Crosstalk between the two sides of the thalamus through the reticular nucleus: A retrograde and anterograde tracing study in the rat

In order to investigate the possible routes linking the thalamus in the two sides of the brain, the connections of the reticular nucleus (RT), the major component of the ventral thalamus, with contralateral dorsal thalamic nuclei were systematically investigated in the adult rat. This study was performed with several tract-tracing techniques: single and double retrograde labeling with fluorescent tracers, and anterograde tracing with biocytin. Retrograde tracing was also combined with immunocytochemistry to provide additional criteria for the identification of labeled RT neurons. The data obtained with the retrograde transport of one fluorescent tracer showed that RT neurons project to contralateral dorsal thalamic domains. In particular, retrograde labeling findings indicated that the anterior intralaminar nuclei, as well as the ventromedial (VM) nucleus, are preferential targets of the contralateral RT projections. Commissural neurons were concentrated in two portions of RT: its rostral part, including the rostral pole, which projects to the contralateral central lateral (CL) and paracentral (Pc) nuclei, and the ventromedial sector of the middle third of RT, which projects to the contralateral VM and posterior part of CL and Pc. The double retrograde labeling study of the bilateral RT–intralaminar connection indicated that at least part of the commissural RT cells bifurcate bilaterally to symmetrical portions of the anterior intralaminar nuclei. The targets of the RT commissural system inferred from the retrograde labeling data were largely confirmed by anterograde tracing. Moreover, it was shown that RT fibers cross the midline in the intrathalamic commissure. The present data demonstrate that bilateral RT connections with the dorsal thalamus provide a channel for interthalamic crosstalk. Through these bilateral connections with thalamic VM and intralaminar neurons, RT could influence the activity of wide territories of the cerebral cortex and basal ganglia of both hemispheres. © 1993 Wiley-Liss, Inc.     

Isolated motor neglect following infarction of the posterior limb of the right internal capsule: a case study with diffusion tensor imaging-based tractography

Motor neglect is an impairment in the ability to initiate movement not attributable to muscle weakness. The neural network of this syndrome is not precisely defined. We present the diffusion tensor imaging (DTI)-base tractography findings in an acute stroke patient presenting with isolated motor neglect following infarction in the posterior limb of the internal capsule within the anterior choroidal artery territory. A left-handed 17-year-old woman presented with an acute onset of motor neglect of her left arm. Motor tasks performed with the affected limb were awkward; however, the tasks could be accomplished with effort. Magnetic resonance imaging (MRI) including DTI of the brain were performed. DTI-based tractography extracted the fiber tracts originating from regions of interest placed on the ischemic lesion. MRI revealed an acute ischemic infarction at the posterior part of the posterior limb of the right internal capsule within the territory of the anterior choroidal artery. DTI-based tractography showed fiber tracts projecting from the lesion to the posterior part of the supplementary motor area and some fiber tracts projecting to posterior aspects of the thalamus. DTI-based tractography may be a useful tool for visualizing white matter pathways in vivo following an acute infarction. Our case study supports the notion that fiber tracts connecting the posterior part of the posterior limb of the internal capsule, supplementary motor area, and posterior aspect of the thalamus are key areas of a neural network involved in motor neglect syndrome.     

Internuclear ophthalmoplegia and non-paralytic pontine exotropia

The authors discuss internuclear ophthalmoplegia associated with non-paralytic pontine exotropia of the contralateral eye. Impairment of the posterior oculogyric tract in its protuberantial segment, resulting in oculographic signs of alteration in the contralateral continuation. Seems to be responsible for the exotropia.     

Proximal posterior cerebral artery occlusion simulating middle cerebral artery occlusion

We describe 12 cases of acute stroke in which clinical features of proximal posterior cerebral artery occlusion simulated the clinical syndrome of middle cerebral artery occlusion. The majority of patients developed contralateral hemiparesis, homonymous hemianopia, hemispatial neglect, and sensory loss or sensory inattention. All 8 patients with dominant hemisphere lesions were aphasic. Accurate diagnosis in each case was achieved only after a head CT, showing occipital lobe, thalamic, and inferomesial temporal lobe infarction. "Cortical" signs are probably explained by thalamic involvement. Recognition of this syndrome has implications for management and prognosis.     

