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Lo YT, Jiang L, Woodington B, Middya S, Braendlein M, Lam JLW, Lim MJR, Ng VYP, Rao JP, Chan DWS, Ang BT. Recording of single-unit activities with flexible micro-electrocorticographic array in rats for decoding of whole-body navigation. J Neural Eng 2024; 21:046037. [PMID: 38986465 DOI: 10.1088/1741-2552/ad618c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Accepted: 07/10/2024] [Indexed: 07/12/2024]
Abstract
Objective.Micro-electrocorticographic (μECoG) arrays are able to record neural activities from the cortical surface, without the need to penetrate the brain parenchyma. Owing in part to small electrode sizes, previous studies have demonstrated that single-unit spikes could be detected from the cortical surface, and likely from Layer I neurons of the neocortex. Here we tested the ability to useμECoG arrays to decode, in rats, body position during open field navigation, through isolated single-unit activities.Approach. μECoG arrays were chronically implanted onto primary motor cortex (M1) of Wistar rats, and neural recording was performed in awake, behaving rats in an open-field enclosure. The signals were band-pass filtered between 300-3000 Hz. Threshold-crossing spikes were identified and sorted into distinct units based on defined criteria including waveform morphology and refractory period. Body positions were derived from video recordings. We used gradient-boosting machine to predict body position based on previous 100 ms of spike data, and correlation analyses to elucidate the relationship between position and spike patterns.Main results.Single-unit spikes could be extracted during chronic recording fromμECoG, and spatial position could be decoded from these spikes with a mean absolute error of prediction of 0.135 and 0.090 in the x- and y- dimensions (of a normalized range from 0 to 1), and Pearson's r of 0.607 and 0.571, respectively.Significance. μECoG can detect single-unit activities that likely arise from superficial neurons in the cortex and is a promising alternative to intracortical arrays, with the added benefit of scalability to cover large cortical surface with minimal incremental risks. More studies should be performed in human related to its use as brain-machine interface.
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Affiliation(s)
- Yu Tung Lo
- Department of Neurosurgery, National Neuroscience Institute, Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
| | - Lei Jiang
- Department of Orthopaedic Surgery, Singapore General Hospital, Singapore, Singapore
| | | | | | | | | | - Mervyn Jun Rui Lim
- Department of Neurosurgery, National University Hospital, Singapore, Singapore
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Vincent Yew Poh Ng
- Department of Neurosurgery, National Neuroscience Institute, Singapore, Singapore
| | - Jai Prashanth Rao
- Duke-NUS Medical School, Singapore, Singapore
- Department of Neurosurgery, Singapore General Hospital, Singapore, Singapore
| | | | - Beng Ti Ang
- Department of Neurosurgery, Singapore General Hospital, Singapore, Singapore
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Adekomi DA, Olajide OJ, Adewale OO, Okesina AA, Fatoki JO, Falana BA, Adeniyi TD, Adegoke AA, Ojo WA, Alabi SO. D-ribose-L-cysteine exhibits neuroprotective activity through inhibition of oxido-behavioral dysfunctions and modulated activities of neurotransmitters in the cerebellum of Juvenile mice exposed to ethanol. Drug Chem Toxicol 2023; 46:746-756. [PMID: 35723231 DOI: 10.1080/01480545.2022.2088783] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 05/16/2022] [Accepted: 05/17/2022] [Indexed: 11/03/2022]
Abstract
Alcohol exposure to the cerebellum has been known to trigger cerebellar dysfunctions through several mechanisms. This present study was designed to evaluate the repealing effect of D-ribose-L-cysteine (DRLC) on alcohol-induced cerebellar dysfunctions in juvenile BALB/c mice. The animals were randomly divided into 4 groups (n = 10 per group). Mice were given oral administration of normal saline (control), DRLC (100 mg/kg, p.o), ethanol (0.2 mL of 10% w/v), or DRLC (100 mg/kg, p.o) + ethanol (0.2 mL of 10% w/v). On day 29 of the study (i.e., 24 h after the administration of the last respective doses), neurochemical quantification of the respective levels of serotonin and dopamine, lipid peroxidation, total antioxidant, superoxide dismutase, and glutathione peroxidase in the cerebellar tissues of the mice were analyzed. Compared with the saline-treated group, the studied neurochemical indices were modulated across the various experimental groups. The administration of ethanol significantly modulates the levels of monoamine neurotransmitters (serotonin and dopamine) as well as contents of total antioxidants, activities of superoxide dismutase, and glutathione peroxidase, with a concurrently increased level of lipid peroxidase in the cerebellar tissue of the mice. DRLC significantly reverses these effects in the DRLC + ethanol co-treated group. Combined exposure to DRLC + ethanol counteracts the deleterious effect of ethanol in the cerebellum of juvenile BALB/c mice via monoamine neurotransmitter, lipid peroxidation, total antioxidant status, superoxide dismutase, and glutathione peroxidase action pathways. Therefore, DRLC could be a pharmacologic or therapeutic agent in attenuating the deleterious effects of alcohol on the cerebellum.
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Affiliation(s)
- Damilare Adedayo Adekomi
- Department of Anatomy, Neuroscience and Cell Biology Unit, Osun State University, Osogbo, Nigeria
| | - Olamide Janet Olajide
- Department of Anatomy, Neuroscience and Cell Biology Unit, Osun State University, Osogbo, Nigeria
| | - Omowumi Oyeronke Adewale
- Department of Biochemistry, Faculty of Basic and Applied Sciences, Osun State University, Osogbo, Nigeria
| | | | - John Olabode Fatoki
- Department of Medical Biochemistry, Faculty of Basic Medical Sciences, Osun State University, Osogbo, Nigeria
| | - Benedict Abiola Falana
- Department of Anatomy, Neuroscience and Cell Biology Unit, Osun State University, Osogbo, Nigeria
| | - Temidayo Daniel Adeniyi
- Department of Medical Laboratory Science, Faculty of Allied Health Science, University of Medical Sciences, Ondo State, Nigeria
| | | | - Waliu Adetunji Ojo
- Department of Anatomy, Faculty of Basic Medical Sciences, Ladoke Akintola University of Technology, Ogbomosho, Nigeria
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de Carvalho M, Swash M. Upper and lower motor neuron neurophysiology and motor control. HANDBOOK OF CLINICAL NEUROLOGY 2023; 195:17-29. [PMID: 37562869 DOI: 10.1016/b978-0-323-98818-6.00018-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/12/2023]
Abstract
This chapter considers the principles that underlie neurophysiological studies of upper motor neuron or lower motor neuron lesions, based on an understanding of the normal structure and function of the motor system. Human motor neurophysiology consists of an evaluation of the active components of the motor system that are relevant to volitional movements. Relatively primitive motor skills include locomotion, much dependent on the spinal cord central pattern generator, reaching, involving proximal and distal muscles activation, and grasping. Humans are well prepared to perform complex movements like writing. The role of motor cortex is critical for the motor activity, very dependent on the continuous sensory feedback, and this is essential for adapting the force and speed control, which contributes to motor learning. Most corticospinal neurons in the brain project to brainstem and spinal cord, many with polysynaptic inhibitory rather than excitatory connections. The monosynaptic connections observed in humans and primates constitute a specialized pathway implicated in fractional finger movements. Spinal cord has a complex physiology, and local reflexes and sensory feedback are essential to control adapted muscular contraction during movement. The cerebellum has a major role in motor coordination, but also consistent roles in sensory activities, speech, and language, in motor and spatial memory, and in psychological activity. The motor unit is the final effector of the motor drive. The complex interplay between the lower motor neuron, its axon, motor end-plates, and muscle fibers allows a relevant plasticity in the movement output.
