Submucosal emphysema with airway obstruction from nasal oxygen cannula.
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Biomedical subjects
Publications and source records attributed to K D Larsen.
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The organization of globus pallidus (GP) projections was studied in cats using autoradiographic and horseradish peroxidase (HRP) techniques. Both methods confirmed the existence of a topographically organized projection to subthalamic nucleus (STN). Although all but the most caudal GP projects to STN, the heaviest projection is to the lateral two-thirds. In addition, HRP studies showed that the GP projection to the medial part of substantia nigra, pars reticulata receives projections from the rostral lateral GP, while lateral substantia nigra receives input from caudal GP. There is in addition a small projection from caudal GP to the caudal lateral mesencephalon. This most caudal projection of GP arises from the portion of GP which projects the least to the subthalamic nucleus. Mesencephalic and pontine cells labeled after injection of horseradish peroxidase into STN were in areas receiving projections from GP and entopeduncular nucleus, suggesting there may be reciprocal relationships between these areas. Labeled cells were located in the lateral part of subthalamic nucleus after injection into the lateral portion of substantia nigra pars reticulata, but cells were not labeled after medial injection. Pontine injections of HRP also revealed that cells in fields of Forel and zona incerta project to pons but very few subthalamic nucleus cells project there.
The topographic organization of somatosensory input to the primate red nucleus was investigated by studying receptive fields of rubral neurons, and that of the motor output by delivering trains of microstimulating pulses to evoke movements. A receptive field was identified in 191 of 208 rubral neurons. Most neurons (172) responded to passive movement of one or two joints including digits but some (26) had a cutaneous input. Neurons in both the parvocellular (RNpc) and magnocellular (RNmc) divisions of the nucleus had receptive fields. Neurons which responded to stimulation of the forelimb were located in the dorsomedial part of the nucleus. Those responsive to stimulation of the hindlimb were in the ventrolateral part. Thin regions on the dorsal and ventrolateral borders of the nuclei, respectively, contained neurons responsive to face and tail stimulation. Within the regions representing each limb, neurons receiving an input from the extremity (hand or foot) formed a core surrounded by neurons with an input from more proximal segments. This core extended uninterrupted throughout the RNpc and RNmc. Movements of individual limb segments including digits were readily evoked by microstimulating in the RNmc with thresholds as low as 3 microA. In most cases, movements were evoked in the direction opposite to the passive movement which drove the neurons at the stimulating site, although fibers of passage limited the analysis of the sensory input-motor output organization with stimulation. We conclude that there is topographic localization of somatosensory input and motor output in the macaque red nucleus. Furthermore, the red nucleus of monkeys contributes to the control of independent movements of limb segments including digits, although the number of axons it sends to the spinal cord is less than 1% of the number of corticospinal axons.
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The possibility that the motor cortex receives peripheral input directly from the thalamus was examined using the evoked potential method and the following results were obtained. Potentials in the motor cortex evoked by stimulation of superficial radial (SR) or group II deep radial (DR) nerve were neither abolished nor delayed by ablation of the sensory cortex. Potentials in the motor cortex evoked by stimulation of group II DR nerve were most severely reduced by interruption of the spinocervcial tract. Potentials evoked by stimulation of SR nerve were more severely reduced in the sensory cortex than in the motor cortex by section of the dorsal funiculus or cooling of the cuneate nucleus. The size of evoked potentials in the motor cortex increased rapidly when stimulus intensity to DR nerve exceeded the threshold to group II fibers. The results suggest that some inputs from the SR and group II DR nerves reach the motor cortex without a relay through the sensory cortex.