Distribution of cerebellothalamic neurons projecting to the ventral nuclei of the thalamus: An HRP study in the cat

Distribution of cerebellothalamic neurons projecting to the ventral nuclei of the thalamus was examined in the cat, using the horseradish peroxidase (HRP) method. After injections of HRP within the lateral or ventrolateral portions of the ventroanterior and ventrolateral nuclear complex of the thalamus (VA-VL), neurons labeled retrogradely with HRP were seen contralaterally in the cerebellar nuclei; many of them were situated in the nucleus interpositus anterior and nucleus interpositus posterior, and a moderate number of them were located in the nucleus lateralis. Labeled neurons in the nucleus interpositus posterior were observed mainly in the medial and ventral portions of the nucleus. On the side ipsilateral to the injections, a few labeled neurons were seen in the nucleus interpositus anterior, nucleus interpositus posterior, and nucleus lateralis. Virtually no labeled neurons were found in the nucleus medialis of the cerebellum. After HRP injections into the medial or dorsomedial portions of the VA-VL, many labeled neurons were found contralaterally in the ventral and ventrolateral portions of the nucleus interpositus posterior, as well as in the nucleus lateralis, especially in its ventral and lateral portions. On the side ipsilateral to the injections, labeled neurons in the nucleus lateralis and nucleus interpositus posterior were small in number. In the nucleus medialis only a few labeled neurons were found bilaterally in the caudal levels of the nucleus. After HRP injections centered on the ventromedial nucleus of the thalamus, many labeled neurons occurred bilaterally in the caudal portions of the nucleus medialis, with a slight contralateral preponderance, and contralaterally in the lateral and ventral portions of the nucleus lateralis. A few labeled neurons were also seen contralaterally in the ventrolateral and lateral portions of the nucleus interpositus posterior, and ipsilaterally in the nucleus lateralis.     

Basic fibroblast growth factor prevents thalamic degeneration after cortical infarction

In the focal infarction model of the rat middle cerebral artery (MCA), the thalamus of the occluded side becomes gradually atrophic, mainly because of retrograde degeneration. We determined whether basic fibroblast growth factor (bFGF) administered intracisternally could prevent this thalamic atrophy. We occluded the left MCA through a small cranial opening, and animals were then divided into two groups. One group received intracisternal injections of recombinant bFGF (1 microgram dissolved in 0.1 ml of saline with 2% rat serum) starting 1 day after occlusion and repeated once a week to a total dose of 4 micrograms by four injections. The other group received vehicle solution by the same schedule. The animals were perfused and fixed at 28 days after occlusion, and histological examination was made at the level of the caudoputamen and thalamus. In the bFGF-treated rats, the area of the posterior ventral thalamus of the occluded side was 93% of that of the contralateral side, i.e., significantly larger than in the normal saline-treated rats (75%, p less than 0.01). The infarction size was not statistically different in the two groups. Microscopic observation indicated that normal-saline-treated animals showed shrinkage and disappearance of thalamic neurons, whereas bFGF-treated groups showed preservation of thalamic neurons. Computerized analysis of the cell size substantiated this observation. To assess the effect of bFGF on astrocytes, bFGF or vehicle solution was injected into normal rats, and their histology was evaluated at 1, 2, and 4 weeks after injection. The bFGF-injected group showed a significant increase in glial fibrillary acidic protein-positive astrocytes in the brain tissue facing the ventriculocisternal system.(ABSTRACT TRUNCATED AT 250 WORDS)     

Organization of primary visual cortex (area 17) in the ferret

Anatomical and electrophysiological mapping techniques were used to determine topographic organization and arrangement of ocular dominance columns in the primary visual cortex of ferrets. From its border with area 18 on the posterior lateral gyrus, area 17 extends around the caudal pole of the hemisphere and over the splenial gyrus to the caudal bank of the splenial sulcus. The visuotopic map is oriented with the isoazimuth lines approximately parallel to the long axis of the posterior lateral gyrus and the isoelevation lines approximately perpendicular to the isoazimuths. Central azimuths are represented on the posterior lateral gyrus and peripheral azimuths are represented on the splenial gyrus; the inferior visual field maps medially and the superior visual field maps laterally. As in other species, the representation of the central visual field is expanded. The ferret has a considerable degree of binocular vision. Receptive fields driven through the ipsilateral eye extended more than 20 degrees into the contralateral visual field. Within the region of area 17 corresponding to the binocular portion of the visual field, tritiated proline injected into one eye transneuronally labelled an ipsilateral projection as a series of patchy bands roughly complementary to gaps in the labelled contralateral projection. Physiological ocular dominance columns were evident as well in that neurons and groups of neurons recorded in this region showed clustered ocular dominance preferences. Most single neurons studied were binocularly driven.     

