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1.
Spinal Cord ; 50(9): 711-5, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22733175

RESUMO

STUDY DESIGN: Case report of a 42-year-old woman with non-evoked pain diagnosed with a cavernous C7-Th6 spinal haemangioma. OBJECTIVES: To assess the effect of intramedullary haemorrhage (IH) on nociception and neuropathic pain (NP) at and below an incomplete spinal cord injury (SCI). SETTING: Sensorimotor Function Group, Hospital Nacional de Parapléjicos de Toledo (HNPT). METHODS: T2*-susceptibility weighted image (SWI) magnetic resonance imaging (MRI) of spinal haemosiderin and a complete pain history were performed 8 months following initial dysaesthesia complaint. Thermal pain thresholds were assessed with short 1 s stimuli, while evidence for central sensitization was obtained with psychophysical electronic Visual Analogue Scale rating of tonic 10 s 3 °C and 48 °C stimuli, applied at and below the IH. Control data were obtained from 10 healthy volunteers recruited from the HNPT. RESULTS: Non-evoked pain was present within the Th6 dermatome and lower legs. T2*-SWI MRI imaging detected extensive haemosiderin-rich IH (C7-Th5/6 spinal level). Cold allodynia was detected below the IH (left L5 dermatome) with short thermal stimuli. Tonic thermal stimuli applied to the Th6, Th10 and C7 dermatomes revealed widespread heat and cold allodynia. CONCLUSION: NP was diagnosed following IH, corroborated by an increase in below-level cold pain threshold with at- and below-level cold and heat allodynia. Psychophysical evidence for at- and below-level SCI central sensitization was obtained with tonic thermal stimuli. Early detection of IH could lead to better management of specific NP symptoms, an appreciation of the role of haemorrhage as an aggravating SCI physical factor, and the identification of specific spinal pathophysiological pain mechanisms.


Assuntos
Hemangioma Cavernoso do Sistema Nervoso Central/diagnóstico , Temperatura Alta/efeitos adversos , Hiperalgesia/diagnóstico , Sensação/fisiologia , Traumatismos da Medula Espinal/diagnóstico , Adulto , Vértebras Cervicais , Feminino , Hemangioma Cavernoso do Sistema Nervoso Central/complicações , Hemangioma Cavernoso do Sistema Nervoso Central/fisiopatologia , Humanos , Hiperalgesia/etiologia , Hiperalgesia/fisiopatologia , Traumatismos da Medula Espinal/complicações , Traumatismos da Medula Espinal/fisiopatologia , Vértebras Torácicas
2.
Science ; 163(3866): 488-9, 1969 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-5762402

RESUMO

Reasons are given for rejecting the two-point threshold as the standard measure of spatiotactile resolution. As alternative techniques, thresholds were obtained for disc-size and disc-annulus discriminations. Disc-annulus thresholds are comparable to two-point values, but disc-size thresholds are smaller by a factor of 10. Thus, at least part of the cutaneous system is better organized for localization and sizing of a stimulus than for detection of discontinuities in it.


Assuntos
Células Receptoras Sensoriais , Percepção de Tamanho , Pele/inervação , Humanos
3.
Neuroscience ; 146(3): 1333-45, 2007 May 25.
Artigo em Inglês | MEDLINE | ID: mdl-17418497

RESUMO

Lumbar intrathecal injections of substance P-saporin (SP-sap) destroy dorsal horn neurons that express the neurokinin-1 receptor (NK-1R) resulting in decreased responses to a range of noxious stimuli and decreased hyperalgesia and allodynia. Forebrain injections of SP-sap produce considerable non-specific damage raising some concern about use of this toxin in vivo. The more stable and selective substance P congener, [Sar9,Met(O2)11]substance P coupled to saporin (SSP-sap) produces much more selective forebrain lesions at significantly lower doses. The present study sought to determine the anatomic and nocifensive behavioral effects of lumbar intrathecal injections of the more precisely targeted SSP-sap. On the basis of loss of lamina I NK-1R staining, lumbar intrathecal SSP-sap was seven times more potent than SP-sap and produced no loss of NK-1R expressing neurons in deeper laminae (III-VI or X). Transient decreases in hotplate responding occurred at 44 degrees C and 47 degrees C but not 52 degrees C during the first 3 weeks after SSP-sap injection with return to baseline by 4 weeks. Operant escape responses were reduced at 0.3 degrees C, 44 degrees C and 47 degrees C for at least 4 months. In the formalin test, SSP-sap also was about seven times more potent than SP-sap in reducing phase two behavior in both female Long Evans and male Sprague-Dawley rats. Both SSP-sap and SP-sap reduced formalin-induced FOS expression in deep and superficial laminae of the L4 dorsal horn in parallel with the reduction in phase 2 behavior. In summary, SSP-sap is highly effective in destroying lamina I NK-1R expressing neurons, without loss of deep NK-1R neurons. The behavioral effects of SSP-sap are similar to SP-sap suggesting that the antinociceptive effects of both toxins are indeed due to selective loss of NK-1R neurons in lamina I. SSP-sap is an attractive agent for possible treatment of chronic pain.


