Histological identification of premotor neurons for horizontal saccades in monkey and man by parvalbumin immunostaining.

The premotor excitatory and inhibitory burst neurons are essential for horizontal saccades. In the monkey, excitatory burst neurons lie in the ipsilateral paramedian pontine reticular formation, and the inhibitory burst neurons lie more caudally in the contralateral nucleus paragigantocellularis dorsalis. For a neuropathological analysis of degenerative changes in saccadic disorders of patients, the histological identification of the burst neuron areas in man is important. Here, we show that this is possible with parvalbumin immunostaining as a histological marker. First, in monkeys, the premotor burst neurons were backlabeled by injections of wheat germ agglutinin-horseradish peroxidase or cholera toxin subunit B into the abducens nucleus or tetanus toxin fragment C into the lateral rectus muscle and shown by double labeling to contain parvalbumin. Then, human brainstem sections were immunoreacted for parvalbumin, and, by comparing the resulting staining pattern to that in the monkey, the homologous burst neuron areas were defined in man. In the monkey, excitatory burst neurons were confirmed to the nucleus reticularis pontis caudalis and did not extend farther rostrally into the nucleus reticularis pontis oralis. All retrogradely labeled cells in both burst neuron areas were parvalbumin positive, and approximately 70% of the parvalbumin-positive cells were retrogradely labeled. Both burst neuron areas were highlighted by their parvalbumin staining pattern and could be outlined in man as well. The putative excitatory burst neuron area in man is in the medial part of the nucleus reticularis pontis caudalis (extending 2.5 mm mediolaterally), immediately rostral (250 microns) to the omnipause neurons and extending 2.2 mm rostrally, and the putative inhibitory burst neuron area lies in the medial part of the paragigantocellular nucleus caudal to the abducens nucleus, extending 1.8 mm caudally. The location of the burst neuron areas, including the burst neurons themselves, via parvalbumin immunostaining will help in the analysis of clinical cases with slow saccades.