Multiple acute infarcts in the posterior circulation.

OBJECTIVE--to evaluate clinical, radiological, and prognostic features of patients with multiple acute infarcts in remote arterial territories of the posterior circulation. DESIGN--Data analysis from a prospective acute stroke registry in a community based primary care centre using a standard protocol including MRI and MRA. RESULTS--In three and a half years, 27 of the 236 patients (11%) with posterior circulation stroke had multiple acute infarcts in the posterior circulation as shown by gadolinium enhancement on MRI. Eighteen patients had multiple infratentorial and supratentorial infarcts including the cerebellum and posterior cerebral artery territory, with coexisting brainstem involvement in seven patients. Fourteen patients had a rostral basilar artery syndrome and cerebellar signs; four patients had a visual field defect with cerebellar signs. Causes were vertebral (six) or basilar (four) artery atheromatosis, and cardioembolism (four). Seven patients had multiple acute infarcts in the posterior circulation of the cerebellum and lower brainstem. Brainstem and cerebellar signs were found in most patients (five); aetiologies were small vessel disease (four), cardioembolism (one), and vertebral artery dissection (one). Two patients with large artery atheromatosis had multiple acute infarcts in the posterior circulation in the brainstem and posterior cerebral artery territory. One month after stroke more than 25% of the patients were dependent or had died. There was no difference in the outcome between the three groups, and recovery was linked to the size of infarcts rather than to a high number of infarcts. CONCLUSIONS--multiple acute infarcts in the posterior circulation usually involve the cerebellum. Simultaneous brainstem and posterior cerebral artery territory infarcts sparing the cerebellum are uncommon. They can be suspected clinically before neuroimaging, mainly when supratentorial and infratentorial infarcts coexist. This may be important, because different patterns of infarction are associated with different causes of stroke.     

Dynamics of eye movements in paralytic strabismus

The characteristic clinical signs of paralytic strabismus can be confounded by phenomena concerning either the ipsilateral and/or the contralateral eye, the latter particularly occurring when fixating with the paretic eye. Specific clinical and EOG-phenomena and the underlying dynamic mechanisms of the peripheral oculomotor apparatus in acute and chronic paralytic strabismus are described.     

Viscerosomatic convergence onto T2–T4 spinoreticular, spinoreticular-spinothalamic, and spinothalamic tract neurons in the cat

Neurons of T2 to T4 spinal segments were antidromically activated from the medullary reticular formation and the contralateral region in or near the ventral posterior lateral nucleus of the thalamus. Sixty-seven percent of the spinoreticular neurons projected to the ipsilateral, contralateral, or both ipsilateral and contralateral medullary reticular formation. In addition, 21% of the cells projected to the reticular formation and thalamus and 12% projected only to the thalamus. These cells received both visceral and somatic inputs. Electrical stimulation of cardiopulmonary sympathetic afferent fibers elicited an early peak of cell activity in 30 cells, an early and late peak in 38 cells, and only a late peak in 1 cell. Seventy-one percent of the cells had simple somatic receptive fields; these fields were localized to the left forelimb and left upper thorax. The remaining 29% of the cells had complex receptive fields that often extended to the hind limb as well as bilaterally. Classification of all cells according to threshold for activation of the somatic receptive field showed that 86% of the cells were high-threshold, 10% were wide dynamic range, and 4% were high-threshold but, in addition, were inhibited during hair movement. Viscerosomatic convergence onto these cells support Ruch's convergence projection theory for referred pain. These projecting neurons may be involved with referred pain associated with angina pectoris. In addition, they may also be involved with cardiovascular adjustments.     

