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局灶性神经损伤后单个人类轴突传导阻滞的发展。

The development of conduction block in single human axons following a focal nerve injury.

作者信息

Inglis J T, Leeper J B, Wilson L R, Gandevia S C, Burke D

机构信息

Department of Clinical Neurophysiology, Prince of Wales Hospital and Prince of Wales Medical Research Institute, University of New South Wales, Sydney, Australia.

出版信息

J Physiol. 1998 Nov 15;513 ( Pt 1)(Pt 1):127-33. doi: 10.1111/j.1469-7793.1998.127by.x.

Abstract
  1. Using microneurography with a conventional monopolar electrode, the action potentials of ten myelinated axons in the peripheral nerves of human subjects were followed while they developed conduction block. 2. The action potentials had initially (n = 6) or developed (n = 4) a positive double-peaked morphology. The time interval between the two positive peaks represents the conduction time across the impaled internode. 3. When the interpeak interval was < 500 micros, conduction across the site of impalement was secure, even if the conduction time was markedly prolonged. When the interval was > 600 microseconds, intermittent conduction failure occurred. For all units the longest interpeak interval recorded just prior to complete conduction failure was, on average, 1.12 ms (range, 0.8-1.4 ms). 4. For five axons, there was evidence that natural activity triggered the conduction failure. 5. Impalement of the nerve fibre by the microelectrode impairs the ability of the axon to conduct impulses across the site of injury, but impulse transmission can be secure even when the conduction time across individual internodes is prolonged to 500 microseconds. These findings are therefore relevant to the conduction deficits that occur in focal injuries of human axons.
摘要
  1. 使用传统单极电极的微神经ography技术,在人类受试者周围神经的十条有髓轴突产生传导阻滞时,对其动作电位进行了跟踪。2. 动作电位最初(n = 6)或后来(n = 4)呈现出正双峰形态。两个正峰之间的时间间隔代表跨被刺穿节间的传导时间。3. 当峰间间隔<500微秒时,即使传导时间明显延长,跨刺穿部位的传导也是可靠的。当间隔>600微秒时,会出现间歇性传导失败。对于所有单位,在完全传导失败之前记录到的最长峰间间隔平均为1.12毫秒(范围为0.8 - 1.4毫秒)。4. 对于五条轴突,有证据表明自然活动引发了传导失败。5. 微电极对神经纤维的刺穿会损害轴突跨损伤部位传导冲动的能力,但即使跨单个节间的传导时间延长到500微秒,冲动传递仍可能是可靠的。因此,这些发现与人类轴突局灶性损伤中出现的传导缺陷有关。

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