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神经行为障碍:皮质边缘系统在健康与疾病中的作用。

Neurobehavioral Disorders: The Corticolimbic System in Health and Disease.

机构信息

Fitzpatrick Referrals, Godalming, Surrey GU7 2QQ, UK; School of Veterinary Medicine, Faculty of Health & Medical Sciences, University of Surrey, Guildford, Surrey GU2 7AL, UK.

出版信息

Vet Clin North Am Small Anim Pract. 2020 Sep;50(5):1157-1181. doi: 10.1016/j.cvsm.2020.06.009. Epub 2020 Jul 14.

Abstract

The corticolimbic system (prefrontal cortices, amygdala, and hippocampus) integrates emotion with cognition and produces a behavioral output that is flexible based on the environmental circumstances. It also modulates pain, being implicated in pathophysiology of maladaptive pain. Because of the anatomic and function overlap between corticolimbic circuitry for pain and emotion, the pathophysiology for maladaptive pain conditions is extremely complex. Addressing environmental needs and underlying triggers is more important than pharmacotherapy when dealing with feline orofacial pain syndrome or feline hyperesthesia syndrome. By contrast, autoimmune limbic encephalitis requires prompt diagnosis and management with immunosuppression and seizure control.

摘要

边缘皮质系统(前额皮质、杏仁核和海马体)将情绪与认知相结合,根据环境情况产生灵活的行为输出。它还调节疼痛,参与适应性疼痛的病理生理学。由于疼痛和情绪的边缘皮质回路在解剖和功能上存在重叠,因此适应性疼痛状况的病理生理学极其复杂。在处理猫口面疼痛综合征或猫感觉过敏综合征时,满足环境需求和潜在触发因素比药物治疗更为重要。相比之下,自身免疫性边缘脑炎需要及时诊断和治疗,包括免疫抑制和控制癫痫发作。

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