Ovelmen-Levitt J, Johnson B, Bedenbaugh P, Nashold B S
Neurosurgery. 1984 Dec;15(6):921-7.
We performed an extracellular microelectrode analysis of the neuronal activity of cells located in deeper laminae of dorsal horns that had been deafferented by ipsilateral lumbar dorsal root rhizotomy or avulsion. Special attention was given to those cells that were recorded in preparations that were more than 6 weeks chronic. We compared the results to those obtained in nondenervated controls and in experiments in which the spinal cord was acutely transected at a midthoracic level, but had intact dorsal roots. There was an increase in ipsilateral flank and contralateral input in the chronically deafferented as compared to nondenervated controls. Differences were observed between long term rhizotomized and avulsed dorsal horns. Receptive fields extended on to flank and thoracic dermatomes after rhizotomy, often requiring only light cutaneous stimuli. Receptive fields were more restricted with avulsion injury, generally requiring moderate to strong, superficial or deep pinch. Histological analysis revealed consistent differential damage to the medial portion of Lissauer's tract with avulsion injury and subsequently more gliosis in the substantia gelatinosa. The loss of this propriospinal pathway may explain the lack of receptive field expansion on to the thoracic dermatomes and the stronger natural stimuli that were required. A higher percentage of cells with bilateral and inhibitory receptive fields was found in experiments in which the spinal cord was transected at a midthoracic level than in the controls. Ipsilateral excitatory receptive fields were also expanded as compared with control observations, but were not found on the flank.(ABSTRACT TRUNCATED AT 250 WORDS)
我们对位于背角深层、因同侧腰背部背根切断术或撕脱术而传入神经阻滞的细胞进行了细胞外微电极分析。特别关注那些在超过6周的慢性标本中记录到的细胞。我们将结果与在未去神经支配的对照以及脊髓在胸段中部水平急性横断但背根完整的实验中获得的结果进行了比较。与未去神经支配的对照相比,慢性去神经支配的同侧胁腹和对侧输入增加。在长期切断背根和撕脱背角之间观察到差异。切断背根后,感受野扩展到胁腹和胸部皮节,通常仅需轻微的皮肤刺激。撕脱伤后感受野更局限,一般需要中度至强烈的浅部或深部捏压刺激。组织学分析显示,撕脱伤后Lissauer束内侧部分有持续的差异性损伤,随后胶状质中有更多的胶质增生。这种脊髓固有通路的丧失可能解释了感受野未扩展到胸部皮节以及需要更强自然刺激的原因。与对照相比,在脊髓胸段中部横断的实验中发现具有双侧和抑制性感受野的细胞百分比更高。与对照观察结果相比,同侧兴奋性感受野也有所扩大,但在胁腹未发现。(摘要截选至250字)