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Insular cortex sends excitatory projections to GABAergic neurons in the nucleus tractus solitarii in rats
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作者 CHEN Yingbiao SHI Zhen +3 位作者 YIN Junbin BAI Yang FAN Qitong LI Yunqing 《神经解剖学杂志》 北大核心 2025年第4期411-421,共11页
Objective:To anatomically and phenotypically characterize the insular cortex(IC)-nucleus tractus soli-tari(NTS)neural pathway.Methods:Adult male Sprague-Dawley rats were divided into three experimental cohorts for neu... Objective:To anatomically and phenotypically characterize the insular cortex(IC)-nucleus tractus soli-tari(NTS)neural pathway.Methods:Adult male Sprague-Dawley rats were divided into three experimental cohorts for neural circuit tracing.Anterograde labeling was achieved by injecting anterograde self-complementary adeno-associated viruses(scAAVs)into the IC.Retrograde tracing involved NTS injections of either retrograde scAAVs or FluoroGold(FG),combined with immunofluorescence histochemical staining to identify IC-originating projection neurons.For postsynaptic neurochemical phenotype characterization,IC was injected with AAV2/1-CaMKII-Cre,while a mixture of AAV2/9-Syn-DIO-mCherry and AAV2/9-VGAT1-EGFP was injected into the NTS.The rats were allowed to survive for one week following scAAVs or FG injection or four weeks after recombinase-dependent systems injection.Then the rats were sacrificed,and serial brain sections were prepared for immunofluorescence histochemical staining(brain section containing FG)and subsequent fluorescence/confocal microscopic analysis.Results:(1)Anterograde viral tracing re-vealed dense axonal terminals from the IC projecting to the medial subnucleus of the NTS,while retrograde tracing re-vealed that IC neurons projecting to the NTS were predominantly localized within the dysgranular layer;(2)IC-NTS projection neurons were exclusive glutamatergic(100%,n=3);(3)NTS neurons receiving IC inputs were mainly lo-calized in the medial subnucleus,and were predominantly GABAergic(79.8±3.2%,n=3).Conclusion:The pres-ent results indicate that a descending pathway from excitatory neurons of the IC terminates onto inhibitory neurons of the NTS,which might represent a potential neuromodulatory target for visceral pain disorders. 展开更多
关键词 nucleus tractus solitari(NTS) insular cortex(IC) anterograde transmonosynaptsis glutamatergic neurons GABAergic neurons RAT
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The Insular Cortex:An Interface Between Sensation,Emotion and Cognition 被引量:7
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作者 Ruohan Zhang Hanfei Deng Xiong Xiao 《Neuroscience Bulletin》 CSCD 2024年第11期1763-1773,共11页
The insula is a complex brain region central to the orchestration of taste perception,interoception,emotion,and decision-making.Recent research has shed light on the intricate connections between the insula and other ... The insula is a complex brain region central to the orchestration of taste perception,interoception,emotion,and decision-making.Recent research has shed light on the intricate connections between the insula and other brain regions,revealing the crucial role of this area in integrating sensory,emotional,and cognitive information.The unique anatomical position and extensive connectivity allow the insula to serve as a critical hub in the functional network of the brain.We summarize its role