Assuntos
Analgésicos , Comportamento Animal/efeitos dos fármacos , Células do Corno Posterior/efeitos dos fármacos , Receptores da Neurocinina-1/biossíntese , Proteínas Recombinantes de Fusão/farmacologia , Animais , Condicionamento Operante/efeitos dos fármacos , Interpretação Estatística de Dados , Reação de Fuga/efeitos dos fármacos , Feminino , Formaldeído , Genes fos/efeitos dos fármacos , Temperatura Alta , Imuno-Histoquímica , Injeções Espinhais , Masculino , Medição da Dor/efeitos dos fármacos , Células do Corno Posterior/metabolismo , Células do Corno Posterior/ultraestrutura , Ratos , Ratos Long-Evans , Ratos Sprague-Dawley , Tempo de Reação/efeitos dos fármacos , Receptores da Neurocinina-1/metabolismo , Proteínas Inativadoras de Ribossomos Tipo 1 , Saporinas
4.
Neuroscience ; 147(1): 174-82, 2007 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-17521823

RESUMO

In pre-clinical models intended to evaluate nociceptive processing, acute stress suppresses reflex responses to thermal stimulation, an effect previously described as stress-induced "analgesia." Suggestions that endogenous opioids mediate this effect are based on demonstrations that stress-induced hyporeflexia is enhanced by high dose morphine (>5 mg/kg) and is reversed by naloxone. However, reflexes and pain sensations can be modulated differentially. Therefore, in the present study direct comparisons were made of opioid agonist and antagonist actions, independently and in combination with acute restraint stress in Long Evans rats, on reflex lick-guard (L/G) and operant escape responses to nociceptive thermal stimulation (44.5 degrees C). A high dose of morphine (>8 mg/kg) was required to reduce reflex responding, but a moderate dose of morphine (1 mg/kg) significantly reduced escape responding. The same moderate dose (and also 5 mg/kg) of morphine significantly enhanced reflex responding. Naloxone (3 mg/kg) significantly enhanced escape responding but did not affect L/G responding. Restraint stress significantly suppressed L/G reflexes (hyporeflexia) but enhanced escape responses (hyperalgesia). Stress-induced hyperalgesia was significantly reduced by morphine and enhanced by naloxone. In contrast, stress-induced hyporeflexia was blocked by both naloxone and 1 mg/kg of morphine. Thus, stress-induced hyperalgesia was opposed by endogenous opioid release and by administration of morphine. Stress-induced hyporeflexia was dependent upon endogenous opioid release but was counteracted by a moderate dose of morphine. These data demonstrate a differential modulation of reflex and operant outcome measures by stress and by separate or combined opioid antagonism or administration of morphine.


Assuntos
Analgésicos Opioides/administração & dosagem , Reação de Fuga/efeitos dos fármacos , Morfina/administração & dosagem , Peptídeos Opioides/metabolismo , Reflexo/efeitos dos fármacos , Estresse Psicológico/metabolismo , Doença Aguda , Adaptação Fisiológica/efeitos dos fármacos , Animais , Condicionamento Operante/efeitos dos fármacos , Condicionamento Operante/fisiologia , Modelos Animais de Doenças , Deslocamento Psicológico , Relação Dose-Resposta a Droga , Reação de Fuga/fisiologia , Feminino , Naloxona/administração & dosagem , Antagonistas de Entorpecentes/administração & dosagem , Peptídeos Opioides/agonistas , Peptídeos Opioides/antagonistas & inibidores , Ratos , Ratos Long-Evans , Tempo de Reação/efeitos dos fármacos , Tempo de Reação/fisiologia , Reflexo/fisiologia , Reflexo Anormal/efeitos dos fármacos , Reflexo Anormal/fisiologia , Restrição Física , Estresse Psicológico/complicações
5.
Neuroscience ; 319: 23-34, 2016 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-26812034

