Biomedical subjects

R H Blanks

Publications and source records attributed to R H Blanks.

At least 19 recordsLinked to original sources

PubMed1995

Projections of the lateral terminal accessory optic nucleus of the common marmoset (Callithrix jacchus).

The connections of the lateral terminal nucleus (LTN) of the accessory optic system (AOS) of the marmoset monkey were studied with anterograde 3H-amino acid light autoradiography and horseradish peroxidase retrograde labeling techniques. Results show a first and largest LTN projection to the pretectal and AOS nuclei including the ipsilateral nucleus of the optic tract, dorsal terminal nucleus, and interstitial nucleus of the superior fasciculus (posterior fibers); smaller contralateral projections are to the olivary pretectal nucleus, dorsal terminal nucleus, and LTN. A second, major bundle produces moderate-to-heavy labeling in all ipsilateral, accessory oculomotor nuclei (nucleus of posterior commissure, interstitial nucleus of Cajal, nucleus of Darkschewitsch) and nucleus of Bechterew; some of the fibers are distributed above the caudal oculomotor complex within the supraoculomotor periaqueductal gray. A third projection is ipsilateral to the pontine and mesencephalic reticular formations, nucleus reticularis tegmenti pontis and basilar pontine complex (dorsolateral nucleus only), dorsal parts of the medial terminal accessory optic nucleus, ventral tegmental area of Tsai, and rostral interstitial nucleus of the medial longitudinal fasciculus. Lastly, there are two long descending bundles: (1) one travels within the medial longitudinal fasciculus to terminate in the dorsal cap (ipsilateral >> contralateral) and medial accessory olive (ipsilateral only) of the inferior olivary complex. (2) The second soon splits, sending axons within the ipsilateral and contralateral brachium conjunctivum and is distributed to the superior and medial vestibular nuclei. The present findings are in general agreement with the documented connections of LTN with brainstem oculomotor centers in other species. In addition, there are unique connections in marmoset monkey that may have developed to serve the more complex oculomotor behavior of nonhuman primates.

Animals↗

PubMed1992

GABAergic and non-GABAergic projections of accessory optic nuclei, including the visual tegmental relay zone, to the nucleus of the optic tract and dorsal terminal accessory optic nucleus in rat.

This study examines the non-gamma-amino butyric acid (GABA)ergic (group I neurons) and GABAergic neurons (group II neurons) of the accessory optic system projecting to the nucleus of the optic tract (NOT)/dorsal terminal nucleus (DTN) of the accessory optic system in rat. These nuclei include the dorsal (MTNd) and ventral (MTNv) divisions of the medial terminal nucleus, the lateral terminal nucleus, the interstitial nucleus of the superior fasciculus, the posterior fibers, and the visual tegmental relay zone. GABAergic neurons of these nuclei that do not target the NOT/DTN (group III neurons) have also been observed. The fluorescent retrograde tracer fluoro-gold was injected into the pretectum, targeting the NOT/DTN and the tissue prepared immunocytochemically to reveal neurons containing the neurotransmitter GABA. Three groups of neurons (groups I, II, and III neurons) were examined in terms of their distribution, density, and percentage present. Group I neurons are single-labeled with fluoro-gold and represent non-GABAergic neurons projecting to the NOT/DTN. These neurons are of the highest density in the lateral terminal nucleus (204 neurons/mm2). Their densities are also substantial in the MTNv (120 neurons/mm2), interstitial nucleus of the superior fasciculus, posterior fibers (96 neurons/mm2), and visual tegmental relay zone (93 neurons/mm2). Group II neurons are double-labeled with fluoro-gold and GABA. They form a system of GABAergic neurons projecting to the NOT/DTN, which are exceedingly dense in the MTNd (78 neurons/mm2) but are also dense in both the visual tegmental relay zone (49 neurons/mm2) and MTNv (33 neurons/mm2). Group III neurons are GABAergic neurons that do not target the NOT/DTN but must project to other brain nuclei and/or be interneurons. These are of extremely high concentration in the visual tegmental relay zone (316 neurons/mm2) and are also of substantial densities in the MTNd (77 neurons/mm2), lateral terminal nucleus (72 neurons/mm2), and MTNv (44 neurons/mm2). The MTNd has the highest percentage of GABAergic neurons projecting to the NOT/DTN (72%). GABAergic neurons also form significant percentages of the projections to the NOT/DTN from the visual tegmental relay zone (34%) and MTNv (21%). The percentage of the total GABAergic neurons that project to the NOT/DTN is the highest in the MTNd (50%) and MTNv (42%). The described GABAergic afferents to the NOT/DTN may function to process information concerned with the compensation for retinal slip.

