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Vierck C. Mechanisms of Below-Level Pain Following Spinal Cord Injury (SCI). THE JOURNAL OF PAIN 2019; 21:262-280. [PMID: 31493490 DOI: 10.1016/j.jpain.2019.08.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 07/05/2019] [Accepted: 08/07/2019] [Indexed: 12/18/2022]
Abstract
Mechanisms of below-level pain are discoverable as neural adaptations rostral to spinal injury. Accordingly, the strategy of investigations summarized here has been to characterize behavioral and neural responses to below-level stimulation over time following selective lesions of spinal gray and/or white matter. Assessments of human pain and the pain sensitivity of humans and laboratory animals following spinal injury have revealed common disruptions of pain processing. Interruption of the spinothalamic pathway partially deafferents nocireceptive cerebral neurons, rendering them spontaneously active and hypersensitive to remaining inputs. The spontaneous activity among these neurons is disorganized and unlikely to generate pain. However, activation of these neurons by their remaining inputs can result in pain. Also, injury to spinal gray matter results in a cascade of secondary events, including excitotoxicity, with rostral propagation of excitatory influences that contribute to chronic pain. Establishment and maintenance of below-level pain results from combined influences of injured and spared axons in the spinal white matter and injured neurons in spinal gray matter on processing of nociception by hyperexcitable cerebral neurons that are partially deafferented. A model of spinal stenosis suggests that ischemic injury to the core spinal region can generate below-level pain. Additional questions are raised about demyelination, epileptic discharge, autonomic activation, prolonged activity of C nocireceptive neurons, and thalamocortical plasticity in the generation of below-level pain. PERSPECTIVE: An understanding of mechanisms can direct therapeutic approaches to prevent development of below-level pain or arrest it following spinal cord injury. Among the possibilities covered here are surgical and other means of attenuating gray matter excitotoxicity and ascending propagation of excitatory influences from spinal lesions to thalamocortical systems involved in pain encoding and arousal.
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Affiliation(s)
- Chuck Vierck
- Department of Neuroscience, University of Florida College of Medicine and McKnight Brain Institute, Gainesville, Florida.
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Abstract
Experiments on the thalamus, dorsal column nuclei and spinal cord in the adult cat and rat show that partial destruction of afferents to these regions leads to the immediate unmasking of certain types of activity which are normally inhibited. Chronic studies show that some cells begin to respond to afferent nerve impulses after a period in which the cell seems to have lost all inputs. Sprouting of terminals from remaining areas is one possible explanation for these late changes but one must also consider the possibility that the new connections result from axons which were already present but which normally were ineffective.
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Guenot M, Bullier J, Rospars JP, Lansky P, Mertens P, Sindou M. Single-unit analysis of the spinal dorsal horn in patients with neuropathic pain. J Clin Neurophysiol 2003; 20:143-50. [PMID: 12766688 DOI: 10.1097/00004691-200304000-00009] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Despite the key role played by the dorsal horn of the spinal cord in pain modulation, single-unit recordings have only been performed very rarely in this structure in humans. The authors report the results of a statistical analysis of 64 unit recordings from the human dorsal horn. The recordings were done in three groups of patients: patients with deafferentation pain resulting from brachial plexus avulsion, patients with neuropathic pain resulting from peripheral nerve injury, and patients with pain resulting from disabling spasticity. The patterns of neuronal activities were compared among these three groups. Nineteen neurons were recorded in the dorsal horns of five patients undergoing DREZotomy for a persistent pain syndrome resulting from peripheral nerve injury (i.e., nondeafferented dorsal horns), 31 dorsal horn neurons were recorded in nine patients undergoing DREZotomy for a persistent pain syndrome resulting from brachial plexus avulsion (i.e., deafferented dorsal horns), and 14 neurons were recorded in eight patients undergoing DREZotomy for disabling spasticity. These groups were compared in terms of mean frequency, coefficient of variation of the discharge, other properties of the neuronal discharge studied by the nonparametric test of Wald-Wolfowitz, and the possible presence of bursts. The coefficient of variation tended to be higher in the deafferented dorsal horn group than in the other two groups. Two neurons displaying burst activity could be recorded, both of which belonged to the deafferented dorsal horn group. A significant difference was found in term of neuronal behavior between the peripheral nerve trauma group and the other groups: The brachial plexus avulsion and disabling spasticity groups were very similar, including various types of neuronal behavior, whereas the peripheral nerve lesion group included mostly neurons with "nonrandom" patterns of discharge (i.e., with serial dependency of interspike intervals).
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Affiliation(s)
- Marc Guenot
- Department of Functional Neurosurgery, P. Wertheimer Hospital, Lyon, France.
