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视束核在猴的视动性眼震和视动性后眼震中的作用:临床意义

Contribution of the nucleus of the optic tract to optokinetic nystagmus and optokinetic afternystagmus in the monkey: clinical implications.

作者信息

Cohen B, Schiff D, Buettner J

机构信息

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

出版信息

Res Publ Assoc Res Nerv Ment Dis. 1990;67:233-55.

PMID:2106153
Abstract
  1. The role of the pretectal NOT and the DTN in producing horizontal OKN and OKAN were studied using electrical stimulation and lesions. Positive stimulation sites lay in NOT, DTN, and in a fiber bundle in the pulvinar that is presumably a cortical input to NOT. 2. When the region of NOT was electrically stimulated in darkness, horizontal nystagmus was evoked with ipsilateral slow phases. Eye velocity rose slowly to a steady-state level and was followed by afternystagmus at the end of stimulation. The time constant of rise of stimulus-induced nystagmus was similar to the slow rise of slow-phase eye velocity during OKN. The saturation velocity of the induced nystagmus and the falling time constant of the stimulus afternystagmus were the same as those of OKAN. This suggests that electrical stimulation of NOT and DTN had elicited the slow component of OKN, i.e., that component produced by the velocity storage mechanism in the vestibular system. 3. Consistent with this postulate, activity induced by NOT stimulation could enhance, prolong, or block the slow component of OKN and OKAN depending on whether slow phases were to the same or opposite side. Stimulus-induced activity also interacted with vestibular nystagmus as would OKN and OKAN. 4. Unilateral lesions of NOT and DTN caused a loss of OKAN and the slow rise in OKN to the ipsilateral side. Steady-state velocities of OKN were reduced. The initial jump of OKN slow-phase velocity was the same or somewhat less after lesions but was not lost. 5. Partial lesions of a fiber bundle in the lateral pulvinar caused a transient change in OKN and OKAN, consistent with the idea that it carries activity for the slow component from the cortex to NOT. A lesion of the MRF, just rostral to the superior colliculus, caused a transient loss of the rapid component of OKN. This region appears to carry activity responsible for the initial jump in slow-phase velocity at the onset of stimulation. 6. We conclude that: (a) NOT and probably DTN lie in the indirect pathway that produces the slow component of horizontal OKN and OKAN to the ipsilateral side in the rhesus monkey. This pathway activates the velocity storage mechanism in the vestibular nuclei. (b) At the level of NOT, the pathway responsible for the slow component of OKN and OKAN is anatomically distinct from the pathway responsible for rapid changes in eye velocity at the onset of OKN.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 利用电刺激和损伤方法研究了顶盖前核(NOT)和中脑背侧被盖核(DTN)在产生水平视动性眼震(OKN)和视动性眼震后慢相(OKAN)中的作用。阳性刺激部位位于NOT、DTN以及丘脑枕中的一束纤维,推测该纤维束是NOT的皮质输入。2. 在黑暗中对NOT区域进行电刺激时,可诱发同侧慢相的水平眼震。眼速度缓慢上升至稳态水平,刺激结束时伴有眼震后效。刺激诱发眼震的上升时间常数与OKN期间慢相眼速度的缓慢上升相似。诱发眼震的饱和速度和刺激眼震后效的下降时间常数与OKAN相同。这表明对NOT和DTN的电刺激诱发了OKN的慢相成分,即前庭系统中速度存储机制产生的成分。3. 与该假设一致,NOT刺激诱发的活动可增强、延长或阻断OKN和OKAN的慢相成分,这取决于慢相是同侧还是对侧。刺激诱发的活动也与前庭眼震相互作用,如同OKN和OKAN一样。4. NOT和DTN的单侧损伤导致OKAN丧失以及OKN向同侧的慢相上升消失。OKN的稳态速度降低。损伤后OKN慢相速度的初始跃变相同或略有降低,但并未消失。5. 丘脑外侧枕中纤维束的部分损伤导致OKN和OKAN的短暂变化,这与该纤维束将慢相成分的活动从皮质传递至NOT的观点一致。上丘前方中脑网状结构(MRF)的损伤导致OKN快速成分的短暂丧失。该区域似乎传递着刺激开始时慢相速度初始跃变所涉及的活动。6. 我们得出以下结论:(a)在恒河猴中,NOT以及可能的DTN位于产生同侧水平OKN和OKAN慢相成分的间接通路中。该通路激活前庭核中的速度存储机制。(b)在NOT水平,负责OKN和OKAN慢相成分的通路在解剖学上与负责OKN开始时眼速度快速变化的通路不同。(摘要截选至400字)

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