Loewy A D
Department of Anatomy and Neurobiology, Washington University School of Medicine, St. Louis, MO 63110.
Prog Brain Res. 1991;87:253-68. doi: 10.1016/s0079-6123(08)63055-1.
Several key regions of the forebrain are involved in regulation of autonomic functions. These areas include the several areas within the hypothalamus (viz., paraventricular hypothalamic nucleus, lateral hypothalamic area, posterior periventricular area, and zona incerta), the basal forebrain (viz., central nucleus of the amygdala and bed nucleus of the stria terminalis), and the cerebral cortex (viz., insular and medial prefrontal cortex). All these areas have been implicated on anatomical grounds to be part of a central autonomic network involving multiple interconnecting circuits. Apart from these complex interconnections, most of these areas project to the lower brain stem where they are capable of influencing the cell groups which innervate the vagal and sympathetic preganglionic neurons or in some cases, like the paraventricular hypothalamic nucleus and the lateral hypothalamic area, provide direct projections to these neurons.
前脑的几个关键区域参与自主功能的调节。这些区域包括下丘脑内的几个区域(即室旁下丘脑核、外侧下丘脑区、室周后区和未定带)、基底前脑(即杏仁核中央核和终纹床核)以及大脑皮层(即岛叶和内侧前额叶皮层)。基于解剖学依据,所有这些区域都被认为是涉及多个相互连接回路的中枢自主神经网络的一部分。除了这些复杂的相互连接外,这些区域中的大多数都投射到脑干下部,在那里它们能够影响支配迷走神经和交感神经节前神经元的细胞群,或者在某些情况下,如下丘脑室旁核和外侧下丘脑区,直接投射到这些神经元。