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Makous JC, Vierck CJ. Physiological changes during recovery from a primate dorsal column lesion. Somatosens Mot Res 1994; 11:183-92. [PMID: 7976012 DOI: 10.3109/08990229409028871] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
The evoked potential (EP) over primary somatosensory cortex (SI) was monitored before and after a complete lesion of the primate dorsal column (DC) pathway on one side. The EP was elicited by electrocutaneous or mechanical stimulation of either foot, and was recorded from the contralateral cortical surface for periods of up to 3 months after the lesion. The amplitudes of the three major peaks (P20, N50, and P90) of the cortical somatosensory EP were significantly reduced following interruption of the contralateral DC. Over weeks following the lesion, there was a significant increase in amplitude of the P90 component of the EP that was not evident in the other peaks. The postlesion increases in P90 amplitude were correlated with improved performance on a task that required grasping with either foot, suggesting that behavioral recovery from a DC lesion results in part from neural plasticity, as opposed to a simple relearning of the task.
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Affiliation(s)
- J C Makous
- Department of Neuroscience, College of Medicine, University of Florida, Gainesville 32610
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Koyama S, Katayama Y, Maejima S, Hirayama T, Fujii M, Tsubokawa T. Thalamic neuronal hyperactivity following transection of the spinothalamic tract in the cat: involvement of N-methyl-D-aspartate receptor. Brain Res 1993; 612:345-50. [PMID: 8101136 DOI: 10.1016/0006-8993(93)91684-k] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Single neuron activities responding to peripheral stimuli with short latencies were recorded within the thalamic nucleus ventralis posterolateralis (VPL) after transection of the spinothalamic tract (STT) in the cat under alpha-chloralose anesthesia. The VPL neurons showed spontaneous and evoked hyperactivity after STT transection, which was revealed at 1-2 weeks. The spontaneous hyperactivity further progressed until 3-4 weeks. These hyperactivities were observed in core-area neurons as well as neurons found in the shell area, suggesting that some, if not many, of the N-methyl-D-aspartate (NMDA) receptor antagonist (MK-801, 4-16 mg; i.v.) attenuated both the spontaneous and evoked hyperactivity observed after STT transection. No such effects were demonstrated in sham-operated animals. These findings suggest that VPL neurons become hyperactive after STT transection through recruitment of NMDA receptors. The hyperactivity of VPL neurons may represent an important background process in the production of deafferentation pain induced by lesions involving the STT.
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Affiliation(s)
- S Koyama
- Department of Neurological Surgery, Nihon University School of Medicine, Tokyo, Japan
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6
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Lenz F. The ventral posterior nucleus of thalamus is involved in the generation of central pain syndromes. ACTA ACUST UNITED AC 1992. [DOI: 10.1016/s1058-9139(06)80011-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Miller R, Wickens JR, Beninger RJ. Dopamine D-1 and D-2 receptors in relation to reward and performance: a case for the D-1 receptor as a primary site of therapeutic action of neuroleptic drugs. Prog Neurobiol 1990; 34:143-83. [PMID: 1969668 DOI: 10.1016/0301-0082(90)90005-2] [Citation(s) in RCA: 78] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- R Miller
- Department of Anatomy, University of Otago Medical School, Dunedin, New Zealand
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Lenz FA, Kwan HC, Dostrovsky JO, Tasker RR. Characteristics of the bursting pattern of action potentials that occurs in the thalamus of patients with central pain. Brain Res 1989; 496:357-60. [PMID: 2804648 DOI: 10.1016/0006-8993(89)91088-3] [Citation(s) in RCA: 208] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Neurons in the somatosensory thalamus of patients with central pain following spinal cord injury fire in bursts of action potentials more frequently than do similar neurons in patients without pain. Furthermore, the characteristic firing pattern within these bursts is similar to that which is shown to be associated with the occurrence of calcium spikes in intracellular studies of thalamic nuclei. This finding may have significant implications for the etiology and treatment of central pain states.
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Affiliation(s)
- F A Lenz
- Department of Neurosurgery, Johns Hopkins University, Baltimore, MD 21205
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Jeanmonod D, Sindou M, Magnin M, Boudet M. Intra-operative unit recordings in the human dorsal horn with a simplified floating microelectrode. ELECTROENCEPHALOGRAPHY AND CLINICAL NEUROPHYSIOLOGY 1989; 72:450-4. [PMID: 2469569 DOI: 10.1016/0013-4694(89)90050-3] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The authors report on the development, for studies in man, of a tungsten, glass-coated, light and simple microelectrode, that is implanted by hand in open operative conditions under the microscope and floats freely with the moving target tissue. This technique has provided limited but nevertheless satisfactory unit activity isolations. Intra-operative unit recordings were obtained from the dorsal horns of 2 spastic and 2 neurogenic pain patients. In the latter, dorsal horn deafferentation hyperactivities after a peripheral and a centro-peripheral lesion were recorded, characterized by a continuous, spontaneous and unalterable high frequency hyperactivity.