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Affiliation(s)
- Mamede de Carvalho
- Department of Neurosciences and Mental Health, Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa-Norte, Lisbon, Portugal; Faculdade de Medicina-Instituto de Medicina Molecular-Centro de Estudos Egas Moniz, Universidade de Lisboa, Lisbon, Portugal.
| | - Michael Swash
- Faculdade de Medicina-Instituto de Medicina Molecular-Centro de Estudos Egas Moniz, Universidade de Lisboa, Lisbon, Portugal; Department of Neurology, Barts and London School of Medicine, Queen Mary University of London and Royal London Hospital, London, United Kingdom
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4
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A Biomorphic Model of Cortical Column for Content-Based Image Retrieval. ENTROPY 2021; 23:e23111458. [PMID: 34828156 PMCID: PMC8620877 DOI: 10.3390/e23111458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 10/22/2021] [Accepted: 10/28/2021] [Indexed: 11/18/2022]
Abstract
How do living systems process information? The search for an answer to this question is ongoing. We have developed an intelligent video analytics system. The process of the formation of detectors for content-based image retrieval aimed at detecting objects of various types simulates the operation of the structural and functional modules for image processing in living systems. The process of detector construction is, in fact, a model of the formation (or activation) of connections in the cortical column (structural and functional unit of information processing in the human and animal brain). The process of content-based image retrieval, that is, the detection of various types of images in the developed system, reproduces the process of “triggering” a model biomorphic column, i.e., a detector in which connections are formed during the learning process. The recognition process is a reaction of the receptive field of the column to the activation by a given signal. Since the learning process of the detector can be visualized, it is possible to see how a column (a detector of specific stimuli) is formed: a face, a digit, a number, etc. The created artificial cognitive system is a biomorphic model of the recognition column of living systems.
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Kim H. Cerebral hemodynamics predicts the cortical area and coding scheme in the human brain for force generation by wrist muscles. Behav Brain Res 2020; 396:112865. [PMID: 32827565 DOI: 10.1016/j.bbr.2020.112865] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Revised: 07/14/2020] [Accepted: 08/12/2020] [Indexed: 10/23/2022]
Abstract
The goal of this study is to identify the cortical area maximally active over the primary sensorimotor cortex (SM1) and characterize the cortical encoding for force production by wrist muscles in the human brain. The technique of functional near-infrared spectroscopy (fNIRS) was used to continuously monitor the changes in hemoglobin concentrations from the left hemisphere during isometric contractions of wrist flexion muscles over a broad range of load forces (0 ∼ 8 kgf) on the right hand. As previously shown in primate studies, this action produced hemodynamic activity predominantly in the wrist area localized dorsally to the finger region over SM1 and the hemodynamic response was systematically related to the level of load intensity. The coding scheme for force production in terms of hemodynamic signals was characterized defining eight trajectory parameters (four for amplitude coding and four for temporal coding) and analyzed for the area maximally activated over SM1. The trajectory parameter representing the oxygenated hemoglobin concentration change at the end of motor task (amplitude coding) and the timing of maximum change in oxygenated hemoglobin concentration (temporal coding) was most strongly correlated with the load variation in a superliner manner. All these results indicate the applicability of fNIRS to monitor and decode cortical activity that is correlated with low-level motor control such as isometric muscle contractions. This study may provide not only insights into cortical neural control of muscle force but also predictors of muscle force in clinical diagnostics and neural interfaces for the human brain.
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Affiliation(s)
- Hojeong Kim
- Division of Biotechnology, Convergence Research Institute, DGIST, Republic of Korea.
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Yokoyama H, Kaneko N, Ogawa T, Kawashima N, Watanabe K, Nakazawa K. Cortical Correlates of Locomotor Muscle Synergy Activation in Humans: An Electroencephalographic Decoding Study. iScience 2019; 15:623-639. [PMID: 31054838 PMCID: PMC6547791 DOI: 10.1016/j.isci.2019.04.008] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Revised: 02/09/2019] [Accepted: 04/04/2019] [Indexed: 01/17/2023] Open
Abstract
Muscular control during walking is believed to be simplified by the coactivation of muscles called muscle synergies. Although significant corticomuscular connectivity during walking has been reported, the level at which the cortical activity is involved in muscle activity (muscle synergy or individual muscle level) remains unclear. Here we examined cortical correlates of muscle activation during walking by brain decoding of activation of muscle synergies and individual muscles from electroencephalographic signals. We demonstrated that the activation of locomotor muscle synergies was decoded from slow cortical waves. In addition, the decoding accuracy for muscle synergies was greater than that for individual muscles and the decoding of individual muscle activation was based on muscle-synergy-related cortical information. These results indicate the cortical correlates of locomotor muscle synergy activation. These findings expand our understanding of the relationships between brain and locomotor muscle synergies and could accelerate the development of effective brain-machine interfaces for walking rehabilitation.
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Affiliation(s)
- Hikaru Yokoyama
- Department of Electrical and Electronic Engineering, Tokyo University of Agriculture and Technology, Koganei-shi, Tokyo 184-8588, Japan; Japan Society for the Promotion of Science, Chiyoda-ku, Tokyo 102-0083, Japan
| | - Naotsugu Kaneko
- Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, Japan
| | - Tetsuya Ogawa
- Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, Japan
| | - Noritaka Kawashima
- Department of Rehabilitation for the Movement Functions, Research Institute of National Rehabilitation Center for the Disabled, Tokorozawa-shi, Saitama 359-0042, Japan
| | - Katsumi Watanabe
- Faculty of Science and Engineering, Waseda University, Shinjuku-ku Tokyo 169-8555, Japan; Art & Design, University of New South Wales, Sydney, NSW 2021, Australia; Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 1A1, Canada
| | - Kimitaka Nakazawa
- Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, Japan.
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7
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Ebbesen CL, Insanally MN, Kopec CD, Murakami M, Saiki A, Erlich JC. More than Just a "Motor": Recent Surprises from the Frontal Cortex. J Neurosci 2018; 38:9402-9413. [PMID: 30381432 PMCID: PMC6209835 DOI: 10.1523/jneurosci.1671-18.2018] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2018] [Revised: 09/14/2018] [Accepted: 09/17/2018] [Indexed: 12/31/2022] Open
Abstract
Motor and premotor cortices are crucial for the control of movements. However, we still know little about how these areas contribute to higher-order motor control, such as deciding which movements to make and when to make them. Here we focus on rodent studies and review recent findings, which suggest that-in addition to motor control-neurons in motor cortices play a role in sensory integration, behavioral strategizing, working memory, and decision-making. We suggest that these seemingly disparate functions may subserve an evolutionarily conserved role in sensorimotor cognition and that further study of rodent motor cortices could make a major contribution to our understanding of the evolution and function of the mammalian frontal cortex.
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Affiliation(s)
- Christian L Ebbesen
- Skirball Institute for Biomolecular Medicine, New York University School of Medicine, New York, New York 10016,
- Center for Neural Science, New York University, New York, New York 10003
| | - Michele N Insanally
- Skirball Institute for Biomolecular Medicine, New York University School of Medicine, New York, New York 10016
- Center for Neural Science, New York University, New York, New York 10003
| | - Charles D Kopec
- Princeton Neuroscience Institute, Princeton University, Princeton, New Jersey 08544
| | - Masayoshi Murakami
- Department of Neurophysiology, Division of Medicine, University of Yamanashi, Chuo, Yamanashi 409-3898, Japan
| | - Akiko Saiki
- Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, 734-8553, Japan
- Department of Neurobiology, Northwestern University, Evanston, Illinois 60208
| | - Jeffrey C Erlich
- New York University Shanghai, Shanghai, China 200122
- NYU-ECNU Institute for Brain and Cognitive Science at NYU Shanghai, Shanghai, China 200062, and
- Shanghai Key Laboratory of Brain Functional Genomics (Ministry of Education), East China Normal University, Shanghai, China 200062
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8
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Abstract
These are only a few examples of how learning occurs during development by a process of sculpturing, selecting among the possible variations, combinations and sequences of actions. This is how we build up what may be called programs in the brain (Young 1978). The physiologist will say that these are only, as it were, metaphorical statements, not detailed descriptions of known brain actions. ‘The programmes of elaborate sequences of movement, built up over the course of many years, are not yet on the agenda of practical neurophysiology’ (Phillips & Porter 1978, p 333). Perhaps this statement may prove to be over-pessimistic, as I am sure the authors would hope. Studies of learning, of which I have tried to give a small sample, do begin to show us how programs are assembled by selecting from the vast number of possibilities that are available and then increasing the reliability of the chosen actions. It is particularly pleasing to find that we can begin to understand the various principles that are involved. In Aplysia we see something of them due to the cellular changes. In Octopus we see how learning involves different pieces of neuronal machinery. One serves to distribute signals to allow access to the full repertoire of possibilities. Another part distributes and balances rewards and penalties. In a third the actual learning change occurs and the many minute cells suggest that we may look for the origin of learning among reciprocal reflexes. In the vertebrate brain we see the multiplication of neuronal patterns and centres greatly increased. We get glimpses of how various parts of the brain cooperate in building and executing the programs. Learning involves many parts of the brain, each contributing in a different way. The cerebellum perhaps provides the repertoire of small variations in muscular contraction out of which those are selected that perform the acts that prove necessary. Perhaps the motivations to do these correctly come partly from the aminergic pathways such as those of the locus ceruleus, while the hippocampus provides the power to seek to make new ones. And of course the cerebral cortex and its attendant input and output centres provides the biggest repertoire of all, selection among whose modules has allowed us to build and use a program that studies itself. Surely John Hughlings Jackson would have rejoiced that there has been some advance in understanding of the ‘Relations of Different Divisions of the Central Nervous System to One Another and to Parts of the Body’, which was the title of the first Hughlings Jackson lecture, which he himself gave in 1897.
