic and vagal neural discharges were intermittently synchronized 1 : 1 with all 3 types of epileptogenic discharge, i.e., the lockstep phenomenon (LSP); at other times the relationship was almost 1 : 1. LSP was not present during control and did not always persist for the entire interval after each PTZ dose. Five of 8 cats showed LSP in the cardiac sympathetic neural discharge associated with the interictal spikes induced by 10 mg/kg PTZ; 3 others exhibited LSP with interictal spikes seen subsequent to ictal discharges. The incidence of LSP was less often associated with cardiac vagal neural discharge (2 of 7 cats). Premature ventricular contractions were sometimes associated with LSP. Abnormal cardiac sympathetic and vagal neural discharge and cardiac arrhythmias were thus associated with subconvulsant (interictal) activity. Therefore, the LSP may be a factor in the mechanism of unexplained death in persons with epilepsy who exhibited no overt seizure activity at the time of demise.
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Details
- Title
- Synchronization of cardiac autonomic neural discharge with epileptogenic activity: the lockstep phenomenon
- Creators
- Claire M. Lathers - Drexel UniversityPaul L. Schraeder - Drexel UniversityFrancine L. Weiner - Drexel University
- Publication Details
- Electroencephalography and clinical neurophysiology, v 67(3)
- Publisher
- Elsevier Ireland Ltd
- Resource Type
- Journal article
- Language
- English
- Web of Science ID
- WOS:A1987J895400008
- Scopus ID
- 2-s2.0-0023227538
- Other Identifier
- 991019339562804721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Clinical Neurology
- Engineering, Biomedical