Animals↗

PubMed1992

Laser-assisted nerve repair. Laser-trimming of nerve ends with epineurial suture anastomosis.

Suture repair of cranial and peripheral nerves has reached a maximal level with the use of advanced microneurorrhaphy techniques; however, functional recovery of the repaired nerve is still often unsatisfactory due to misrouted axonal regrowth. Freeze-trimming the nerve ends prior to anastomosis has been shown to significantly improve fascicular alignment and subsequent functional recovery. This study assessed the feasibility of using laser energy to trim the nerve ends prior to suture anastomosis. The 302-nm excimer laser was used to trim the severed sciatic nerve ends prior to anastomosis in 28 rats. Scanning electron and light microscopy, horseradish peroxidase retrograde labeling, nerve conduction velocity, and functional recovery were assessed postoperatively. The excimer laser was able to trim the nerve ends flat thereby facilitating the coaptation and alignment of the nerve ends. Misrouting of axons occurred in both the laser-trim and control groups. Although this technique has theoretical advantages, no statistically significant improvement was demonstrated in this investigation. This may have been in part due to the small sample size, since a small increment of improvement was noted. It is possible, however, with continued refinements in technique that a functional improvement may be seen in subsequent studies.

Anastomosis, Surgical↗

PubMed1992

Laser vs. suture nerve anastomosis.

The repair of injured or transected nerves is frequently encountered in head and neck surgery. Recently, CO2 lasers with milliwatt capability and micrometer spot sizes have been developed that may be used in nerve anastomosis. A comparative study was performed between microsuture and CO2 laser repair of transected sciatic nerves in rats. Nerve regeneration was measured in terms of morphology, electrophysiology, and function. Histologic studies revealed no difference in the size and number of regenerated axons, although there was less scar tissue formation at the anastomotic site with the laser repair. EMG and nerve conduction velocity were similar for the two repair methods. Functional recovery, as determined objectively using measurements of gait footprints, showed no difference between suture and laser repair. Laser-repaired nerves did have a higher dehiscence rate, although this problem can probably be prevented by splinting the rats postoperatively. However, laser repair was faster and simpler than suture repair and required less manipulation of the nerve. This study shows laser repair of peripheral nerves is possible with results comparable to conventional microsuture neurorrhaphy. Laser nerve anastomosis may be an effective alternative to suture nerve repair.

Anastomosis, Surgical↗

PubMed1991

Does intralaryngeal motor nerve sprouting occur following unilateral recurrent laryngeal nerve paralysis?

Reinnervation of paralyzed intralaryngeal muscles by axonal sprouting from adjacent intact muscles (the phenomenon of muscular neurotization) has been observed, but the source is uncertain. The potential for laryngeal reinnervation of the posterior cricoarytenoid muscle (PCA) from contralateral PCA motor nerve sprouting in a rabbit model was investigated. Unilateral PCA denervation was produced by vagotomy. The rabbits were examined for signs of PCA recovery for up to 6 months, using fiberoptic endoscopy, electromyography (EMG), and histology. No return of vocal cord abduction, EMG activity, or any nerve sprouting across the midline from the intact PCA was found. We conclude that there is no significant spontaneous intralaryngeal muscular neurotization to the paralyzed PCA. The clinical ramifications of our data will be discussed.

Animals↗

PubMed1991

Retinal degeneration in the macula of patients with Alzheimer's disease.

Recent reports (Hinton et al. 1986; Blanks et al. 1989) document the involvement of the retina in the constellation of neurodegenerative changes present in Alzheimer's disease (AD). These studies demonstrate the degeneration of large numbers of optic nerve axons and loss of retinal ganglion cells (RGCs) in patients with AD, but the quantitative changes in the retina of patients with AD compared with age-matched controls have not been examined. An important question is whether the lesion affects the macula, the area of highest visual acuity and the region of the greatest density of cone photoreceptor cells and RGCs. Additionally, it is unknown if patients with AD have a uniform thinning of cells in the ganglion cell layer (GCL) or if there is a differential loss of the medium- to large-sized cells, as suggested earlier (Bassi et al. 1987) and documented histopathologically in some areas of the central nervous system of patients with AD (Kemper 1984). If patients with AD were to show a differential loss of large versus small RGCs with characteristic differences in density, distribution, central projections, and physiologic properties (see review by Rowe and Stone 1977), then a loss of the visual functions normally ascribed to these classes of mammalian RGCs might be expected. This quantitative study of the retinal lesions in the macula of patients with AD provides important data on the progression of the disease and may eventually be the basis for diagnostic procedures for assessing the severity of AD.