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9
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Ebbesen CL, Doron G, Lenschow C, Brecht M. Vibrissa motor cortex activity suppresses contralateral whisking behavior. Nat Neurosci 2016; 20:82-89. [PMID: 27798633 PMCID: PMC6485366 DOI: 10.1038/nn.4437] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2016] [Accepted: 10/04/2016] [Indexed: 12/15/2022]
Abstract
Anatomical, stimulation and lesion data implicate vibrissa motor cortex in whisker motor control. Work on motor cortex focused on movement generation, but correlations between vibrissa motor cortex activity and whisking are weak. The exact role of vibrissa motor cortex remains unknown. We recorded vibrissa motor cortex neurons during various forms of vibrissal touch, which were invariably associated with whisker protraction and movement. Free whisking, object palpation and social touch all resulted in decreased cortical activity. To understand this activity decrease, we performed juxtacellular recordings, nanostimulation and in vivo whole-cell-recordings. Social facial touch resulted in decreased spiking activity, decreased cell excitability and membrane hyperpolarization. Activation of vibrissa motor cortex by intra-cortical microstimulation elicited whisker retraction, as if to abort vibrissal touch. Various vibrissa motor cortex inactivation protocols resulted in contralateral protraction and increased whisker movements. These data collectively point to movement suppression as a prime function of vibrissa motor cortex activity.
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Affiliation(s)
- Christian Laut Ebbesen
- Bernstein Center for Computational Neuroscience Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,Berlin School of Mind and Brain, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Guy Doron
- Bernstein Center for Computational Neuroscience Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Constanze Lenschow
- Bernstein Center for Computational Neuroscience Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Michael Brecht
- Bernstein Center for Computational Neuroscience Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
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Abstract
Cortical plasticity refers to flexible and long-lasting changes in neuronal circuitry and information processing, which is caused by learning and experience. Although cortical plasticity can be observed in every cortex of the brain, the plasticity of the prefrontal cortex (PFC) is particularly important because the PFC is involved in various cognitive functions, and its plasticity could lead to adaptive changes in the use of other brain regions. Cortical plasticity occurs at several levels, from functional molecules to the organization of large areas of the brain. Here, the authors focus mainly on the development and remodeling of the functional and structural organization of the primate PFC. They discuss how the columnar modules of the PFC develop in the immature brain, how these modules form a “cognitive field” that is responsible for a specific cognitive function, how the cognitive field could be reorganized by training in the mature brain, and how monoaminergic systems contribute to these various levels of plasticity. They suggest that monoaminergic systems, especially the dopaminergic system, are involved in various levels of cortical plasticity, such as behavioral learning and learning-dependent cortical remodeling, thereby contributing to the reorganization of the cognitive field in the primate PFC. NEUROSCIENTIST 13(3):229—240, 2007.
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Affiliation(s)
- Satoko Kuboshima-Amemori
- Laboratory of Cognitive Neurobiology, Hokkaido University Graduate School of Medicine, Sapporo, Japan
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11
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Abstract
Modern study of the neurophysiology of the cerebral cortex began with Fritsch and Hitzig's discovery that electrical stimulation of the cortex produces movements. The importance of this discovery was threefold: it was the first demonstration of cortex devoted to motor function, the first indication that the cortex was electrically excitable, and the first evidence of a topographically organized representation in the brain. Fritsch and Hitzig's basic findings were soon replicated by Ferrier, but there were differences between the two studies in both method and interpretation. These different approaches have continued to reverberate in research on the function of motor cortex from the late 19th century to the present day.
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12
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Seizure outcomes in nonresective epilepsy surgery: an update. Neurosurg Rev 2016; 40:181-194. [PMID: 27206422 DOI: 10.1007/s10143-016-0725-8] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2015] [Revised: 01/31/2016] [Accepted: 03/06/2016] [Indexed: 12/18/2022]
Abstract
In approximately 30 % of patients with epilepsy, seizures are refractory to medical therapy, leading to significant morbidity and increased mortality. Substantial evidence has demonstrated the benefit of surgical resection in patients with drug-resistant focal epilepsy, and in the present journal, we recently reviewed seizure outcomes in resective epilepsy surgery. However, not all patients are candidates for or amenable to open surgical resection for epilepsy. Fortunately, several nonresective surgical options are now available at various epilepsy centers, including novel therapies which have been pioneered in recent years. Ablative procedures such as stereotactic laser ablation and stereotactic radiosurgery offer minimally invasive alternatives to open surgery with relatively favorable seizure outcomes, particularly in patients with mesial temporal lobe epilepsy. For certain individuals who are not candidates for ablation or resection, palliative neuromodulation procedures such as vagus nerve stimulation, deep brain stimulation, or responsive neurostimulation may result in a significant decrease in seizure frequency and improved quality of life. Finally, disconnection procedures such as multiple subpial transections and corpus callosotomy continue to play a role in select patients with an eloquent epileptogenic zone or intractable atonic seizures, respectively. Overall, open surgical resection remains the gold standard treatment for drug-resistant epilepsy, although it is significantly underutilized. While nonresective epilepsy procedures have not replaced the need for resection, there is hope that these additional surgical options will increase the number of patients who receive treatment for this devastating disorder-particularly individuals who are not candidates for or who have failed resection.
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Ethological Action Maps: A Paradigm Shift for the Motor Cortex. Trends Cogn Sci 2016; 20:121-132. [PMID: 26628112 DOI: 10.1016/j.tics.2015.10.008] [Citation(s) in RCA: 107] [Impact Index Per Article: 13.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2015] [Revised: 10/20/2015] [Accepted: 10/28/2015] [Indexed: 11/21/2022]
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Kurtzer IL. Long-latency reflexes account for limb biomechanics through several supraspinal pathways. Front Integr Neurosci 2015; 8:99. [PMID: 25688187 PMCID: PMC4310276 DOI: 10.3389/fnint.2014.00099] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2014] [Accepted: 12/21/2014] [Indexed: 12/01/2022] Open
Abstract
Accurate control of body posture is enforced by a multitude of corrective actions operating over a range of time scales. The earliest correction is the short-latency reflex (SLR) which occurs between 20–45 ms following a sudden displacement of the limb and is generated entirely by spinal circuits. In contrast, voluntary reactions are generated by a highly distributed network but at a significantly longer delay after stimulus onset (greater than 100 ms). Between these two epochs is the long-latency reflex (LLR) (around 50–100 ms) which acts more rapidly than voluntary reactions but shares some supraspinal pathways and functional capabilities. In particular, the LLR accounts for the arm’s biomechanical properties rather than only responding to local muscle stretch like the SLR. This paper will review how the LLR accounts for the arm’s biomechanical properties and the supraspinal pathways supporting this ability. Relevant experimental paradigms include clinical studies, non-invasive brain stimulation, neural recordings in monkeys, and human behavioral studies. The sum of this effort indicates that primary motor cortex and reticular formation (RF) contribute to the LLR either by generating or scaling its structured response appropriate for the arm’s biomechanics whereas the cerebellum scales the magnitude of the feedback response. Additional putative pathways are discussed as well as potential research lines.