in interoceptive and exteroceptive sensory processing,illustrating insular function as a bridge connecting internal and external experiences.Drawing on recent research,we delineate the insular involvement in emotional processes,highlighting its implications in psychiatric conditions,such as anxiety,depression,and addiction.We further discuss the insular contributions to cognition,focusing on its significant roles in time perception and decision-making.Collectively,the evidence underscores the insular function as a dynamic interface that synthesizes diverse inputs into coherent subjective experiences and decision-making processes.Through this review,we hope to highlight the importance of the insula as an interface between sensation,emotion,and cognition,and to inspire further research into this fascinating brain region. 展开更多
关键词 insular cortex INTEROCEPTION EMOTION Reward-Timing Decision making
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Blockage of the habenular nucleus can eliminate dyspnea induced by electrostimulation of the insular cortex 被引量:3
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作者 Mingxian Li Jinghua Wang +4 位作者 Min Huang Weihong Lin Min Wang Lei Yu Shao Wang 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第13期1025-1029,共5页
BACKGROUND: The insular cortex and habenular nucleus may be a regulatory center for obstructive sleep apnea syndrome, and dyspnea may be caused by insular cortex activity. The insular cortex is a cortical representat... BACKGROUND: The insular cortex and habenular nucleus may be a regulatory center for obstructive sleep apnea syndrome, and dyspnea may be caused by insular cortex activity. The insular cortex is a cortical representation of obstructive sleep apnea syndrome. The habenular nucleus is a station for descending insular cortex activity. OBJECTIVE: Through actively stimulating the rat insular cortex, to observe rat respiratory movement, myoelectric activities of genioglossus, arterial partial pressure of oxygen, partial pressure of carbon dioxide and acidity-alkalinity, and to verify a hypothesis that the insular cortex is a superior-position regulation center, and the habenular nucleus is an inferior-position nervous nuclei of the insular cortex in patients with obstructive sleep apnea syndrome. DESIGN, TIME AND SETTING: The randomized, controlled animal study was performed at the Laboratory of Electrophysiology, Department of Physiology, Norman Bathune College of Medicine, Jilin University, China from September 2004 to June 2008. MATERIALS: We used L-glutamic acid (Dingguo Biological Product Research Center, Beijing, China), lidocaine hydrochloride (Seventh Pharmacy Co., Ltd., Wuxi, China), electric stimulator (Nihon Kohden, Japan), and an AVL-OPTI blood gas analyzer (AVL Scientific Co., Roswell, GA, USA). METHODS: The insular cortex of healthy adult Wistar rats underwent electrostimulation and L-glutamic acid stimulation to record changes in the myoelectric activity of genioglossus and respiratory movement. Some rats were injected with lidocaine to block the habenular nucleus before electrostimulation or L-glutamic acid stimulation. L-glutamic acid and lidocaine were injected by microelectrodes embedded in nuclear groups. MAIN OUTCOME MEASURES: Myoelectric activities of genioglossus, arterial partial pressure of oxygen, partial pressure of carbon dioxide and acidity-alkalinity were measured following apnea