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PubMed1982

Variations in the time course of the synchronization of intercostal motoneurones in the cat.

1. Synchronization of intercostal motoneurones was studied by the construction of cross-correlation histograms which related the firing times of paired groups of efferent inspiratory or expiratory discharges recorded from filaments of the external or internal nerves of anaesthetized or decerebrate cats.2. The principal feature of the histograms was always a central peak but the time course of the central peak showed considerable variation. Three forms of synchronization were defined on the basis of the time course of the central peak: (i) short-term synchronization (Sears & Stagg, 1976), where the peak was narrow, extending over about +/-3 ms but sometimes with weak shoulders to about +/-5 ms; (ii) broad-peak synchronization where the peak was wider than this (often +/-20 ms or more) but where there were no strong periodicities; (iii) high-frequency oscillation (h.f.o) synchronization, which was named from the related phenomena in medullary and phrenic recordings (Cohen, 1979), where there were periodic peaks on either side of the central peak with a frequency in the range 60-120 Hz. Combinations of these forms of synchronization were seen in some histograms.3. When different animals were compared, broad peak synchronization was seen in association with light anaesthesia and with polysynaptic excitation of the motoneurones from muscle spindle afferents.4. In individual animals, additional anaesthesia depressed both broad peak and h.f.o. synchronization.5. Raising P(A, CO2), which increased the respiratory drive to the motoneurones, favoured short-term or h.f.o. synchronization at the expense of broad-peak synchronization.6. In three decerebrate animals only short-term or h.f.o. synchronization was seen.7. Spinal cord lesions above or below the segments of interest promoted broad-peak synchronization, even with high P(A, CO2) or deep anaesthesia.8. We conclude: (i) that short-term synchronization, due mainly to the branching of presynaptic axons, is generated mainly by those axons which transmit the respiratory drive, that drive providing most of the excitation of the motoneurones in moderately deep anaesthesia; (ii) that h.f.o. synchronization arises from the periodic synchronization of the discharges in these same presynaptic axons; (iii) that broad-peak synchronization is generated by the activity of other presynaptic neurones whose discharges are also synchronized, but aperiodically, these neurones most likely including spinal cord interneurones which are active in light anaesthesia or when released by spinal cord lesions.9. These conclusions are supported by comparisons between intracellular recordings from inspiratory motoneurones in animals showing different forms of motoneurone synchronization, the comparison including the measurements of ;average common excitation' (a.c.e.) potentials (Kirkwood & Sears, 1978).

Action Potentials↗
PubMed1982

Heterogeneity of the sympathetic innervation of rat interscapular brown adipose tissue via intercostal nerves.

The interscapular brown adipose tissue (IBAT) of cold-acclimated white rats was partially denervated by cutting in most cases four of the five intercostal nerves going to one of its two bilaterally located, lobular pads. After 24 h the functional ability and the degree of residual sympathetic innervation of the pads and of their lobes were assessed (in separate groups of rats): the former by measuring tissue blood flow as an index of sympathetically mediated calorigenesis during exposure of the animals to -6 degrees C, the latter by measuring the residual noradrenaline (NA) content of the tissue. Only the four anterior intercostal nerves contributed significantly to the sympathetic innervation of IBAT pads. On average their contributions were unequal, but there was considerable variation between rats in the relative contribution of each nerve. The measurements on lobes of the pads indicated that the sympathetic fibers supplied by a given intercostal nerve were not distributed uniformly throughout the pad. For example, measurements of NA indicated that on average the fibers of the fourth nerve were four times as abundant in the lateral lobe as in the posterior lobe. But at this level of analysis also there was wide variation between rats. The variation in the participation of each intercostal nerve in the sympathetic innervation of rat IBAT and in the distribution of each nerve's fibers to different parts of the IBAT pad could be of genetic origin or it could reflect a considerable degree of flexibility during development of the innervation of IBAT. Because of the observation variation, it is suggested that if functional responses of IBAT evoked by electrical stimulation of intercostal nerves are to be recorded from a highly localized area of tissue, stimulation of all the nerves probably would be required to obtain responses that are consistent between animals.

Adipose Tissue, Brown↗
PubMedDate not supplied

Use of the pulse-wave monitor as a measurement of diagnostic sympathetic block and of surgical sympathectomy.