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Affiliation(s)
- Isaac L Kurtzer
- Department of Biomedical Sciences, New York Institute of Technology - College of Osteopathic Medicine Old Westbury, NY, USA
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15
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de Carvalho M, Eisen A, Krieger C, Swash M. Motoneuron firing in amyotrophic lateral sclerosis (ALS). Front Hum Neurosci 2014; 8:719. [PMID: 25294995 PMCID: PMC4170108 DOI: 10.3389/fnhum.2014.00719] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2014] [Accepted: 08/27/2014] [Indexed: 01/09/2023] Open
Abstract
Amyotrophic lateral sclerosis is an inexorably progressive neurodegenerative disorder involving the classical motor system and the frontal effector brain, causing muscular weakness and atrophy, with variable upper motor neuron signs and often an associated fronto-temporal dementia. The physiological disturbance consequent on the motor system degeneration is beginning to be well understood. In this review we describe aspects of the motor cortical, neuronal, and lower motor neuron dysfunction. We show how studies of the changes in the pattern of motor unit firing help delineate the underlying pathophysiological disturbance as the disease progresses. Such studies are beginning to illuminate the underlying disordered pathophysiological processes in the disease, and are important in designing new approaches to therapy and especially for clinical trials.
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Affiliation(s)
- Mamede de Carvalho
- Institute of Physiology and Institute of Molecular Medicine, Faculty of Medicine, University of Lisbon Lisbon, Portugal ; Department of Neurosciences, Hospital Santa Maria, Faculty of Medicine, University of Lisbon Lisbon, Portugal
| | - Andrew Eisen
- Emeritus Professor of Neurology, University of British Columbia Vancouver, BC, Canada
| | - Charles Krieger
- Department of Biomedical Physiology and Kinesiology, Simon Fraser University, Burnaby BC, Canada ; Department of Medicine (Neurology), University of British Columbia, Vancouver BC, Canada
| | - Michael Swash
- Institute of Physiology and Institute of Molecular Medicine, Faculty of Medicine, University of Lisbon Lisbon, Portugal ; Department of Neurosciences, Hospital Santa Maria, Faculty of Medicine, University of Lisbon Lisbon, Portugal ; Institute of Neuroscience, Barts and The London School of Medicine, Queen Mary University of London London, UK
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Harrison TC, Murphy TH. Towards a circuit mechanism for movement tuning in motor cortex. Front Neural Circuits 2013; 6:127. [PMID: 23346050 PMCID: PMC3548231 DOI: 10.3389/fncir.2012.00127] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2012] [Accepted: 12/31/2012] [Indexed: 02/01/2023] Open
Abstract
The firing rates of neurons in primate motor cortex have been related to multiple parameters of voluntary movement. This finding has been corroborated by stimulation-based studies that have mapped complex movements in rodent and primate motor cortex. However, it has been difficult to link the movement tuning of a neuron with its role within the cortical microcircuit. In sensory cortex, neuronal tuning is largely established by afferents delivering information from tuned receptors in the periphery. Motor cortex, which lacks the granular input layer, may be better understood by analyzing its efferent projections. As a primary source of cortical output, layer 5 neurons represent an ideal starting point for this line of experimentation. It is in these deep output layers that movements can most effectively be evoked by intracortical microstimulation and recordings can obtain the most useful signals for the control of motor prostheses. Studies focused on layer 5 output neurons have revealed that projection identity is a fundamental property related to the laminar position, receptive field and ion channel complement of these cells. Given the variety of brain areas targeted by layer 5 output neurons, knowledge of a neuron's downstream connectivity may provide insight into its movement tuning. Future experiments that relate motor behavior to the activity of neurons with a known projection identity will yield a more detailed understanding of the function of cortical microcircuits.
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Affiliation(s)
- Thomas C Harrison
- Department of Psychiatry, University of British Columbia Vancouver, BC, Canada
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Hayashi Y, Tagawa Y, Yawata S, Nakanishi S, Funabiki K. Spatio-temporal control of neural activity in vivo using fluorescence microendoscopy. Eur J Neurosci 2012; 36:2722-32. [PMID: 22780218 DOI: 10.1111/j.1460-9568.2012.08191.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Controlling neural activity with high spatio-temporal resolution is desired for studying how neural circuit dynamics control animal behavior. Conventional methods for manipulating neural activity, such as electrical microstimulation or pharmacological blockade, have poor spatial and/or temporal resolution. Algal protein channelrhodopsin-2 (ChR2) enables millisecond-precision control of neural activity. However, a photostimulation method for high spatial resolution mapping in vivo is yet to be established. Here, we report a novel optical/electrical probe, consisting of optical fiber bundles and metal electrodes. Optical fiber bundles were used as a brain-insertable endoscope for image transfer and stimulating light delivery. Light-induced activity from ChR2-expressing neurons was detected with electrodes bundled to the endoscope, enabling verification of light-evoked action potentials. Photostimulation through optical fiber bundles of transgenic mice expressing ChR2 in layer 5 cortical neurons resulted in single-whisker movement, indicating spatially restricted activation of neurons in vivo. The probe system described here and a combination of various photoactive molecules will facilitate studies on the causal link between specific neural activity patterns and behavior.
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Affiliation(s)
- Yuichiro Hayashi
- Department of Systems Biology, Osaka Bioscience Institute, Suita, Osaka 565-0874, Japan.
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Abstract
An exciting new experiment on the motor cortex of monkeys, by Shenoy and colleagues, begins to elucidate how the neuronal ensemble travels in a systematic fashion through state space. This trajectory through state space may help to explain how the motor cortex sets up and then triggers arm movements.
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Affiliation(s)
- Michael S A Graziano
- Department of Psychology, Green Hall, Princeton University, Princeton, NJ 08544, USA.
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Functional clustering of neurons in motor cortex determined by cellular resolution imaging in awake behaving mice. J Neurosci 2009; 29:13751-60. [PMID: 19889987 DOI: 10.1523/jneurosci.2985-09.2009] [Citation(s) in RCA: 156] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Macroscopic (millimeter scale) functional clustering is a hallmark characteristic of motor cortex spatial organization in awake behaving mammals; however, almost no information is known about the functional micro-organization (approximately 100 microm scale). Here, we optically recorded intracellular calcium transients of layer 2/3 neurons with cellular resolution over approximately 200-microm-diameter fields in the forelimb motor cortex of mobile, head-restrained mice during two distinct movements (running and grooming). We showed that the temporal correlation between neurons was statistically larger the closer the neurons were to each other. We further explored this correlation by using two separate methods to spatially segment the neurons within each imaging field: K-means clustering and correlations between single neuron activity and mouse movements. The two methods segmented the neurons similarly and led to the conclusion that the origin of the inverse relationship between correlation and distance seen statistically was twofold: clusters of highly temporally correlated neurons were often spatially distinct from one another, and (even when the clusters were spatially intermingled) within the clusters, the more correlated the neurons were to each other, the shorter the distance between them. Our results represent a direct observation of functional clustering within the microcircuitry of the awake mouse motor cortex.
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Adachi K, Lee JC, Hu JW, Yao D, Sessle BJ. Motor cortex neuroplasticity associated with lingual nerve injury in rats. Somatosens Mot Res 2009; 24:97-109. [PMID: 17853058 DOI: 10.1080/08990220701470451] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The aim of this study was to determine if lingual nerve trauma affects the features of face primary motor cortex (MI) defined by intracortical microstimulation (ICMS). The left lingual nerve was transected in adult male rats by an oral surgical procedure; sham rats (oral surgery but no nerve transection) as well as naive intact rats served as control groups. ICMS was applied at post-operative days 0, 7, 14, 21, and 28 to map the jaw and tongue motor representations in face MI by analyzing ICMS-evoked movements and electromyographic activity recorded in the genioglossus (GG) and anterior digastric (AD) muscles. There were no statistically significant effects of acute (day 0) nerve transection or sham procedure (p > 0.05). The surgery in the sham animals was associated with limited post-operative change; this was reflected in a significant (p < 0.05) increase in the number of GG sites in left MI at post-operative day 14 compared to day 0. However, nerve transection was associated with significant increases in the total number of AD and GG sites in left or right MI or specifically the number of GG sites in rats at post-operative days 21 or 28 compared to earlier time periods. There were also significant differences between nerve-transected and sham groups at post-operative days 7, 14, or 21. These findings suggest that lingual nerve transection is associated with significant time-dependent neuroplastic changes in the tongue motor representations in face MI.
