Department of Anatomy, Histology and Embryology, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary.
Brain Res Bull. 2012 Oct 1;89(1-2):41-9. doi: 10.1016/j.brainresbull.2012.06.005. Epub 2012 Jun 23.
The spinal dorsal horn is regarded as a unit that executes the function of sensory information processing without any significant communication with other regions of the spinal gray matter. Within the spinal dorsal horn, however, the different rostro-caudal and medio-lateral subdivisions intensively communicate with each other through propriospinal pathways. This review gives an overview about these propriospinal systems, and emphasizes that the medial and lateral parts of the spinal dorsal horn show the following distinct features in their propriospinal interconnectivities: (a) A 100-300μm long section of the medial aspects of laminae I-IV projects to and receives afferent fibers from a three segment long compartment of the spinal dorsal gray matter, whereas the same length of the lateral aspects of laminae I-IV projects to and receives afferent fibers from the entire rostro-caudal extent of the lumbar spinal cord. (b) The medial aspects of laminae I-IV project extensively to the lateral areas of the dorsal horn. In contrast to this, the lateral areas of laminae I-IV, with the exception of a few fibers at the segmental level, do not project back to the medial territories. (c) There is a substantial direct commissural connection between the lateral aspects of laminae I-IV on the two sides of the lumbar spinal cord. The medial part of laminae I-IV, however, establishes only a minor commissural propriospinal connection with the gray matter on the opposite side.
脊髓背角被认为是一个执行感觉信息处理功能的单位,与脊髓灰质的其他区域没有明显的通信。然而,在脊髓背角内,不同的头尾部和中间侧部分通过中间神经元途径进行密集的相互通信。这篇综述概述了这些中间神经元系统,并强调脊髓背角的中间和侧部分在其中间神经元相互连接性方面表现出以下明显特征:(a)I-IV 层的内侧部分的 100-300μm 长的节段投射到并接收来自脊髓背灰质三个节段长的腔室的传入纤维,而同一长度的 I-IV 层的外侧部分投射到并接收来自整个腰骶脊髓的传入纤维。(b)I-IV 层的内侧部分广泛投射到背角的外侧区域。与此相反,I-IV 层的外侧部分除了在节段水平有少量纤维外,不会向后投射到内侧区域。(c)在腰骶脊髓的两侧,I-IV 层的外侧部分之间存在实质性的直接连合性中间神经元连接。然而,I-IV 层的内侧部分仅与对侧灰质建立较小的连合性中间神经元连接。