Projections from the striate cortex to the diencephalon in the squirrel monkey (Saimiri sciureus). A light microscopic radioautographic study following intracortical injection of H3 leucine

Tritiated leucine was injected into three different regions of the striate cortex in nine squirrel monkeys and the axoplasmic transport of labelled protein in the neurons was used to identify terminal fields of projection in the thalamus. The regions of injection corresponded to those representing about 3°, 10°, and 30° eccentricity in the contralateral visual field. The periods of post-injection survival were 9–19 hours, 8 days, and 23 days. The exposure was about three weeks in all cases. In the thalamus terminal fields of projection were identified in the lateral geniculate nucleus, the posterior nucleus of the thalamus, the inferior and lateral pulvinar nucleus, the reticular nucleus of the thalamus and the pregeniculate nucleus. In most of the projections the location of the terminal fields varied systematically with the location of the injection site indicating a retinotopic organization. In eight of the nine experiments all of the thalamic projections were observed. In the cases with postinjection survival times of 8 and 23 days pronounced axonal labelling was seen, and the corticothalamic pathway could be traced from the site of injection to the thalamus. In one experiment in which only the superficial layers of the cortex were labelled by the injection no thalamic projection was found.     

The effects of ablation of visual cortex in neonatal rabbits on the organization of retinothalamic and retinopretectal projections

Primary visual cortex was ablated unilaterally in neonatal rabbits. Following a survival of 2-4 months, retrograde degeneration of the dorsal lateral geniculate nucleus (LGd) was assessed, and reorganization of retinofugal pathways was studied using methods of anretrograde transport of [3H]proline or of horseradish peroxidase. A complete lesion of primary visual cortex resulted in complete retrograde degeneration of the LGd with no sparing of any class of neurons. The terminations of retinofugal axons in the pretectum and thalamus were compared with those observed in normal animals. No major reorganization of ipsilateral retinofugal projections was observed in either the thalamus and pretectum ipsilateral to the ablated cortex, or in the thalamus and pretectum contralateral to the ablated cortex. However, contralateral retinofugal projections to the thalamus and to the pretectum ipsilateral to the ablated cortex were significantly different from normal. In the thalamus, the projections to the lateral posterior nucleus were expanded in area and increased in density. In the pretectum, the projections to the rostral pretectal areas were greatly increased in area, especially in the region of the olivary pretectal nucleus and posterior pretectal nucleus. However, the density of these projections was not increased relative to normal. Consideration of these results in relation to other published data on the anatomical consequences of neonatal visual cortex lesions, both in mammals which show behavioral sparing following neonatal visual cortex lesions and in mammals which, like the rabbit, show no behavioral sparing, suggests that: (1) behavioral sparing may correlate with patterns of survival or death of neurons in the thalamus and retina; and (2) reorganization of retinofugal pathways is not necessarily associated with behavioral sparing.     

Fourth nerve palsy, homonymous hemianopia, and hemisensory deficit caused by a proximal posterior cerebral artery aneurysm.

A 21-year-old man developed an ipsilateral fourth nerve palsy, contralateral hemianopia, and contralateral hemisensory deficit as manifestations of a proximal right posterior cerebral artery aneurysm. This unusual constellation of signs reflects the involvement of the structures that run in the ambient cistern. The fourth nerve palsy and homonymous hemianopia are attributed to compression by the aneurysm. The hemisensory loss is ascribed to compromise of thalamoperforate arteries emanating from a thrombosed portion of the aneurysm.     

The intercollicular region in the cat: a possible relay in the parallel somatosensory pathways from the dorsal column nuclei to the posterior complex of the thalamus

Neuronal connections of the intercollicular region were studied in the cat by the anterograde and retrograde WGA-HRP and HRP methods. The results indicate that some neurons in the intercollicular region, which comprises the intercollicular nucleus, external and pericentral nuclei of the inferior colliculus, and nucleus of the brachium of the inferior colliculus, receive afferent fibers from the dorsal column nuclei, bilaterally with a contralateral dominance, and send their axons to the lateral division of the posterior complex of the thalamus, bilaterally with an ipsilateral predominance.     

