Takeuchi Takumi, Takahashi Masahito, Satomi Kazuhiko, Ohne Hideaki, Hasegawa Atsushi, Sato Shunsuke, Ichimura Shoichi
Department of Orthopaedic Surgery, Kyorin University, 6-20-2 Shinkawa, Mitaka-shi, Tokyo 181-0004, Japan.
Department of Orthopaedic Surgery, Kugayama Hospital, 2-14-20 Kitakarasuyama, Setagaya-ku, Tokyo 157-0061, Japan.
Behav Neurol. 2017;2017:7514681. doi: 10.1155/2017/7514681. Epub 2017 Nov 12.
The objective of this study was to electrophysiologically assess the corticospinal tracts of adult rats and the recovery of motor function of their forelimbs after cervical cord hemisection. Of 39 adult rats used, compound muscle action potentials (CMAPs) of the forelimbs of 15 rats were evaluated, before they received left C5 segmental hemisection of the spinal cord, by stimulating the pyramid of the medulla oblongata on one side using an exciting microelectrode. All 15 rats exhibited contralateral electrical activity, but their CMAPs disappeared after hemisection. The remaining 24 rats received hemisection first, and CMAPs of 12 rats were assessed over time to study their recovery time. All of them exhibited electrical activity of the forelimbs in 4 weeks after surgery. The remaining 12 rats received additional right C2 segmental hemisection, and variation of CMAPs between before and after surgery was examined. The right side of the 12 rats that received the additional hemisection exhibited no electrical activity in response to the stimulation of the pyramids on both sides. These results suggest that changes in path between the resected and healthy sides, activation of the ventral corticospinal tracts, and propriospinal neurons were involved in the recovery of motor function after cervical cord injury.
本研究的目的是用电生理学方法评估成年大鼠的皮质脊髓束以及颈髓半切术后其前肢运动功能的恢复情况。在使用的39只成年大鼠中,15只大鼠在接受左侧脊髓C5节段半切术前,通过使用刺激微电极刺激一侧延髓锥体来评估其前肢的复合肌肉动作电位(CMAPs)。所有15只大鼠均表现出对侧电活动,但半切术后其CMAPs消失。其余24只大鼠先接受半切术,对其中12只大鼠的CMAPs进行长期评估以研究其恢复时间。所有大鼠在术后4周均表现出前肢电活动。其余12只大鼠接受额外的右侧C2节段半切术,并检查手术前后CMAPs的变化。接受额外半切术的12只大鼠的右侧在两侧锥体受到刺激时均未表现出电活动。这些结果表明,颈髓损伤后运动功能的恢复涉及到切除侧与健康侧之间通路的改变、腹侧皮质脊髓束的激活以及脊髓固有神经元。