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Affiliation(s)
- D Jeanmonod
- Département de Neurochirurgie, Hôpital Neurologique, Lyon, France
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Smith PF, Curthoys IS. Mechanisms of recovery following unilateral labyrinthectomy: a review. BRAIN RESEARCH. BRAIN RESEARCH REVIEWS 1989; 14:155-80. [PMID: 2665890 DOI: 10.1016/0165-0173(89)90013-1] [Citation(s) in RCA: 358] [Impact Index Per Article: 10.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
This paper reviews the literature on the mechanisms responsible for the behavioural recovery which occurs following unilateral labyrinthectomy (UL), UL causes a syndrome of ocular motor and postural disorders, which diminish over time in a process of behavioural recovery known as vestibular compensation. Electrophysiological studies show that the VIIIth nerve does not undergo a functional recovery, therefore vestibular compensation has been attributed to CNS plasticity. However, the nature of the plasticity responsible for vestibular compensation is not understood. Single-neuron studies have demonstrated that a significant recovery of resting activity has occurred in the vestibular nuclei (VN) ipsilateral to the UL by the time symptoms such as spontaneous nystagmus and roll head tilt (static symptoms) have largely disappeared. However, many of the deficits in the response of VN neurons to head acceleration persist and may be permanent. This lack of recovery in the response of neurons to head acceleration correlates with the incomplete and sometimes poor recovery of the vestibulo-ocular and vestibulo-spinal reflex responses to head movement (dynamic symptoms). The major neuronal change in the VN during vestibular compensation appears to be the recovery of resting activity in the VN ipsilateral to the UL, although this recovery is more pronounced in the medial VN than in the lateral VN. The mechanism responsible for the regeneration of resting activity in VN neurons is unknown. In frogs, there is evidence to suggest that transcommissural synaptic input to the VN, from the contralateral (intact) labyrinth, increases in efficacy.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- P F Smith
- Department of Psychology, University of Sydney, NSW Australia
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Lenz FA, Tasker RR, Dostrovsky JO, Kwan HC, Gorecki J, Hirayama T, Murphy JT. Abnormal single-unit activity recorded in the somatosensory thalamus of a quadriplegic patient with central pain. Pain 1987; 31:225-236. [PMID: 3501563 DOI: 10.1016/0304-3959(87)90038-8] [Citation(s) in RCA: 135] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
We have performed single unit analysis of the activity of cells located in the ventral nuclear group of thalamus in a patient with dysesthetic pain below the level of a clinically complete traumatic spinal cord transection at C5. Cells located in the parasagittal plane 14 mm lateral to the midline responded to tactile stimulation in small facial and intraoral receptive fields, which were characteristic of patients without somatosensory abnormality [30]. In this patient the 16 mm lateral parasagittal plane contained cells with receptive fields located on the occiput and neck instead of the upper extremity as would normally be expected. Cells with receptive fields on the neck and occiput had not previously been observed in recordings from single units (n = 531) responding to somatosensory stimulation [30]. Thus, on the basis of their location in a region of thalamus which normally represents parts of the body below the level of the spinal cord transection and their unusual receptive fields adjacent to these same parts of the body, we propose that the cells in the 16 mm lateral plane have lost their normal afferent input. Analysis of the autopower spectra of spike trains indicates that cells in the 16 mm lateral plane exhibited a higher mean firing rate and greater tendency to fire in bursts than cells in the 14 mm lateral plane (P less than 0.005). Finally, electrical stimulation at the recording sites in the 16 mm lateral plane evoked a burning sensation in the occiput, neck and upper extremity. These results suggest that regions of thalamus which have lost their normal somatosensory input contain neurons which exhibit abnormal spontaneous and evoked activity and that electrical stimulation of these regions can produce the sensation of burning dysesthesia.