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Affiliation(s)
- Kazunori Adachi
- Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada
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Sharp FR. Regional (14C) 2-deoxyglucose uptake during forelimb movements evoked by rat motor cortex stimulation: cortex, diencephalon, midbrain. J Comp Neurol 2009; 224:259-85. [PMID: 19180815 DOI: 10.1002/cne.902240207] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
The caudal forelimb region of right "motor" cortex was repetitively stimulated in normal, conscious rats. Left forelimb movements were produced and (14C) 2-deoxyglucose (2DG) was injected. After sacrifice, regions of increased brain (14C) 2DG uptake were mapped autoradiographically. Uptake of 2DG increased about the stimulating electrode in motor (MI) cortex. Columnar activation of primary (SI) and second (SII) somatosensory neocortex occurred. The rostral or second forelimb (MII) region of motor cortex was activated. Many ipsilateral subcortical structures were also activated during forelimb MI stimulation (FLMIS). Rostral dorsolateral caudate-putamen (CP), central globus pallidus (GP), posterior entopeduncular nucleus (EPN), subthalamic nucleus (STN), zona incerta (ZI), and caudal, ventrolateral substantia nigra pars reticulata (SNr) were activated. Thalamic nuclei that increased (14C) 2DG uptake included anterior dorsolateral reticular (R), ventral and central ventrolateral (VL), lateral ventromedial (VM), ventral ventrobasal (VB), dorsolateral posteromedial (POm), and the parafascicular-centre median (Pf-CM) complex. Activated midbrain regions included ventromedial magnocellular red nucleus (RNm), posterior deep layers of the superior colliculus (SCsgp), lateral deep mesencephalic nucleus (DMN), nucleus tegmenti pedunculopontinus (NTPP), and anterior pretectal nucleus (NCU). Monosynaptic connections from MI or SI to SII, MII, CP, STN, ZI, R, VL, VM, VB, POm, Pf-CM, RNm, SCsgp, SNr, and DMN can account for ipsilateral activation of these structures. GP and EPN must be activated polysynaptically, either from MI stimulation or sensory feedback, since there are no known monosynaptic connections from MI and SI to these structures. Most rat brain motor-sensory structures are somatotopically organized. However, the same regions of R, EPN, CM-Pf, DMN, and ZI are activated during FLMIS compared to VMIS (vibrissae MI stimulation). Since these structures are not somatopically organized, this suggests they are involved in motor-sensory processing independent of which body part is moving. VB, SII, and MII are activated during FLMIS but not during VMIS.
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Affiliation(s)
- F R Sharp
- Department of Neurosciences, University of California, San Diego, School of Medicine, La Jolla, California 92093, USA
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Hatsopoulos NG. Columnar organization in the motor cortex. Cortex 2009; 46:270-1. [PMID: 19398100 DOI: 10.1016/j.cortex.2008.07.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2008] [Revised: 07/09/2008] [Accepted: 07/11/2008] [Indexed: 10/20/2022]
Affiliation(s)
- Nicholas G Hatsopoulos
- Department of Organismal Biology and Anatomy and Committees on Computational Neuroscience and Neurobiology, University of Chicago, IL 60637, USA.
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Herter TM, Korbel T, Scott SH. Comparison of neural responses in primary motor cortex to transient and continuous loads during posture. J Neurophysiol 2008; 101:150-63. [PMID: 19005005 DOI: 10.1152/jn.90230.2008] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
The present study examined whether neurons in primary motor cortex (M1) exhibit similar responses to transient and continuous loads applied during posture. Rapid responses to whole-limb perturbations were examined by transiently applying (300 ms) flexor and extensor torques to the shoulder and/or elbow during postural maintenance. Over half of M1 neurons responded to these transient loads within 80 ms and many responded within 20-40 ms. These rapid responses exhibited a broad continuum of modulation patterns across load directions. At one extreme, neurons exhibited reciprocal increases and decreases in activity for opposing loads. At the other extreme, neurons (particularly those with onset times of 20-40 ms) displayed relatively uniform increases in activity for all loads. Activity of proximal arm muscles displayed a narrower distribution of modulation patterns characterized by broadly tuned excitation combined with little or no reciprocal inhibition. Both neurons and muscles showed a directional preference for whole-limb flexor and whole-limb extensor torques (flexor at one joint and extensor at the other). Most neurons with rapid responses also showed steady-state responses to continuous loads, although these responses generally displayed reciprocal increases and decreases in activity for opposing loads. Importantly, the preferred-torque directions were quantitatively similar across tasks. For example, a neuron with a maximal rapid response to a transient elbow flexor torque tended to exhibit a maximal steady-state response to a continuous elbow flexor torque. Activity of proximal arm muscles also showed this preservation of directional tuning. These results illustrate that M1 neurons respond rapidly to transient multijoint loads and their patterns of activity share some, but not all, features related to continuous multijoint loads applied during posture.
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Affiliation(s)
- Troy M Herter
- Centre for Neuroscience Studies, Canadian Institute for Health Research Group in Sensory-Motor Systems, Department of Anatomy and Cell Biology, Queen's University, Botterell Hall, Room 219, Kingston, Ontario, Canada, K7L 3N6
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Abstract
Each of the descending pathways involved in motor control has a number of anatomical, molecular, pharmacological, and neuroinformatic characteristics. They are differentially involved in motor control, a process that results from operations involving the entire motor network rather than from the brain commanding the spinal cord. A given pathway can have many functional roles. This review explores to what extent descending pathways are highly conserved across species and concludes that there are actually rather widespread species differences, for example, in the transmission of information from the corticospinal tract to upper limb motoneurons. The significance of direct, cortico-motoneuronal (CM) connections, which were discovered a little more than 50 years ago, is reassessed. I conclude that although these connections operate in parallel with other less direct linkages to motoneurons, CM influence is significant and may subserve some special functions including adaptive motor behaviors involving the distal extremities.
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Affiliation(s)
- Roger N Lemon
- Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, London, WC1N 3BG, United Kingdom.
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Meier JD, Aflalo TN, Kastner S, Graziano MSA. Complex organization of human primary motor cortex: a high-resolution fMRI study. J Neurophysiol 2008; 100:1800-12. [PMID: 18684903 DOI: 10.1152/jn.90531.2008] [Citation(s) in RCA: 195] [Impact Index Per Article: 12.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
A traditional view of the human motor cortex is that it contains an overlapping sequence of body part representations from the tongue in a ventral location to the foot in a dorsal location. In this study, high-resolution functional MRI (1.5x1.5x2 mm) was used to examine the somatotopic map in the lateral motor cortex of humans, to determine whether it followed the traditional somatotopic order or whether it contained any violations of that somatotopic order. The arm and hand representation had a complex organization in which the arm was relatively emphasized in two areas: one dorsal and the other ventral to a region that emphasized the fingers. This violation of a traditional somatotopic order suggests that the motor cortex is not merely a map of the body but is topographically shaped by other influences, perhaps including correlations in the use of body parts in the motor repertoire.
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Affiliation(s)
- Jeffrey D Meier
- Department of Psychology, Green Hall, Princeton University, Princeton, NJ 08544, USA
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Abstract
The neocortex is an ultracomplex, six-layered structure that develops from the dorsal palliai sector of the telencephalic hemispheres (Figs. 2.24, 2.25, 11.1). All mammals, including monotremes and marsupials, possess a neocortex, but in reptiles, i.e. the ancestors of mammals, only a three-layered neocortical primordium is present [509, 511]. The term neocortex refers to its late phylogenetic appearance, in comparison to the “palaeocortical” olfactory cortex and the “archicortical” hippocampal cortex, both of which are present in all amniotes [509].
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Abstract
A traditional view of the motor cortex in the primate brain is that it contains a map of the body arranged across the cortical surface. This traditional topographic scheme, however, does not capture the actual pattern of overlaps, fractures, re-representations, and multiple areas separated by fuzzy borders. Here, we suggest that the organization of the motor cortex, premotor cortex, supplementary motor cortex, frontal eye field, and supplementary eye field can in principle be understood as a best-fit rendering of the motor repertoire onto the two-dimensional cortical sheet in a manner that optimizes local continuity.
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Abstract
Motor cortex in the primate brain was once thought to contain a simple map of the body's muscles. Recent evidence suggests, however, that it operates at a radically more complex level, coordinating behaviorally useful actions. Specific subregions of motor cortex may emphasize different ethologically relevant categories of behavior, such as interactions between the hand and the mouth, reaching motions, or defensive maneuvers to protect the body surface from impending impact. Single neurons in motor cortex may contribute to these behaviors by means of their broad tuning to idiosyncratic, multijoint actions. The mapping from cortex to muscles is not fixed, as was once thought, but instead is fluid, changing continuously on the basis of feedback in a manner that could support the control of higher-order movement parameters. These findings suggest that the motor cortex participates directly in organizing and controlling the animal's behavioral repertoire.
