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体外对直的和弯曲的两栖动物及哺乳动物外周神经进行磁线圈刺激:兴奋位点

Magnetic coil stimulation of straight and bent amphibian and mammalian peripheral nerve in vitro: locus of excitation.

作者信息

Maccabee P J, Amassian V E, Eberle L P, Cracco R Q

机构信息

Department of Neurology, SUNY Health Science Center, Brooklyn 11203.

出版信息

J Physiol. 1993 Jan;460:201-19. doi: 10.1113/jphysiol.1993.sp019467.

Abstract
  1. According to classical cable theory, a magnetic coil (MC) should excite a linear nerve fibre in a homogeneous medium at the negative-going first spatial derivative of the induced electric field. This prediction was tested by MC stimulation of mammalian phrenic and amphibian sciatic nerve and branches in vitro, immersed in Ringer solution within a trough, and identifying the sites of excitation by recording responses of similar latency to local electrical stimulation. Subsequently, the identified sites of excitation were compared with measurements of the induced electric field and its calculated first spatial derivative. A special hardware device was used to selectively reverse MC current direction and to generate predominantly monophasic- or polyphasic-induced pulse profiles whose initial phases were identical in polarity, shape and amplitude. When using the amphibian nerve preparation, a complication was excitation at low threshold points related to cut branches. 2. Reversal of monophasic current resulted in latency shifts corresponding approximately to the distance between induced cathode and anode. The location of each site of excitation was at, or very near, the negative-going first spatial derivative peaks of the induced electric field measured parallel to the straight nerve. Significantly, excitation of the nerve did not occur at the peak of the induced electric field above the centre of the 'figure of eight' MC junction. 3. A polyphasic pulse excited the nerve at both sites, by the negative-going first phase at one location, and approximately 150 microseconds later, by the reversed negative-going second phase at the other location. Polyphasic and monophasic pulses elicited responses with similar latency when the induced current flowed towards the recording electrode. 4. Straddling a nerve with non-coding solid lucite cylinders created a localized spatial narrowing and increase in the induced electric field, resulting in a lowered threshold of excitation. The corresponding closer spacing between first spatial derivative peaks was exhibited by a significant reduction in latency shift when MC current direction was reversed. 5. When a nerve is bent and the induced current is directed along the nerve towards the bend, the threshold of excitation is reduced there. Increasing the angle of the bend from 0 deg to more than 90 deg graded the decrease in threshold. 6. In a straight nerve the threshold was lowest when current was directed towards the cut end.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 根据经典电缆理论,磁线圈(MC)应在均匀介质中,于感应电场的负向一阶空间导数处激发线性神经纤维。通过对哺乳动物膈神经和两栖动物坐骨神经及其分支进行体外MC刺激来验证这一预测,神经浸于水槽中的林格氏液内,并通过记录对局部电刺激潜伏期相似的反应来确定兴奋位点。随后,将确定的兴奋位点与感应电场及其计算出的一阶空间导数的测量值进行比较。使用一种特殊的硬件设备来选择性地反转MC电流方向,并生成主要为单相或多相的感应脉冲波形,其初始相位在极性、形状和幅度上相同。在使用两栖动物神经标本时,一个复杂情况是与切断分支相关的低阈值点处会产生兴奋。2. 单相电流的反转导致潜伏期变化,其变化量大致对应于感应阴极和阳极之间的距离。每个兴奋位点位于与直神经平行测量的感应电场的负向一阶空间导数峰值处或非常接近该峰值处。值得注意的是,在“8字形”MC接头中心上方的感应电场峰值处并未发生神经兴奋。3. 多相脉冲通过在一个位置的负向第一相以及大约150微秒后在另一个位置的反向负向第二相在两个位点激发神经。当感应电流流向记录电极时,多相和单相脉冲引发的反应潜伏期相似。4. 用非编码实心有机玻璃圆柱体横跨神经会造成局部空间变窄并使感应电场增加,从而导致兴奋阈值降低。当MC电流方向反转时,潜伏期变化显著减小,这表明一阶空间导数峰值之间的间距相应减小。5. 当神经弯曲且感应电流沿神经指向弯曲处时,此处的兴奋阈值会降低。将弯曲角度从0度增加到90度以上,阈值降低程度呈梯度变化。6. 在直神经中,当电流指向切断端时阈值最低。(摘要截于400字)

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