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Affiliation(s)
- Frederick A Lenz
- Division of Neurosurgery, Toronto General Hospital, TorontoCanada Division of Neurology, Toronto General Hospital, TorontoCanada Division of Clinical Neurophysiology, Toronto General Hospital, TorontoCanada Department of Physiology, University of Toronto, Toronto, Ont.Canada Department of Biomedical Engineering, University of Toronto, Toronto, Ont.Canada
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12
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Albe-Fessard D, Berkley KJ, Kruger L, Ralston HJ, Willis WD. Diencephalic mechanisms of pain sensation. Brain Res 1985; 356:217-96. [PMID: 3896408 DOI: 10.1016/0165-0173(85)90013-x] [Citation(s) in RCA: 280] [Impact Index Per Article: 7.2] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
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Marshall JF. Neural plasticity and recovery of function after brain injury. INTERNATIONAL REVIEW OF NEUROBIOLOGY 1985; 26:201-47. [PMID: 2991158 DOI: 10.1016/s0074-7742(08)60075-6] [Citation(s) in RCA: 36] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Bakay RA, Westrum LE. Age-related fine structural changes in axons and synapses during deafferentation of the rat pyriform cortex: a possible basis for plasticity. JOURNAL OF NEUROCYTOLOGY 1984; 13:743-65. [PMID: 6512565 DOI: 10.1007/bf01148492] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The purpose of this study was to compare the sequence of axonal and synaptic alterations following deafferentating lesions at selected postnatal ages and relate these changes to synaptic organization in the olfactory cortex. Rats received unilateral olfactory bulb ablation at 2 1/2, 6, 9 and 13 days of age and were studied at survivals of 12 h to 30 days. At least three clearly different forms of acute degeneration were seen; flocculent, granular and dense with the granular form an intermediate form. The proportion of granular and especially dense degeneration increases after six days of age as does the presence of glia. The denser the type of degeneration, the greater the retention of remnants of this form of synaptic degeneration at deafferented postsynaptic sites. This as well as the increased presence of glia after six days may be important factors in the limitation of plastic reorganization or reinnervation in more mature individuals. The youngest operated animals show rapid vacating of the receptor site, relative absence of glia and striking evidence of competitive reoccupation of deafferented sites.
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Abstract
We have developed an organotypic hippocampal tissue culture model for analyses of sustained hyperexcitability in which repetitive electric stimulation of the dentate area enhances the amplitude and complexity of evoked normal and epileptiform field potentials recorded extracellularly from CA3/2 areas of neonatal mouse hippocampal explants. In explants where spontaneous field potentials are not detectable at the onset of the experiment, brief repetitive electric stimulation elicits self-sustained epileptiform discharges that continue for the duration of the recorded period (2-10 hours). Lowering the extracellular Ca++ level to 0.1-0.2 mM markedly attenuates these discharges and repetitive stimulation during a 2-4 hr period fails to elicit hyperexcitability. When tested after return to normal media repetitive stimulation can elicit hyperexcitability. Raising the extracellular K+ levels to 8-9 mM enhances the complexity of evoked as well as spontaneous field potentials and, in some cases, elicits self-sustained epileptiform discharges in the absence of repetitive electric stimulation.
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Gustafsson B, Katz R, Malmsten J. Effects of chronic partial deafferentiation on the electrical properties of lumbar alpha-motoneurones in the cat. Brain Res 1982; 246:23-33. [PMID: 7127088 DOI: 10.1016/0006-8993(82)90138-x] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Membrane properties of cat spinal alpha-motoneurones were compared in cats following acute and chronic low (L5) spinal section and dorsal rhizotomy (L7--S1) and in cats with intact spinal cord in order to investigate effects of chronic partial deafferentation. The most significant change observed was a decrease in electrotonic length of the chronically deafferented neurones. Calculations showed that this decrease was related to a 15--20% reduction in length of an equivalent cylinder used to represent a motoneurone. Using a compartmental model, calculations showed that the peak voltage produced by a given synaptic input would be increased by 6--36% by chronic section. Such an increase is not sufficient to explain reported increases in EPSP peak amplitudes. Neither peak amplitude (and underlying conductance change) nor duration of the afterhyperpolarizaton were affected by the acute or chronic sections. No obvious changes in the delayed depolarization were observed. The properties of the repetitive discharge induced by intracellular current injection was not altered by chronic section.
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Steward O. Assessing the functional significance of lesion-induced neuronal plasticity. INTERNATIONAL REVIEW OF NEUROBIOLOGY 1982; 23:197-254. [PMID: 6749736 DOI: 10.1016/s0074-7742(08)60626-1] [Citation(s) in RCA: 59] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Goshgarian HG, Rafols JA. The phrenic nucleus of th albino rat: a correlative HRP and Golgi study. J Comp Neurol 1981; 201:441-56. [PMID: 7276259 DOI: 10.1002/cne.902010309] [Citation(s) in RCA: 113] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
The phrenic nucleus of the adult albino rat was studied by utilizing the O-dianisidine method for the retrograde transport of horseradish peroxidase in conjunction with the zinc chromate modification of the Golgi technique. Application of HRP to the transected phrenic nerve in the neck labeled a column of phrenic motor neurons from C3 to C5 in the ipsilateral spinal cord. However, when HRP was applied to the phrenic nerve intrathoracically, labeled neurons were found from C3 to C6. The long axis of the column of phrenic neurons was oriented tangentially from rostral to caudal poles. There was a gradual shift of the column from posterior to anterior and from lateral to medial positions in the ventral horn. The peroxidase material was also used to localize impregnated phrenic motor neurons in the Golgi sections and to provide quantitative data on phrenic motor neurons. In Golgi-impregnated material two types of phrenic neurons were distinguished on the basis of dendritic morphology and orientation. These neurons were designated (1) large neurons with smooth, radially oriented dendrites, and (2) smaller neurons with varicose, tangentially oriented dendrites. Both types of neurons had a small number of spines and bulbous appendages issuing from the dendritic trunks and branches. The dendritic fields of adjacent phrenic neurons overlapped extensively with one another and with dendrites of more distally placed ventral horn motor neurons. In peroxidase-labeled sagittal sections the dendrites of phrenic neurons were primarily oriented in the rostrocaudal plane. The mean total number of peroxidase-labeled neurons in the phrenic nucleus was 415.75 +/- 18.36 cells. In sagittal sections the mean long axis diameter of phrenic cell bodies was 34.5 micrometers. In frontal sections the mean long axis diameter of phrenic cell bodies was 22.5 micrometers. Thus, from direct measurement, the phrenic neurons were 34% longer in the sagittal plane than in the frontal plane. In the present study each phrenic nucleus contributed fibers only to the ipsilateral phrenic nerve, and no evidence for peripheral crossing of fibers was found.