RESUMO

Flexion/withdrawal reflexes are attenuated by spinal, intracerebroventricular (ICV) and systemic delivery of cholinergic agonists. In contrast, some affective reactions to pain are suppressed by systemic cholinergic antagonism. Attention to aversive stimulation can be impaired, as is classical conditioning of fear and anxiety to aversive stimuli and psychological activation of stress reactions that exacerbate pain. Thus, in contrast to the suppressive effects of cholinergic agonism on reflexes, pain sensitivity and affective reactions to pain could be attenuated by reduced cerebral cholinergic activation. This possibility was evaluated in the present study, using an operant test of escape from nociceptive thermal stimulation (10 °C and 44.5 °C) before and after destruction of basal forebrain cholinergic neurons. ICV injection of 192 IgG-saporin produced widespread loss of basal forebrain cholinergic innervation of the cerebral cortex and hippocampus. Post-injection, escape from thermal stimulation was decreased with no indication of recovery for upto 19 weeks. Also, the normal hyperalgesic effect of sound stress was absent after ICV 192-sap. Effects of cerebral cholinergic denervation or stress on nociceptive licking and guarding reflexes were not consistent with the effects on operant escape, highlighting the importance of evaluating pain sensitivity of laboratory animals with an operant behavioral test. These results reveal that basal forebrain cholinergic transmission participates in the cerebral processing of pain, which may be relevant to the pain sensitivity of patients with Alzheimer's disease who have prominent degeneration of basal forebrain cholinergic neurons.


Assuntos
Prosencéfalo Basal/patologia , Neurônios Colinérgicos/patologia , Limiar da Dor/fisiologia , Animais , Anticorpos Monoclonais/toxicidade , Prosencéfalo Basal/efeitos dos fármacos , Colinérgicos/toxicidade , Neurônios Colinérgicos/efeitos dos fármacos , Condicionamento Operante , Modelos Animais de Doenças , Feminino , Ratos , Ratos Long-Evans , Proteínas Inativadoras de Ribossomos Tipo 1/toxicidade , Saporinas
6.
Eur J Pain ; 19(8): 1158-67, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25573023

RESUMO

BACKGROUND: Identification of mechanisms for pain/hyperalgesia following spinal cord injury requires long-term evaluation of individual subjects because of the variability in effect over time for humans. METHODS: Rats were trained on an operant escape task that determined their preference for occupancy of a brightly lit compartment versus a dark compartment with a floor preheated to 10, 32 or 44.5 °C. Following determination of baseline preferences, the animals received extradural implantation of a small piece of polymer in the thoracic spinal canal. The polymer narrowed the spinal canal and compressed the spinal cord. Post-operative tests of escape preference were conducted over 23 weeks (experiments 1 and 2) and 62 weeks (experiment 3), permitting statistical evaluation of individual effects. RESULTS: Spinal stenosis/compression produced hyperalgesia for cold and/or heat stimulation (17 animals; 77%), no post-operative change in sensitivity (4 animals) or hypoalgesia for cold or heat (2 animals). When hyperalgesia occurred, it developed gradually over 4 months. Following removal of the polymer in experiment 3, heat sensitivity returned to baseline levels for four of four animals that had been hyperalgesic when the polymer was in place, but cold hyperalgesia was retained for four of five animals. Overall, post-operative changes in cold and heat sensitivity were not strongly related, indicating that different mechanisms were responsible for enhanced sensitivity to 10 and 44.5 °C. CONCLUSIONS: Histology revealed that hyperalgesia occurred when there was: (1) damage to spinal white matter; or (2) cystic cavitation; or (3) compression and distortion of the spinal cord without an obvious loss of grey or white matter.


Assuntos
Hiperalgesia/etiologia , Compressão da Medula Espinal/complicações , Estenose Espinal/complicações , Animais , Temperatura Baixa , Condicionamento Operante , Cistos/patologia , Modelos Animais de Doenças , Feminino , Temperatura Alta , Hiperalgesia/patologia , Ratos , Ratos Long-Evans , Medula Espinal/patologia , Compressão da Medula Espinal/patologia , Estenose Espinal/patologia , Temperatura , Substância Branca/patologia
7.
J Comp Neurol ; 270(4): 549-58, 1988 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-3372746

