Schmahmann Jeremy D, Rosene Douglas L, Pandya Deepak N
Department of Neurology VBK 915, Massachusetts General Hospital and Harvard Medical School, Fruit Street, Boston, Massachusetts 02114, USA.
J Comp Neurol. 2004 Oct 18;478(3):248-68. doi: 10.1002/cne.20286.
Motor corticopontine studies suggest that the pons is topographically organized, but details remain unresolved. We used physiological mapping in rhesus monkey to define subregions in precentral motor cortex (M1), injected isotope tracers into M1 and the supplementary motor area (SMA), and studied projections to the basis pontis. Labeled fibers descend in the internal capsule (SMA in anterior limb and genu; M1 in posterior limb) and traverse the midsection of the cerebral peduncle, where SMA fibers are medial, and face, arm, and leg fibers are progressively lateral. Each motor region has unique terminations in the ipsilateral basis pontis and nucleus reticularis tegmenti pontis. Projections are topographically organized, preferentially in the caudal half of the pons, situated in close proximity to traversing corticofugal fibers. In nuclei that receive multiple inputs, terminations appear to interdigitate. Projections from the SMA-face region are most medial and include the median pontine nucleus. M1-face projections are also medial but are lateral to those from SMA-face. Hand projections are in medially placed curved lamellae in mid- and caudal pons. Dorsal trunk projections are in medial and ventral locations. Ventral trunk/hip projections encircle the peduncle in the caudal pons. Foot projections are heaviest caudally in laterally placed, curved lamellae. These results have relevance for anatomical clinical correlations in the human basis pontis. Furthermore, the dichotomy of motor-predominant caudal pons projections to cerebellar anterior lobe, contrasted with associative-predominant rostral pons projections to cerebellar posterior lobe, is consistent with new hypotheses regarding the cerebellar contribution to motor activity and cognitive processing.
运动皮质脑桥研究表明脑桥存在拓扑组织,但细节仍未明确。我们在恒河猴中使用生理图谱来定义中央前运动皮层(M1)的亚区域,将同位素示踪剂注入M1和辅助运动区(SMA),并研究其向脑桥基底部的投射。标记纤维沿内囊下行(SMA纤维在前肢和膝部;M1纤维在后肢),穿过大脑脚中部,其中SMA纤维在内侧,而面部、手臂和腿部纤维逐渐向外。每个运动区域在同侧脑桥基底部和脑桥被盖网状核中有独特的终末。投射具有拓扑组织,优先分布在脑桥的后半部,紧邻横行的皮质传出纤维。在接受多种输入的核团中,终末似乎相互交错。来自SMA面部区域的投射最靠内侧,包括脑桥正中核。M1面部投射也在内侧,但位于SMA面部投射的外侧。手部投射位于脑桥中、后部内侧的弯曲薄片中。背部躯干投射位于内侧和腹侧位置。腹侧躯干/髋部投射在脑桥尾部环绕大脑脚。足部投射在脑桥尾部外侧弯曲薄片中最为密集。这些结果与人类脑桥基底部的解剖临床相关性有关。此外,脑桥尾部以运动为主的投射至小脑前叶,与脑桥头部以联合为主的投射至小脑后叶形成二分法,这与关于小脑对运动活动和认知加工贡献的新假说一致。