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Cited by 476

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Adenosine: A potential mediator of seizure arrest and postictal refractoriness

During, Matthew J., Spencer, Dennis D.·1992·Annals of Neurology

Abstract

Adenosine is a potent inhibitory neuromodulator and has been proposed as an endogenous anticonvulsant. Depth electrodes modified to include a microdialysis probe were implanted for 10 to 16 days in the hippocampi of 4 patients with intractable complex partial epilepsy to test the hypothesis that during seizures extracellular adenosine reaches levels that may depress epileptiform activity. Samples were collected bilaterally at 3‐minute intervals before, during, and after a single, spontaneous‐onset seizure in each patient. All seizures commenced in one hippocampus and propagated to the contralateral hippocampus. Extracellular adenosine levels increased by 6‐ to 31‐fold with the increase significantly greater in the epileptogenic hippocampus. During seizures, levels of adenosine in the dialysate reached concentrations as high as 2.5 μM, reflecting extracellular concentrations of approximately 65 μM. Adenosine at concentrations of 40 to 50 μM depresses epileptiform activity in vitro, so the levels we report may suppress seizure activity in vivo. Moreover, adenosine levels remain elevated above basal values for the entire 18‐minute postical period. These data support the role of adenosine in mediating seizure arrest and postictal refractoriness and suggest that treatments which facilitate adenosine may be effective in preventing seizures.

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Metadata

Authors
During, M. J., & Spencer, D. D.
Venue
Annals of Neurology
Publisher
Wiley
Published
1992-11
Volume
32
Issue
5
Pages
618-624
ISSN
  • 0364-5134 (ISSN-L)
  • 1531-8249
OpenAlex
W2033456548
Cited by
476
References
30
FWCI
8.53
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Adenosine: A potential mediator of seizure arrest and postictal refractoriness. https://app.cochat.ai/papers/10.1002/ana.410320504
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During, M. J., & Spencer, D. D. (1992). Adenosine: A potential mediator of seizure arrest and postictal refractoriness. Annals of Neurology. https://doi.org/10.1002/ana.410320504

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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