Corticofugal influences on thalamic neurons during nociceptive transmission in awake rats

Pain is a multidimensional phenomenon and processed in a neural network. The supraspinal, brain mechanisms are increasingly recognized in playing a major role in the representation and modulation of pain. The aim of the current study is to investigate the functional interactions between cortex and thalamus during nociceptive processing, by observing the pain-related information flow and neuronal correlations within thalamo-cortical pathways. Pain-evoked, single-neuron activity was recorded in awake Sprague-Dawley rats with a Magnet system. Eight-wire microarrays were implanted into four different brain regions, i.e., the primary somatosensory (SI) and anterior cingulate cortex (ACC), as well as ventral posterior (VP) and medial dorsal thalamus (MD). Noxious radiant heat was delivered to the rat hind paws on the side contralateral to the recording regions. A large number of responsive neurons were recorded in the four brain areas. Directed coherence analysis revealed that the amount of information flow was significantly increased from SI cortex to VP thalamus following noxious stimuli, suggesting that SI cortex has descending influence on thalamic neurons during pain processing. Moreover, more correlated neuronal activities indicated by crosscorrelation histograms were found between cortical and thalamic neurons, with cortical neurons firing ahead of thalamic units. On basis of the above findings, we propose that nociceptive responses are modulated by corticothalamic feedback during nociceptive transmission, which may be tight in the lateral pathway, while loose in the medial pathway.     

Persistent primitive trigeminal artery presenting with Weber's syndrome: report of a case with three-dimensional CT angiographic evaluations]

We report a rare case of persistent primitive trigeminal artery(PPTA) presenting with brain stem infarction known as Weber's syndrome, and document its unique findings of three-dimensional CT angiography(3 D-CTA). A 69-year-old woman was admitted to our hospital because of gait disturbance and blepharoptosis on the right eye. Neurological examination on admission revealed the right oculomotor nerve palsy, left hemiparesis and dysarthria, all of which indicated the signs and symptoms of Weber's syndrome. Initial CT scan revealed no abnormality, but a subsequent 3 D-CTA demonstrated the PPTA originating from the right internal carotid artery penetrate into the clivus directly to the distal basilar artery, on top of which a small saccular aneurysm was incidentally visualized. Right internal carotid angiograms showed the PPTA run between the cavernous segment of the internal carotid artery and the distal portion of the basilar artery with the filling of both the posterior cerebral and superior cerebellar arteries. However, the proximal portion of the basilar artery was visualized through the right vertebral artery and there was no blood flow to its distal portion. Evidence of infarction was finally confirmed at the right midbrain and thalamus by the MRI performed 5 days after the onset. With a conservative treatment including physical therapy, the patient recovered well from the deficits and could walk by herself with a cane. With regard to the pathogenesis of vertebrobasilar insufficiency in a patient with PPTA, it is generally considered that microembolus from an atherosclerotic carotid artery may be its cause because of the presence of direct communication between the anterior and posterior circulations. In the present case, however, this mechanism may not be applied since there was no evidence of atherosclerotic plaque or stenotic lesions on the carotid arteries. Alternatively, an embolic occlusion may have occurred in the paramedian branches of the posterior cerebral artery since a dilated PPTA itself, which resembled fusiform-aneurysm in appearance, may become the origin of microembolus.     

Anatomical and physiological characteristics of vestibular neurons mediating the horizontal vestibulo-ocular reflex of the squirrel monkey

