Rydenhag B, Olausson B, Andersson S A
Exp Brain Res. 1986;64(1):37-48. doi: 10.1007/BF00238199.
Electrical stimulation of tooth pulp afferents in cats evoked short latency focal potentials in the basal ventromedial nucleus of thalamus (VMB), in the border zone between this nucleus and the arcuate nucleus of the ventrobasal complex (VBA), and in the marginal zone of VBA and the external nucleus of the ventrobasal complex (VBX). No responses were found in the centre of VBA and VBX. Very few responses were found in the intralaminar region. The projection from the tooth pulps was bilateral, but the best responses following stimulation of the ipsi- and the contralateral tooth pulps could be evoked at slightly different locations within VMB. The mean latency of the responses was shorter following stimulation of the contralateral tooth pulp than following stimulation of the ipsilateral one. Electrical stimulation in VMB, VBA, and VBX evoked focal potentials in thalamocortical projection fibres, which were recorded from in the white matter below areas SI and SII after decortication by suction. Conditioning stimulation of the tooth pulps suppressed these responses within 200 ms if the stimulating electrode was placed at the border between VBA and VMB, suggesting that tooth pulp stimulation activates a thalamocortical projection with a postexcitatory inhibition. Finally, lesions were made in the thalamus and their effects were checked on the cortical responses to tooth pulp stimulation. If the lesion included the region of VMB bordering to VBA the cortical responses decreased in amplitude. It is concluded that VMB and the borderzone between VMB and VBA are important relays between the nociceptors of the tooth pulp and the sensory cortex.
对猫的牙髓传入神经进行电刺激,可在丘脑腹内侧基底部核(VMB)、该核与腹侧基底复合体弓状核(VBA)之间的边界区域、VBA的边缘区以及腹侧基底复合体外侧核(VBX)诱发短潜伏期局灶性电位。在VBA和VBX的中心未发现反应。在板层内区域发现的反应极少。牙髓的投射是双侧性的,但刺激同侧和对侧牙髓后,在VMB内稍有不同的位置可诱发最佳反应。刺激对侧牙髓后反应的平均潜伏期比刺激同侧牙髓后的短。对VMB、VBA和VBX进行电刺激,可在丘脑皮质投射纤维中诱发局灶性电位,在通过抽吸进行去皮质后,从SI和SII区域下方的白质中记录到这些电位。如果刺激电极置于VBA和VMB之间的边界处,对牙髓进行条件刺激可在200毫秒内抑制这些反应,这表明牙髓刺激激活了一种具有兴奋后抑制作用的丘脑皮质投射。最后,在丘脑中制造损伤,并检查其对皮质对牙髓刺激反应的影响。如果损伤包括VMB与VBA相邻的区域,皮质反应的幅度会降低。得出的结论是VMB以及VMB与VBA之间的边界区域是牙髓伤害感受器与感觉皮质之间的重要中继站。