RESUMO

A primate model has been used to explore the possibility that anterolateral chordotomy may produce intraspinal sprouting or rearrangement of primary afferent nerve terminations that could account for delayed postoperative recovery of sensory function. Monkeys were trained to limit the duration of an electrical stimulus, and the vigor and frequency of their escape responses were used to differentiate painful from nonpainful levels of stimulation. Behavioral testing after chordotomy revealed: 1) contralateral hypalgesia in all animals, with sensory recovery in half of the group, and 2) bilateral decreases in reflexive force in all animals, with reflex recovery in the majority of monkeys. At the terminal experiment, dorsal rootlets caudal to the spinal lesion were labeled bilaterally with HRP, and the distribution of labeled synaptic complexes was determined within the dorsal horn. When compared to controls, animals undergoing chordotomy showed a loss of terminals in the superficial dorsal horn and an increase of synaptic enlargements in deeper layers. These effects were bilateral, but were most pronounced on the side contralateral to chordotomy. Animals with diffuse spinal lesions showed a completely different change in the distribution of primary afferent terminals. Animals with sensory recovery demonstrated a more normal terminal distribution pattern than persistently hypalgesic monkeys, but there was considerable variability in the data, and analysis by different statistical tests yielded varying results.


Assuntos
Denervação , Macaca nemestrina/fisiologia , Macaca/fisiologia , Terminações Nervosas/fisiologia , Medula Espinal/fisiologia , Vias Aferentes/fisiologia , Animais , Comportamento Animal/fisiologia , Medula Espinal/patologia , Sinapses/fisiologia
8.
Neurology ; 43(2): 363-6, 1993 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-8437703

RESUMO

Previous psychophysical examinations of the effects of dorsal column (DC) lesions on proprioception of the lower extremity have not revealed disturbances in proprioception, and there have been no similar experiments for the upper extremity. To evaluate the effect of DC lesions on upper extremity proprioception, we tested two monkeys with a variation of the typical clinical test for position sense. This test required the monkeys to detect the direction of a passive displacement of the finger. We identified proprioceptive deficits in one monkey following a DC lesion, but only when the finger was displaced with a small (< 14 degrees), slow (< 7 degrees/sec) movement. When we included displacements of all sizes and velocities in the analysis, performance was unaffected by the DC lesions in either monkey. Since the standard test for proprioception does not specify the speed and size of movements, we conclude that this test is not a valid method for estimating damage to the DCs.


Assuntos
Propriocepção/fisiologia , Medula Espinal/fisiologia , Animais , Dedos/inervação , Dedos/fisiopatologia , Macaca , Desempenho Psicomotor/fisiologia
9.
Pain ; 66(2-3): 253-63, 1996 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8880848

RESUMO

Despite evidence that systemic morphine preferentially attenuates second pain sensations that are presumed to result from activation of unmyelinated (C) nociceptors, most animal models of nociception elicit sensations that result from or are dominated by activation of myelinated (A-delta) nociceptors. Therefore, methods were developed to directly compare the effects of morphine on late (second) pain sensations and early onset (first) pain sensations in an animal model. In order to establish appropriate stimulus parameters, human psychophysical experiments compared characteristics of sensations evoked by brief (pulsed) thermal stimulation and ramp-and-hold thermal stimulation. Brief (500 msec) contact of a pre-heated thermode with the skin produced late pain sensations with peripheral conduction velocities in the range of C afferents, as estimated by latencies from stimulation of proximal and distal sites on the leg. The sensations evoked by brief contact increased with successive contacts (pulses) at 0.4 Hz, demonstrating temporal summation of sensation intensity. Pretreatment of the skin with capsaicin enhanced the late pain sensations from pulsed stimulation. In contrast, peak sensations evoked by ramp-and-hold thermal stimulation were evoked at similar latencies from disparate sites on the leg, and capsaicin pretreatment of the skin did not increase the magnitude of these sensations. The pulsed and ramp-and-hold forms of stimulation were used in a paradigm designed to test for differential effects of systemic morphine on operant responses of non-human primates. Low doses of morphine reduced operant responding to pulsed thermal contact, while higher doses were required to affect responses to ramp-and-hold thermal stimulation. The low doses of morphine did not suppress non-nociceptive (intertrial) motor responses, indicating that motor inhibition was not responsible for the effects on escape responses to pulsed stimulation. Measurements of skin temperature 10 cm from the site of stimulation showed that morphine had no effect on baseline temperature but attenuated changes in skin temperature that were elicited by pulsed and by ramp-and-hold stimulation. This effect of morphine on skin temperature responses could not account for the reduction of operant responsivity to thermal stimulation. These results support previous findings that systemic morphine preferentially attenuates second pain sensations, and a new animal model of morphine-sensitive thermal nociception is established. These findings demonstrate the importance of defining the sources of afferent input and the response measures in experiments which attempt to measure antinociceptive effects of pharmacological agents.


