Positive clinical symptoms can arise from ectopic action potentials in
several disorders of myelinated axons. Here we report that an elevate
d K+ concentration in the periaxonal, internodal space can cause inter
nodal K+ currents to become excitatory, resulting in slow potential os
cillations and associated bursts of ectopic spikes. Ectopic firing may
therefore be favoured by conditions in which periaxonal K+ buffering
is compromised.