Neurobiological and physiological mechanisms of fever-related epileptiform syndromes

Sebastian Schuchmann1, Sampsa Vanhatalo, Kai Kaila

  • 1Department of Biological and Environmental Sciences, University of Helsinki, Helsinki, Finland.

Brain & Development
|February 10, 2009
PubMed

Insights

Febrile seizures in children may be caused by rapid breathing leading to respiratory alkalosis and increased brain neuronal excitability. This finding suggests new genetic factors and therapies targeting brain pH regulation.

Area of Science:

  • Neuroscience
  • Pediatrics
  • Physiology

Background:

  • Febrile seizures (FS) are common in children.
  • Previous research on experimental febrile seizures (eFS) focused on consequences, not mechanisms.
  • Animal models often use hyperthermic environments for eFS studies.

Purpose of the Study:

  • To investigate the underlying mechanisms of experimental febrile seizures (eFS).
  • To explore the role of respiratory changes and acid-base balance in eFS.
  • To identify potential novel genetic factors and therapeutic targets for FS.

Main Methods:

  • Utilized animal models (rat and mice pups) in hyperthermic conditions.
  • Monitored physiological parameters, including respiration rate.
  • Analyzed the impact of respiratory alkalosis on brain function and neuronal excitability.

Main Results:

  • A significant increase in respiration rate precedes eFS.
  • Respiratory alkalosis was identified as a direct cause of eFS by increasing neuronal excitability.
  • Brain pH emerges as a critical factor in FS etiology.

Conclusions:

  • The study proposes a novel mechanism for eFS involving respiratory alkalosis.
  • Findings suggest that factors influencing CO(2) chemosensitivity and acid-base regulation are crucial.
  • Novel susceptibility genes related to pH-sensitive proteins and pH regulation are implicated in FS.

Related Concept Videos

Types of Fever01:25

Types of Fever

Fever can be triggered by several factors, including infections, nervous system disorders, certain cancers, blood diseases like leukemia, embolism, thrombosis, heatstroke, dehydration, surgical trauma, crushing injuries, and allergic reactions.
Here are the different types of fever:
Epilepsy and Seizures: Overview01:24

Epilepsy and Seizures: Overview

Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Increased Body Temperature01:25

Increased Body Temperature

A body temperature above  38°C  (100.4 °F) is known as fever or pyrexia, and a person with fever is termed 'febrile.' Typically, the hypothalamus, a part of the brain that acts as the body's thermostat, regulates body temperature through a thermoregulatory setpoint. It receives signals from cold and warm thermal receptors throughout the body and adjusts the body's temperature accordingly. Fever occurs when this hypothalamic setpoint is altered, usually in response to an infection or illness.
Encephalitis ll: Pathophysiology01:26

Encephalitis ll: Pathophysiology

Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
Epilepsy ll: Types01:22

Epilepsy ll: Types

Recurrent seizures, stemming from abnormal electrical activity in the brain, are the defining characteristic of epilepsy, a chronic neurological condition. Because seizure features vary greatly, epilepsy is classified using two systems: by seizure type and by epilepsy syndromes. These classifications enable clinicians to describe seizure patterns and select suitable treatment strategies.I. Classification by Seizure Type1. Focal EpilepsyFocal epilepsy begins in one hemisphere of the brain.
Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...