Aged↗

PubMed1990

Afferents to the cerebellar flocculus in cat with special reference to pathways conveying vestibular, visual (optokinetic) and oculomotor signals.

Horseradish peroxidase (HRP) was injected into the cerebellar flocculus of 20 cats to determine: (a) the proportions of afferents from the various brain stem nuclei; (b) possible projections from the basilar pontine nuclei; and (c) sources of saccadic eye movement signals recorded from flocculus Purkinje cells. Results confirm earlier findings that the flocculus receives large numbers of mossy fibre afferents from the vestibular and perihypoglossal nuclei, bilaterally, and climbing fibres from the contralateral inferior olive (dorsal cap, ventrolateral outgrowth, medial accessory olive, ventral bend of principal olive). In addition, large numbers of HRP-labeled neurons have been identified within: (i) the basilar pontine nuclei, bilaterally, where they are distributed in columns in the dorsolateral, lateral, ventral medial and dorsomedial nuclei; (ii) the nucleus reticularis tegmenti pontis; (iii) several of the cranial motor nuclei, VI, VII, X (retrofacial n.), XI (n. ambiguus), and XII; (iv) the raphe magnus, pontis and obscurus; (v) the lateral reticular nucleus, pars subtrigeminalis. Finally, new information is presented which shows that large numbers of flocculus projecting neurons are located within the medial longitudinal fasciculus at two locations; one just rostral to the hypoglossal nucleus and another group extends 2-3 mm rostral to the abducens nucleus. These groups are bilateral, and have been termed, respectively, the caudal and intermediate interstitial nucleus of the medial longitudinal fasciculus. Both groups correspond in location to physiologically identified neurons in cat which fire in relation to saccadic eye movements. Their projection to the flocculus, in part, explains the saccadic discharge of Purkinje cells in the flocculus.

Animals↗

PubMed1990

Opioid receptors in the accessory optic system of the rat: effects of monocular enucleation.

The presence and concentrations of each of the three subtypes of opioid receptors (mu, kappa, and delta) has been studied in the accessory optic nuclei (dorsal, lateral, and medial terminal nuclei and the interstitial nucleus of the superior fasciculus, posterior fibers: DTN, LTN, MTN, and inSFp) in normal young rats with radioligands directed towards each opioid receptor subtype. The changes in mu opioid receptors have also been investigated in monocularly enucleated rats in which one eye was removed and the rats sacrificed at postoperative day (PO) 2, 3, 5, 7, 14, and 30. As the MTN is the only accessory optic nucleus of the rat large enough for semiquantitative evaluation, the mu receptor population of the MTN has been subjected to optical microdensitometric analysis. All four of the accessory optic nuclei (AOS nuclei) are found to contain exceedingly high levels of mu opioid receptor binding with the selective radioligand [3H]-[D-Ala,MePhe4, Gly-ol5] (DAGO), low levels of kappa opioid receptor binding using the radioligand [3H]-[ethylketocyclazocine] (EKC) together with the competing agents [D-Pro4]-morphiceptin and [D-Ser2,Thr6]-Leu-enkephalin, and an absence of delta opioid receptor binding with the radioligand [3H]-[D-Ala2,D-Leu5]-enkephalin (DADLE) combined with the competing agent [D-Pro4]-morphiceptin. Monocular enucleation, as studied on the mu opioid receptor population with this experimental approach, results in virtually a complete loss of mu opioid receptors throughout all four of the contralaterally located AOS nuclei, including both dorsal and ventral subdivisions of the medial terminal nucleus (MTNd,v). Kappa and delta receptors are very few (kappa receptors) or are lacking (delta receptors) in the AOS nuclei, and for this reason, the effects of monocular enucleation on these two opioid receptor subtypes have not been investigated. Monocular enucleation also produces a significant lowering in mu receptor binding in other primary optic nuclei (the lateral geniculate nuclei, nucleus of the optic tract, and superficial layers of the superior colliculus) and in the pars principalis of the medial geniculate nucleus (description of changes in mu receptors in non-accessory optic primary optic nuclei will be considered elsewhere). Microdensitometric study of the MTNd,v shows that the decreased binding of mu receptors in this nucleus is barely detectable (about 6%) at PO2 and rises to 6-15% at PO3. At PO5 receptor loss reaches approximately 62%, whereas at PO7 it is about 81% complete. At PO14 and PO30, the mu receptor loss is nearly complete at around 93%.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

