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Advanced Neurology





                                        ORIGINAL RESEARCH ARTICLE
                                        Non-invasive electroencephalography-based

                                        technique for rapid diagnostics of absence
                                        epilepsy in rats



                                        Maria Pupikina  and Evgenia Sitnikova*

                                        Institute  of the  Higher  Nervous Activity and  Neurophysiology  of  Russian Academy  of  Sciences,
                                        Moscow, Russia



                                        Abstract

                                        Electroencephalography (EEG) is a crucial tool for diagnosing absence epilepsy, a type
                                        of generalized epilepsy characterized by brief lapses of consciousness. Here, we used
                                        a Wistar Albino Glaxo from Rijswijk (WAG/Rij) rat genetic model of absence epilepsy,
                                        in which spike-wave discharges (SWDs) manifested spontaneously and were linked
                                        to absence-like behavior. Conventionally, invasive electrocorticography (ECoG)
                                        with surgically implanted chronic electrodes has been used to confirm the absence
                                        epilepsy by the presence of SWDs in rats. However, this restricts the utilization of the
                                        same rat subject in multiple experiments. Therefore, there is a need for non-invasive
                                        EEG-based diagnostic tools in rats. This study introduces a novel, non-invasive EEG-
                                        based technique designed specifically for the rapid diagnosis of absence epilepsy.
                                        This approach is based on the sedative effect of xylazine and its unique capacity
                                        to induce SWDs. This approach was evaluated in a well-accepted genetic WAG/Rij
            *Corresponding author:      rat model of absence epilepsy, including adult subjects of both sexes. Non-invasive
            Evgenia Sitnikova
            (eu.sitnikova@ihna.ru)      EEG recording lasted 6 – 9 min. During the 6-min post-injection period, xylazine-
                                        induced SWDs closely resembled spontaneous SWDs in terms of the spike-wave
            Citation: Pupikina M,       morphology and frequency.  The proposed non-invasive EEG-based technique is
            Sitnikova E. Non-invasive
            electroencephalography-based   rapid, safe, inexpensive, and yields consistent results. Importantly, it can be repeated
            technique for rapid diagnostics   throughout a rat’s lifespan to assess the age-related progression of absence epilepsy.
            of absence epilepsy in rats.
            Adv Neurol. 2024;3(4):4464.
            doi: 10.36922/an.4464       Keywords: Xylazine; WAG/Rij rats; Spike-wave discharges; Phenotypic variability;
            Received: August 7, 2024    Physiobelt
            Accepted: November 13, 2024
            Published Online: December 12,
            2024                        1. Introduction
            Copyright: © 2024 Author(s).
            This is an Open-Access article   Absence epilepsy is a non-convulsive form of epilepsy. Absence seizures may be noted in
            distributed under the terms of the   several types of idiopathic generalized epilepsies, including childhood absence epilepsy,
            Creative Commons Attribution   juvenile absence epilepsy, and juvenile myoclonic epilepsy.  In these conditions, the
                                                                                        1-3
            License, permitting distribution,
            and reproduction in any medium,   seizures are typically characterized by generalized 3 – 6-Hz spike-and-wave complexes on
            provided the original work is   electroencephalography (EEG) recordings. EEG is essential for diagnosing various forms
            properly cited.             of absence epilepsy. The presence of characteristic spike-and-wave discharges (SWDs)
            Publisher’s Note: AccScience   is necessary for the accurate diagnosis of idiopathic generalized epilepsies in EEG
            Publishing remains neutral with   recordings, particularly when clinical manifestations are subtle or infrequent. 1,4,5  Spike-
            regard to jurisdictional claims in
            published maps and institutional   wave EEG patterns are characteristic ictal EEG hallmarks. However, the SWD structure
                                                                                                           2
            affiliations.               exhibits significant variations across diverse epilepsy types (References in Hirsch et al. ).

            Volume 3 Issue 4 (2024)                         1                                doi: 10.36922/an.4464
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