Morecraft Robert J, McNeal David W, Stilwell-Morecraft Kimberly S, Dvanajscak Zeljko, Ge Jizhi, Schneider Preston
Division of Basic Biomedical Sciences, Laboratory of Neurological Sciences, The University of South Dakota, Sanford School of Medicine, Vermillion, South Dakota 57069, USA.
J Comp Neurol. 2007 Sep 10;504(2):149-67. doi: 10.1002/cne.21438.
Motor deficit severity and the potential for recovery in patients with brain injury depend on the integrity of descending corticofugal projections. Clinical assessment of these conditions following subtotal brain trauma requires a comprehensive understanding of the anatomical structures involved in the lesion as well as those structures that are spared. To assist in this endeavor, we investigated motor fiber organization in the crus cerebri of the cerebral peduncle (ccCP) in the rhesus monkey. Fibers originating from the arm representations of the primary (M1), supplementary (M2), rostral cingulate (M3), caudal cingulate (M4), dorsolateral pre- (LPMCd) and ventrolateral pre- (LPMCv) motor cortices were studied. The projections from the frontal and cingulate motor cortices formed descending longitudinal bundles that occupied the medial three-fifths of the ccCP at superior and middle levels. Although considerable overlap characterized these corticofugal projections, a general topography was discernable. Fibers from M1 and M4 occupied the central subsector of the ccCP, and fibers from M3 resided medially. The main distribution of LPMCd, LPMCv, and M2 fibers occupied the centromedial region and overlapped extensively. Progressing inferiorly, all fiber bundles in the central and centromedial sectors gradually extended medially, and overlap increased. A common location of fiber passage occurred at the midbrain-pontine isthmus where all of the fiber bundles overlapped. Our findings indicate that the widespread distribution of corticofugal motor projections may account for the favorable levels of motor recovery that accompany subtotal midbrain injury. At superior and mid-levels of the ccCP anteromedial lesions may disrupt projections from M3, whereas anterolateral lesions may disrupt projections from M1 and M4. Fibers from M2, LPMCv, and LPMCd may be compromised to some degree in both situations. The compact and commixed nature of motor fiber organization at inferior levels and the midbrain-pontine isthmus suggests a vulnerable region of passage for comprehensive disruption of frontal and cingulate corticofugal projection fibers.
脑损伤患者运动功能缺损的严重程度及恢复潜力取决于皮质下行投射纤维的完整性。对部分脑外伤后这些情况进行临床评估,需要全面了解损伤涉及的解剖结构以及未受损伤的结构。为助力此项工作,我们研究了恒河猴大脑脚脑桥部(ccCP)的运动纤维组织。研究了源自初级运动皮层(M1)、辅助运动皮层(M2)、吻侧扣带运动区(M3)、尾侧扣带运动区(M4)、背外侧运动前区(LPMCd)和腹外侧运动前区(LPMCv)的手臂代表区的纤维。额叶和扣带运动皮层的投射形成下行纵向束,在上部和中部占据ccCP内侧的五分之三。尽管这些皮质下行投射存在相当大的重叠,但仍可辨别出大致的拓扑结构。来自M1和M4的纤维占据ccCP的中央子区域,来自M3的纤维位于内侧。LPMCd、LPMCv和M2纤维的主要分布占据中央内侧区域且广泛重叠。向下延伸时,中央和中央内侧区域的所有纤维束逐渐向内侧延伸,重叠增加。纤维通过的共同位置出现在中脑脑桥峡部,所有纤维束在此重叠。我们的研究结果表明,皮质下行运动投射的广泛分布可能是部分中脑损伤后运动恢复良好的原因。在ccCP的上部和中部水平,前内侧损伤可能会破坏来自M3的投射,而前外侧损伤可能会破坏来自M1和M4的投射。在这两种情况下,来自M2、LPMCv和LPMCd的纤维可能会在一定程度上受到影响。下部水平和中脑脑桥峡部运动纤维组织紧密且混合的性质表明,这是额叶和扣带皮质下行投射纤维全面中断的一个易损通道区域。