Hashimoto I, Yoshikawa K, Sasaki M, Gatayama T, Nomura M
Department of Neurosurgery, Tokyo Metropolitan Hospital of Fuchu, Tokyo, Japan.
Electroencephalogr Clin Neurophysiol. 1991 Apr;81(2):102-7. doi: 10.1016/0168-5597(91)90003-g.
Air-puff stimuli were delivered to 5 successive sites (3 cm increments) over the index finger and palm to record propagating sensory nerve action potentials (SNAPs) from surface electrodes over the median nerve at the wrist. SNAPs consisted of a series of individual peaks (N1, P1, P2, N2 and P3) and the corresponding peaks in the records with stimulation at the various locations could be identified. The apparent conduction velocity of the first peak determined from the stimulation point at the finger tip to the wrist was 38 m/sec. With stimulation of the more proximal locations it became even slower. This paradoxical slowing is due to an increasing effect in the calculation of conduction velocity of the utilization time at the receptors for air-puff stimulation at progressively proximal sites. Segmental conduction velocity estimated between adjacent stimulus sites was 10-20 m/sec faster than the distal conduction velocity between the finger tip and the wrist. Within each segment, the conduction velocities of the individual peaks were not significantly different. These findings, together with invariant durations of the negative components (N1 and N2) in the propagating SNAPs along the ascending digital nerves, lead to the conclusion that the separate peaks are not the result of temporal dispersion due to differences in conduction velocity of skin afferents, but are primarily due to a more peripheral receptor mechanism involving variable delays in activation of different classes of mechanoreceptors.
向食指和手掌上的5个连续部位(间隔3厘米)施加吹气刺激,以记录来自手腕正中神经表面电极的感觉神经动作电位(SNAPs)。SNAPs由一系列单个波峰(N1、P1、P2、N2和P3)组成,并且可以识别在不同位置刺激时记录中的相应波峰。从指尖刺激点到手腕确定的第一个波峰的表观传导速度为38米/秒。刺激更近端的位置时,传导速度变得更慢。这种反常的减慢是由于在计算传导速度时,在逐渐近端的部位,吹气刺激感受器的利用时间的影响增加。相邻刺激部位之间估计的节段传导速度比指尖与手腕之间的远端传导速度快10 - 20米/秒。在每个节段内,各个波峰的传导速度没有显著差异。这些发现,连同沿上行指神经传播的SNAPs中负性成分(N1和N2)的持续时间不变,得出结论:单独的波峰不是由于皮肤传入神经传导速度差异导致的时间离散的结果,而是主要由于更外周的感受器机制,涉及不同类别的机械感受器激活的可变延迟。