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January 1973

Physiology of Status Epilepticus in Primates

Author Affiliations

Carshalton, Surrey, England
From the Medical Research Council Neuropsychiatry Unit, Carshalton, Surrey, England.

Arch Neurol. 1973;28(1):1-9. doi:10.1001/archneur.1973.00490190019001

In adolescent baboons the intravenous injection of bicuculline induced generalized seizures lasting up to five hours, which sometimes led to brain damage or death. Marked initial rises in arterial and cerebral venous pressure were accompanied by severe metabolic and respiratory acidosis, hyperglycemia, and reduced cerebral arteriovenous (AV) differences for oxygen (O2) and carbon dioxide (CO2). In the second phase of the seizure (+25 to +300 minutes) blood pressure was normal or low, cerebral AV differences for O2 and CO were enhanced, but cerebral venous oxygen tension was not critically reduced. There was severe hyperpyrexia, and hyperkalemia, and sometimes hypoglycemia. Death was cardiovascular in origin. A behavioral and electroencephalographic recovery could occur within three hours of generalized seizure activity lasting one to two hours.

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