PubMed1990

The projection of GABA-ergic neurons of the medial terminal accessory optic nucleus to the pretectum in the rat.

Large numbers of neurons were retrogradely labeled in both the dorsal and ventral medial terminal nucleus (MTN) after fluoro-gold injections into the rat pretectal nucleus of the optic tract/dorsal terminal nucleus (NOT/DTN). Fluorescence immunocytochemistry for GABA in the same brains revealed GABA-positive neurons distributed mainly in the dorsal MTN. Approximately half of all the GABAergic neurons in the MTN were double-labeled. Therefore, GABAergic neurons comprise a significant component of the MTN-NOT/DTN projection which most likely inhibits the pretectal pathway mediating horizontal optokinetic nystagmus.

Animals↗

PubMed1989

Orientation of the semicircular canals in rat.

The orientation of the rat semicircular canals was determined using one of two techniques. Null point analysis was used to define physiologically the planar equations of the anterior (n = 15) and posterior canals (n = 15); equations for the horizontal canal (n = 19) were determined using an anatomical dissection technique. Canal orientation was defined with respect to stereotaxic coordinate system and, for comparison, relative to head position during freeze (startle) behavior. Results show that ipsilateral canal planes are orthogonal within 4-8 degrees, and pairs of right-left synergistic pairs are essentially co-planar. The horizontal canals are inclined upwards 35 degrees with respect to the horizontal plane, but a head position of 43 degrees nose-down was determined to produce near optimal horizontal canal and minimal vertical canal activation with horizontal rotation. Finally, a loud or unexpected auditory stimulus initiates a freeze (startle) response in rat characterized by an transient followed by a sustained head position lasting several seconds. Transients are complete within 300-400 ms. Thereafter, the head becomes momentarily stabilized in the startle position which averaged 14 +/- 8 degrees (nose-down with respect to horizontal stereotaxic zero) across the population (n = 14). The response habituated only slightly, but the final position was sufficiently variable so as to limit the usefulness of the freeze (startle) position as a reference of semicircular canal position in the rat.

Animals↗

PubMed1989

Effects of kainic acid lesions of the nucleus reticularis tegmenti pontis on fast and slow phases of vestibulo-ocular and optokinetic reflexes in the pigmented rat.

The nucleus reticularis tegmenti pontis (NRTP) and adjacent pontine reticular formation were lesioned chemically using the neurotoxic agent kainic acid, and the effects of these lesions on horizontal ocular optokinetic and vestibular nystagmus were examined. Eye position was measured in the alert, NRTP-lesioned animals with the electromagnetic search coil technique. Optokinetic and vestibular stimuli consisted of steps of rotations or sinusoidal oscillations of a fullfield visual pattern surrounding the animal or of the animal in total darkness, respectively. In a first group of animals, small unilateral NRTP lesions were produced by placing a single kainic acid injection in the area of the left NRTP. In one third of the animals, ipsilateral quick phases of optokinetic and vestibular nystagmus were abolished. In the remaining animals, quick phases were deficient to various degrees or not affected at all. There were no changes in the characteristics of optokinetic step responses to ipsilateral pattern rotations which activate predominantly optokinetic pathways on the side of the brainstem lesion. In animals with ipsiversive quick phase deficits, contralateral pattern rotations elicited tonic eye deviations. In a second group of animals, large uni- or bilateral lesions were produced by injecting kainic acid into three separate rostral, middle and caudal levels of the right NRTP. These animals had uni- or bilateral quick phase deficits during optokinetic and vestibular nystagmus. Optokinetic nystagmus in response to velocity steps of pattern rotation towards the lesion side was strongly reduced in gain even in those animals that had no apparent deficits in the fast contraversive reset phases. In four out of six animals, responses to sinusoidal optokinetic pattern oscillations were reduced in gain and showed increased phase lags compared to controls. Vestibulo-ocular responses to velocity steps of head rotations were of normal gain but reduced in duration (measured from onset of stimulation to reversal of nystagmus). Sinusoidal vestibulo-ocular responses evoked by head oscillations exhibited reduced gain values and strongly increased phase leads in the frequency range below 0.5 Hz. The vestibular time constant was found to be around 4.5 s in animals with NRTP lesions compared to about 7.5 s in control animals. The present results show that large kainic acid lesions of the NRTP (and adjacent area) do not abolish optokinetic eye movements in the rat, in contrast to what has been reported after electrolytic lesions.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

