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麻醉下多感官训练逆转偏盲

Reversing Hemianopia by Multisensory Training Under Anesthesia.

作者信息

Jiang Huai, Rowland Benjamin A, Stein Barry E

机构信息

Department of Neurobiology and Anatomy, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, United States.

出版信息

Front Syst Neurosci. 2020 Jan 31;14:4. doi: 10.3389/fnsys.2020.00004. eCollection 2020.

Abstract

Hemianopia is characterized by blindness in one half of the visual field and is a common consequence of stroke and unilateral injury to the visual cortex. There are few effective rehabilitative strategies that can relieve it. Using the cat as an animal model of hemianopia, we found that blindness induced by lesions targeting all contiguous areas of the visual cortex could be rapidly reversed by a non-invasive, multisensory (auditory-visual) exposure procedure even while animals were anesthetized. Surprisingly few trials were required to reinstate vision in the previously blind hemisphere. That rehabilitation was possible under anesthesia indicates that the visuomotor behaviors commonly believed to be essential are not required for this recovery, nor are factors such as attention, motivation, reward, or the various other cognitive features that are generally thought to facilitate neuro-rehabilitative therapies.

摘要

偏盲的特征是视野的一半失明,是中风和视皮层单侧损伤的常见后果。几乎没有有效的康复策略可以缓解这种情况。以猫作为偏盲的动物模型,我们发现,即使动物处于麻醉状态,通过一种非侵入性的多感官(听觉 - 视觉)暴露程序,针对视皮层所有相邻区域的损伤所导致的失明也能迅速逆转。令人惊讶的是,只需很少的试验就能使先前失明的半球恢复视力。在麻醉状态下仍能实现康复,这表明通常认为对视运动行为至关重要的因素对于这种恢复并非必需,注意力、动机、奖励或通常被认为有助于神经康复治疗的其他各种认知特征等因素也并非必需。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2726/7006460/e4ea96e0b21e/fnsys-14-00004-g0001.jpg

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