Bantli H, Bloedel J R, Tolbert D
J Neurosurg. 1976 Nov;45(5):539-54. doi: 10.3171/jns.1976.45.5.0539.
Electrical stimulation of the cerebellar surface has been used therapeutically for the control of certain epileptic seizure and motor disorders. Recent hypotheses suggest that the therapeutic results in the treatment of epilepsy might be a consequence of the activation of Purkinje cells which subsequently inhibit the epileptic activity in the cerebrocellular loop. These experiments establish that an anatomical substrate exists whereby the effects of stimulating the cerebellar surface might be mediated by the ascending reticular formation and the non-specific thalamic nuclei. Specifically, the stimulation of the cerebellar surface activates not only Purkinje cells but also cerebellar afferent systems, climbing fibers and mossy fibers, and neurons in the cerebellar nuclei and reticular formation. In addition, recordings from neurons in the ascending reticular formation suggest that stimulation of the cerebellar surface can affect processing of ascending sensory information, thus influencing neural integration of non-specific sensory system.
小脑表面的电刺激已被用于治疗某些癫痫发作和运动障碍。最近的假说表明,癫痫治疗的疗效可能是浦肯野细胞激活的结果,随后这些细胞抑制了脑循环中的癫痫活动。这些实验证实,存在一种解剖学基质,通过它刺激小脑表面的效应可能由上行网状结构和非特异性丘脑核介导。具体而言,刺激小脑表面不仅能激活浦肯野细胞,还能激活小脑传入系统、攀缘纤维和苔藓纤维,以及小脑核和网状结构中的神经元。此外,对上行网状结构中神经元的记录表明,刺激小脑表面会影响上行感觉信息的处理,从而影响非特异性感觉系统的神经整合。