PubMed1989

Neurons of the medial terminal accessory optic nucleus of the rat are poorly collateralized.

The vast majority of neurons of the rat medial terminal nucleus (MTN) project to the nucleus of the optic tract (NOT), but the MTN also projects to a lesser degree upon a number of other brainstem nuclei controlling optokinetic nystagmus. Because of the diversity of targets of the MTN, it is possible that individual neurons have branched axons that project to two or more brainstem nuclei. The possibility that axons of MTN-NOT neurons collateralize to innervate other MTN targets is examined in the rat with the fluorescent, double-labeling, retrograde tracer technique. Fluoro-Gold was injected into the NOT while Fast Blue was simultaneously injected into each of five other known targets of the MTN: the supraoculomotor-periaqueductal gray; the dorsal cap of the inferior olive; the visual tegmental relay zone; the dorsolateral nucleus of the basal pons; and the superior/lateral vestibular nuclei. Brainstem sections were processed for fluorescence microscopy and the MTN was examined for single- and double-labeled neurons. Results show that virtually all neurons of the MTN (greater than 97.5%), together with neurons in the visual tegmental relay zone immediately surrounding the MTNd, are single-labeled in all paired injections involving the NOT and the other target nuclei. It was found that about 69% of MTN neurons project exclusively to the NOT, 5-10% project to each one of the other nuclei, and 3% of MTN neurons project to more than one target. Based upon cell counts from the fluorescent material, and previous analysis of Nissl-stained serial sections, the findings show that virtually all MTN neurons are projection neurons. It was concluded that the MTN is comprised of independent projection systems, possibly involved in different aspects of generating optokinetic nystagmus.

Amidines↗

PubMed1989

Projections of the nucleus of the optic tract to the nucleus reticularis tegmenti pontis and prepositus hypoglossi nucleus in the pigmented rat as demonstrated by anterograde and retrograde transport methods.

The visual pathways from the nucleus of the optic tract (NOT) to the nucleus reticularis tegmenti pontis (NRTP) and prepositus hypoglossi nucleus (ph) were studied following injections of tritiated leucine into the NOT of pigmented rats. The cell bodies of origin of the pretectal-NRTP, NRTP-ph, and pretectal-ph projections were determined using retrograde horseradish peroxidase (HRP) technique. The pretectum projects strongly to the rostral two-thirds of the central and pericentral subdivisions of the NRTP and sends a remarkably smaller projection to the ph. Both are entirely ipsilateral. The fibers destined for the ph travel with the NOT-NRTP bundle, pass through the NRTP, traverse the medial longitudinal fasciculus, and are distributed to the rostral one-half of the ph. The retrograde HRP studies confirm these pathways. The pretectal projections to the NRTP arise from neurons in the rostromedial NOT; those to the ph are located primarily in the rostral NOT although small numbers are found within the anterior, posterior, and olivary pretectal nuclei. Of major importance is the fact that the ph injections retrogradely label neurons within the NRTP and the adjacent paramedian pontine reticular formation. This NRTP-ph projection is entirely bilateral and arises from parts of both subdivisions of the nucleus targeted by NOT afferents. Both the direct NOT-ph and indirect NOT-NRTP-ph connections provide the anatomical basis for the relay of visual (optokinetic) information to the perihypoglossal complex and, presumably, by virtue of reciprocal ph-vestibular nuclear connections, to the vestibular nuclei itself. Such pathways confirm previous physiological studies in rat and, in particular, clarify the contrasting effects of electrolytic lesions of NRTP in rat which completely abolishes optokinetic nystagmus (OKN) (Cazin et al., 1980a) vs kainic acid lesions which produce only minor effects on OKN slow velocity (Hess et al., 1988). Given these differential effects, one concludes that the critical pathway for OKN passes in relation to, but is not significantly relayed by, the neurons of the NRTP or adjacent pontine tegmentum. The present studies suggest that one such fiber system is the NOT-ph bundle. How this relatively small projection compares to other possible fiber of passage systems remains to be determined electrophysiologically.