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De Castro Costa M, De Sutter P, Gybels J, Van Hees J. Adjuvant-induced arthritis in rats: a possible animal model of chronic pain. Pain 1981; 10:173-185. [PMID: 7267134 DOI: 10.1016/0304-3959(81)90193-7] [Citation(s) in RCA: 168] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Adjuvant-induced arthritic rats were observed clinically and behaviorally. The clinical disease has a duration of greater than 1 month and can be divided into a pre-clinical (1-10 days), an acute (15-30 days), postacute (30-50 days) and a late phase (greater than 50 days). Adjuvant arthritis induces significantly quantitatively changes in the rats' behaviour. Two types of behavioural change merit special attention: freezing (arresting) and scratching. Freezing is significantly increased in the acute and postacute phases; it is increased by morphine, this effect being blocked by naloxone. Scratching is significantly increased in the acute, postacute and late phases; it is decreased by morphine, this effect being blocked by naloxone. The chronic presence of scratching, and the effects of morphine and naloxone on it, allow us to consider it as a possible pain-rated behaviour and therefore as a possible parameter for the study of chronic pain in animals.
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Ganchrow D, Margolin J, Perez L, Bernstein JJ. Patterns of reafferentation in rat nucleus gracilis after thoracic dorsal column lesions. Exp Neurol 1981; 71:437-51. [PMID: 7461072 DOI: 10.1016/0014-4886(81)90022-4] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Weber ED, Stelzner DJ. Synaptogenesis in the intermediate gray region of the lumbar spinal cord in the postnatal rat. Brain Res 1980; 185:17-37. [PMID: 7353175 DOI: 10.1016/0006-8993(80)90667-8] [Citation(s) in RCA: 30] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
Mid-thoracic spinal cord transection produces dramatically different behavioral results depending upon a rat's age at the time of surgery. The present study was initiated to determine whether the synaptic development in the gray matter of the normal, developing spinal cord differs before and after the period when maximal behavioral recovery occurs. The L6 segments from 10 groups of animals, 0--30 days of age, taken at 3 day intervals (4 animals/group) were studied by light microscopy. Areal measurements of the gray matter were made using an integrating x-y tablet interfaced to a computer. Cell size, cell density and area of neuropil were evaluated in the lateral portions of the intermediate gray matter, laminae VI and VII. Electron microscopic analyses of synaptogenesis were performed on material from the same region in animals 3, 12, 15, 21 and 30 days old using similar morphometric methods while taking note of vesicle, junctional, and mitochondrial morphology. A 60% increase in area of neuropil paralleled a linear increase, of comparable magnitude, in area of the gray matter until 15 days of age when both curves reached plateau. Neuronal perikaryal size remained constant (congruent to 200 sq. microns in plane of nucleolus) throughout development and so could not have contributed to the increase in area of gray matter. Areal measurements of the size and counts of the number of vesicle containing profiles demonstrated a 50% increase in density of axon terminals between 3 and 12 days of age and a steady decline thereafter. The size of vesicle-containing profiles in laminae VI and VII remained constant at a small value (congruent to 0.35 sq microns) until 12 days of age, showed rapid growth to 0.54 sq. microns between 12 and 15 days of age, followed by a more moderate increase in sectional area after 15 days. These results suggest that during the period when recovery of function follows spinal injury, synaptogenesis in the intermediate gray region of the lumbar spinal cord proceeds rapidly, while at stages when little recovery of function follows spinal transection, synaptogenesis is essentially complete.