Assuntos
Analgésicos Opioides/farmacologia , Morfina/farmacologia , Dor/psicologia , Adulto , Animais , Aprendizagem da Esquiva/efeitos dos fármacos , Relação Dose-Resposta a Droga , Reação de Fuga/efeitos dos fármacos , Feminino , Temperatura Alta , Humanos , Macaca , Masculino , Pessoa de Meia-Idade , Condução Nervosa/fisiologia , Medição da Dor/efeitos dos fármacos , Sistema Nervoso Periférico/efeitos dos fármacos , Sistema Nervoso Periférico/fisiologia , Temperatura Cutânea/efeitos dos fármacos
10.
Pain ; 91(1-2): 165-75, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11240089

RESUMO

Although individuals with fibromyalgia syndrome (FMS) consistently report wide-spread pain, clear evidence of structural abnormalities or other sources of chronic stimulation of pain afferents in the involved body areas is lacking. Without convincing evidence for peripheral tissue abnormalities in FMS patients, it seems likely that a central pathophysiological process is at least partly responsible for FMS, as is the case for many chronic pain conditions. Therefore, the present study sought to obtain psychophysical evidence for the possibility that input to central nociceptive pathways is abnormally processed in individuals with long standing FMS. In particular, temporal summation of pain (wind-up) was assessed, using series of repetitive thermal stimulation of the glabrous skin of the hands. Although wind-up was evoked both in control and FMS subjects, clear differences were observed. The perceived magnitude of the sensory response to the first stimulus within a series was greater for FMS subjects compared to controls, as was the amount of temporal summation within a series. Within series of stimuli, FMS subjects reported increases in sensory magnitude to painful levels for interstimulus intervals of 2-5 s, but pain was evoked infrequently at intervals greater than 2 s for control subjects. Following the last stimulus in a series, after-sensations were greater in magnitude, lasted longer and were more frequently painful in FMS subjects. These results have multiple implications for the general characterization of pain in FMS and for an understanding of the underlying pathophysiological basis.


Assuntos
Fibromialgia/fisiopatologia , Limiar da Dor , Feminino , Fibromialgia/psicologia , Mãos/fisiopatologia , Temperatura Alta , Humanos , Masculino , Dor/fisiopatologia , Psicofísica/métodos , Valores de Referência , Fatores de Tempo
11.
Neuroscience ; 119(1): 223-32, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12763083

RESUMO

Destruction of neurons in the superficial dorsal horn that express substance P receptor (NK-1R) has been reported to block development of behavioral hypersensitivity following peripheral sensitization of nociceptors. Baseline sensitivity was not altered in these rat models that assessed innate reflex responses (i.e. hind-paw withdrawal to thermal or mechanical stimulation). In the present study, we evaluated effects of intrathecal substance P-saporin (SP-sap), a toxin selective for cells expressing NK-1R, on operant escape responses of rats to thermal stimulation. For comparison, lick/guard reflex testing was performed. Injection of a modest dose (175 ng) of SP-sap into the lumbar subarachnoid space produced a partial loss of lamina I/II NK-1R-expressing dorsal horn neurons but did not affect NK-1R-expressing neurons in deeper laminae. Lick/guard responses to 0.3, 44 or 47 degrees C were not affected after SP-sap treatment, but escape responses to these temperatures were significantly attenuated. Three hours after application of mustard oil to the dorsal surface of both hind paws, escape from 44 degrees C was enhanced for controls but not SP-sap-treated rats. Lick/guard responses were enhanced by mustard oil for both SP-sap and control animals. Administration of morphine (1.0 mg/kg, s.c.) before testing decreased escape responding at 47 degrees C for both controls and SP-sap rats. Thus, partial loss of NK-1R-expressing neurons in the superficial dorsal horn attenuated thermal nociceptive sensitivity and prevented secondary hyperalgesia when studied with an operant algesia assay, in contrast to innate reflexes which were less sensitive to modification by intrathecal SP-sap.


Assuntos
Condicionamento Operante/efeitos dos fármacos , Reação de Fuga/efeitos dos fármacos , Hiperalgesia , Imunotoxinas/toxicidade , Medula Espinal/efeitos dos fármacos , Substância P/toxicidade , Analgésicos Opioides/administração & dosagem , Animais , Comportamento Animal , Capsaicina/efeitos adversos , Relação Dose-Resposta a Droga , Feminino , Temperatura Alta/efeitos adversos , Injeções Espinhais/métodos , Morfina/administração & dosagem , Medição da Dor/efeitos dos fármacos , Ratos , Ratos Long-Evans , Tempo de Reação/efeitos dos fármacos , Proteínas Inativadoras de Ribossomos Tipo 1 , Saporinas , Medula Espinal/anatomia & histologia , Substância P/análogos & derivados
12.
Neuroscience ; 116(4): 1149-60, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12617956