Animals↗

PubMed1988

Projections of the dorsal and lateral terminal accessory optic nuclei and of the interstitial nucleus of the superior fasciculus (posterior fibers) in the rabbit and rat.

The projections of the dorsal and lateral terminal accessory optic nuclei (DTN and LTN) and of the dorsal and ventral components of the interstitial nucleus of the superior fasciculus (posterior fibers; inSFp have been studied in the rabbit and rat by the method of retrograde axonal transport following injections of horseradish peroxidase into oculomotor-related brainstem nuclei. The projections of the ventral division of the inSFp have been further investigated in rabbits with the anterograde axonal transport of 3H-leucine. The data show that the projections of the DTN, LTN, and inSFp are remarkably similar in rabbit and rat. The DTN projects heavily to the ipsilateral medial terminal accessory optic nucleus (MTN), nucleus of the optic tract, and dorsal cap of the inferior olive. The DTN projects sparsely to the ipsilateral visual tegmental relay zone and to the contralateral superior and lateral vestibular nuclei. The LTN and dorsal component of the inSFp are found to share the same basic connections; both project heavily to the ipsilateral nucleus of the optic tract and visual tegmental relay zone and send a moderately sized projection to the ipsilateral MTN. However, while the dorsal component of the inSFp sends significant ipsilateral projections to both rostral and caudal portions of the dorsal cap, only a few LTN neurons appear to follow this example and only by projecting to the rostral part of the dorsal cap. In addition, both the LTN and dorsal component of the inSFp send sparse contralateral projections to the MTN, nucleus of the optic tract, and visual tegmental relay zone; and the dorsal component of the inSFp also provides a sparse contralateral projection to both rostral and caudal portions of the dorsal cap. The ventral component of the inSFp projects heavily to the ipsilateral visual tegmental relay zone and moderately to the ipsilateral MTN and nucleus of the optic tract. The ventral inSFp projects sparsely to the contralateral MTN, the nucleus of the optic tract, and the visual tegmental relay zone. A few of its neurons target the ipsilateral dorsal cap of the inferior olive. Unlike the DTN (present study) and the MTN (Giolli et al.: J. Comp. Neurol. 227:228-251, '84; J. Comp. Neurol. 232:99-116, '85a), the LTN and the inSFp of the rabbit and rat lack projections to the superior and lateral vestibular nuclei.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

PubMed1988

The human accessory optic system.

The accessory optic system (AOS) has been extensively studied among vertebrates, including primates. It has never clearly been identified in man, and it has not been considered functionally important by clinicians. Because of a lack of a suitable neuroanatomical tract-tracing technique, anatomical demonstration of a retinofugal pathway to the human AOS had previously not been feasible. A modified osmium impregnation method has been shown to permit the tracing of degenerated fibers in man even after long survival periods. This technique employs p-phenylene diamine (PPD) as a marker of myelin and products of axonal degeneration. We applied the PPD method in the examination of one monkey brain (Cynomolgus) and two human autopsy brains with previous visual system lesions. The lateral, dorsal, and medial terminal accessory optic nuclei and the interstitial nucleus of the superior fasciculus, posterior fibers (LTN, DTN, MTN, and inSEp) in the monkey and the LTN, the DTN, and the inSEp in the human all showed degenerated axons and preterminal axonal profiles indicative of direct retinal input. The ventral midbrain tegmentum including the MTN area was not available for study in either of the human brains. The accessory optic projections in both the monkey and human brains proved to be bilateral but primarily crossed. The human visual system thus shares similarities with the simian, in the location and number of the AOS fiber bundles and terminal nuclei and in the organization of the retinofugal projections to these nuclei.

Animals↗

PubMed1988

Nonretinal projections to the medial terminal accessory optic nucleus in rabbit and rat: a retrograde and anterograde transport study.

