Sobell Department of Motor Neuroscience &Movement Disorders, University College London Institute of Neurology and The National Hospital for Neurology and Neurosurgery, London WC1N 3BG, UK.
Centro Integral de Neurociencias AC (CINAC), HM Puerta del Sur, Hospitales de Madrid Mostoles, 28938 Madrid, Spain.
Nat Rev Neurosci. 2015 Dec;16(12):719-32. doi: 10.1038/nrn4038. Epub 2015 Nov 4.
Classically, the basal ganglia have been considered to have a role in producing habitual and goal-directed behaviours. In this article, we review recent evidence that expands this role, indicating that the basal ganglia are also involved in neural and behavioural inhibition in the motor and non-motor domains. We then distinguish between goal-directed and habitual (also known as automatic) inhibition mediated by fronto-striato-subthalamic-pallido-thalamo-cortical networks. We also suggest that imbalance between goal-directed and habitual action and inhibition contributes to some manifestations of Parkinson's disease, Tourette syndrome and obsessive-compulsive disorder. Finally, we propose that basal ganglia surgery improves these disorders by restoring a functional balance between facilitation and inhibition.
经典理论认为基底神经节在产生习惯性和目标导向行为方面发挥作用。本文综述了近期的证据,这些证据表明基底神经节在运动和非运动领域的神经和行为抑制中也发挥作用。然后,我们区分了由额纹状体-丘脑底核-苍白球-丘脑-皮质网络介导的目标导向和习惯性(也称为自动)抑制。我们还提出,目标导向和习惯性动作及抑制之间的失衡可能导致帕金森病、图雷特综合征和强迫症的一些表现。最后,我们提出基底神经节手术通过恢复促进和抑制之间的功能平衡来改善这些疾病。