Segawa Masaya
Segawa Neurological Clinic for Children, 2-8 Surugadai Kanda, Chiyoda-ku, Tokyo 101-0062, Japan.
Brain Nerve. 2008 Sep;60(9):1009-16.
Intellect, emotion and intentions, the major components of the human mentality, are neurologically correlated to memory and sensorimotor integration, the neuronal system consisting of the amygdale and hypothalamus, and motivation and learning, respectively. Development of these neuronal processes was evaluated by correlating the pathophysiologies of idiopathic developmental neuropsychiatric disorders and developmental courses of sleep parameters, sleep-wake rhythm (SWR), and locomotion. The memory system and sensory pathways develop by the 9th gestational months. Habituation or dorsal bundle extinction (DBE) develop after the 34th gestational week. In the first 4 months after birth, DBE is consolidated and fine tuning of the primary sensory cortex and its neuronal connection to the unimodal sensory association area along with functional lateralization of the cortex are accomplished. After 4 months, restriction of atonia in the REM stage enables the integrative function of the brain and induces synaptogenesis of the cortex around 6 months and locomotion in late infancy by activating the dopaminergic (DA) neurons induces synaptogenesis of the frontal cortex. Locomotion in early infancy involves functional specialization of the cortex and in childhood with development of biphasic SWR activation of the areas of the prefrontal cortex. Development of emotions reflects in the development of personal communication and the arousal function of the hypothalamus. The former is shown in the mother-child relationship in the first 4 months, in communication with adults and playmates in late infancy to early childhood, and in development of social relationships with sympathy by the early school age with functional maturation of the orbitofrontal cortex. The latter is demonstrated in the secretion of melatonin during night time by 4 months, in the circadian rhythm of body temperature by 8 months, and in the secretion of the growth hormone by 4-5 years with synchronization to the SWR modulated by the brainstem aminergic neurons. For this purpose, nursing according to the day-night light-dark cycle is essential right from early infancy. The deep cerebellar nuclei involved in learning develop by the 9th gestational month. The DA neurons activated in late infancy modulate the nuclei of the basal ganglia and the association cortex for learning. Motivation starts with activation of the PPN in infancy by crawling which makes DA neurons as the lead. In late childhood, DA neurons along with 5HT neurons activate the anterior cingulate area and establish the neuronal process for learning with motivation.
智力、情感和意图是人类心理的主要组成部分,在神经学上分别与记忆和感觉运动整合(由杏仁核和下丘脑组成的神经元系统)以及动机和学习相关联。通过将特发性发育性神经精神障碍的病理生理学与睡眠参数、睡眠-觉醒节律(SWR)和运动的发育过程相关联,来评估这些神经元过程的发展。记忆系统和感觉通路在妊娠第9个月时发育。习惯化或背束消退(DBE)在妊娠第34周后出现。在出生后的前4个月,DBE得到巩固,初级感觉皮层及其与单峰感觉联合区的神经元连接得到微调,同时皮层的功能侧化也得以完成。4个月后,快速眼动(REM)阶段肌张力缺失的限制使大脑的整合功能得以实现,并在6个月左右诱导皮层的突触形成,而婴儿后期的运动则通过激活多巴胺能(DA)神经元诱导额叶皮层的突触形成。婴儿早期的运动涉及皮层的功能特化,而在儿童期,随着前额叶皮层区域双相SWR激活的发展而发展。情感的发展反映在人际交流的发展和下丘脑的唤醒功能上。前者表现为出生后前4个月的母婴关系、婴儿后期至幼儿期与成人及玩伴的交流,以及学龄早期随着眶额皮层功能成熟而出现的具有同情心的社会关系的发展。后者表现为4个月时夜间褪黑素的分泌、8个月时体温的昼夜节律,以及4至5岁时生长激素的分泌与由脑干胺能神经元调节的SWR同步。为此,从婴儿早期开始就必须根据昼夜明暗周期进行护理。参与学习的小脑深部核团在妊娠第9个月时发育。婴儿后期激活的DA神经元调节基底神经节的核团和联合皮层以进行学习。动机始于婴儿期通过爬行激活脑桥被盖核,这使得DA神经元起主导作用。在儿童后期,DA神经元与5-羟色胺(5HT)神经元一起激活前扣带回区域,并建立起带有动机的学习神经元过程。