Fernandez E, Pallini R, Gangitano C, Del Fà A, Olivieri-Sangiacomo C, Draicchio F, Sbriccoli A, Talamonti G, Pettorossi V E
Institute of Neurosurgery, Catholic University, Rome, Italy.
Neurol Res. 1988 Dec;10(4):221-4. doi: 10.1080/01616412.1988.11739845.
The relationship between the phenomenon of the nonselective reinnervation and the functional recovery after section and repair of the highly organized third cranial nerve motor system in rats was studied. The same relationship after section and repair of the more simply organized sixth cranial nerve motor system in guinea pigs is presented as preliminary results. Anatomical demonstration of nonselective reinnervation was obtained by injecting horseradish peroxidase (HRP) into the extraocular muscles. A bilateral reinnervation of previously ipsilateral innervated muscles both in the third and the sixth nerve was interpreted as a plastic response of the brain stem neurons to the nerve injury. Functional recovery, evaluated by measuring with an infrared light technique the horizontal and vertical vestibulo-ocular reflexes, was excellent for the rectus lateralis muscle while it was relatively poor i.e. partial for the muscles depending on the third nerve. These data suggest that one of the most important factors influencing the functional recovery after section and repair of a peripheral nerve is the complexity of the nerve motor system organization.
研究了大鼠高度组织化的第三脑神经运动系统切断并修复后非选择性再支配现象与功能恢复之间的关系。豚鼠组织较简单的第六脑神经运动系统切断并修复后的相同关系作为初步结果呈现。通过将辣根过氧化物酶(HRP)注入眼外肌获得非选择性再支配的解剖学证据。第三和第六神经中先前同侧支配的肌肉出现双侧再支配被解释为脑干神经元对神经损伤的可塑性反应。通过红外光技术测量水平和垂直前庭眼反射来评估功能恢复情况,外侧直肌的功能恢复极佳,而依赖第三神经的肌肉功能恢复相对较差,即部分恢复。这些数据表明,影响外周神经切断并修复后功能恢复的最重要因素之一是神经运动系统组织的复杂性。