in rats undergoing electrostimulation in the insular cortex and following blockade of the habenular nucleus. RESULTS: Following electrostimulation and L-glutamic acid stimulation, rats developed apnea or respiratory rhythm disorders. Simultaneously, the amplitude of myoelectric activity of the genioglossus was reduced (P 〈 0.01 ), and the electromyogram integral was decreased (P 〈 0.01). Arterial blood gas analysis showed arterial blood acidosis, a decrease in pH (P 〈 0.05), and an increase in the negative value of alkaline reserve (P 〈 0.01). Lidocaine in the habenular nuclear blocked respiratory and other index changes after insular cortex stimulation. CONCLUSION: Dyspnea induced by stimulating the insular cortex may require the habenular nucleus. Paralysis of the habenular nucleus can completely eliminate insular cortex stimulation-induced dyspnea. 展开更多
关键词 DYSPNEA habenular nucleus insular cortex GENIOGLOSSUS neuroelectrophysiology neural regeneration
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Insular Cortex is Critical for the Perception, Modulation,and Chronification of Pain 被引量:8
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作者 Changbo Lu Tao Yang +5 位作者 Huan Zhao Ming Zhang Fancheng Meng Hao Fu Yingli Xie Hui Xu 《Neuroscience Bulletin》 SCIE CAS CSCD 2016年第2期191-201,共11页
An increasing body of neuroimaging and electrophysiological studies of the brain suggest that the insular cortex(IC) integrates multimodal salient information ranging from sensation to cognitive-affective events to ... An increasing body of neuroimaging and electrophysiological studies of the brain suggest that the insular cortex(IC) integrates multimodal salient information ranging from sensation to cognitive-affective events to create conscious interoception. Especially with regard to pain experience, the IC has been supposed to participate in both sensory-discriminative and affective-motivational aspects of pain. In this review, we discuss the latest data proposing that subregions of the IC are involved in isolated pain networks: the posterior sensory circuit and the anterior emotional network. Due to abundant connections with other brain areas, the IC is likely to serve as an interface where cross-modal shaping of pain occurs. In chronic pain,however, this mode of emotional awareness and the modulation of pain are disrupted. We highlight some of the molecular mechanisms underlying the changes of the pain modulation system that contribute to the transition from acute to chronic pain in the IC. 展开更多
关键词 insular cortex Pain Emotion Neural network Dopamine GABA Molecular mechanism
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Activation of Cannabinoid Receptor 1 in GABAergic Neurons in the Rostral Anterior Insular Cortex Contributes to the Analgesia Following Common Peroneal Nerve Ligation 被引量:1
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作者 Ming Zhang Cong Li +7 位作者 Qian Xue Chang-Bo Lu Huan Zhao Fan-Cheng Meng Ying Zhang Sheng-Xi Wu Yan Zhang Hui Xu 《Neuroscience Bulletin》 SCIE CAS CSCD 2023年第9期1348-1362,共15页