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Eysel UT. Maintained activity, excitation and inhibition of lateral geniculate neurons after monocular deafferentation in the adult cat. Brain Res 1979; 166:259-71. [PMID: 218692 DOI: 10.1016/0006-8993(79)90212-9] [Citation(s) in RCA: 32] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Monocular deafferentation of the lateral geniculate nucleus (LGN) was accomplished by photocoagulation of the retinal vessels and the optic disc of one eye. Single cells with normal excitatory innervation from the intact eye (N-cells) and deafferented (D-) cells were recorded extracellularly with glass micropipettes from layers A and A1 of the LGN 10 days and 10 weeks after visual deafferentation. The maintained activity of D-cells was severely reduced after 10 days but had recovered significantly after 10 weeks. Different interspike interval distributions indicated a change in the main input source for the reactivated cells after 10 weeks. Stimulation of the intact retina with diffuse, high-intensity light flashes revealed missing or very small responses in the acutely deafferented cells. A still weak influence of the non-dominant eye on the deafferented cells after 10 days developed after 10 weeks into a biphasic response with an initial inhibitory period followed by a post-inhibitory exciation. Electrical stimulation of the optic chiasm revealed an increased inhibition during chronic deafferentation. Excitation following this inhibitory period was rare after 10 days but occurred frequently after 10 weeks. An enhanced excitability following stimulation of the visual cortex and the mesencephalic reticular formation was also observed after 10 weeks of deafferentation. An increased efficiency of all remaining inputs to the visually deafferented cells is concluded from the augmented inhibition and non-retinal excitation.
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25
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Albé-Fessard D. Physiology of pain--some recent concepts. INTERNATIONAL REHABILITATION MEDICINE 1979; 1:100-5. [PMID: 553066 DOI: 10.3109/03790797909163935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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26
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Melzack R, Loeser JD. Phantom body pain in paraplegics: evidence for a central "pattern generating mechanism" for pain. Pain 1978; 4:195-210. [PMID: 273200 DOI: 10.1016/0304-3959(77)90133-6] [Citation(s) in RCA: 185] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Ronald Melzack
- Department of Psychology, McGill University, Montreal, Que.Canada Department of Neurological Surgery, University of Washington, School of Medicine, Seattle, Wash. 98195 U.S.A
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Goshgarian HG, Guth L. Demonstration of functionally ineffective synapses in the guinea pig spinal cord. Exp Neurol 1977; 57:613-21. [PMID: 198232 DOI: 10.1016/0014-4886(77)90093-0] [Citation(s) in RCA: 62] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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28
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Rosenstein JM, Page RB, Leure-DuPree AE. Patterns of degeneration in the external cuneate nucleus after multiple dorsal rhizotomies. J Comp Neurol 1977; 175:181-205. [PMID: 893739 DOI: 10.1002/cne.901750204] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Unilateral, intradural dorsal rhizotomies (C3-Cs) were performed on adult rats to study the patterns of synaptic organization of ascending dorsal root fibers in the external cuneate nucleus (ECN). Animals were permitted to survive for periods of time ranging from 3 hours to 12 days. Sham-operated animals presented a morphology indistinguishable from that of normal, unoperated animals. In rhizotomized animals, degeneration was observed ipsilaterally at all survival periods. After postoperative survivals of 3 to 14 hours some terminal boutons displayed clumping and diminution in numbers of synaptic vesicles and, in addition, degeneration myelinated axons were observed at this time. There was considerable degeneration in the neuropil between 24 and 48 hours postoperative. Two forms of degeneration occurred in axons and terminal boutons with comparable frequency: electron lucent degeneration and electron opaque degeneration. Reactive phagocytic glial cells contained degenerated masses, lipoid droplets, lysosome-like structures and myelin fragments. After postoperative survivals of four to six days, lucent and opaque degenerating terminals were less numerous. Neurofilamentous degeneration was observed only occasionally. Unaltered synaptic membrane specializations were present and were usually abutted by glia. At 12 days postoperative, synaptic glomeruli and serial synapses were not seen. Invaginating dendritic spines were rarely seen. Bouton populations that remained unualtered were: small (0.3-3.0 micron) boutons that contact dendritic shafts and somata, nodal synaptic boutons and boutons containing granular vesicles (80-100 nm).
