Integrative mechanisms of excitation and inhibition of the motor cortex and supplementary
Grant-in-Aid for Scientific Research (C)
|Research Institution||University of Occupational and Environmental Health|
TSUJI Sadatoshi Neurology, University of Occupational and Environmental Health, School of Medicine, Professor, 医学部, 教授 (30117171)
由比 友顕 産業医科大学, 医学部, 専修医
|Project Fiscal Year
1996 – 1998
Completed(Fiscal Year 1998)
|Budget Amount *help
¥2,300,000 (Direct Cost : ¥2,300,000)
Fiscal Year 1998 : ¥200,000 (Direct Cost : ¥200,000)
Fiscal Year 1997 : ¥800,000 (Direct Cost : ¥800,000)
Fiscal Year 1996 : ¥1,300,000 (Direct Cost : ¥1,300,000)
|Keywords||repetive magnetic / sodium channel / motor cortex / supplementary sensorimotor area / pyramidal nondecussation / subdural electrical stimulation / cortical delay / myoclonus / 高頻度磁気刺激 / ^<22>Naチャネル / 運動野 / 補足感覚運動野 / 錐体路非交叉 / 硬膜下電気刺激 / 皮質間伝導時間 / ミオクローヌス / ナトリウム チャネル / けいれん / 運動興奮 / 大脳皮質 / 海馬 / シナプトゾーム / ベラトリジン / ナトリウムチャネル / 高頻度電気刺激 / 電位依存性Naチャネル / てんかん / Naイオン流入 / 運動野興奮・抑制機序 / 慢性硬膜下電極 / 運動誘発電位 / 複雑部分発作|
We studied the integrative mechanisms of excitation and inhibition of motor cortex and supplementary sensorimotor areas in human and rat in which the following results were obtained.
1. Motor function by the electrical stimulation of chronic subdural electrodes covering the motor cortex and supplementary sensorimotor areas in the patients with intractable epilepsy :
The excitation and inhibition mechanisms of the motor cortex in human participate in eliciting motor evoked potentials (MEP) and silent period (SP). However, the negative motor area and supplementary sensorimotor areas have no concern with elicitation of SP.
2. Conduction time between sensory and motor cortices in the patients with reflex myoclonus :
The conduction time (cortical delay) between sensory and motor cortices was estimated by two methods. The one method was different time between two MEP latencies elicited by magnetic stimulation of sensory and motor cortices. The other was measurements of C reflex, SEP (N20) and ME
P latencies from which calculated the cortical delay (cortical delay C reflex - N20 - MEP). It becomes evident from these studies that the conduction time between sensory and motor cortices is approximately 4 msec, and the pathways of C reflex (long loop reflex) are different between the patients with cortical reflex myoclonus and those with corticobasal degeneration.
3. Brain function analyzing from the activities of voltage-gated sodium channels in rat brain :
The activities of voltage-gated sodium channels in the rat brain were significantly increased immediately after the repetitive transcranial magnetic stimulation (rTMS, number of stimuli : 1,500/day) for 7 days consecutively (total number of stimuli : 10,500). Furthermore, those activities were significantly increased at 14th day after the rTMS, and returned to the baseline levels at 28th day after the stimulation. The number of voltage-gated soduim channels were stable after the rTMS.
On the other hand, the activities of voltage-gated sodium channels at the hippocampus in the rat were not significantly increased after the rTMS.These results suggest that the changes of these activities evoked by rTM are reversible in the rat brain. The number of voltage-gated sodium channels were decreased significantly at the mesial temporal lobe in the patients with intractable temporal lobe epilepsy, although these activities were in normal levels. These results suggest that there is no excessive excitation in the hippocampus in those patients.
4. No pyramidal decussation in human has been proved by the study of MEP elicited by transcranial magnetic stimulation of the motor cortex. The motor cortex undoubtedly innervates ipsilateral muscles of the upper and lower extremities in some patients. Furthermore, somatosensory pathways also ascends to the ipsilateral sensory cortex (3b area) without decussation in those subjects which has been proved by SEP study. Less
Research Output (5results)