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Affiliation(s)
- Michael Graziano
- Department of Psychology, Green Hall, Princeton University, Princeton, New Jersey 08544, USA.
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Abstract
✓Seizures and epilepsy are frequent clinical manifestations of cerebral cavernous malformations (CCMs) and represent the most common symptomatic presentation of supratentorial lesions. Clinicians often diagnose CCMs in patients after a first seizure, or in some cases after obtaining neuroimaging studies in patients suffering from chronic epilepsy previously thought to be idiopathic. In some cases, the lesion is clinically significant solely because of its epileptogenicity, but in others there may be concern about potential hemorrhage or focal neurological deficits from a similar lesion.
The authors present current pathophysiological concepts related to epilepsy associated with CCMs. They discuss the spectrum of seizure disorders associated with these lesions and review the natural history, prognosis, and options for therapeutic intervention.
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Affiliation(s)
- Issam Awad
- Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, and Evanston Northwestern Healthcare, Evanston, Illinois, USA.
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Franchi G, Maggiolini E, Muzzioli V, Guandalini P. The vibrissal motor output following severing and repair of the facial nerve in the newborn rat reorganises less than in the adult. Eur J Neurosci 2006; 23:1547-58. [PMID: 16553618 DOI: 10.1111/j.1460-9568.2006.04668.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
This study examined the ability of facial motoneurons and motor cortex to reorganise their relationship with the somatic musculature following the severing and repair of the facial nerve in rats at birth. In each adult rat, the organisation of the facial nucleus and the cortical motor output corresponding to the normal side were compared with those corresponding to the reinnervated side. Labelling was used to reveal reinnervation-induced long-term changes in the motoneuron pool supplying vibrissal muscles. Cortical motor output was assessed by mapping the vibrissal movement area extension and thresholds evoked by intracortical microstimulation. After facial nerve reinnervation: (i) the proportion of labelled cell profiles decreased by 85.2% of that in the control side and cortical representation of vibrissal movement decreased by 66.3% of that in control hemispheres; (ii) the reorganised vibrissal representation was shrunken to the medialmost portion of the normal vibrissal representation and there was a medial extension of the forelimb representation, and a more modest lateral extension of eye representation, into the vibrissal territory; (iii) the normal pattern of contralateral vibrissal movement was observed in only 10% of the vibrissal sites, whereas ipsilateral vibrissal movement was found in 53% of the vibrissal sites; (iv) there was an increase in the mean threshold required to evoke contralateral vibrissal movement (32.5+/-11.1 vs. 20.5+/-6.9 microA). Thresholds to evoke other types of movement were similar to normal. These changes indicate that an incomplete motor axon regeneration at birth does not restore normal innervation and normal cortical control over the vibrissal muscles.
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Affiliation(s)
- Gianfranco Franchi
- Dipartimento di Scienze Biomediche e Terapie Avanzate, Sezione di Fisiologia umana e Centro di Neuroscienze Università di Ferrara, 44100 Ferrara, Italy.
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Fukushi T, Sawaguchi T. Neural representation of response category and motor parameters in monkey prefrontal cortex. Exp Brain Res 2005; 164:472-83. [PMID: 15891871 DOI: 10.1007/s00221-005-2268-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2004] [Accepted: 12/19/2004] [Indexed: 10/25/2022]
Abstract
Conditional motor behavior, in which the relationship between stimuli and responses changes arbitrarily, is an important component of cognitive motor function in primates. It is still unclear how cognitive processing for conditional motor control determines movement parameters to directly specify motor output. To address this issue, we studied the neuronal representation of motor variables relating to conditional motor control and also directly to the metrics of motor output in prefrontal cortex (PFC). Monkeys were required to generate a force that fell within one of two categories ("small" and "large"). We found that most PFC neurons were activated as a function of force category, suggesting a role in conditional motor control. At the same time, we found that activity in many PFC neurons varied continuously with the force that was eventually produced, suggesting they participated in specifying the metrics of movements as they were executed. The results suggest that the PFC neural population encodes both "what" motor response should be performed and "how" the selected movement should be realized immediately after the visual instruction.
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Affiliation(s)
- Tamami Fukushi
- Department of Neuroscience, University of Minnesota, Brain Sciences Center (11B) VAMC, One Veterans Drive, Minneapolis, MN, 55455, USA.
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Bretzner F, Drew T. Contribution of the motor cortex to the structure and the timing of hindlimb locomotion in the cat: a microstimulation study. J Neurophysiol 2005; 94:657-72. [PMID: 15788518 DOI: 10.1152/jn.01245.2004] [Citation(s) in RCA: 56] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
We used microstimulation to examine the contribution of the motor cortex to the structure and timing of the hindlimb step cycle during locomotion in the intact cat. Stimulation was applied to the hindlimb representation of the motor cortex in 34 sites in three cats using either standard glass-insulated microelectrodes (16 sites in 1 cat) or chronically implanted microwire electrodes (18 sites in 2 cats). Stimulation at just suprathreshold intensities with the cat at rest produced multi-joint movements at a majority of sites (21/34, 62%) but evoked responses restricted to a single joint, normally the ankle, at the other 13/34 (38%) sites. Stimulation during locomotion generally evoked larger responses than the same stimulation at rest and frequently activated additional muscles. Stimulation at all 34 sites evoked phase-dependent responses in which stimulation in swing produced transient increases in activity in flexor muscles while stimulation during stance produced transient decreases in activity in extensors. Stimulation with long (200 ms) trains of stimuli in swing produced an increased level of activity and duration of flexor muscles without producing changes in cycle duration. In contrast, stimulation during stance decreased the duration of the extensor muscle activity and initiated a new and premature period of swing, resetting the step cycle. Stimulation of the pyramidal tract in two of these three cats as well as in two additional ones produced similar effects. The results show that the motor cortex is capable of influencing hindlimb activity during locomotion in a similar manner to that seen for the forelimb.
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Affiliation(s)
- Frédéric Bretzner
- Department of Physiol, Université de Montréal, PO Box 6128, Station Centre-ville, Montréal, Québec H3C 3J7, Canada
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Amirikian B, Georgopoulos AP. Modular organization of directionally tuned cells in the motor cortex: is there a short-range order? Proc Natl Acad Sci U S A 2003; 100:12474-9. [PMID: 14523235 PMCID: PMC218782 DOI: 10.1073/pnas.2037719100] [Citation(s) in RCA: 64] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
We investigated the presence of short-range order (<600 microm) in the directional properties of neurons in the motor cortex of the monkey. For that purpose, we developed a quantitative method for the detection of functional cortical modules and used it to examine such potential modules formed by directionally tuned cells. In the functional domain, we labeled each cell by its preferred direction (PD) vector in 3D movement space; in the spatial domain, we used the position of the tip of the recording microelectrode as the cell's coordinate. The images produced by this method represented two orthogonal dimensions in the cortex; one was parallel ("horizontal") and the other perpendicular ("vertical") to the cortical layers. The distribution of directionally tuned cells in these dimensions was nonuniform and highly structured. Specifically, cells with similar PDs tended to segregate into vertically oriented minicolumns 50-100 microm wide and at least 500 microm high. Such minicolumns aggregated across the horizontal dimension in a secondary structure of higher order. In this structure, minicolumns with similar PDs were approximately 200 microm apart and were interleaved with minicolumns representing nearly orthogonal PDs; in addition, nonoverlapping columns representing nearly opposite PDs were approximately 350 microm apart.
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Affiliation(s)
- Bagrat Amirikian
- Brain Sciences Center, Veterans Affairs Medical Center, One Veterans Drive, Minneapolis, MN 55417, USA
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Abstract
Recently, we found that electrical stimulation of motor cortex caused monkeys to make coordinated, complex movements. These evoked movements were arranged across the cortex in a map of spatial locations to which the hand moved. We suggest that some of the subdivisions previously described within primary motor and premotor cortex may represent different types of actions that monkeys tend to make in different regions of space. According to this view, primary and premotor cortex may fit together into a larger map of manual space.
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Affiliation(s)
- Michael S A Graziano
- Department of Psychology, Green Hall, Princeton University, Princeton, NJ 08544, USA.