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Abstract
Albino rats, 0, 9, 12, 15, 18, 21 or greater than 90 days of age, were given a mid-thoracic spinal cord transection. Evaluation of responses of the hindlimbs to a variety of behavioral tasks was begun on the day of surgery and at intervals throughout the postoperative survival period (up to 300 days). Two investigators, independently and without knowledge of the animals' ages or survival times, rated the response data. Histological study showed all transections to be complete. Large differences in behavior are observed when animals trasected at the neonatal stage (0-4 days of age) are compared with animals transected at the weanling stage (21-26 days of age)37. Results of the present investigation indicate a critical period near 15 days of age; animals lesioned prior to this age (0, 9, 12 days of age) show response development and recovery similar to the neonatally lesioned animal, whereas those animals lesioned at a later age (18, 21, greater than 90 days of age) show little recovery and are behaviorally similar to the weanling transected animal. In animals lesioned prior to the fifteenth postnatal day, postural responses appear depressed for a brief period but recover rapidly while most responses of animals in the older groups are depressed for longer periods and never attain the degree of recovery characteristic of the neonatally transected animal. Finally, like the neonatally transected animal, rats lesioned on the ninth and twelfth postnatal day develop certain responses at appropriate times relative to normal response development. If, however, these responses are mature and supraspinal control is present at the time of lesioning, they appear to be permanently depressed and fail to recover.
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Duckrow RB, Taub A. The effect of diphenylhydantoin on self-mutilation in rats produced by unilateral multiple dorsal rhizotomy. Exp Neurol 1977; 54:33-41. [PMID: 556697 DOI: 10.1016/0014-4886(77)90232-1] [Citation(s) in RCA: 60] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Rosenstein JM, Leure-DuPree AE. Electron microscopic observations of nodes of Ranvier in the external cuneate nucleus. J Comp Neurol 1976; 170:461-83. [PMID: 1002869 DOI: 10.1002/cne.901700406] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
During the course of an investigation of the synaptic organization of the external cuneate nucleus (ECN) in the Sprague-Dawley albino rat, the ultrastructural morphology of nodes of Ranvier in the neuropil has been studied. The majority of nodes observed have the basic morphological features of conventional central nodes but there is individual variation with regard to length, surface area and cytoplasmic organelles. In addition, nodes with multiple myelinated branches are observed. Some nodes of Ranvier were observed to form specialized synaptic boutons. Two types of nodal synaptic boutons were present; a simple type and a complex type. Simple nodal boutons were observed more frequently. These nodes usually synapse upon a single dendritic element; the portion of the node opposite the presynaptic area has a morphology similar to conventional nodes. Complex nodal boutons are of greater dimension than simple nodal boutons and are usually in contact with several neuronal elements. They may be presynaptic to dendritic shafts or spines and are occasionally observed to be postsynaptic to small axonic profiles, a synaptic relationship which, until this report, has not been demonstrated in the central nervous system (CNS). The possible functional significance of these observations is discussed.
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Holloway JA, Wright LE, Trouth CO. Burst and doublet firing modes within spinal cord dorsal horn cells of the chicken (Gallus domesticus). Brain Res 1976; 117:326-30. [PMID: 990919 DOI: 10.1016/0006-8993(76)90741-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Calvin WH, Loeser JD. Doublet and burst firing patterns within the dorsal column nuclei of cat and man. Exp Neurol 1975; 48:406-26. [PMID: 1175705 DOI: 10.1016/0014-4886(75)90003-5] [Citation(s) in RCA: 32] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Sotelo C. Anatomical, physiological and biochemical studies of the cerebellum from mutant mice. II. Morphological study of cerebellar cortical neurons and circuits in the weaver mouse. Brain Res 1975; 94:19-44. [PMID: 1148865 DOI: 10.1016/0006-8993(75)90874-4] [Citation(s) in RCA: 235] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
The vermis of the homozygous weaver mice has been examined with Golgi and electron microscopic techniques. In addition to the findings already reported by previous authors 12, 29, new cytological features concerning all the cerebellar neuronal types and the synaptic reorganization of the cerebellar circuitry are described. As in other agranular cerebella, Purkinje cells do not develop spiny branchlets and have a randomly oriented dendritic tree. By contrast, their thick dendrites are studded with spines; according to their size and shape these were classified into: (a) small stubby spines which are the normal postsynaptic targets for climbing fibers; (b) tertiary-like spines, most of which are free of axonal contacts; (c) dolichoderus spines; (d) branching spines; and (e) hypertrophic spines. The last 3 types do not exist in normal cerebellum. Postsynaptic-like differentiations are frequently undercoating the smooth surface of the Purkinje dendrites. As it happens in the case of the free spines, free postsynaptic sites in the shafts of the dendrites develop an extracellular material similar to the material present in synaptic clefts. Basket and stellate cells also develop postsynaptic-like differentiations undercoating the somatic and dendritic plasma membranes. These free postsynaptic sites can reach a gigantic size, being longer than 3 mum in length. The rare postmigrative granule cells which persist in wv exhibit claw-endings not only at the dendritc terminal segments, but