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顶叶病变后躯体感觉障碍。

Disorders in somesthesis following lesions of parietal lobe.

作者信息

LaMotte R H, Mountcastle V B

出版信息

J Neurophysiol. 1979 Mar;42(2):400-19. doi: 10.1152/jn.1979.42.2.400.

Abstract
  1. We determined the effects of lesions of the parietal lobe on the capacities of monkeys to detect and discriminate between mechanical sinusoids delivered to the hand. Tests of discrimination measured the capacity to discriminate between frequencies of flutter (24--36 Hz) and the capacity to make gross discriminations of frequency of flutter-vibration over the range of 10--50 Hz. 2. A unilateral removal of the parietal lobe impaired sensory capacities only on the contralateral hand; detection threshold was elevated, the capacity to discriminate between frequenceis of flutter was permanently lost, and the capacity to discriminate between and identify frequencies of 10--50 Hz was grossly impaired. No defects were found on the hand ipsilateral to the lesion. Detection thresholds, but not discrimination thresholds, decreased during postoperative testing, but in most cases did not recover to preoperative values. The impairments in frequency discrimination remained through the last day of postoperative testing. 3. A unilateral, subtotal parietal lesion that completely destroyed the primary and secondary somatic areas and Brodmann's area 5 resulted in the same sensory impairments as those produced by total removal of the parietal lobe. In most cases, detection threshold was elevated; flutter-frequency discrimination was lost, and the capacity to discriminate between frequencies of 10--50 Hz over the extended range of flutter and vibration was impaired. 4. The loss in discriminative capacity following lesions of the somatosensory cortex is interpreted as due to the absence of a cortical mechanism that determined differences in the temporal pattern of cyclically entrained activity in the somatic afferent pathway. This loss was dissociated from the remaining capacity, although impaired, to detect the presence of any neural activity in the afferent pathways or to determine gross differences in the frequency of mechanical sinusoids by a mechanism of coding by the labeled line.
摘要
  1. 我们确定了顶叶损伤对猴子检测和区分施加于手部的机械正弦波能力的影响。辨别测试测量了区分颤动频率(24 - 36赫兹)的能力以及在10 - 50赫兹范围内对颤动 - 振动频率进行大致辨别的能力。2. 单侧切除顶叶仅损害对侧手部的感觉能力;检测阈值升高,区分颤动频率的能力永久丧失,并且区分和识别10 - 50赫兹频率的能力严重受损。在损伤同侧的手部未发现缺陷。在术后测试期间检测阈值下降,但辨别阈值未下降,不过在大多数情况下检测阈值未恢复到术前值。频率辨别能力的损伤一直持续到术后测试的最后一天。3. 单侧次全顶叶损伤完全破坏了初级和次级躯体感觉区以及布罗德曼第5区,导致了与顶叶全切除所产生的相同感觉损伤。在大多数情况下,检测阈值升高;颤动频率辨别能力丧失,并且在更广泛的颤动和振动范围内区分10 - 50赫兹频率的能力受损。4. 体感皮层损伤后辨别能力的丧失被解释为是由于缺乏一种皮质机制,该机制决定了躯体传入通路中周期性夹带活动的时间模式差异。这种丧失与剩余的检测传入通路中任何神经活动的能力或通过标记线编码机制确定机械正弦波频率大致差异的能力相分离,尽管后者也受损。

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