Alstermark B, Isa T, Lundberg A, Pettersson L G, Tantisira B
Department of Physiology, University of Göteborg, Sweden.
Neurosci Res. 1989 Oct;7(1):71-5. doi: 10.1016/0168-0102(89)90038-2.
Complete transection of the pyramid just rostral to the crossing gave defects in forelimb target-reaching and food-taking tested with retrieval of food from a cylinder. The most marked symptoms were dysmetria, dyscoordination of movement and almost total loss of the food-taking movement. Gradual recovery occurred, but even after 3-4 months the food-taking movement was deficient. The symptoms were less severe than those previously found after a high pyramidotomy but much more pronounced than those observed after complete transection of the corticospinal tract in the spinal cord. The motor defects after a low pyramidotomy closely resemble those found after a high dorsal column transection. It is tentatively proposed that the motor defects after low pyramidotomy are largely due to transection of corticocuneate fibers which regulate the feedback pathway from forelimb afferents to the motor cortex.
在交叉前方刚好对锥体进行完全横断,会导致前肢目标抓取和从圆柱体中获取食物测试时出现缺陷。最明显的症状是辨距不良、运动不协调以及几乎完全丧失取食动作。症状逐渐恢复,但即使在3 - 4个月后,取食动作仍有缺陷。这些症状比之前高位锥体切断术后发现的症状要轻,但比脊髓皮质脊髓束完全横断后观察到的症状明显得多。低位锥体切断术后的运动缺陷与高位背柱横断后发现的缺陷非常相似。初步推测,低位锥体切断术后的运动缺陷很大程度上是由于调节从前肢传入神经到运动皮层反馈通路的皮质楔束纤维被横断所致。