el Kharroussi M, Françon D, Ben Jelloun W, Hugon M
Université Hassan II. Aïn Chock, Faculté des Sciences, Départment de Biologie, Maarif, Casablanca, Maroc.
Neurophysiol Clin. 1996;26(5):279-99. doi: 10.1016/s0987-7053(97)85096-4.
Primary somatosensory potentials (SEPs) were elicited by electrical stimulation of the medial sciatic (proprioceptive) or sural (cutaneous) nerves. They were detected by contacts on SI and MI dura on both cortical sides against a cephalic reference. SEPs were averaged (n = 20). Primary SI SEP consisted of positive, then negative, PI6/N30 waves. N30 was absent from MI records. Local electrocoagulation of the SI cortex on one side has entailed some reduction, but not suppression of together the homolateral MI and contralateral SI and MI SEP. The residual SEPs have increased in latencies by a few milliseconds. Additional coagulation of the MI area on the same side has resulted in loss of the SI and MI SEP on the opposite hemisphere when evoked by a stimulation ipsilateral to this intact cortex. Normal SEPs were elicited from the intact cortex by any of the used stimulation. No evoked signal could be evidence from the lesioned areas. It was concluded that negligible passive electrical diffusion from any SEP area was present onto any of the other SEP reception sites. From close comparison between the different records, we came to the following propositions: each of the SI and MI areas harbours a neural mass generator for SEPs elicited by contralateral nerve stimulation. SI and MI SEPs cannot be directly elicited by ipsilateral stimulus. SI and MI SEP ipsilateral to the nerve stimulation are due to some cortico-cortical trans-sagittal excitatory message arising from the contralateral SI/MI areas. Data stand for exteroceptive or proprioceptive stimulation as well. The absence of ipsilateral direct spino-cortical projection for SEP evidenced under barbiturate does also exist in the baboon after total recovery of surgery. A scheme is given which summarizes these active relationships between somesthetic areas.
通过电刺激坐骨神经内侧(本体感觉)或腓肠神经(皮肤感觉)引出初级体感诱发电位(SEP)。通过双侧皮质SI和MI硬脑膜上的触点检测诱发电位,以头部为参考。对SEP进行平均处理(n = 20)。初级SI SEP由正向的PI6波和随后的负向N30波组成。MI记录中没有N30波。一侧SI皮质的局部电凝导致同侧MI以及对侧SI和MI的SEP有所降低,但并未完全抑制。残余的SEP潜伏期增加了几毫秒。在同一侧MI区域进行额外电凝后,当由同侧完整皮质的刺激诱发时,对侧半球的SI和MI SEP消失。通过任何一种使用的刺激,均可从完整皮质引出正常的SEP。在损伤区域未检测到诱发信号。由此得出结论,任何SEP区域向其他SEP接收部位的被动电扩散可忽略不计。通过对不同记录的仔细比较,我们得出以下结论:SI和MI区域各自都有一个神经团发生器,用于产生由对侧神经刺激引出的SEP。同侧刺激不能直接引出SI和MI SEP。与神经刺激同侧的SI和MI SEP是由于对侧SI/MI区域产生的某种皮质 - 皮质跨矢状兴奋性信息所致。这些数据同样适用于外感受性或本体感受性刺激。在巴比妥酸盐麻醉下所证实的SEP同侧直接脊髓 - 皮质投射缺失,在狒狒手术后完全恢复后依然存在。给出了一个总结这些躯体感觉区域之间活跃关系的示意图。