The rostral agranular insular cortex(RAIC)has been associated with pain modulation.Although the endogenous cannabinoid system(eCB)has been shown to regulate chronic pain,the roles of eCBs in the RAIC remain elusive un... The rostral agranular insular cortex(RAIC)has been associated with pain modulation.Although the endogenous cannabinoid system(eCB)has been shown to regulate chronic pain,the roles of eCBs in the RAIC remain elusive under the neuropathic pain state.Neuropathic pain was induced in C57BL/6 mice by common peroneal nerve(CPN)ligation.The roles of the eCB were tested in the RAIC of ligated CPN C57BL/6J mice,glutamatergic,or GABAergic neuron cannabinoid receptor 1(CB1R)knockdown mice with the whole-cell patch-clamp and pain behavioral methods.The E/I ratio(amplitude ratio between mEPSCs and mIPSCs)was significantly increased in layer V pyramidal neurons of the RAIC in CPN-ligated mice.Depolarization-induced suppression of inhibition but not depolarization-induced suppression of excitation in RAIC layer V pyramidal neurons were significantly increased in CPN-ligated mice.The analgesic effect of ACEA(a CB1R agonist)was alleviated along with bilateral dorsolateral funiculus lesions,with the administration of AM251(a CB1R antagonist),and in CB1R knockdown mice in GABAergic neurons,but not glutamatergic neurons of the RAIC.Our results suggest that CB1R activation reinforces the function of the descending pain inhibitory pathway via reducing the inhibition of glutamatergic layer V neurons by GABAergic neurons in the RAIC to induce an analgesic effect in neuropathic pain. 展开更多
关键词 Rostral agranular insular cortex:Cannabinoid receptor 1-Neuropathic pain Dorsolateral fasciculus:GABAergic neuron
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Extracellular Levels of 5HT and 5HIAA Increase after an Inflammatory Process in the Rat’s Insular Cortex
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作者 Ulises Coffeen Ana Canseco-Alba +4 位作者 Karina Simón-Arceo Francisco Mercado Angélica Almanza Orlando Jaimes Francisco Pellicer 《World Journal of Neuroscience》 2016年第1期23-31,共9页
Serotonin (5HT) in the central nervous system has been associated with pain processing and modulation. The insular cortex (IC) plays an important role in the development and perception of the inflammatory and chronic ... Serotonin (5HT) in the central nervous system has been associated with pain processing and modulation. The insular cortex (IC) plays an important role in the development and perception of the inflammatory and chronic pain. The role of the serotoninergic system in IC has not been completely studied. We used micro-dialysis in freely moving rats to determine the extracellular release of 5HT and its main metabolite (5HIAA) in the IC during an inflammatory process. Results showed an increase of extracellular levels of 5HT and 5HIAA in the IC during carrageenan-induced inflammation and this augmentation correlates with a decrease of behavioral mechanonociceptive response. Furthermore, the exogenous administration of 5HT and 5HIAA in the IC increases the nociceptive response. Our current data imply that the serotoninergic system in the IC participates in the long-term pain process. 展开更多
关键词 PAIN INFLAMMATION insular cortex 5HT 5HIAA
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Impairment of LTP in insular cortex is correlated to resilience and vulnerability to chronic stress for PTSD
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作者 JIA Jing-jing SHI Tian-yao ZHOU Wen-xia 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第9期727-728,共2页
