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[中枢神经系统病变患者的反复抑制]

[Recurrent inhibition in patients with lesions of the central nervous system].

作者信息

Liubchinskiĭ E B, Person R S, Pantseva R E

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(12):7-11.

PMID:2633573
Abstract

Recurrent inhibition was studied by antidromic stimulation of Renshaw's cells. 25 normal subjects and 74 patients with CNS lesions accompanied by movement disturbances were examined. During weak voluntary contraction of the soleus muscle, the stimuli were applied to motor fibers of the n. tibialis (weak M-response was evoked). In normal subjects, the stimulation was followed by short-latency suppression of the EMG background activity of the muscle brought about by recurrent inhibition. The same inhibition was revealed in patients with spastic paresis caused by pyramidal system lesion. However, the stimulation failed to evoke the recurrent inhibition in patients with movement disturbances caused by brain stem and cerebellum lesions, including patients with hypotonia.

摘要

通过对闰绍细胞的逆向刺激来研究返回抑制。对25名正常受试者和74名伴有运动障碍的中枢神经系统病变患者进行了检查。在比目鱼肌轻度随意收缩期间,将刺激施加于胫神经的运动纤维(诱发微弱的M反应)。在正常受试者中,刺激后会出现由返回抑制引起的肌肉肌电图背景活动的短潜伏期抑制。在由锥体系统病变引起的痉挛性轻瘫患者中也发现了同样的抑制现象。然而,在由脑干和小脑病变引起运动障碍的患者中,包括张力减退患者,刺激未能诱发返回抑制。

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