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马库斯·冈恩综合征是否存在原始反射残留?大鼠电生理学研究。

Is there a primitive reflex residue underlying Marcus Gunn Syndrome? Rat electrophysiology.

作者信息

Qiao Ying, Liang Hou-Cheng, Zhang Jing-Dong, Luo Pi-Fu, Su An-Le, Zhang Ting, Zhu Hong-Na

机构信息

Xi'an First Hospital, Key Clinic Ophthalmology Lab, Shaanxi Province Eye Research Institute, Xi'an 710002, Shaanxi Province, China.

Xi'an BRIGHT Eye Hospital, 234 West Youyi Road, Xi'an 710068, Shaanxi Province, China.

出版信息

Int J Ophthalmol. 2020 Jan 18;13(1):29-35. doi: 10.18240/ijo.2020.01.05. eCollection 2020.

Abstract

AIM

To make an electrophysiological demonstration of a possible jaw muscle afferents-oculomotor neural pathway that was proposed by our previous works on rats, which substantiates an early "release hypothesis" on pathogenesis of human Marcus Gunn Syndrome (MGS).

METHODS

Extracellular unit discharge recording was applied and both orthodromic and spontaneous unitary firing were recorded in the oculomotor nucleus (III), and the complex of pre-oculomotor interstitial nucleus of Cajal and Darkschewitsch nucleus (INC/DN), following electric stimulation of the ipsilateral masseter nerve (MN) in rats.

RESULTS

Extracellular orthodromic unit discharges, with latencies of 3.7±1.3 and 4.7±2.9ms, were recorded unilaterally in the III, and the INC/DN neurons, respectively. Spontaneous unit discharges were also recorded mostly in the INC/DN and less frequently in the III. Train stimulation could prompt either facilitation or inhibition on those spontaneous unit discharges. The inhibition pattern of train stimulation on the spontaneous discharging was rather different in the III and INC/DN. A slow inhibitory pattern in which spontaneous firing rate decreased further and further following repeated train stimulation was observed in the III. While, some high spontaneous firing rate units, responding promptly to the train stimuli with a short-term inhibition and recovered quickly when stimuli are off, were recorded in the INC/DN. However, orthodromic unit discharge was not recorded in the III and INC/DN in a considerable number of experiment animals.

CONCLUSION

A residual neuronal circuit might exist in mammals for the primitive jaw-eyelid reflex observed in amphibians, which might not be well-developed in all experimental mammals in current study. Nonetheless, this pathway can be still considered as a neuroanatomic substrate for development of MGS in some cases among all MGS with different kind of etiology.

摘要

目的

对我们之前在大鼠上的研究提出的可能的颌面部肌肉传入神经 - 动眼神经通路进行电生理证明,这为人类马库斯· Gunn 综合征(MGS)发病机制的早期“释放假说”提供了依据。

方法

采用细胞外单位放电记录法,在大鼠同侧咬肌神经(MN)电刺激后,记录动眼神经核(III)以及 Cajal 动眼神经前间质核和 Darkschewitsch 核复合体(INC/DN)的顺行和自发放电。

结果

在 III 核和 INC/DN 神经元中分别单侧记录到潜伏期为 3.7±1.3 毫秒和 4.7±2.9 毫秒的细胞外顺行单位放电。自发放电也大多记录在 INC/DN,较少记录在 III 核。串刺激可对这些自发放电产生促进或抑制作用。串刺激对 III 核和 INC/DN 自发放电的抑制模式有很大不同。在 III 核中观察到一种缓慢的抑制模式,即重复串刺激后自发放电率逐渐降低。而在 INC/DN 中,记录到一些自发放电率高的单位,对串刺激迅速产生短期抑制,刺激停止后迅速恢复。然而,在相当数量的实验动物中,III 核和 INC/DN 中未记录到顺行单位放电。

结论

在哺乳动物中可能存在一个残留的神经回路,用于两栖动物中观察到的原始颌 - 眼睑反射,在当前研究中并非所有实验哺乳动物中该回路都发育良好。尽管如此,在所有不同病因的 MGS 的某些病例中,该通路仍可被视为 MGS 发生发展的神经解剖学基础。

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Marcus Gunn (jaw-winking) phenomenon in pediatric otorhinolaryngology practice.小儿耳鼻咽喉科临床中的马库斯·冈恩(下颌瞬目)现象
Int J Pediatr Otorhinolaryngol. 2019 Feb;117:153-156. doi: 10.1016/j.ijporl.2018.11.035. Epub 2018 Nov 30.
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Bilateral Marcus Gunn jaw-winking syndrome.双侧马库斯·冈恩下颌瞬目综合征。
Neurology. 2015 Mar 10;84(10):1061. doi: 10.1212/WNL.0000000000001338.

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