OBJECTIVE Exposure to stressful events can be differently perceived by individuals depending on the level of stress resilience or vulnerability.The neural processes that underlie such clinical y and social y important... OBJECTIVE Exposure to stressful events can be differently perceived by individuals depending on the level of stress resilience or vulnerability.The neural processes that underlie such clinical y and social y important differences are largely unknown.As insula cortex is important in emotional processing,we have examined whether the changes in synaptic plasticity in the insula cortex involved in stress resilience or vulnerability.METHODS Mice were divided into two groups:control and stress group.Stress group was treated by foot electric shock twice daily(0.8 mA,2 s,ten times in 1 min) in continuous two weeks.Then we used fear conditioning test to detect re-experiencing of traumatic experience,open field test to detect avoidance,pre-pulse inhibition experiment to detect hyper arousal.The changes of synaptic plasticity in the insular cortex were recorded by the multiple channels electrophysiology and whole cell patch.RESULTS According to the behavioral scores,it was divided into resilient and vulnerable group.In the fear conditioning test,the vulnerable group showed the significant freezing time decreased than that of the resilient group(P<0.01).In the open field test,the time that enter the center zone of vulnerable group is increased than that resilient group(P<0.01);In the pre-pulse inhibition experiment,there are not significant difference of PPI value in both groups(P=0.4239).And then electrophysiological experiments are performed to detect the synaptic plasticity of the insular cortex.Compared with the resilient group,the LTP level was decreased(P<0.05) and the mEPSC was increased(P<0.01) in vulnerable group.CONCLUSION The impairment of synaptic plasticity in the insular cortex may be one of the neural mechanisms for the vulnerability to chronic stress. 展开更多
关键词 LTP insular cortex SYNAPTIC plasticity PTSD RESILIENCE VULNERABILITY
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基于岛叶皮层整合体表/内脏信息的特性解析腧穴效应
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作者 杨娜娜 解晓霞 +3 位作者 王鹤璇 王泽一 汪露 刘存志 《针刺研究》 北大核心 2025年第8期898-902,共5页
岛叶皮层具有躯体感觉区和内脏区,分别感知体表和内脏的信息,通过短程纤维投射实现躯体感觉与内脏功能的整合与调节。岛叶皮层与自主神经系统密切联系,是调节自主神经的关键枢纽,可成为揭示腧穴-脏腑相关性的潜在靶点。岛叶皮层独特的... 岛叶皮层具有躯体感觉区和内脏区,分别感知体表和内脏的信息,通过短程纤维投射实现躯体感觉与内脏功能的整合与调节。岛叶皮层与自主神经系统密切联系,是调节自主神经的关键枢纽,可成为揭示腧穴-脏腑相关性的潜在靶点。岛叶皮层独特的“内脏定位”特征及神经元功能的空间分布,为阐明腧穴“一穴多效”或“双向调节”提供了神经学依据。未来研究应聚焦于腧穴对岛叶皮层不同区域的靶向性调节,进一步通过岛叶-自主神经-靶器官反射通路解析腧穴-脏腑间的调节效应。 展开更多
关键词 岛叶皮层 腧穴效应 一穴多效 自主神经 双向调节
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Effect of Transcranial Direct Current Stimulation of Motor Cortex versus Insula Cortex on Chronic Post-Mastectomy Pain: Randomized Sham-Controlled Trial
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作者 Shereen Mamdouh Kamal Khaled Mohamed Fares +2 位作者 Sahar Abdel-Baky Mohamed Mohanad Ahmed Mohamed Fatma Adel El Sherif 《Open Journal of Anesthesiology》 2023年第10期197-211,共15页
Background: Transcranial direct current stimulation (tDCS) across cortical brain areas appears to improve various forms of pain, yet evidence of tDCS efficiency and ideal stimulation target is lacking. This study aime... Background: Transcranial direct current stimulation (tDCS) across cortical brain areas appears to improve various forms of pain, yet evidence of tDCS efficiency and ideal stimulation target is lacking. This study aimed to compare the add-on analgesic efficacy of concentric electrode transcranial direct current stimulation (CE-tDCS) stimulation over the primary motor cortex versus the insular cortex on the management of chronic postmastectomy pain. Method: Prospective randomized double-blind sham-controlled study enrolled eighty patients with chronic postmastectomy pain that were randomly assigned to four groups: active motor (AM), sham motor (SM), active insula (AI) and sham insula (SI) group, each received 5 sessions for 20-minute duration with 2 mA tDCS over the targeted area of the contralateral side of pain. Our primary outcome was VAS score, the secondary outcomes were VDS score, LANSS score and depression symptoms by HAM-D scores, assessment was done at 4 time points (prestimulation, after 5<sup>th</sup> session, 15<sup>th</sup> day and one month after the last session). Results: Both active tDCS groups (motor and insula) showed reduction of VAS (P Conclusion: Active tDCS stimulation either targeting the primary motor cortex or the insula cortex has add-on analgesic effect for controlling neuropathic chronic post mastectomy pain and the maximum effect was at 15 days after the last session. 展开更多
关键词 Transcranial Direct Current Stimulation TDCS Postmastectomy Pain Motor cortex insular cortex
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显微镜下经侧裂-岛叶入路血肿清除术治疗高血压基底节区脑出血的效果分析
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作者 薛铁栓 李丽 陈胜 《四川生理科学杂志》 2025年第3期553-555,562,共4页
目的:观察显微镜下经侧裂-岛叶入路血肿清除术治疗高血压基底节区脑出血的临床效果。方法:回顾性收集本院2020年6月-2023年6月期间收治的83例高血压基底节区脑出血患者的临床资料。全部患者均行血肿清除术。按照患者接受的不同入路手术... 目的:观察显微镜下经侧裂-岛叶入路血肿清除术治疗高血压基底节区脑出血的临床效果。方法:回顾性收集本院2020年6月-2023年6月期间收治的83例高血压基底节区脑出血患者的临床资料。全部患者均行血肿清除术。按照患者接受的不同入路手术将其分为对照组(n=40例,经颞叶皮质入路)和研究组(n=43例,显微镜下经侧裂-岛叶入路)。分析对比两组的手术情况[手术时间、术后24h格拉斯哥昏迷评分(GCS)]、术后48h血肿清除情况以及日常生活活动能力[经Barthel指数评估]。结果:研究组的手术时间较对照组显著缩短,研究组术后24hGCS评分显著高于对照组(P<0.05)。研究组术后48h血肿总清除率较对照组显著提高(P<0.05)。术后6个月,两组d额Barthel指数均较术后7d有不同程度升高,且研究组的Barthel指数显著高于对照组(P<0.05)。结论:显微镜下经侧裂-岛叶入路血肿清除术治疗高血压基底节区脑出血,较经颞叶皮质入路能缩短手术时间、降低术后24hGCS评分,提升患者术后48h血肿清除率,促进术后日常生活活动能力的恢复。 展开更多
关键词 高血压 脑出血 血肿清除术 经侧裂-岛叶入路 经颞叶皮质入路
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Memory Trace for Fear Extinction:Fragile yet Reinforceable
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作者 Ying Liu Shuai Ye +1 位作者 Xin-Ni Li Wei-Guang Li 《Neuroscience Bulletin》 SCIE CAS CSCD 2024年第6期777-794,共18页
Fear extinction is a biological process in which learned fear behavior diminishes without anticipated reinforcement,allowing the organism to re-adapt to ever-changing situations.Based on the behavioral hypothesis that... Fear extinction is a biological process in which learned fear behavior diminishes without anticipated reinforcement,allowing the organism to re-adapt to ever-changing situations.Based on the behavioral hypothesis that extinction is new learning and forms an extinction memory,this new memory is more readily forgettable than the original fear memory.The brain’s cellular and synaptic traces underpinning this inherently fragile yet reinforceable extinction memory remain unclear.Intriguing questions are about the whereabouts of the engram neurons that emerged during extinction learning and how they constitute a dynamically evolving functional construct that works in concert to store and express the extinction memory.In this review,we discuss recent advances in the engram circuits and their neural connectivity plasticity for fear extinction,aiming to establish a conceptual framework for understanding the dynamic competition between fear and extinction memories in adaptive control of conditioned fear responses. 展开更多
