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[三叉神经病变中伴有和不伴有疼痛综合征的大鼠同侧传入电流的差异]

[Differences in ipsilateral afferent currents in rats with and without pain syndrome in trigeminal neuropathy].

作者信息

Dolgikh V G, Reshetniak V K

出版信息

Patol Fiziol Eksp Ter. 1996 Jul-Sep(3):7-9.

PMID:8966058
Abstract

Ipsilateral evoked potentials in the caudal trigeminal nucleus, ventrobasal thalamus, and cortex during electrical stimulation of the injured and opposite intact nerves were studied in rats with trigeminal neuropathy caused by partial compression of the infraorbital nerve. In spite of abnormally increased long latent evoked activity in the caudal nucleus ipsilaterally to compression, amplitude asymmetry of the ipsilateral thalamic and cortical evoked potentials in rats with pain syndrome was shown to be absent during nerve stimulation of the snout sides. In rats without pain-evoked potentials in the caudal nucleus during injured nerve stimulation had small differences as compared with the latter group. At that time, the increased magnitude of ipsilateral evoked potentials at uninjured nerve stimulation was recorded in all structures in rats without pain syndrome as compared with the pain syndrome group and sham-operated rats, and as compared with ipsilateral evoked potentials during injured nerve stimulation in rats without pain syndrome. The neuropathic pain syndrome is considered to result from the formation of the pathologic algic system with a generator of abnormality enhanced excitation which arises in the nonspecific nociceptive structures in response to specific structural injury. This alternative process is the compensative increase in the ipsilateral input of agents into the brain cortex from the intact nerve that prevents the development of its abnormal activities.

摘要

在由眶下神经部分受压引起三叉神经病变的大鼠中,研究了在电刺激受伤神经和对侧完整神经时,尾侧三叉神经核、腹后外侧丘脑和皮层的同侧诱发电位。尽管在压迫同侧的尾侧核中,长潜伏期诱发电活动异常增加,但在刺激口鼻侧神经时,疼痛综合征大鼠同侧丘脑和皮层诱发电位的幅度不对称并未出现。与后一组相比,在刺激受伤神经时尾侧核无疼痛诱发电位的大鼠差异较小。此时,与疼痛综合征组和假手术大鼠相比,在无疼痛综合征的大鼠中,所有结构在刺激未受伤神经时同侧诱发电位的幅度均增加,并且与无疼痛综合征大鼠在刺激受伤神经时的同侧诱发电位相比也增加。神经性疼痛综合征被认为是由病理性疼痛系统的形成导致的,该系统具有一个异常增强兴奋的发生器,它在非特异性伤害性感受结构中因特定的结构损伤而产生。这个替代过程是来自完整神经的传入脑皮质的同侧输入代偿性增加,从而防止其异常活动的发展。

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