at the proximal dendritic stems as well. Some of these granule cells, besides having fully achieved migration, undergo a degenerative process indicating that they are probably directly affected by the mutation. Concerning the cerebellar circuitry, and despite the great number of free postsynaptic sites, the large majority of the synaptic contacts keep their specificity. However, some quantitative variations have been disclosed. The surface density of climbing varicosities is increased, whereas that of mossy rosettes is decreased. Stellate and basket fibers are present and their density also decreased. Furthermore, the pinceau formation around the initial segment of the Purkinje cell axon is missing. In addition to all normal synapt iccontacts (with the exception of the'parallel fiber-omnicellularsystem') present in weaver, heterologous synapses have also been encountered, mainly concerning the Purkinje dendritic spines, which can be contacted by mossy rosettes, granule cell bodies and/or dendrites. Morphological signs of partial innervation of the free postsynaptic sites on the smooth surface of Purknje dendrites and the perikarya and dendrites of interneurons have also been observed. These results confirm the existence of synaptic remodeling in wv cerebellum
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Abstract
The membrane potential waveforms to be expected from many asynchronous inputs to CNS neurons are described, along with modes for repetitive firing through which the input waveforms are converted into spike trains. Area beneath a postsynaptic potential (PSP), rather than PSP peak height, is shown to be an important parameter susceptible to modification. Occasional crossings of threshold produce occasional spikes, but a sustained depolarizing waveform which attempts to hold the membrane potential above threshold elicits rhythmic firing. Firing rate is graded with the amount by which the synaptic depolarizing currents exceed the minimum current for rhythmic firing (approximately rheobase). A systematic sequence of alterations in the membrane potential trajectory between spikes, quite different from those of receptors and invertebrate neurons, may control the firing rate and give rise to sudden changes in the "gain" of this conversion of depolarizing current into firing rate. The different implications of synaptic location during the occasional spike mode and the rhythmic firing mode are discussed, as is the role of the antidromic invasion of the soma-dendritic region during rhythmic firing. Less frequently an"extra spike mode" is seen where depolarizing afterpotentials following a spike themselves cross threshold to elicit an extra spike, which may similarly elicit another extra spike, etc., in a regenerative cycle. The character of the underlying depolarizing afterpotentials (or "delayed depolarizations") is reviewed, along with theories for their origin from the antidromic invasion of the dendritic tree. The stereotyped burst firing patterns characteristic of the extra spike mode can also be seen in deafferented neurons and neurons studied in chronic syndromes such as epilepsy and central pain. This raises the question as to whether some disease states may augment extra spike firing, thus multiplying many-fold the response to a normal input.
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Calvin WH, Sypert GW. Cerebral cortex neurons with extra spikes: a normal substrate for epileptic discharges? Brain Res 1975; 83:498-503. [PMID: 1111816 DOI: 10.1016/0006-8993(75)90843-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Murray M, Goldberger ME. Restitution of function and collateral sprouting in the cat spinal cord: the partially hemisected animal. J Comp Neurol 1974; 158:19-36. [PMID: 4547771 DOI: 10.1002/cne.901580103] [Citation(s) in RCA: 258] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Horridge GA, Burrows M. Synapses upon motoneurons of locusts during retrograde degeneration. Philos Trans R Soc Lond B Biol Sci 1974; 269:95-108. [PMID: 4154464 DOI: 10.1098/rstb.1974.0042] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
Four interneurons of the ventral cord, the descending movement detectors (DMD) have symmetrical synapses upon the fast extensor tibiae (FETi) motoneurons on each side of the metathoracic ganglion. Each impulse in a DMD interneuron generates an excitatory post-synaptic potential (e.p.s.p.) of constant and similar amplitude in both FETi motoneurons of a normal locust. The symmetry provides inherent controls which makes this a convenient system to study the effect on inputs to a motoneuron caused by peripheral section of its axon. On the operated side the retrograde changes in the FETi motoneuron include, first an increased amplitude of the e.p.s.ps, then a brief period when they are variable, followed by a progressive reduction over a period of days. Other inputs to the FETi motoneurons from head, abdomen and tympanum also decline, but not at equal rates. Changes in e.p.s.p. amplitude are the opposite to those expected from simultaneous changes in the time constant. The observed changes in the e.p.s.ps are attributed to instability and then progressive loss of synapses upon the FETi motoneuron. The results show that the integrity of the motoneuron is essential for maintenance of its synaptic inputs.
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Howe JF, Loeser JD. The time course of functional alterations in degenerating dorsal column afferents to lateral cuneate nucleus. Exp Neurol 1973; 40:731-41. [PMID: 4516349 DOI: 10.1016/0014-4886(73)90107-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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42
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Kjerulf TD, Loeser JD. Neuronal hyperactivity following deafferentation of the lateral cuneate nucleus. Exp Neurol 1973; 39:70-85. [PMID: 4349124 DOI: 10.1016/0014-4886(73)90042-3] [Citation(s) in RCA: 51] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
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