Changes in skin blood flow in a digit following sympathetic denervation were determined by use of a photoelectric digital plethysmograph (pulse-wave monitor). Results in 20 cases of diagnostic sympathetic block, surgical sympathectomy, or both, are discussed. Pulse-wave changes were seen 3 to 5 minutes after block and 1/2 to 1 minute after sympathectomy. Use of a pulse-wave monitor permitted limiting the dosage of local anesthetic, usually to 5 to 10 ml. of 0.5 percent lidocaine for lumbar sympathetic block and 1 to 2 ml. of 0.5 percent lidocaine for stellate ganglion block. Pulse-wave monitoring was found to be simple and rapid.

Adult↗
PubMed2003

Transfer of pectoral nerves to the musculocutaneous nerve in obstetric upper brachial plexus palsy.

OBJECTIVE: To investigate the results of transfer of pectoral nerves to the musculocutaneous nerve for treatment of obstetric brachial palsy. METHODS: In 25 cases of obstetric brachial palsy (20 after breech deliveries), branches of the pectoral nerve plexus were transferred directly to the musculocutaneous nerve. For all patients, the nerve transfer was part of an extended brachial plexus reconstruction. Results were tested both clinically and with the Mallet scale, at a mean follow-up time of 70 months (standard deviation, 34.3 mo). RESULTS: There were two complete failures, which were attributable to disconnection of the transferred nerve endings. The results after transfer were excellent in 17 cases and fair in 5 cases. Steindler flexorplasty improved elbow flexion for three patients. CONCLUSION: Transfer of pectoral nerves to the musculocutaneous nerve for treatment of obstetric upper brachial palsy may be effective, if the specific anatomic features of the pectoral nerve plexus are sufficiently appreciated.

Adolescent↗
PubMed1985

[Lesion of the intercostobrachial nerve].

After surgery in the area of the armpit, and particularly after axillary lymphonodectomy during mastectomy, severe pain and paraesthesia can occur in the region of the medial and posterior side of the proximal upper arm. It is shown by means of four case reports that this discomfort can be caused by a lesion in the intercostobrachial nerve. The differential diagnosis must consider injury to the brachial plexus or a local metastasis.

Arm↗
PubMed1989

Splanchnic nerve stimulation modulates steroid secretion in hypophysectomized dogs.

To test whether or not splanchnic neural input to the adrenal gland affects secretion of steroids from the adrenal cortex, the thoracic splanchnic nerve was electrically stimulated in pentobarbital-anesthetized dogs after hypophysectomy and replacement with physiological concentrations of ACTH. An adrenal vein cannula was placed to permit measurement of cortisol, corticosterone, 11-deoxycortisol, epinephrine and norepinephrine secretion rates and adrenal blood flow. Plasma ACTH was measured and the presentation rate of ACTH was calculated as the product of plasma ACTH concentration and adrenal plasma flow. Dogs were infused initially with ACTH for 60 min at 2 ng/min followed by infusion for 60 min at 10 ng/min. Within each infusion period, the distal end of the nerve was stimulated (20 V; 0.5-ms pulse duration) at 4 and at 20 Hz for 10 min each. Nerve stimulation resulted in a frequency-dependent increase in mean arterial pressure, in epinephrine and norepinephrine secretion and in adrenal blood flow. Arterial ACTH remained constant during nerve stimulation; however, increased adrenal blood flow resulted in increased presentation rate of ACTH to the adrenal. Cortisol secretion increased in response to nerve stimulation at 4 and 20 Hz during infusion of 2 and 10 ng/min ACTH and occurred prior to changes in presentation rate of ACTH. Corticosterone secretion also increased after stimulation at both frequencies, but the response was observed only during infusion of 10 ng/min ACTH. In contrast, 11-deoxycortisol decreased after nerve stimulation at 4 Hz but showed no response after stimulation at 20 Hz during infusion of 2 and 10 ng/min ACTH.(ABSTRACT TRUNCATED AT 250 WORDS)

Adrenal Cortex↗
PubMed1985

The effects of vagal nerve stimulation on endoluminal release of serotonin and substance P into the feline small intestine.

Endoluminal release of serotonin (5-HT), substance P (SP), and motilin was quantitated after thoracic vagal nerve stimulation in the cat. In duodenum and jejunum, simultaneous release of these compounds was observed. In contrast, vagal stimulation did not augment the rate of luminal secretion of either 5-HT or SP in the distal ileum. Immunohistochemical studies demonstrated 5-HT in both enterochromaffin (EC) cells and nerves throughout the small bowel. However, we were unable to visualize any SP-containing EC cells in the cat, which suggests that the source of luminal SP in this species must be intramural nerves.

