新生儿脊髓通路损伤后功能保留的机制。

M E Goldberger
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引用次数: 19

摘要

当新生动物的脊髓通路受损并在成年期检查其行为时,运动功能优于成年期同样受损的动物。这是婴儿病变效应。在新生儿感觉运动皮质消融、脊髓半切或脊髓横断后,观察到接触放置的保留;在成人中,所有三种病变都永久地取消了接触。婴儿病变效应的解剖学相关性在每种情况下都是不同的。新生儿单侧皮质消融后,来自另一侧皮质的活跃的交叉皮质通路无法收缩(正常情况下),从而给剩余皮质提供了调节接触放置的通路。新生儿脊髓半切后,发育较晚的皮质脊髓轴突在病变周围走异常路线并介导接触放置。新生儿横断后,脊髓抑制性gaba能系统不能正常发育。这可能导致脊髓反射通路的异常增强,特别是一些背根在病变后增加了它们的输入。因此,许多因素可能影响发育中的神经系统损伤的结果。
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Mechanisms contributing to sparing of function following neonatal damage to spinal pathways.

When spinal pathways are damaged in newborn animals and their behavior is examined in adulthood, motor function is superior to that seen in animals in which the same lesion was made in adulthood. This is the infant lesion effect. After neonatal sensorimotor cortex ablation, spinal hemisection, or spinal transection, sparing of contact placing is observed; in adults, all three lesions abolish contact placing permanently. The anatomical correlates of the infant lesion effect are different in each case. After neonatal unilateral cortical ablation, an exuberant crossed corticorubral pathway from the other cortex fails to retract (as it does normally), giving the remaining cortex a path for mediating contact placing. After neonatal spinal hemisection, late-developing corticospinal axons take an aberrant course around the lesion and mediate contact placing. After neonatal transection, the spinal inhibitory GABA-ergic system fails to develop to a normal extent. This may result in abnormal enhancement of spinal reflex pathways, especially since some dorsal roots increase their input after that lesion. Thus, a number of factors may influence the outcome of damage to the developing nervous system.

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