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延髓中线病变对速度贮存和前庭眼反射的影响。

Effects of midline medullary lesions on velocity storage and the vestibulo-ocular reflex.

作者信息

Katz E, Vianney de Jong J M, Buettner-Ennever J, Cohen B

机构信息

Department of Neurology, Mount Sinai School of Medicine, New York, NY 10029.

出版信息

Exp Brain Res. 1991;87(3):505-20. doi: 10.1007/BF00227076.

Abstract
  1. Crossing fibers were sectioned at the midline of the medulla caudal to the abducens nucleus in four cynomolgus monkeys. In two animals the lesions caused the time constant of horizontal and vertical per- and post-rotatory nystagmus to fall to 5-8 s. The slow rise in optokinetic nystagmus (OKN), as well as optokinetic after-nystagmus (OKAN) and cross-coupling of horizontal to vertical OKN and OKAN were abolished. Steady state velocities could not be maintained during off-vertical axis rotation (OVAR). Pitch and yaw nystagmus were affected similarly. We conclude that the ability to store activity related to slow phase eye velocity, i.e., "velocity storage", was lost in these monkeys for nystagmus about any axis. Velocity storage was partially affected by a small midline lesion in the same region in a third animal. There was no effect of a more superficial midline section in a fourth monkey, and it served as a control. 2. The gain (eye velocity/head velocity) of the vestibulo-ocular reflex (VOR) was unaffected by the midline lesions. Saccades were normal, as was the ability to hold the eyes in eccentric gaze positions. The gain of the fast component of OKN increased in one monkey to compensate for the loss of the slow component. 3. One animal was tested for its ability to adapt the gain of the VOR due to visual-vestibular mismatch after lesion. Average changes in gain in response to wearing magnifying (2.2x) and reducing (0.5x) lenses, were +35% and -30%, respectively. This is within the range of normal monkeys. Thus, a midline lesion that abolished velocity storage did not alter that animal's ability to adapt the gain of the VOR. 4. Lesions that reduced or abolished velocity storage interrupted crossing fibers in the rostral medulla, caudal to the abducens nuclei. Cells that contributed axons to this portion of the crossing fibers are most likely located in central portions of the medial vestibular nucleus (MVN) and/or in rostral portion of the descending vestibular nucleus (DVN). The implication is that velocity storage arises from neurons in MVN and DVN whose axons cross the midline.
摘要
  1. 在4只食蟹猴中,于展神经核尾侧的延髓中线处切断交叉纤维。在2只动物中,损伤导致水平和垂直旋转前后眼震的时间常数降至5 - 8秒。视动性眼震(OKN)的缓慢上升以及视动后眼震(OKAN),以及水平OKN与垂直OKN和OKAN之间的交叉耦合均被消除。在非垂直轴旋转(OVAR)期间无法维持稳态速度。俯仰和偏航眼震受到类似影响。我们得出结论,在这些猴子中,对于任何轴的眼震,与慢相眼速度相关的活动存储能力,即“速度存储”丧失。在第三只动物的同一区域,一个小的中线损伤部分影响了速度存储。第四只猴子的更浅表中线切断没有影响,它作为对照。2. 前庭眼反射(VOR)的增益(眼速度/头速度)不受中线损伤影响。扫视正常,将眼睛保持在偏心注视位置的能力也正常。在一只猴子中,OKN快相的增益增加以补偿慢相的损失。3. 对一只动物进行测试,观察其在损伤后因视觉 - 前庭不匹配而调整VOR增益的能力。佩戴放大(2.2倍)和缩小(0.5倍)镜片时,增益的平均变化分别为 +35% 和 -30%。这在正常猴子的范围内。因此,消除速度存储的中线损伤并未改变该动物调整VOR增益的能力。4. 减少或消除速度存储的损伤中断了展神经核尾侧延髓头端的交叉纤维。为交叉纤维的这一部分贡献轴突的细胞最有可能位于内侧前庭核(MVN)的中央部分和/或下行前庭核(DVN)的头端部分。这意味着速度存储源于MVN和DVN中轴突交叉中线的神经元。

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