Wood C D, Stewart J J, Wood M J, Struve F A, Straumanis J J, Mims M E, Patrick G Y
Department of Pharmacology, Louisiana State University School of Medicine, Shreveport 71130.
J Clin Pharmacol. 1994 Jun;34(6):628-34. doi: 10.1002/j.1552-4604.1994.tb02016.x.
The vestibular, cerebellar, and reticular systems are central in importance, in motion sickness and habituation, to the effects of motion. Nuclear medicine single photon emission computed tomography (SPECT) studies of cerebral blood flow and power spectral electroencephalographic recordings during motion sickness were used to determine alterations in the central nervous system. The rotating chair with and without visual stimulation was used to study the rate of habituation and the effect of antimotion sickness medications on this rate. An increase of theta waves over the frontal cortex indicated a decreased activation of the higher centers during motion sickness. Motion sickness also produces an increase of blood flow in the central cerebellum that has connections to the reticular system. This increase in cerebellar activity is relayed to the reticular system whereby neural recruitment builds up to trigger the vomiting center, producing motion sickness. Habituation may be a conditioned compensatory activation of the reticular neurons that prevents this disruption of normal activation. The rate of habituation when motion sickness was prevented by scopolamine was slowed, indicating that, if the central nervous system is not challenged by disruption of normal activation, it does not produce the compensatory reactions that result in habituation.
前庭系统、小脑系统和网状系统在晕动病及习惯化过程中,对于运动效应而言,具有至关重要的中枢作用。利用核医学单光子发射计算机断层扫描(SPECT)对晕动病期间的脑血流进行研究,并结合脑电图功率谱记录,以确定中枢神经系统的变化。使用带有和不带有视觉刺激的转椅来研究习惯化速率以及抗晕动病药物对该速率的影响。额叶皮质上θ波的增加表明晕动病期间高级中枢的激活减少。晕动病还会使与网状系统相连的小脑中部血流增加。小脑活动的这种增加会传递至网状系统,从而神经募集增强,触发呕吐中枢,引发晕动病。习惯化可能是网状神经元的一种条件性代偿激活,可防止正常激活受到这种干扰。东莨菪碱预防晕动病时习惯化速率减慢,这表明,如果中枢神经系统未受到正常激活中断的挑战,就不会产生导致习惯化的代偿反应。