Animals↗
PubMed1992

Differential sensitivity to bradykinin of esophageal distension-sensitive mechanoreceptors in vagal and sympathetic afferents of the opossum.

1. Single-unit activity was recorded from afferent fibers in the cervical vagus and thoracic sympathetic nerves in the opossum. Seventy-six fibers that responded to balloon distension (100 mmHg for 10 s) of the smooth muscle portion of the esophagus were selected for further study. 2. Forty-nine distension-sensitive afferents were identified in the vagus nerve. The stimulus response function (SRF) of 41 fibers behaved as "low-threshold mechanoreceptors" (LTM), with mean threshold value of 0.29 +/- 0.17 mmHg and saturation pressure of 50-70 mmHg. All fibers demonstrated background activity, with a mean rate of 8.83 +/- 0.93 imp/s (range 0.5-31.25). 3. Twenty-seven distension-sensitive afferents were identified in the thoracic sympathetic chain (T6-T8) and splanchnic nerve. The SRF study revealed two types of fibers: 1) a wide-dynamic-range mechanonociceptor (WDRMN) with a mean response threshold of 3.43 +/- 0.90 mmHg (n = 15) and 2) a "high-threshold mechanonociceptor" (HTMN) with a mean response threshold of 34.93 +/- 2.70 mmHg (n = 12). The mean background activities of WDRMN and HTMN fibers were 0.5 +/- 0.13 and 0.20 +/- 0.08 imp/s, respectively. Both of these fibers had saturation pressures of > 120 mmHg. 4. The conduction velocities were measured in 14 LTM, 10 WDRMN, and seven HTMN fibers. The mean conduction velocity of LTM fibers was 5.03 +/- 1.35 m/s (range 0.97-18.00), with five unmyelinated "C"-fibers (< 2.5 m/s) and nine A-delta fibers (> 2.5 m/s). The mean conduction velocity of WDRMN fibers was 3.64 +/- 0.84 m/s (range 1.10-8.25), consisting of five C-fibers and five A-delta fibers. The mean conduction velocity of HTMN fibers was 6.22 +/- 2.35 m/s (range 1.73-24.66); three fibers were unmyelinated C-fibers, and four fibers were A-delta fibers. 5. The sensitivity to bradykinin (BK) administered systemically (1-300 micrograms/kg) was tested in LTM (n = 34), WDRMN (n = 15), and HTMN (n = 8) fibers. Twenty-six (66%) LTM fibers responded to BK, and eight (34%) fibers were insensitive to BK. All 15 WDRMN and eight HTMN fibers tested responded to BK. 6. Tachyphylaxis to repeated application of BK was tested in all three classes of fibers. The vagal LTM fibers did not exhibit tachyphylaxis when BK was given at an intervals of 10 min. The sympathetic WDRMN and HTMN fibers demonstrated partial tachyphylaxis when BK was injected at 10-min intervals, but not when BK was injected at 20-min intervals.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗
PubMed1978

The effects of artificial lung inflation on reflexly induced bradycardia associated with apnoea in the dog.

1. The cardiac effects of artificial inflation of the lungs were studied during reflexly induced apnoea and bradycardia in anaesthetized dogs.2. Reflex apnoea and bradycardia were induced (a) by stimulation of the larynx with water or by electrical stimulation of afferent fibres in the superior laryngeal nerve, or (b) by combined stimulation of the superior laryngeal nerve and carotid body chemoreceptors.3. During combined stimulation of the laryngeal and carotid body inputs, the activation of respiration normally evoked by chemoreceptor stimulation was inhibited whereas the chemoreceptor cardio-inhibitory reflex was facilitated leading to periods of temporary cardiac arrest.4. In spontaneously breathing animals and in those artificially ventilated, lung inflation invariably caused tachycardia.5. Rhythmic artificial inflation of the lungs during the apnoeic period produced by the laryngeal input or by a combination of the laryngeal and chemoreceptor inputs wholly or partly reversed the bradycardia. This occurred using lung inflation volumes within the range of the normal tidal volume and inflation pressures of less than 12 mmHg; the response was independent of the composition of the gas used for inflating the lungs, and occurred at constant P(a, O2) and P(a, CO2). Lung inflation carried out during a reflexly induced arrest of the heart immediately restarted the heart and was accompanied by an exaggerated sinus arrhythmia.6. Evidence is presented that the observed effects of artificial lung inflation are reflex in origin with the vagus nerves as the main afferent and efferent pathways.7. Electrical stimulation of the central end of the cut pulmonary branches of the thoracic vagosympathetic nerves also caused tachycardia and had the same effects as lung inflation in modifying the reflexly induced bradycardia.8. Some clinical implications of these results are discussed.