Cells in the thalamus projecting to the distal forelimb regions of the motor cortex, area 3a, and the sensory cortex were identified with horseradish peroxidase (HRP). These cortical areas were defined by mapping evoked potentials from superficial and deep radial nerve stimulation. Following injections into the motor cortex, the labelled cells were distributed throughout a large region (greater than 2 mm wide) in the ventral portion of the ventral lateral nucleus (VL). The border area between VL and the ventral posterolateral nucleus (VPL) also contained labelled cells. The region containing labelled cells following injections into area 3a was in the rostral, dorsal VPL, and overlapped with the region containing cells labelled by injections into the motor cortex. Cells labelled by injections into the sensory cortex were near the center of VPL distinctly separated from those labelled after injections into either area 3a or the motor cortex.
The locations and receptive fields of thalamic neurons projecting to the motor cortex were examined and the following results were obtained. (1) Neurons located at the border area between nucleus ventralis lateralis (VL) and nucleus ventralis posterolateralis (VPL) could be activated antidromically from the motor cortex. (2) These neurons received topographically organized somesthetic inputs arising from skin and deep receptors. (3) The receptive fields of neurons in the small area of the motor cortex where these thalamic neurons projected could be examined in 8 instances. In 6 instances, the cortical neurons and the thalamic projection neurons were activated by exactly the same stimuli in the periphery. (4) Removal of the sensory cortex did not significantly change the characteristics of afferent inputs from the periphery to the motor cortex. (5) It is concluded that the motor cortex receives somesthetic inputs directly from the thalamus. The functional role of these inputs was discussed in relation to the known cortical reflexes.
The convergence in the intermediate cerebellar nuclei of somatosensory inputs with those from the motor cortex was investigated in cats (1) by examining with natural stimulation the receptive field of nuclear neurons, and (2) by determining the response of the same neurons to stimulation of motor cortical sites which had been identified by microstimulation-evoked movements. Of 196 neurons studied, a response to natural stimulation could be identified in 143, more than half of which (83) were driven by passive movement of one or two joints. The predominant response to cortical microstimulation was a suppression of discharge, although the suppression was sometimes preceded by a weak facilitation or interrupted by a brief but strong facilitation. A pattern of convergence was identified in which 72% of those cells driven by passive joint movement in one direction were suppressed by stimulation of the cortical site from which movement could be evoked in the opposite direction. A model based on this convergence is proposed.
The organization of entopeduncular nucleus (EPN) projections was studied in cats using autoradiographic and horseradish peroxidase (HRP) techniques. In autoradiographic studies, EPN axons were found to terminate in a J-shpaed region in the dorsal and medial part of the ventral anterior nucleus (VA) and the rostral portion of the adjacent ventral lateral nucleus (VL). EPN axons also terminated in the rostral portion of the centrum medianum (CM), the ventrolateral portion of the lateral habenular nucleus (LHB), and the pedunculopontine nucleus (PP). The VA included the largest terminal field although the LHB had the greatest density of terminals. Regardless of the region of EPN into which amino acids were injected, the terminal fields were the same: there was no localization within the EPN of the cells projecting to one region. HRP-containing cells were distributed throughout the EPN following injections into the VA, LHB, or PP, although many more cells were labeled following injections into either VA or LHB than PP. EPN cells containing HRP following injections into either VA or LHB were not morphologically different from those not containing HRP in the same respective animals. Following HRP injections into stria medullaris, only cells in the rostral part of the EPN were labeled, providing evidence that rostrally and caudally located EPN neurons have different paths to LHB. Although there may be a rostrocaudal organization of pathways to LHB, individual regions of the nucleus project to the same areas.
Entopeduncular nucleus (EPN) cells which project to thalamic and non-thalamic sites were identified by antidromic discharge. Each population of cells, projecting to the ventral anterior nucleus of the thalamus (VA), centrum medianum (CM), the lateral habenula (LHB), and the pedunculopontine nucleus (PP), was distributed throughout the nucleus. While some cells projected to more than one region, particularly VA and CM, collaterals were not found in most cells. STN stimulation suppressed firing of some EPN cells for 80-120 msec in both barbiturate anesthetized and cerveau isolé cats. Suppression of activity was detected in most EPN cells projecting to LHB (73%); of all cells in which suppression of activity was detected, 84% projected to LHB and 15% to VA.
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