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脊髓背侧损伤后体感皮层的失活与重新激活

Deactivation and reactivation of somatosensory cortex after dorsal spinal cord injury.

作者信息

Jain N, Catania K C, Kaas J H

机构信息

Department of Psychology, Vanderbilt University, Nashville, Tennessee 37240, USA.

出版信息

Nature. 1997 Apr 3;386(6624):495-8. doi: 10.1038/386495a0.

Abstract

Sensory stimuli to the body are conveyed by the spinal cord to the primary somatosensory cortex. It has long been thought that dorsal column afferents of the spinal cord represent the main pathway for these signals, but the physiological and behavioural consequences of cutting the dorsal column have been reported to range from mild and transitory to marked. We have re-examined this issue by sectioning the dorsal columns in the cervical region and recording the responses to hand stimulation in the contralateral primary somatosensory cortex (area 3b). Following a complete section of the dorsal columns, neurons in area 3b become immediately and perhaps permanently unresponsive to hand stimulation. Following a partial section, the remaining dorsal column afferents continue to activate neurons within their normal cortical target territories, but after five or more weeks the area of activation is greatly expanded. After prolonged recovery periods of six months or more, the deprived hand territory becomes responsive to inputs from the face (which are unaffected by spinal cord section). Thus, area 3b of somatosensory cortex is highly dependent on dorsal spinal column inputs, and other spinal pathways do not substitute for the dorsal columns even after injury.

摘要

身体的感觉刺激由脊髓传导至初级体感皮层。长期以来,人们一直认为脊髓的背柱传入神经是这些信号的主要传导途径,但据报道,切断背柱后的生理和行为后果从轻微且短暂到显著不等。我们通过切断颈部的背柱并记录对侧初级体感皮层(3b区)对手部刺激的反应,重新审视了这个问题。在完全切断背柱后,3b区的神经元对手部刺激立即且可能永久失去反应。部分切断后,剩余的背柱传入神经继续在其正常的皮层靶区内激活神经元,但在五周或更长时间后,激活区域会大幅扩大。经过六个月或更长时间的长期恢复期后,被剥夺的手部区域开始对面部输入产生反应(面部输入不受脊髓切断的影响)。因此,体感皮层的3b区高度依赖脊髓背柱输入,即使在受伤后,其他脊髓通路也无法替代背柱。

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