We recently reported that early undernourishment and seizures to the rat brain resulted in morphological changes and progressive learning and memory disability, which started at around 6 week later and is representative of human adolescence. The purpose of the present study was to examine whether enriched environmental can recovery this slowly progressing deficits in early undernourished and in two different models for seizures. Undernourished groups were maintained on a nutritional deprivation regimen from post-natal day 2 (P2) to P15. From P8 to P10, recurrent seizures (RS) groups were exposed to three seizures per day, while status epilepticus (SE) groups experienced status epilepticus at P16, both induced by flurothyl. Next, animals were exposed to enriched environment between P30 and P60. Beginning at P61, all groups were trained and tested in the Morris water maze (MWM). Enriched environment led to a significant benefit in learning and retention of visual-spatial memory, being able to reverse the cognitive impairment generated by undernourishment and SE.
INTRODUÇÃO: A desnutrição e epilepsia são problemas prevalentes em países em desenvolvimento, principalmente na faixa etária pediátrica. OBJETIVOS: Tendo em vista o impacto que insultos como as crises convulsivas e a desnutrição geram no sistema nervoso central (SNC) de crianças, nosso estudo visa revisar a literatura atual sobre a relação entre desnutrição precoce e epilepsia em estudos clínicos e experimentais em ratos. METODOLOGIA: Revisão de literatura em revistas indexadas no Medline, no período de janeiro de 2000 até dezembro de 2008. RESULTADOS: Foram utilizados os unitermos epilepsy e malnutrition para a busca, sendo encontrados 1044 artigos, dos quais 56 foram selecionados para esta revisão. Procuramos resumir os principais achados referentes às alterações influenciadas pelas crises convulsivas e desnutrição no desenvolvimento do SNC. CONCLUSÕES: A análise desses artigos indicou que a desnutrição precoce acarreta déficit neuronal, com alterações cognitivas e modificações no desenvolvimento e crescimento em modelos experimentais, podendo haver maior suscetibilidade a crises convulsivas. Aparentemente, a desnutrição não é uma causa direta de epilepsia, mas pode diminuir o limiar para as crises epiléticas, havendo um efeito aditivo entre ambas.
Infants of depressed and/or anxious mothers have increased risk for several adverse outcomes across the lifespan. Further neurobehavioral investigations and the promotion of clinical and developmental research integration might eventually contribute to refining screening tools, improving treatment, and enabling primary prevention interventions for children at risk.
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