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Connors BW, Pinto DJ, Telfeian AE. Local pathways of seizure propagation in neocortex. INTERNATIONAL REVIEW OF NEUROBIOLOGY 2001; 45:527-46. [PMID: 11130915 DOI: 10.1016/s0074-7742(01)45027-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- B W Connors
- Department of Neuroscience, Division of Biology and Medicine, Brown University, Providence, Rhode Island, USA
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Iansek R, Rosenfeld JV, Feniger H, Huxham F. Physiological localisation in functional neurosurgery for movement disorders: a simple approach. J Clin Neurosci 2000; 7:29-33. [PMID: 10847647 DOI: 10.1054/jocn.1998.0140] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Controversy exists between anatomical methods and single cell recording as the preferred approach in target localisation in functional neurosurgery for movement disorders. The controversy centres on accuracy as compared to practicality. We describe a mapping technique of semi-microstimulation utilising threshold measurements which has been used in 66 procedures in 50 subjects. We compared the accuracy of anatomical localisation with the final chosen target using the above technique. We also compared the benefit, the side effects and the surgical complication rate with published data on single cell recording and anatomical localisation. The mean difference in 3-dimensional space between the anatomical target and the physiological target was 6.85 mm (P < 0.0001). A good response was obtained in 80% of procedures. Mortality was 1.5%. The surgical complication rate was 1.5%. Mild side effects, serious side effects, transient side effects and permanent side effects were evident in 4.5%, 10.6%, 6.1% and 9.1% of procedures. These figures compared better than anatomical studies and similar to single cell recording studies. It is concluded that this approach provides both accuracy and simplicity and is recommended as a compromise to the currently available methods.
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Affiliation(s)
- R Iansek
- Geriatric Neurology Service, Kingston Centre, Melbourne, Australia
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Telfeian AE, Connors BW. Epileptiform propagation patterns mediated by NMDA and non-NMDA receptors in rat neocortex. Epilepsia 1999; 40:1499-506. [PMID: 10565575 DOI: 10.1111/j.1528-1157.1999.tb02032.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE The neocortex can generate various forms of epileptiform activity, including one that depends on N-methyl-D-aspartate (NMDA)-type glutamate receptors (NMDARs), and another dependent on non-NMDA-type (AMPA) glutamate receptors (AMPARs). Previous work in vitro suggests that both forms of activity are initiated by neurons of layer 5, but the spatial patterns of horizontal propagation have been studied only for the AMPAR form. We have tested the hypothesis that both types of epileptiform activity spread via common pathways in one cortical layer, suggesting that lamina-specific intervention might selectively interrupt both. METHODS Slices of rat somatosensory cortex were maintained in vitro and treated with the gamma-aminobutyric acid type A (GABA(A))-receptor antagonist picrotoxin. Single all-or-none epileptiform discharges were evoked with an electrical stimulus, and extracellular microelectrodes were used to track the vertical and lateral spread of the discharges. RESULTS In both high and low concentrations of picrotoxin, the non-NMDAR antagonist 6-cyano-7-nitroquinoxaline-2,3-dione (CNQX) completely blocked propagation, whereas the NMDAR antagonist D-2-amino-5-phosphonovaleric acid (DAPV) only shortened the duration of discharges. When extracellular [Mg2+] was reduced in the presence of picrotoxin and CNQX, NMDAR-dependent epileptiform discharges could be initiated. NMDAR-dependent discharges spread at about one fifth the conduction velocity of AMPAR-dependent events. Analysis of spatiotemporal field-potential patterns suggested that both NMDAR- and AMPAR-mediated propagation involved early activity in layers 5 and 6, followed by larger-amplitude activity in upper cortical layers along the path of propagation. CONCLUSIONS Our results imply that a common pathway mediates the propagation of these two forms of epileptiform activity, and suggests that lamina-specific surgical intervention might maximize anticonvulsant effect while minimally disrupting cortical function.
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Affiliation(s)
- A E Telfeian
- Department of Neuroscience, Brown University, Providence, Rhode Island 02912, USA
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Cramer SC. Stroke Recovery: Lessons from Functional MR Imaging and Other Methods of Human Brain Mapping. Phys Med Rehabil Clin N Am 1999. [DOI: 10.1016/s1047-9651(18)30168-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Gu X, Staines WA, Fortier PA. Quantitative analyses of neurons projecting to primary motor cortex zones controlling limb movements in the rat. Brain Res 1999; 835:175-87. [PMID: 10415372 DOI: 10.1016/s0006-8993(99)01576-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
The objective was to determine if projections of single neurons to primary motor cortex preferentially terminate in several efferent zones that could form synergies for the execution of limb movements. Intracortical microstimulation was used to identify zones evoking hip flexion (HF), elbow flexion (EF), and both plantarflexion (PF) and dorsiflexion (DF) about the ankle. Histological examination showed that the zones from which some movements were evoked extended beyond the agranular cortex into granular cortex. Fluorogold, Fast blue, and propridium iodide or rhodamine-labeled dextran were injected into three of these four efferent zones in each rat. There was a virtual absence of multiple-labeled cells despite having an intermingling of different-colored cells of which 15% in frontal cortex were less than 1.2 mm away from a neighboring neuron that projected to a different efferent zone. This suggests that single neurons projecting to the motor cortex do not hard-wire specific synergies but rather project to single efferent zones in order to offer the greatest degree of freedom for the generation of movements. The distribution of ventral posterolateral and ventrolateral thalamic nucleus labeling depended on whether the injections were in granular or agranular cortex. Conversely, frontal cortex projections to motor efferent zones were made irrespective of their location in either granular or agranular cortex and thereby supporting their presumed role in the control of movements. Hindlimb motor cortex injections yielded retrograde labeling that extended into the more localised distribution of frontal cortex neurons retrogradely labeled from forelimb injections. This may allow hindlimb movements to be synchronized by forelimb movements during walking on challenging terrain.
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Affiliation(s)
- X Gu
- Department of Cellular and Molecular Medicine, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada
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Palmeri A, Bellomo M, Giuffrida R, Sapienza S. Motor cortex modulation of exteroceptive information at bulbar and thalamic lemniscal relays in the cat. Neuroscience 1999; 88:135-50. [PMID: 10051195 DOI: 10.1016/s0306-4522(98)00205-x] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
We have studied the control of the primary motor cortex on the activity of lemniscal neurons in semi-chronic implanted cats. In each experiment, two to three foci in the primary motor cortex were identified by intracortical microstimulation at low threshold (up to 20 microA) for their capacity to evoke movements of contralateral single limb joints. Neurons belonging to the dorsal column nuclei (main cuneate nucleus and gracile nucleus), or to the ventral posterolateral nucleus, were sampled for their response to stimulation of the peripheral cutaneous fields, as well as the antidromic response to stimulation of the contralateral medial lemniscus and ipsilateral somatosensory cortex, respectively. These neurons were then tested for stimulation of the cortical foci using a current intensity equal to the threshold needed to evoke motor effects, although we reduced the duration of the stimulating trains; thus, we avoided evoking movements which could elicit afferent volleys along the somatosensory paths. It was found that the primary motor cortex was able to modulate the transmission of exteroceptive signals at the level of both dorsal column nuclei and ventral posterolateral nucleus with analogous modalities. In particular: (i) a high percentage of responses, with a prevalence of excitatory effects, was observed when the receptive field of the neurons topographically corresponded to, or was very close to, the joint controlled by a given cortical focus; (ii) in these cases, higher percentages of excitations were observed in tests which concerned the distal segments of limbs than the proximal segments; (iii) the percentage of responses became lower as the neuronal receptive field was located further from the cortical motor target, the pattern being more frequently inhibitory in nature. From a functional point of view, the motor cortex control appears to be organized in a very precise manner. Its excitatory nature might subserve integrative mechanisms by which exteroceptive information arising in a given limb segment would be enhanced by a motor command inducing movements of the same body part. Moreover, a better definition of the afferent input could be obtained by a simultaneous depression of neurons, which send towards the cortex signals from adjacent or more distant cutaneous regions. It can be hypothesized that such an organization of the cortical control could improve the discriminative somatosensory aspects during the execution of explorative movements, besides supplying a sharper cutaneous feedback to the motor cortex.
