Department Neurology, Emory University School of Medicine, Atlanta, GA 30322, USA.
Parkinsonism Relat Disord. 2009 Dec;15 Suppl 3(0 3):S237-40. doi: 10.1016/S1353-8020(09)70822-3.
Circuit models of basal ganglia function and dysfunction have undergone significant changes over time. The previous view that the basal ganglia are centers in which massive convergence of cortical information occurred has now been replaced by a view in which these structures process information in a highly specific manner, participating in anatomical and functional modules that also involve cortex and thalamus. In addition, much has been learned about the intrinsic connections of the basal ganglia. While the basal ganglia-thalamocortical circuitry was originally seen almost exclusively in its relationship to the control of movement, these structures are now viewed as essential for higher level behavioral control, for instance in the regulation of habit learning or action selection. Probably the greatest benefit of these models has been that they have motivated a wealth of studies of the pathophysiology of movement disorders of basal ganglia origin, such as Parkinson's disease. Such studies, in turn, have helped to reshape the existing circuit models. In this paper we review these fascinating changes of our appreciation of the basal ganglia circuitry, and comment on the current state of our knowledge in this field.
基底神经节功能和障碍的电路模型随着时间的推移发生了重大变化。以前认为基底神经节是皮质信息大量汇聚的中心,现在的观点是这些结构以高度特异的方式处理信息,参与涉及皮质和丘脑的解剖和功能模块。此外,人们对基底神经节的内在连接有了更多的了解。虽然基底神经节-丘脑皮质回路最初几乎完全被视为与运动控制的关系,但现在这些结构被视为高级行为控制的关键,例如在习惯学习或动作选择的调节中。这些模型的最大好处可能是它们激发了大量对基底神经节起源的运动障碍的病理生理学的研究,如帕金森病。反过来,这些研究有助于重塑现有的电路模型。本文综述了我们对基底神经节电路的认识的这些迷人变化,并对该领域目前的知识状况进行了评论。