The anatomical characteristics of vestibular neurons, which are involved in controlling the horizontal vestibulo-ocular reflex, were studied by injecting horseradish peroxidase (HRP) into neurons whose response during spontaneous eye movements had been characterized in alert squirrel monkeys. Most of the vestibular neurons injected with HRP that had axons projecting to the abducens nucleus or the medial rectus subdivision of the oculomotor nucleus had discharge rates related to eye position and eye velocity. Three morphological types of cells were injected whose firing rates were related to horizontal eye movements. Two of the cell types were located in the ventral lateral vestibular nucleus and the ventral part of the medial vestibular nucleus (MV). These vestibular neurons could be activated at monosynaptic latencies following electrical stimulation of the vestibular nerve; increased their firing rate when the eye moved in the direction contralateral to the soma; had tonic firing rates that increased when the eye was held in contralateral positions; and had a pause in their firing rate during saccadic eye movements in the ipsilateral or vertical directions. Eleven of the above cells had axons that arborized exclusively on the contralateral side of the brainstem, terminating in the contralateral abducens nucleus, the dorsal paramedian pontine reticular formation, the prepositus nucleus, medial vestibular nucleus, dorsal medullary reticular formation, caudal interstitial nucleus of the medial longitudinal fasciculus, and raphé obscurus. Eight of the cells had axons that projected rostrally in the ascending tract of Deiters and arborized exclusively on the ipsilateral side of the brainstem, terminating in the ipsilateral medial rectus subdivision of the oculomotor nucleus and, in some cases, the dorsal paramedian pontine reticular formation or the caudal interstitial nucleus of the medial longitudinal fasciculus. Two MV neurons were injected that had discharge rates related to ipsilateral eye position, generated bursts of spikes during saccades in the ipsilateral direction, and paused during saccades in the contralateral direction. The axons of those cells arborized ipsilaterally, and terminated in the ipsilateral abducens nucleus, MV, prepositus nucleus, and the dorsal medullary reticular formation. The morphology of vestibular neurons that projected to the abducens nucleus whose discharge rate was not related to eye movements, or was related primarily to vertical eye movements, is also briefly presented.     

书写痉挛患者丘脑腹外侧核团细胞电活动特点

目的 探讨书写痉挛(WC)患者丘脑腹外侧核团(VL)细胞电活动特点,为临床治疗提供可靠的依据.方法 10例WC患者在行立体定向VL毁损术的同时,应用微电极和肌电记录技术采集VL细胞和手术对侧肢体肌电活动.分析不同细胞的放电模式和平均自发放电频率(MSFR),并探讨VL细胞放电活动与肢体肌电的关系.结果 在10个针道中共甄别出85个VL神经元,61.2%的神经元呈不规则放电活动,MSFR为(20.3±14.9)Hz,变异系数(CV)为1.38±0.40;38.8%的神经元为紧张性放电活动,MSFR为(44.4±21.5)Hz,CV为0.84±0.11.功率谱相关性分析发现VL细胞放电活动的改变与WC相关(P＜0.05,n=12).结论 VL参与WC的病理生理过程.     

Contraversive shift of conjugate eye deviation in hemispheric stroke indicates emerging mass effect

Conjugate eye deviation (CED) towards the ipsilateral or the contralateral side of the brain lesion can occur as a result of acute hemispheric stroke. To our knowledge, there have been no reports of CED shifting from the lesional side to the contralateral side in acute hemispheric stroke in the literature. We present four patients with right hemispheric stroke with a forced CED shift from the right to the left side during the acute stage with corresponding mass effect on the right internal capsule and right thalamus, as shown on brain imaging. Mass effect on thalamic mediated circuits and the corticopontine projection within the internal capsule probably underlies this CED shift via the dynamic balance of oculomotor control between the two hemispheres. Contraversive CED shift is a potentially useful early predictor of emerging mass effect in acute hemispheric stroke.     

Descending projection neurons to the spinal cord of the goldfish, Carassius auratus

The sources of descending spinal tracts in the goldfish, Carassius auratus, were visualized by retrograde transport of horseradish peroxidase (HRP) administered to the hemisected spinal cord. In the diencephalon, HRP-positive neurons were identified in the nucleus preopticus magnocellularis pars magnocellularis and ventromedial nucleus of the thalamus of the ipsilateral side. In the mesencephalic tegmentum, a few somata of the contralateral nucleus ruber and several ipsilateral neurons of the nucleus of the median longitudinal fasciculus were labeled. The reticular formation of the rhombencephalon was the major source of descending afferents to the spinal cord. A larger number of neurons were retrogradely labeled in the ipsilateral superior, middle, and inferior nuclei than in the contralateral nuclei. A few raphe neurons and the contralateral Mauthner neuron were also HRP-positive. The octaval area showed retrogradely labeled neurons in the anterior, magnocellular, descending, and posterior octaval nuclei of the ipsilateral side. A large number of neurons in the facial lobe and a few somata located adjacent to the descending trigeminal tract were labeled on the ipsilateral side. The pattern of descending spinal projections in goldfish is comparable to that of tetrapods and suggests that the spinal tracts have originated quite early in the course of vertebrate evolution.