关键词 Fear extinction memory Memory trace Fear relapse Medial prefrontal cortex Basolateral amygdala Ventral hippocampus insular cortex Synaptic adaptations
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小鼠中央内侧核向前额叶和岛叶皮质发出分支投射的形态学研究
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作者 薛美琪 窦雪瑛 +3 位作者 刘楚涵 王珊 杨彦玲 董玉琳 《空军军医大学学报》 CAS 2024年第12期1387-1391,1398,共6页
目的观察小鼠丘脑中央内侧核(CM)向不同皮层区域的分支投射情况,并为其参与伤害性信息传递提供形态学证据。方法将荧光金(FG)分别注射到前额叶皮质(PFC)或岛叶皮质(IC)并建立完全弗氏佐剂(CFA)炎性痛模型,观察FG逆标神经元在CM中的分布... 目的观察小鼠丘脑中央内侧核(CM)向不同皮层区域的分支投射情况,并为其参与伤害性信息传递提供形态学证据。方法将荧光金(FG)分别注射到前额叶皮质(PFC)或岛叶皮质(IC)并建立完全弗氏佐剂(CFA)炎性痛模型,观察FG逆标神经元在CM中的分布,以及CM内向PFC或IC投射的神经元是否参与伤害性信息传递;继而将FG注射到PFC,同时将四甲基罗达明(TMR)注入IC,并建立CFA模型,观察CM内FG与TMR双标神经元的分布及其与FOS蛋白的共标。结果(1)将FG注射到PFC后,在CM的吻侧和中部可观察到大量逆标神经元,尾侧的FG逆标神经元相对较少;将FG注射到IC后,可观察到CM的中尾侧有大量的FG逆标神经元分布,而在CM的吻段较少;(2)CM-IC或CM-PFC通路在CFA模型下均可观察到激活的神经元,但前者激活数量较后者多;(3)CM吻中段少量神经元可同时向PFC和IC发出分支投射,且偶见共标神经元在疼痛状态下被激活。结论CM可以分别向PFC和IC发出大量投射,且参与伤害性信息的传递,但分支投射的情况较少见。 展开更多
关键词 中央内侧核 分支投射 前额叶皮质 岛叶 疼痛 神经通路
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下丘脑室旁核神经元多重神经支配的电镜研究 被引量:5
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作者 朱长庚 张喜京 +2 位作者 刘庆莹 蔡秋云 魏瑛 《解剖学报》 CAS CSCD 北大核心 1994年第2期123-127,T004,5,共7页
为了探讨下丘脑神经内分泌的突触调控机制,本文用电镜细胞化学与免疫电镜双标技术相结合的方法,研究了大鼠下丘脑室旁核神经元的多重神经支配。即先用6-OHDA损毁CA能神经末梢,再于振动切片上用包埋前免疫电镜法,分别以DA... 为了探讨下丘脑神经内分泌的突触调控机制,本文用电镜细胞化学与免疫电镜双标技术相结合的方法,研究了大鼠下丘脑室旁核神经元的多重神经支配。即先用6-OHDA损毁CA能神经末梢,再于振动切片上用包埋前免疫电镜法,分别以DAB和TAB为呈色剂先后对肽能(OT或SP)神经元和GABA神经元进行双重标记。电镜观察结果表明:在下丘脑室旁核内存在肽能(OT、SP)和氨基酸(GABA)能神经元及CA神经末梢;OT神经元通过轴一树突触接受GABA和CA神经支配;SP神经元通过轴-树突触接受CA和SP神经支配;GABA神经元则可通过轴-树突触接受OT、SP、CA和GABA等神经支配。本研究首次得到了下丘脑神经元接受多重神经支配的超微结构证据,其意义在于为同时研究下丘脑神经内分泌活动的多种突触调控提供形态学依据。 展开更多
关键词 下丘脑 室旁核 神经内泌 神经元
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缰核介导刺激岛叶、杏仁中央核引起的升压反应 被引量:5
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作者 寇正涌 李漫松 +1 位作者 张春晓 王绍 《中国应用生理学杂志》 CAS CSCD 北大核心 2003年第4期334-336,共3页
目的 :证明缰核 (Hb)是刺激岛叶 (INS)、杏仁中央核 (CeA)所引起的升压效应下行通路的主要中继站之一。方法 :分别电刺激INS、CeA均可引起升压反应 ,在刺激电极的同侧及双侧Hb内微量注射盐酸利多卡因 ,再电刺激INS、CeA观察升压效应。结... 目的 :证明缰核 (Hb)是刺激岛叶 (INS)、杏仁中央核 (CeA)所引起的升压效应下行通路的主要中继站之一。方法 :分别电刺激INS、CeA均可引起升压反应 ,在刺激电极的同侧及双侧Hb内微量注射盐酸利多卡因 ,再电刺激INS、CeA观察升压效应。结果 :单侧Hb内注射利多卡因 ,电刺激INS、CeA所引起的升压反应分别降低 36 .9%、39.6 %。双侧Hb内注射利多卡因 ,电刺激INS、CeA所引起的升压反应分别降低 4 1.7%、4 6 .1%。单侧或双侧Hb内微量注射生理盐水或人工脑脊液均不能降低电刺激INS、CeA引起的升压反应。结论 :缰核是介导电刺激岛叶、杏仁中央核引起升压效应下行通路的主要中继站之一。 展开更多
关键词 中枢神经系统 缰核 岛叶 杏仁中央核 升压反应 盐酸利多卡因 电刺激
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血管紧张素Ⅱ在岛叶皮层引起的升压反应经缰核、下丘脑传导 被引量:4
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作者 寇正涌 吴绥生 +1 位作者 黄民 王绍 《东北师大学报(自然科学版)》 CAS CSCD 北大核心 2005年第4期103-106,共4页
研究证明了血管紧张素Ⅱ(AngⅡ)能引起岛叶皮层(INS)的升压反应,也是向缰核(Hb)、下丘脑(Hypot)传递反应的介导物.电刺激INS,或向INS注射AngⅡ,向缰核,下丘脑微量注射AngⅡ拮抗剂鲁莎坦(Losartan 100 ng/ μL)或利多卡因等条件下,从股... 研究证明了血管紧张素Ⅱ(AngⅡ)能引起岛叶皮层(INS)的升压反应,也是向缰核(Hb)、下丘脑(Hypot)传递反应的介导物.电刺激INS,或向INS注射AngⅡ,向缰核,下丘脑微量注射AngⅡ拮抗剂鲁莎坦(Losartan 100 ng/ μL)或利多卡因等条件下,从股动脉插管经压力换能器,可以记录动脉血压的变化.电刺激(150~250 μA,3 s)INS可引起升压反应,血压升高绝对值为(2.14±0.64)kPa.向Hb,Hypot单侧或双侧注射盐酸利多卡因(2%,3 μL),使电刺激INS引起的升压明显降低,表明Hb,Hypot是电刺激INS实现升压效应的必经之路.向INS注射AngⅡ(0.3 μL,15 ng,pH 5.0),引起血压升高幅度为2.26 kPa.在Hb单侧注射鲁莎坦,则INS注射AngⅡ的血压上升幅度仅为1.56 kPa,较原升压幅度降低29.42%.向Hb双侧注射鲁莎坦,则INS的升压效应降低42.99%.在Hb单侧或双侧注射等量人工脑脊液不能降低AngⅡ引起的升压效应. 展开更多
关键词 岛叶皮层 缰核 下丘脑 血管紧张素Ⅱ 鲁莎坦
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电刺激岛叶对大鼠血压及缰核内神经元放电活动的影响 被引量:1
