Pender M P
Department of Medicine, University of Queensland, Royal Brisbane Hospital, Australia.
J Neurol Sci. 1988 Apr;84(2-3):209-22. doi: 10.1016/0022-510x(88)90126-8.
Histological and electrophysiological studies were performed on Lewis rats with acute experimental allergic encephalomyelitis (EAE) induced by inoculation with guinea-pig spinal cord and Freund's adjuvants, in order to determine the cause of the neurological signs. These studies demonstrated demyelination-induced nerve conduction block in the large and also the smaller diameter fibres at the ventral root exit zone (VREZ) of the lumbar spinal cord. The demyelination at the VREZ affected both centrally and peripherally myelinated internodes, but predominantly the former. Studies on the H reflex recorded from a hindfoot muscle indicated normal peripheral nerve motor conduction but interruption of the monosynaptic reflex arc, as would be anticipated from this efferent conduction block and previously reported afferent conduction abnormalities. It is concluded that conduction block in alpha, beta and gamma motor fibres at the VREZ is an important cause of hindlimb weakness in whole spinal cord-induced acute EAE.
为了确定神经症状的病因,对通过接种豚鼠脊髓和弗氏佐剂诱导的急性实验性变态反应性脑脊髓炎(EAE)的Lewis大鼠进行了组织学和电生理学研究。这些研究表明,在腰髓腹根出口区(VREZ),直径较大和较小的纤维均出现了脱髓鞘诱导的神经传导阻滞。VREZ处的脱髓鞘影响了中枢和外周有髓神经节段,但以前者为主。对后足肌肉记录的H反射研究表明,外周神经运动传导正常,但单突触反射弧中断,这正如从这种传出传导阻滞和先前报道的传入传导异常所预期的那样。得出的结论是,VREZ处α、β和γ运动纤维的传导阻滞是全脊髓诱导的急性EAE中后肢无力的一个重要原因。