Animals↗
PubMed1995

[Video-assisted thoracic surgery with mini-thoracotomy: limits and indications].

Video-assisted thoracic surgery (VATS) combines a 5 cm mini-thoracotomy and videoscopic control using a camera. This technique is designed to reduce surgical invasiveness. From January 1993 to March 1994, we operated on 60 patients by 61 VATS. The conversion rate to classical thoracotomy was 8%. The cases treated included 18 lung cancers, 20 cases of pulmonary emphysema, 6 cases of non-malignant pulmonary nodules, 2 cases of bronchectasies and 10 operations on the pleura, pericardium or thoracic sympathetic nerves. We performed 12 lobectomies, 24 atypical segmentectomies and 10 other operations. The hospital mortality rate was 2/60 (3.5%), the mean thoracic drainage duration was 3.2 days, and the mean hospital stay was 9.2 days. VATS provides certain analgesic and esthetic benefits but the functional benefit must be studied in more detail. VATS can be applied to segmentectomies and lobectomies for T1 or T2 lung cancers; but the benefits relating to malignancy must be precisely identified by long-term studies.

Humans↗
PubMed1975

The early development of the lymphatic system in mouse embryos.

The early development of the lymphatic system was studied in embryos of an inbred strain of the laboratory mouse. During the first stage of its development the system is represented by a more or less regular series of small and blind-ending outgrowths of the major embryonic veins which develop in a cranio-caudalward direction from the jugular to the pelvic region. As a result of differences in growth rates of adjacent anatomical structures this series of early lymphatic primordia becomes subdivided into 4 singular primordia and 12 groups of primordia. After the constituents of each group of early primordia have fused, 16 isolated lymphatic plexuses (sacs) are formed of which 14 are in bilaterally symmetric and 2 are in a median line position: i.e. bilaterally: (1) the jugulo-axillary lymph sac situated lateral to the anterior cardinal vein and dorsal to the primitive ulnar vein and its major branch, the external mammary vein, (2) the paratracheal lymph plexus situated medial to the anterior cardinal vein, (3) the internal thoracic lymph plexus situated lateral to the thoracic part of the posterior cardinal vein, (4) the thoracic ducts situated medial to the thoracic part of the posterior cardinal vein, (5) the lumbar lymph plexus situated dorso-lateral to the abdominal part of the posterior cardinal vein, (6) the subcardinal lymph plexus and (7) the iliac lymph plexus situated ventro-lateral to the abdominal part of the posterior cardinal vein; and in the median line: (8) the subtracheal lymph plexus situated at the confluence of the pulmonary veins and (9) the mesenteric lymph plexus situated near the confluence of the splenic and the superior mesenteric veins. Except for some openings at the jugulo-subclavian confluence all connections with the veins disappear. From the primordia extensions grow out centrifugally. They invade the surrounding tissues and, in part, fuse with similar sprouts of adjacent primordia. In this way a continuous system of lymph truncs is formed that opens into the venous system at the jugulo-subclavian confluence.

Animals↗
PubMed2001

Diagnosis and treatment issues of chronic pelvic pain.

The diagnosis and management of pelvic pain presents a challenge to the medical practitioner. The approach should be systematic and organized to provide the best possible care. The aim of this article is to increase awareness among urologists so that they may be more able to understand and support their patients.

Antidepressive Agents↗
PubMed1999

Histologic and clinical results of reinnervation of the latissimus dorsi transfer with the thoracodorsal nerve.

The authors attempted to elicit correlations between the appearance and morphology of neuronal structures in the subcutaneous region of latissimus dorsi transfers and the reestablishment of sensibility in myocutaneous transfers with and without neuronal anastomosis. Six patients with and six without neuronal reconstruction of latissimus dorsi transfers, through anastomosis of the large auricular nerve and the thoracodorsal nerve of the transfer, were followed-up clinically and histologically. Clinical examination established the sensibility of the transferred tissue. Histologic examination demonstrated changes in the relative number of fascicles, the degree of myelinization, fibrosis, and degree of scarring. In patients with nerve anastomosis, sensibility was established more frequently, with a lessening of scarring and fibrosis of the fascicle, compared to patients without anastomosis. A clear advantage of neuronally anastomosed latissimus dorsi transfers, compared to transfers without anastomosis, was determined clinically and histologically.

Adult↗