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Affiliation(s)
- A Palmeri
- Department of Physiological Sciences, University of Catania, Italy
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Abstract
Experimental animal studies on multiple subpial transection (MST) to modify epilepsy have been limited, and its mechanism of therapeutic benefit remains unclear. We examined the effect of MST on the electroencephalogram and cerebral glucose metabolism using a focal cortical epilepsy model in rats. Focal cortical seizures were induced by injecting kainic acid into the left sensorimotor cortex (SMC). Epileptic activity propagated from the focus to neighboring cortex, then to the contralateral SMC. All animals developed right forelimb clonus and/or secondarily generalized convulsions. Sagittal cortical transections on both sides of the focus suppressed the propagation to the ipsilateral hemisphere. However, epileptic activity was not suppressed in the focus and contralateral SMC, and clinical seizures infrequently occurred even following MST. In [14C]2-deoxyglucose autoradiograms, MST did not affect glucose metabolism in naive animals. During focal seizures, MST reduced focal hypermetabolism in the left SMC, although the ipsilateral caudate nucleus, thalamus, and opposite SMC still demonstrated hypermetabolism. These results suggest that MST suppressed focal epileptic activity and its propagation to the neighboring cortical areas. However, clinical seizures were not completely inhibited because vertical interactions between the focus and subcortical areas were preserved. Glucose metabolic changes provided evidence of conserved cortical function following MST.
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Affiliation(s)
- K Hashizume
- Department of Neurosurgery, Asahikawa Medical College, Japan.
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Kably B, Drew T. Corticoreticular pathways in the cat. II. Discharge activity of neurons in area 4 during voluntary gait modifications. J Neurophysiol 1998; 80:406-24. [PMID: 9658060 DOI: 10.1152/jn.1998.80.1.406] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
We propose that the descending command from area 4 that is responsible, in part, for the change in limb trajectory required to step over an obstacle in one's path also plays a role in triggering the anticipatory postural modifications that accompany this movement. To test this hypothesis, we recorded the discharge characteristics of identified classes of corticofugal neurons in area 4 of the cat. Neurons were identified either as: pryamidal tract neurons (PTNs) if their axon projected to the caudal pyramidal tract (PT) but not to the pontomedullary reticular formation (PMRF); as corticoreticular neurons (CRNs) if their axon projected to the PMRF but not to the PT; and as PTN/CRNs if their axon projected to both structures. Altogether, the discharge properties of 212 corticofugal neurons (109 PTNs, 66 PTN/CRNs, and 37 CRNs) within area 4 were recorded during voluntary gait modifications. Neurons in all three classes showed increases in their discharge frequency during locomotion and included groups that increased their discharge either during the swing phase of the modified step, during the subsequent stance phase, or in the stance phase of the cycle preceding the step over the obstacle. A slightly higher percentage of CRNs (39%) discharged in the stance phase prior to the gait modification than did the PTNs or PTN/CRNs (20% and 17% respectively). In 37 electrode penetrations, we were able to record clusters of 3 or more neurons within 500 micro(m) of each other. In most cases, PTN/CRNs recorded in close proximity to PTNs had similar receptive fields and discharged in a similar, but not identical, manner during the gait modifications. Compared with adjacent PTNs, CRNs normally showed a more variable pattern of activity and frequently discharged earlier in the step cycle than did the PTNs or PTN/CRNs. We interpret the results as providing support for the original hypothesis. We suggest that the collateral branches to the PMRF from corticofugal neurons with axons that continue at least as far as the caudal PT provide a signal that could be used to trigger dynamic postural responses that are appropriately organized and scaled for the movements that are being undertaken. We suggest that the more variable and earlier discharge activity observed in CRNs might be used to modify the postural support on which the movements and the dynamic postural adjustments are superimposed.
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Affiliation(s)
- B Kably
- Centre Hospitalier, Hôpital des Spécialités, Service du Neurophysiologie, BP 6220 Rabat Institute, Morocco
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Chesi AJ, Stone TW. Epileptiform activity in supragranular and infragranular blocks of mouse neocortex. Epilepsy Res 1998; 31:29-38. [PMID: 9696298 DOI: 10.1016/s0920-1211(98)00013-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Murine neocortical tissue blocks 450 microm in diameter displayed prolonged epileptiform bursts when exposed to magnesium-free medium in vitro; no evidence was found for a correlation between the ability to generate paroxysmal bursts and barrels, the specialized cortical modules or 'columns' found in rodent primary sensorimotor cortex. While previous reports suggested that preferential locations for the generation of epileptiform bursts exist within the six-layered structure of the neocortex, we find that cortical sections only containing either the supragranular or infragranular layers and an estimated 2000 neurones are capable of displaying epileptiform bursting. The subdivided blocks are markedly more sensitive to the inhibitory effects of bath-applied adenosine (100 microM) than intact blocks from the same animal. A similar enhancement of adenosine sensitivity is seen when the tissue is superfused with hypotonic ACSF (a model for injury-induced brain swelling), which by itself increases excitability. The increase in sensitivity to adenosine is a transient effect and may be related to its role as acute neuroprotective agent.
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Affiliation(s)
- A J Chesi
- Division of Neuroscience and Biomedical Systems, University of Glasgow, UK.
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Sawaguchi T. Attenuation of preparatory activity for reaching movements by a D1-dopamine antagonist in the monkey premotor cortex. J Neurophysiol 1997; 78:1769-74. [PMID: 9325346 DOI: 10.1152/jn.1997.78.4.1769] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
To examine the role of dopamine receptors in the function of the premotor cortex (PM) for preparing for reaching movements, dopamine antagonists (SCH23390 for D1 receptors and sulpiride for D2 receptors) were applied iontophoretically to neurons of the PM of monkeys that performed a delayed-reaching (DR) task with their arms. In the DR task, the monkey made a reaching movement to one of three target levers (left, upper, and right), which had been cued by a visuospatial stimulus before a delay period of 4 s. We focused on neurons (n = 56) that showed a sustained increase in activity during the delay period (delay-period activity; i.e., "set-related" activity), because such activity is considered to play a central role in preparing for forelimb movements. Iontophoretic application of SCH23390 (usually with a current of 50 nA) significantly decreased the activity of most of these neurons (n = 44/56, 79%), and delay-period activity was attenuated during its application. In contrast, application of sulpiride or SCH23388 (an inactive analogue of SCH23390), using the same current intensity, had no effect on most of the neurons tested with these drugs (n = 31/33 and n = 21/23, respectively), despite the fact that their activity was decreased by SCH23390. Furthermore, for neurons that were affected by SCH23390, the percent decrease in delay-period activity was significantly greater than the percent change in background activity. In more than one-half of the neurons (n = 26/44, 59%), background activity was either increased (n = 10) or not affected (n = 16) by SCH23390, even though it significantly attenuated delay-period activity. These findings suggest that the activation of D1-dopamine receptors plays a modulatory role in PM function in preparing for reaching movements.
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Affiliation(s)
- T Sawaguchi
- Department of Behavioral and Brain Sciences, Primate Research Institute, Kyoto University, Inuyama, Aichi 484, Japan.
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Hufnagel A, Zentner J, Fernandez G, Wolf HK, Schramm J, Elger CE. Multiple subpial transection for control of epileptic seizures: effectiveness and safety. Epilepsia 1997; 38:678-88. [PMID: 9186250 DOI: 10.1111/j.1528-1157.1997.tb01237.x] [Citation(s) in RCA: 73] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
PURPOSE To assess the efficacy and safety of multiple subpial transection (MST), a new technique in epilepsy surgery, alone and in combination with resection. METHODS MST was performed in 22 patients with intractable epilepsy, 10 of whom were treated with a combination of a resection and MST in functionally important cortex, 6 of whom were treated with a combination of a resection and MST performed outside functionally important cortex, and 6 of whom were treated with MST alone. RESULTS Of the 6 patients who received MST alone, none became seizure free and 4 showed > 50% reduction of all seizure types. In 2 patients, including 1 with Rasmussen's encephalitis, no change in seizure frequency or intensity occurred. Of the 16 patients in whom MST was combined with a resection, 9 (56%) became seizure free. Six of the remaining 7 patients showed > 95% reduction of all seizure types. Disappearance of epileptiform potentials in the postoperative EEG correlated significantly with complete relief from seizures. Subtle, permanent neurological deficits remained in 5 of 14 patients who received MST in functionally important brain areas. CONCLUSIONS Reduction of the seizure frequency was substantial in 4 of 6 patients who received MST alone, but complete seizure control was not observed. MST surrounding a lesionectomy may be a new surgical approach which would minimize the excised volume and improve seizure control.
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Affiliation(s)
- A Hufnagel
- Department of Epileptology, University of Bonn, Germany
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