Abstract

Experiments were conducted correlating neuronal activity, changes in ionic concentrations in the cerebral extracellular compartment, and neural damage during 4-h continuous electrical stimulations of the cat's sensorimotor cortex. Here we describe histologic evaluations with the light and electron microscope of cortical tissue subjected to charge-balanced, biphasic, constant-current pulses delivered through subdurally implanted electrodes. Three combinations of charge density and pulse repetition rate were used. The results indicated a positive correlation of neural damage with both charge density and total charge. With electrical stimulation of low charge density [20 μC/cm 2·ph, 50 pulses per second (pps)] a transient increase in [K+] 0 was observed with no histologically demonstrable neural damage. The most intense electrical stimulation studied (100 μC/cm 2·ph, 50 pps) resulted in a tonic increase and episodic fluctuations of [K+] 0 and a marked decrease in [Ca 2+] 0 accompanied by moderate neural damage in the form of shrunken neurons, widespread extracellular edema, and swollen axons and dendrites.

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