Bhattacharyya Kalyan B
Department of Neurology, RG Kar Medical College and Hospital, Kolkata, West Bengal, India.
Ann Indian Acad Neurol. 2017 Jul-Sep;20(3):207-210. doi: 10.4103/aian.AIAN_487_16.
James Papez worked on the anatomical substrates of emotion and described a circuit, mainly composed of the hippocampus, thalamus and cingulum, and published his observations in 1937. However, such an idea existed before him, as evidenced by the rudimentary indications from Paul Broca, and Paul MacLean added some other structures like, septum, amygdala, and hypothalamus in its ambit and called it the limbic system. Paul Ivan Yakovlev, proposed a circuit which also referred to orbitofrontal, insular, anterior temporal lobe, and other nuclei of thalamus. Further works hinted at cerebellar projections into this system and the clinical picture of aggression, arousal and positive feeding responses with stimulation of cerebellar nuclei, attests its possible role. Finally, the work of Heinrich Klüver and Paul Bucy of the United States of America on ablating the temporal lobes and amygdala and the resultant behaviour of the animals, almost incontrovertibly adduced evidence for the operation of a neural circuitry in the genesis of emotion. Additionally, Papez circuit may also be concerned with memory and damage to its various components in Parkinson's disease, Alzheimer's disease, Korsakoff's syndrome, semantic dementia, and global amnesia, where cognitive disturbance is almost universal, lends credence to its putative role.
詹姆斯·帕佩兹研究了情绪的解剖学基础,描述了一个主要由海马体、丘脑和扣带组成的回路,并于1937年发表了他的观察结果。然而,在他之前就已经存在这样的想法,保罗·布洛卡的初步迹象就证明了这一点,保罗·麦克林在其范围内增加了一些其他结构,如隔区、杏仁核和下丘脑,并将其称为边缘系统。保罗·伊万·雅科夫列夫提出了一个回路,该回路还涉及眶额皮质、岛叶、颞叶前部以及丘脑的其他核团。进一步的研究暗示小脑向该系统的投射,以及刺激小脑核团时出现的攻击、唤醒和积极进食反应的临床表现,证明了其可能的作用。最后,美国的海因里希·克吕弗和保罗·布西关于切除颞叶和杏仁核以及动物由此产生的行为的研究,几乎无可争议地为情绪发生过程中神经回路的运作提供了证据。此外,帕佩兹回路可能还与记忆有关,帕金森病、阿尔茨海默病、科萨科夫综合征、语义性痴呆和全球性失忆症中其各个组成部分的损伤,几乎普遍存在认知障碍,这证实了其假定的作用。