RESUMO

The importance of spike bursts in thalamo-cortical processing of sensory information has received an increasing amount of interest over the past several years. Previously it has been reported that short high-frequency spike trains (3-8 action potentials occurring at 67-167 Hz), or spike bursts, are increased in both human and non-human primate thalamus following deafferentation. Here we examine the effects of lesion of the ventral spinal quadrant alone versus combined lesion of the ventral and dorsal spinal quadrants on the evoked and spontaneous spike trains in thalamic neurons. A total of 1175 neurons were sampled from 13 animals, three intact, six with ventral quadrant lesions (three with prolonged survival and three with short-term survival after spinal lesion) and four with combined ventral and dorsal quadrant lesions. Detailed analysis was conducted on 256 of these neurons, which revealed that thalamic neurons of animals with ventral quadrant lesions had elevated burst and non-burst spike rates while neurons from animals with combined ventral-dorsal lesions showed two types of change. Neurons in the forelimb areas showed increased bursts without a change in non-burst activity, while neurons in lateral VPL without receptive fields showed very low non-burst activity, but high burst spike rates. The magnitude of the effects produced by ventral-lateral spinal lesions was more pronounced in the short-term survival animals than in the long-term survival animals. These results show that the effects of deafferentation on the physiological properties of thalamic neurons are dependent on the afferent tract or tracts that are lesioned and the time after lesion.


Assuntos
Laminectomia/métodos , Neurônios/fisiologia , Córtex Somatossensorial/fisiologia , Tálamo/fisiologia , Vértebras Torácicas/fisiologia , Potenciais de Ação/fisiologia , Animais , Feminino , Macaca
13.
Neuroscience ; 101(2): 393-401, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11074162

RESUMO

The long-term consequences of thoracic spinothalamic tract lesion on the physiological properties of neurons in the ventral posterior lateral nucleus of the thalamus in monkeys were assessed. Neurons responding to both compressive and phasic brush stimuli (multireceptive neurons), but not brush-specific (low-threshold) neurons, in the partially deafferented thalamus showed increased spontaneous activity, increased responses evoked by cutaneous stimuli and larger mean receptive field size than the same types of cells in the thalamus with intact innervation. The spike train properties of both the spontaneous and evoked discharges of cells were also altered so that there was an increased incidence of spike-bursts in cells of deafferented thalamus. These changes were widespread in the thalamus, and included cells in both the fully innervated forelimb representation and the partially denervated hindlimb representation ipsilateral to the lesion. The spontaneous and evoked spike trains in the ipsilateral thalamus also show increased frequency of both spike-burst and non-burst events compared to the intact thalamus. These results indicate that chronic spinothalamic tract lesion produces widespread changes in the physiological properties of a discrete cell population of the thalamus.The findings in this study indicate that the thalamic processing of somatosensory information conveyed by the lemniscal system is altered by transection of the spinothalamic tract. This change in sensory processing in the thalamus would result in altered cortical processing of innocuous somatosensory inputs following deafferentation and so possibly contribute to the generation of the central pain syndrome.


Assuntos
Potenciais Somatossensoriais Evocados/fisiologia , Macaca/fisiologia , Plasticidade Neuronal/fisiologia , Neurônios/fisiologia , Tratos Espinotalâmicos/fisiopatologia , Núcleos Ventrais do Tálamo/fisiopatologia , Potenciais de Ação/fisiologia , Animais , Doença Crônica , Denervação/efeitos adversos , Hiperalgesia/patologia , Hiperalgesia/fisiopatologia , Macaca/anatomia & histologia , Macaca/cirurgia , Neurônios/classificação , Neurônios/patologia , Dor/patologia , Dor/fisiopatologia , Estimulação Física , Tratos Espinotalâmicos/patologia , Tratos Espinotalâmicos/cirurgia , Tato/fisiologia , Núcleos Ventrais do Tálamo/patologia
14.
J Neurotrauma ; 9(3): 219-30, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-1474609

