Cognitive dysfunction after experimental febrile seizures

While the majority of children with febrile seizures have an excellent prognosis, a small percentage are later discovered to have cognitive impairment. Whether the febrile seizures produce the cognitive deficits or the febrile seizures are a marker or the result of underlying brain pathology is not...

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Bibliographic Details
Published in:Experimental neurology 2009-01, Vol.215 (1), p.167-177
Main Authors: Dubé, Céline M., Zhou, Jun-Li, Hamamura, Mark, Zhao, Qian, Ring, Alex, Abrahams, Jennifer, McIntyre, Katherine, Nalcioglu, Orhan, Shatskih, Tatiana, Baram, Tallie Z., Holmes, Gregory L.
Format: Article
Language:English
Subjects:
Action Potentials - physiology
Analysis of Variance
Animals
Animals, Newborn
Biological and medical sciences
Biomarker
Brain - pathology
Brain - physiopathology
Brain Mapping
Cognition
Cognition Disorders - etiology
Cognition Disorders - pathology
Disease Models, Animal
Electric Stimulation - methods
Epilepsy
Febrile seizures
Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy
Hippocampus
Learning
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Male
Maze Learning - physiology
Medical sciences
Memory
Nervous system (semeiology, syndromes)
Neurology
Neurons - physiology
Rats
Rats, Sprague-Dawley
Reaction Time - physiology
Seizures
Seizures, Febrile - complications
Space Perception - physiology
Water maze
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Summary:While the majority of children with febrile seizures have an excellent prognosis, a small percentage are later discovered to have cognitive impairment. Whether the febrile seizures produce the cognitive deficits or the febrile seizures are a marker or the result of underlying brain pathology is not clear from the clinical literature. We evaluated hippocampal and prefrontal cortex function in adult rats with a prior history of experimental febrile seizures as rat pups. All of the rat pups had MRI brain scans following the seizures. Rats subjected to experimental febrile seizures were found to have moderate deficits in working and reference memory and strategy shifting in the Morris water maze test. A possible basis for these hippocampal deficits involved abnormal firing rate and poor stability of hippocampal CA1 place cells, neurons involved in encoding and retrieval of spatial information. Additional derangements of interneuron firing in the CA1 hippocampal circuit suggested a complex network dysfunction in the rats. MRI T2 values in the hippocampus were significantly elevated in 50% of seizure-experiencing rats. Learning and memory functions of these T2-positive rats were significantly worse than those of T2-negative cohorts and of controls. We conclude that cognitive dysfunction involving the hippocampus and prefrontal cortex networks occur following experimental febrile seizures and that the MRI provides a potential biomarker for hippocampal deficits in a model of prolonged human febrile seizures.
ISSN:0014-4886
1090-2430
DOI:10.1016/j.expneurol.2008.10.003