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作者 寇正涌 黄民 +1 位作者 章宏 王绍 《东北师大学报(自然科学版)》 CAS CSCD 北大核心 2003年第1期66-69,共4页
 研究证明了缰核(Hb)是刺激岛叶(INS)所引起的升压效应下行通路的主要中继站之一.电刺激INS引起升压反应,在刺激电极的同侧Hb内微量注射盐酸利多卡因,电刺激INS所引起的升压反应降低了36 9%.双侧Hb内微量注射盐酸利多卡因,电刺激INS所...  研究证明了缰核(Hb)是刺激岛叶(INS)所引起的升压效应下行通路的主要中继站之一.电刺激INS引起升压反应,在刺激电极的同侧Hb内微量注射盐酸利多卡因,电刺激INS所引起的升压反应降低了36 9%.双侧Hb内微量注射盐酸利多卡因,电刺激INS所引起的升压反应降低了41 7%.单侧或双侧Hb内微量注射生理盐水或人工脑脊液均不能降低电刺激INS所引起的升压反应.在刺激INS前后用微电极记录Hb内心血管调节相关神经元放电活动的变化.电刺激INS后,Hb内心血管调节相关神经元的放电频率明显增加者占58%(21 36),频率明显减少者占14%(5 36),频率无明显变化者占28%(10 36).结果表明:缰核是参与电刺激岛叶引起升压效应的主要下行通路之一. 展开更多
关键词 电刺激 大鼠 血压 神经元 缰核 岛叶 升压效应 盐酸利多卡因 单位放电 中枢神经系统 放电频率
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脑岛叶梗死与ECG异常的关系探讨 被引量:2
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作者 秦伟 胡文立 杨磊 《山东医药》 CAS 北大核心 2007年第27期32-33,共2页
目的通过观察急性大脑中动脉供血区脑梗死患者的ECG改变来分析岛叶梗死与ECG的关系。方法回顾性分析280例急性大脑中动脉供血区的非腔隙性脑梗死患者,根据其头MRI弥散相上是否有岛叶受累分为岛叶梗死组和非岛叶梗死组,通过回顾患者入院... 目的通过观察急性大脑中动脉供血区脑梗死患者的ECG改变来分析岛叶梗死与ECG的关系。方法回顾性分析280例急性大脑中动脉供血区的非腔隙性脑梗死患者,根据其头MRI弥散相上是否有岛叶受累分为岛叶梗死组和非岛叶梗死组,通过回顾患者入院时的ECG,观察岛叶梗死与ECG异常的关系。结果124例(44%)患者的MRI弥散相上见到岛叶不同程度的梗死,ECG分析发现ST-T异常见于85例岛叶梗死患者和78例无岛叶梗死的患者(P<0.01)。QT间期延长在右侧岛叶梗死更常见。结论岛叶梗死患者的ECG改变主要表现为非特异性的ST-T异常。 展开更多
关键词 岛叶梗死 心电描记术 大脑中动脉
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不同手术入路治疗早期左侧壳核出血的临床效果 被引量:4
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作者 陈伟强 彭国毅 +3 位作者 杨金华 肖哲 张子衡 罗成 《中国医药导报》 CAS 2016年第17期62-64,72,共4页
目的探讨不同手术入路治疗高血压性左侧壳核出血的效果。方法选择2003年1月-2009年12月于汕头大学医学院第一附属医院(以下简称"我院")早期急诊行经侧裂-岛叶入路显微手术清除血肿的69例高血压性左侧壳核出血患者作为观察组,选择我... 目的探讨不同手术入路治疗高血压性左侧壳核出血的效果。方法选择2003年1月-2009年12月于汕头大学医学院第一附属医院(以下简称"我院")早期急诊行经侧裂-岛叶入路显微手术清除血肿的69例高血压性左侧壳核出血患者作为观察组,选择我院同期行经颞叶皮质入路手术治疗的58例患者作为对照组。观察两组患者血肿清除率、再出血发生率、术后失语情况及术后3个月的预后情况。结果观察组大部分血肿清除率高于对照组[69.6%(48/69)比44.8%(26/58)],再出血发生率低于对照组[10.2%(7/69)比31.0%(18/58)],观察组患者未见完全失语者,无失语率明显高于对照组[71.0%(49/69)比3.5%(2/58)],两组比较差异均有统计学意义(P〈0.05)。术后3个月随访,观察组预后优良率明显高于对照组[63.8%(44/69)比32.8%(19/58)],两组比较差异有统计学意义(P〈0.05)。结论经外侧裂-岛叶入路治疗高血压性壳核出血的效果优于经颞叶皮质入路,其具有血肿清除效果好、止血方便、对脑组织损伤小、对语言功能的影响小等优势,值得临床推广应用。 展开更多
关键词 壳核出血 高血压 侧裂-岛叶入路 颞叶皮质入路 显微外科手术
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经侧裂-岛叶显微手术治疗高血压基底节区脑出血的疗效分析 被引量:9
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作者 韦廷求 《中国医药导报》 CAS 2013年第7期62-63,共2页
目的分析经侧裂-岛叶显微手术治疗高血压基底节区脑出血的疗效。方法选取广西壮族自治区河池市第三人民医院2008年9月~2010年9月收治的高血压基底节区脑出血患者51例,进行经侧裂-岛叶显微手术治疗,对比治疗前后日常生活能力(ADL)、血... 目的分析经侧裂-岛叶显微手术治疗高血压基底节区脑出血的疗效。方法选取广西壮族自治区河池市第三人民医院2008年9月~2010年9月收治的高血压基底节区脑出血患者51例,进行经侧裂-岛叶显微手术治疗,对比治疗前后日常生活能力(ADL)、血肿情况及病死情况等,探讨该疗法的疗效。结果治疗后患者ALD评价明显改善,Ⅲ级及以下由治疗前的29例升至45例;治疗后血肿明显清除,清除率达93.5%;术后共出现15例并发症:肺部感染6例,泌尿系统感染8例,心脏改变(心律失常)1例;患者全部存活,存活率为100.0%。结论经侧裂-岛叶显微手术对高血压基底节区脑出血的血肿有良好的清除效果,并能保护脑部组织,避免神经障碍的发生,值得临床广泛推广。 展开更多
关键词 侧裂岛叶显微手术 高血压 基底节区脑出血 疗效
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大鼠臂旁核向岛皮质的直接投射──内脏性传入通路研究之二 被引量:1
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作者 王进堂 陶之理 《神经解剖学杂志》 CAS CSCD 北大核心 1996年第2期167-171,共5页
用Nissl法显示大鼠臂旁核的细胞构筑,应用辣根过氧化物酶(HRP)追踪法探讨了臂旁核各亚核与岛皮质的传入神经联系。将HRP注入岛皮质嘴侧部的少颗粒区,在臂旁外侧核的腹侧区和臂旁内侧核的中央区(腰区)见到中等量标记细... 用Nissl法显示大鼠臂旁核的细胞构筑,应用辣根过氧化物酶(HRP)追踪法探讨了臂旁核各亚核与岛皮质的传入神经联系。将HRP注入岛皮质嘴侧部的少颗粒区,在臂旁外侧核的腹侧区和臂旁内侧核的中央区(腰区)见到中等量标记细胞,标记纤维少见,其它亚核的标记细胞少见。将HRP注入岛皮质尾侧部的颗粒区,在臂旁外侧核中央区的外侧部和对侧臂分内侧核的外区见到少量标记细胞。将HRP注入岛皮质中部,在臂旁核出现的标记细胞分布较广,多位于腰区、臂旁外侧核中央区和双侧臂旁内侧核外区,而在臂分外侧核的外区,仅有少数几个标记细胞;在臂旁核还见到少量标记纤维。上述各区标记细胞形态相似,以圆形和卵圆形为主,直径约15μm。实验证明臂旁核向岛皮质有直接投射,发展了前人的研究,为系统的内脏传入通路的建立提供新的形态学资料。 展开更多
关键词 臂旁核 岛皮质 内脏传入通路
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