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内脏脑在身体平衡中的作用。

Role of the visceral brain in body equilibrium.

作者信息

Hinoki M

出版信息

Acta Otolaryngol Suppl. 1984;419:30-52.

PMID:6599230
Abstract

A series of examinations were carried out to determine whether the limbic system, particularly the hippocampus and the amygdaloid nucleus, participates in the production of disequilibrium of the eyes and the body and to clarify the conditions which induce disequilibrium. Over-stimulation of the rabbit's hippocampus induces over-excitation of adrenergic components involved in this part of the brain, through which dysfunction of equilibrium center in the brain stem is eventually brought about. This dysfunction leads to disequilibrium of the eyes and the body. On the basis of these results, equilibrium tests for neurotic vertigo were devised. Using these equilibrium tests we noted that in a certain group of traumatized patients who suffer from vertigo of psychosomatic origin, there are two etiological factors: functional linkage between the temporal cortex and the limbic system, particularly the hippocampus in regard to a memory or a conditioned reflex relevant to vertigo, over-excitation of the adrenergic components involved in the brain connecting the hippocampus, the hypothalamus and equilibrium centers in the brain stem. These two etiological factors induce disequilibrium by a trigger-and-target relationship in which the former acts as a trigger and the latter as a target. The cerebellum is not an essential factor in producing vertigo of psychosomatic origin, but it enhances vertigo of this type through activation of the adrenergic components, particularly those in the hippocampus. Thus, in patients with both vertigo of psychosomatic origin and cerebellar symptoms recovery from vertigo tends to be delayed. Over-stimulation of the rabbit's amygdaloid nucleus, particularly its medial portion and the habenular nucleus induces over-excitation of adrenergic components involved in these parts of the brain. These animals develop disequilibrium of the eyes in response to an olfactory stimulus, such as extract of garlic. On the basis of these results, equilibrium tests for olfactory vertigo were devised. Using these equilibrium tests we noted that traumatized patients who suffered from vertigo due to inhalation of garlic vapor showed hyper-reactivity to adrenaline and developed disequilibrium of the eyes and the body when given a subcutaneous injection of this drug. These findings indicate that olfactory vertigo is induced by a mechanism in which olfactory stimulation affects the above adrenergic components, causing disequilibrium of the eyes and the body.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

进行了一系列检查,以确定边缘系统,特别是海马体和杏仁核,是否参与眼身失衡的产生,并阐明诱发失衡的条件。对兔子海马体的过度刺激会导致参与该脑区的肾上腺素能成分过度兴奋,进而最终导致脑干平衡中枢功能障碍。这种功能障碍会导致眼身失衡。基于这些结果,设计了针对神经症性眩晕的平衡测试。通过使用这些平衡测试,我们注意到,在某一组患有心身性眩晕的创伤患者中,有两个病因:颞叶皮质与边缘系统,特别是海马体之间在与眩晕相关的记忆或条件反射方面的功能联系,以及连接海马体、下丘脑和脑干平衡中枢的大脑中肾上腺素能成分的过度兴奋。这两个病因通过触发 - 靶点关系诱发失衡,其中前者作为触发因素,后者作为靶点。小脑不是产生心身性眩晕的必要因素,但它通过激活肾上腺素能成分,特别是海马体中的成分,增强这种类型的眩晕。因此,在心身性眩晕和小脑症状兼具的患者中,眩晕的恢复往往会延迟。对兔子杏仁核,特别是其内侧部分和缰核的过度刺激会导致参与这些脑区的肾上腺素能成分过度兴奋。这些动物在受到嗅觉刺激(如大蒜提取物)时会出现眼失衡。基于这些结果,设计了针对嗅觉性眩晕的平衡测试。通过使用这些平衡测试,我们注意到,因吸入大蒜蒸汽而患眩晕的创伤患者对肾上腺素反应过度,在皮下注射该药物时会出现眼身失衡。这些发现表明,嗅觉性眩晕是由一种机制诱发的,即嗅觉刺激影响上述肾上腺素能成分,导致眼身失衡。(摘要截选至400字)

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