Volume 15 No 1 (2017)
Download PDF
A Bio-Electrical Tornado in The Hippocampus: Mechanisms of Temporal Lobe Epilepsy
H. Ümit Sayin
Abstract
This review summarizes the structural and electrophysiological changes in the epileptic hippocampus in various
animal models of epilepsy. Tornado hypothesis of epileptic hippocampus, states that there are many progressive
detrimental changes in the hippocampus of the epileptic rats. PTZ, PTZ kindling, pilocarpine, electrical kindling,
kainic acid, hyperthermia and in vitro models are taken as primary animal epilepsy models in this review. Paired
pulse inhibition and GABAergic transmission is decreased in dentate gyrus (DG), CA3 and CA1 regions of the
epileptic hippocampus. There is interneuron loss in the hilus, DG and CA3, while excitatory input from perforant
path (PP) is increased and this is fed into the CA3 area by mossy fibers (MF) which have excessive sprouting that
forms novel recurrent synapses with the pyramidal cells of CA3. Gate function of DG is either impaired or lost.
CA3 area of hippocampus becomes an epileptic focus and sends ictal discharges. These ictal discharges are
carried into CA1 by Schaffer collaterals and then into entorhinal cortex (EC). The input from EC is amplified in the
hippocampal circuitry which is fed into hippocampus from EC into DG again successively. Thus, a weak electrical
input into the hippocampal formation results in an amplified signal back into EC. Since the basic ultrastructural
and electrophysiological feed-back control mechanisms are impaired, this electrical tornado cannot be
compensated for and an epileptic amplified ictal discharge spreads to the limbic system and other adjacent
structures of the brain. Eventually the hippocampal circuitry, that has developed a vicious circle, becomes a bioelectrical amplifier which triggers an electrical tornado, under certain bio-chemical conditions.
Keywords
:Animal models of epilepsy, tornado hypothesis of epilepsy, CA3, CA1, Dentate gyrus, PPI, kindling, kainic acid, PTZ, epileptic hippocampus, pilocarpine, febrile convulsion, GABAergic inhibition, interneuron, mossy fiber sprouting, in vitro model of epilepsy, perforant path, tonic clonic seizures, intractable temporal lobe epilepsy.
Copyright
Copyright © Neuroquantology
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the Neuroquantology are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJECSE right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.