The distribution and density of the nonretinal projections to the rabbit medial terminal accessory optic nucleus (MTN) have been studied after injections of horseradish peroxidase (HRP) into the MTN in seven rabbits, and confirmation for the presence of certain of these projections has been made in the rabbit or rat by utilizing anterograde transport of tritiated leucine or leucine/proline after appropriate injections into cerebral cortical areas and brainstem nuclei. In seven cases studied by the retrograde axonal transport method, HRP-labeled neurons have been identified: (A) In four visual or preoculomotor nuclei in which available autoradiographic brain series have confirmed the presence of projections to the MTN: (1) The nucleus of the optic tract/dorsal terminal accessory optic nucleus, (2) the interstitial nucleus of the superior fasciculus (posterior fibers), (3) the periaqueductal gray (including its supraoculomotor portion), and (4) the medial division of the deep mesencephalic nucleus. (B) Within the ventral lateral geniculate nucleus, from which a projection to the MTN has been confirmed autoradiographically in the rat by other workers. (C) In brainstem nuclei and cerebral cortical areas in which available autoradiographic brain series fail to confirm the presence of afferents to the MTN: (1) The nucleus reticularis pontis, pars oralis and pars caudalis, (2) the intermediate interstitial nucleus of the medial longitudinal fasciculus, (3) the nucleus raphe pontis, and (4) five cerebral cortical areas (the area retrosplenialis granularis dorsalis, the striate area, the parietal area 3, the subicular cortex, and the regio praecentralis granularis). Finally, we report retrograde labeling which, on the basis of published connectional data, we believe to result from the spread to and uptake from axons en passant. The false-positive labeling in this category is likely to result from spread of HRP into ventral tegmental nuclei or tracts adjacent to the MTN. Thus, as a result, in the medulla and pons, labeled neurons are found in the medial, lateral, and superior vestibular nuclei, the medullary reticular formation including the nucleus reticularis gigantocellularis, the lateral reticular nucleus, the nucleus raphe magnus, the spinal nucleus of V, the nucleus gracilis/nucleus cuneatus, the dorsal and ventral divisions of the parabrachial nucleus, the central pontine gray, the nucleus K of Meessen and Olszewski, and the dorsal nucleus of the lateral lemniscus.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

PubMed1988

Repair of severed peripheral nerve: a superior anatomic and functional recovery with a new "reconnection" technique.

The objective of this study was to use a quantitative functional and anatomic model to compare surgical repair of the rat sciatic nerve according to two techniques; standard epineurial repair and the recently reported "nerve reconnection technique" ("freeze-trim technique"). Functional recovery was evaluated using a functional index based on the measurements of the rats' footprints. Neuroanatomic experiments were conducted on the same animals to correlate functional recovery with regeneration of known motoneuron populations. The results of surgical repairs were also compared to those obtained from untreated sciatic nerve crush injuries. Functional recovery after epineurial repairs typically averaged 18%, whereas the mean recovery from the "nerve reconnection technique" was 71%. Crush injuries recovered to normal and reached a plateau much earlier than the surgical repairs. Retrograde horseradish peroxidase (HRP) labeling of motoneurons of the common peroneal nerve, a branch of the sciatic, revealed that there was a complex relationship between functional recovery and the number and distribution of motoneurons that regenerated axons distal to the repair site. The "nerve reconnection technique" greatly reduced the probability of axonal misdirection into the wrong distal branches at the repair site and brought an improvement of 300% to 400% in functional recovery over that found with epineurial repair. This technique of nerve repair may prove to be a valuable tool in reconstructive surgery.

Animals↗

PubMed1988

Cephalometric analysis for diagnosis and treatment of obstructive sleep apnea.

A detailed cephalometric analysis was conducted on lateral x-rays from 30 adult patients with obstructive sleep apnea (OSA) and 12 age- and sex-matched controls. Statistical findings show that OSA patients are different from controls in at least five ways: 1. Their tongue and soft palate are significantly enlarged. 2. The hyoid bone is displaced inferiorly. 3. The mandible is normal in size and position (no micrognathia or malocclusion), but the face is elongated by an inferior displacement of the mandibular body. 4. The maxilla is retropositioned and the hard palate elongated. 5. The nasopharynx is normal, but the oropharyngeal and hypopharyngeal airway is reduced in area by an average of 25%, a factor that could produce or enhance OSA symptoms. These data suggest that cephalometric evaluation could be useful when used with head and neck examination, polysomnographic and endoscopic studies to evaluate OSA patients, and to assist with the planning/surgical treatment for improvement of upper airway patency.

Adult↗