RESUMO

As part of our studies of the organization of the cat sacrocaudal spinal cord (S3-Ca7), the portion of the neuraxis that innervates the tail, we have begun to evaluate the behavioral effects of hemisection or complete transection at the level of Ca1. Clinical observations that the tail strongly deviated to the side of a hemisection indicated the presence of an ipsilateral hypertonia. After complete transection of the spinal cord, the tail became ventroflexed in a midline position and exhibited spasticity, i.e., hypertonia, hyperreflexia, and clonus. Bowel and bladder functions and hindlimb gait and reflexes remained intact following either lesion. Quantitative behavioral measures corroborated our clinical observations. With the tail tethered to a force transducer, tail muscle tone was measured after the tail was passively positioned. Following a transection, resistance to dorsiflexion of the tail was greater than resistance to ventroflexion. In addition, tonic deviation of the tail was documented with videotape analysis while cats walked on a plank. Normal cats walked with the tail sharply dorsiflexed and centered. In contrast, the tail deviated ipsilaterally in cats with a hemisection, and the tail was ventroflexed in cats with a transection. These observations indicate that the sacrocaudal spinal cord provides a model with special advantages for investigation of changes in segmental motor functions following spinal cord injury. The effects of lesions on the tail are quantifiable and can resemble that spasticity observed after spinal cord injury in humans. Importantly, minimal effects on locomotive and autonomic functions were observed following hemisection or transection of the sacrocaudal spinal cord.


Assuntos
Traumatismos da Medula Espinal/patologia , Animais , Comportamento Animal/fisiologia , Gatos , Modelos Animais de Doenças , Feminino , Marcha/fisiologia , Membro Posterior/fisiologia , Masculino , Plasticidade Neuronal/fisiologia , Reflexo/fisiologia , Traumatismos da Medula Espinal/psicologia , Cauda/fisiologia , Gravação de Videoteipe
15.
J Neurotrauma ; 18(9): 911-29, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11565603

RESUMO

Transplantation of fetal spinal cord (FSC) tissue has demonstrated significant potential in animal models for achieving partial anatomical and functional restoration following spinal cord injury (SCI). To determine whether this strategy can eventually be translated to humans with SCI, a pilot safety and feasibility study was initiated in patients with progressive posttraumatic syringomyelia (PPTS). A total of eight patients with PPTS have been enrolled to date, and this report presents findings for the first two patients through 18 months postoperative. The study design included detailed assessments of each subject at multiple pre- and postoperative time points. Outcome data were then compared with each subject's own baseline. The surgical protocol included detethering, cyst drainage, and implantation of 6-9-week postconception human FSC tissue. Immunosuppression with cyclosporine was initiated a few days prior to surgery and continued for 6 months postoperatively. Key outcome measures included: serial magnetic resonance imaging (MRI) exams, standardized measures of neurological impairment and functional disability, detailed pain assessment, and extensive neurophysiological testing. Through 18 months, the first two patients have been stable neurologically and the MRIs have shown evidence of solid tissue at the graft sites, without evidence of donor tissue overgrowth. Although it is still too soon to draw any firm conclusions, the findings from the initial two patients in this study suggest that intraspinal grafting of human FSC tissue is both feasible and safe.


Assuntos
Transplante de Tecido Fetal , Traumatismos da Medula Espinal/cirurgia , Medula Espinal/transplante , Siringomielia/cirurgia , Adulto , Estudos de Viabilidade , Seguimentos , Humanos , Terapia de Imunossupressão , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Medição da Dor , Projetos Piloto , Medula Espinal/patologia , Traumatismos da Medula Espinal/complicações , Traumatismos da Medula Espinal/patologia , Siringomielia/etiologia , Siringomielia/patologia , Resultado do Tratamento
16.
J Appl Physiol (1985) ; 70(3): 1284-9, 1991 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-2032995

RESUMO

The physiological mechanisms mediating the detection of mechanical loads are unknown. This is, in part, due to the lack of an animal model of load detection that could be used to investigate specific sensory systems. We used American Foxhounds with tracheal stomata to behaviorally condition the detection of inspiratory occlusion and graded resistive loads. The resistive loads were presented with a loading manifold connected to the inspiratory port of a non-rebreathing valve. The dogs signaled detection of the load by lifting their front paw off a lever. Inspiratory occlusion was used as the initial training stimulus, and the dogs could reliably respond within the first or second inspiratory effort to 100% of the occlusion presentations after 13 trials. Graded resistances that spanned the 50% detection threshold were then presented. The detection threshold resistances (delta R50) were 0.96 and 1.70 cmH2O.l-1.s. Ratios of delta R50 to background resistance were 0.15 and 0.30. The near-threshold resistive loads did not significantly change expired PCO2 or breathing patterns. These results demonstrate that dogs can be conditioned to reliably and specifically signal the detection of graded inspiratory mechanical loads. Inspiration through the tracheal stoma excludes afferents in the upper extrathoracic trachea, larynx, pharynx, nasal passages, and mouth from mediating load detection in these dogs. It is unknown which remaining afferents (vagal or respiratory muscle) are responsible for load detection.


