Bour L J, Aramideh M, de Visser B W
Department of Neurology, Academic Medical Centre, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
J Neurophysiol. 2000 Jan;83(1):166-76. doi: 10.1152/jn.2000.83.1.166.
The neural relationships between eyelid movements and eye movements during spontaneous, voluntary, and reflex blinking in a group of healthy subjects were examined. Electromyographic (EMG) recording of the orbicularis oculi (OO) muscles was performed using surface electrodes. Concurrently, horizontal and vertical eye positions were recorded by means of the double magnetic induction (DMI) ring method. In addition, movement of the upper eyelid was measured by a specially designed search coil, placed on the upper eyelid. The reflex blink was elicited electrically by supraorbital nerve stimulation either on the right or the left side. It is found that disconjugate oblique eye movements accompany spontaneous, voluntary as well as reflex blinking. Depending on the gaze position before blinking, the amplitude of horizontal and vertical components of the eye movement during blinking varies in a systematic way. With adduction and downward gaze the amplitude is minimal. With abduction the horizontal amplitude increases, whereas with upward gaze the vertical amplitude increases. Unilateral electrical supraorbital nerve stimulation at low currents elicits eye movements with a bilateral late component. At stimulus intensities approximately two to three times above the threshold, the early ipsilateral blink reflex response (R(1)) in the OO muscle can be observed together with an early ipsilateral eye movement component at a latency of approximately 15 ms. In addition, during the electrical blink reflex, early ipsilateral and late bilateral components can also be identified in the upper eyelid movement. In contrast to the late bilateral component of upper eyelid movement, the early ipsilateral component of upper eyelid movement appears to open the eye to a greater degree. This early ipsilateral component of upper eyelid movement occurs more or less simultaneously with the early eye movement component. It is suggested that both early ipsilateral movements following electrical stimulation do not have a central neural origin. Late components of the eye movements slightly precede the late components of the eyelid movement. Synchrony between late components of eyelid movements and eye movements as well as similarity of oblique eye movement components in different types of blinking suggest the existence of a premotor neural structure acting as a generator that coordinates impulses to different subnuclei of the oculomotor nucleus as well as the facial nerve nucleus during blinking independent from the ocular saccadic and/or vergence system. The profile and direction of the eye movement rotation during blinking gives support to the idea that it may be secondary to eyeball retraction; an extra cocontraction of the inferior and superior rectus muscle would be sufficient to explain both eye retraction and rotation in the horizontal vertical and torsional planes.
研究了一组健康受试者在自发、自主和反射性眨眼过程中眼睑运动与眼球运动之间的神经关系。使用表面电极对眼轮匝肌(OO)进行肌电图(EMG)记录。同时,通过双磁感应(DMI)环法记录水平和垂直眼球位置。此外,通过放置在上眼睑上的特制搜索线圈测量上眼睑的运动。通过刺激右侧或左侧眶上神经以电方式诱发反射性眨眼。研究发现,非共轭斜向眼球运动伴随自发、自主以及反射性眨眼。根据眨眼前的注视位置,眨眼期间眼球运动的水平和垂直分量的幅度会以系统的方式变化。在内收和向下注视时幅度最小。外展时水平幅度增加,向上注视时垂直幅度增加。低电流单侧眶上神经电刺激会引发具有双侧晚期成分的眼球运动。在刺激强度约为阈值的两到三倍时,可观察到OO肌中的早期同侧眨眼反射反应(R(1))以及潜伏期约为15毫秒的早期同侧眼球运动成分。此外,在电眨眼反射期间,上眼睑运动中也可识别出早期同侧和晚期双侧成分。与上眼睑运动的晚期双侧成分不同,上眼睑运动的早期同侧成分似乎能更大程度地睁开眼睛。上眼睑运动的这种早期同侧成分与早期眼球运动成分大致同时出现。有人提出,电刺激后的这两种早期同侧运动并非起源于中枢神经。眼球运动的晚期成分略早于眼睑运动的晚期成分。眼睑运动和眼球运动晚期成分之间的同步性以及不同类型眨眼时斜向眼球运动成分的相似性表明,存在一个运动前神经结构作为发生器,在眨眼期间独立于眼球扫视和/或聚散系统,协调向动眼神经核以及面神经核不同亚核的冲动。眨眼期间眼球运动旋转的轮廓和方向支持了这样一种观点,即它可能是眼球后缩的继发结果;眼直肌下直肌和上直肌的额外共同收缩足以解释眼球在水平、垂直和扭转平面的后缩和旋转。
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