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ECS Seizure Threshold: Normal Variations, and Kindling Effects of Subconvulsive Stimuli

 

作者: Singaravelu Kurinji,   Chittaranjan Andrade,  

 

期刊: The Journal of ECT  (OVID Available online 2003)
卷期: Volume 19, issue 1  

页码: 31-37

 

ISSN:1095-0680

 

年代: 2003

 

出版商: OVID

 

关键词: Electroconvulsive shock;Electroconvulsive therapy;Seizure threshold stability;Seizure threshold variation;Subconvulsive stimuli;Stimulus dose titration;Kindling;Rats

 

数据来源: OVID

 

摘要:

BackgroundThe efficacy and adverse effects of electroconvulsive therapy are generally believed to depend upon the extent to which an administered stimulus is suprathreshold. The seizure threshold is therefore an important biologic marker. We sought to examine the variability of the electroconvulsive shock (ECS) seizure threshold in rats, and to identify factors influencing the threshold, to guide future research using animal models.Materials and MethodsWe administered once-daily subconvulsive stimuli to Wistar rats beginning at a charge of either 1 mC (n = 25) or 5 mC (n = 25) and titrated the dose upward in 1-mC steps until the baseline seizure threshold was identified. Two weeks later, we divided each group into two subgroups and administered stimuli that were either at or 2 mC below the baseline threshold, and titrated the dose upward, again in 1-mC steps once daily, until the final threshold was identified.ResultsThe mean baseline seizure threshold was 3.8 mC when upward titration was begun at 1 mC, and 6.7 mC when upward titration was begun at 5 mC (p < 0.001). Two weeks later, titration from baseline-subthreshold stimuli was associated with a lower final threshold in the 5-mC group, while titration from baseline-threshold stimuli was associated with a higher final threshold in the 1-mC group (p < 0.006).ConclusionsThe ECS seizure threshold ranged from 3 to 7 mC in this sample of rats; since the twofold variation is very small relative to clinical contexts, it is unlikely that ECS research needs to be threshold-based. The administration of low-dose, once-daily subconvulsive stimuli significantly lowered the seizure threshold; while this kindling effect wore off within 2 weeks, thresholds otherwise identified remained stable at the 2-week time point.

 

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