Assuntos
Resistência das Vias Respiratórias/fisiologia , Mecânica Respiratória/fisiologia , Sensação/fisiologia , Vias Aferentes/fisiologia , Animais , Fenômenos Biomecânicos , Condicionamento Psicológico , Cães , Feminino , Músculos Respiratórios/fisiologia
17.
Neurorehabil Neural Repair ; 14(4): 331-43, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11402883

RESUMO

Reflex responses to electrocutaneous stimulation of the tail were characterized in awake cats, before and after transection of the spinal cord at sacrocaudal levels S3-Ca1. Consistent with effects of spinal transection at higher levels, postoperative cutaneous reflexes were initially depressed, and the tail was flaccid. Recovery ensued over the course of 70-90 days after sacrocaudal transection. Preoperative and chronic postlesion reflexes elicited by electrocutaneous stimulation were graded in amplitude as a function of stimulus intensity. Chronic postlesion testing of electrocutaneous reflexes revealed greater than normal peak amplitudes, peak latencies, total amplitudes (power), and durations, particularly for higher stimulus intensities. Thus, sacrocaudal transection produced effects representative of the spastic syndrome. In contrast, exaggerated reflex responsivity did not develop for a group of cats that received transplants of fetal spinal cord tissue within sacrocaudal transection cavities at the time of injury, in conjunction with long-term immunosuppression by cyclosporine. We conclude that gray matter replacement and potential neuroprotective actions of the grafts and/or immunosuppression prevent development of the spastic syndrome. This argues that the spastic syndrome does not result entirely from interruption of long spinal pathways.


Assuntos
Estado de Descerebração/fisiopatologia , Transplante de Tecido Fetal/fisiologia , Medula Espinal/fisiologia , Medula Espinal/transplante , Animais , Gatos , Estimulação Elétrica , Feminino , Resposta Galvânica da Pele , Reflexo/fisiologia , Cauda/inervação
19.
J Neurosci Methods ; 97(1): 19-29, 2000 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-10771071

RESUMO

Methods are described which provide quantification of learned operant and innate reflex responses to a thermal stimulus (heat or cold) and provide matched motor controls. The apparati and procedures consist of (1) an 'Escapetest' which measures latencies and durations of escape from a compartment where the floor is heated or cooled to a platform at neutral temperature in an adjacent compartment; (2) a motor and motivational control for the Escapetest, the 'Darkboxtest', which measures escape latency from bright light in a shuttle box; and (3) assessment of latencies and durations of licking or guarding responses to thermal stimulation in the absence of the escape option. Avoidance responses in the Escapetest (retreating to the escape platform in the absence of an experience of pain) are discouraged by bright illumination of the compartment containing the escape platform (brightly lit areas are aversive to rodents). Stimulus-response functions for escape from heat and cold are compared to stimulus response functions for innate lick/guard responses to the same temperatures. Substantial differences in the relationships between learned or innate responses and temperature attest to a need for methods which evaluate operant responses to nociceptive stimulation.


Assuntos
Condicionamento Operante/fisiologia , Medição da Dor/métodos , Animais , Aprendizagem da Esquiva , Temperatura Baixa , Estado de Consciência , Temperatura Alta , Iluminação , Medição da Dor/instrumentação , Ratos , Tempo de Reação/fisiologia
20.
Behav Brain Res ; 91(1-2): 41-7, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9578438

RESUMO

To determine whether the tail of the domestic cat plays a role in balance during locomotion, four cats were trained to traverse a narrow beam. To challenge balancing ability, a sudden lateral displacement was imparted to the beam as the subject was crossing. Freeze-frame videotape analysis revealed that cats responded to beam movement by rapidly moving the tail in the opposite direction. Adjustment of the tail contributed to realignment of the hips over the beam and enabled the animal to remain aboard the beam. Following complete sacrocaudal spinal transection, that eliminated supraspinal control to only the tail, cats fell significantly more often in response to movements of the beam. The importance of the cat's tail for balance, and the utility of this system for modeling functional consequences of spinal cord injury and therapeutic interventions, are discussed.


Assuntos
Equilíbrio Postural/fisiologia , Traumatismos da Medula Espinal/fisiopatologia , Cauda/inervação , Cauda/fisiologia , Animais , Gatos , Feminino , Locomoção/fisiologia , Traumatismos da Medula Espinal/patologia , Cauda/patologia , Gravação de Videoteipe
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