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Inactivation of the pons blocks medullary-induced muscle tone suppression in the decerebrate cat.

The pontomedullary region is responsible for the reduction of muscle activity in rapid-eye-movement sleep and contributes to the control of muscle tone in waking. This study sought to clarify the nature of the interaction between the pontine and medullary reticular formation in mediating muscle tone suppression. The degree of medullary-induced neck muscle tone suppression in the decerebrate cat was assessed before and after microinjection of lidocaine into the pontine reticular formation. Medullary stimulation-induced suppression of neck muscle tone was blocked after pontine lidocaine microinjection. The maximum blockade was observed at 16.6 minutes on average after the injection, and recovery occurred within 45 minutes. We conclude that descending mechanisms from the medulla are not sufficient for the triggering of muscle tone suppression. A two-way interaction between the medulla and pons is hypothesized to play a crucial role in the control of muscle tone.

Anesthetics, Local↗

Radiation necrosis of the optic chiasm, optic tract, hypothalamus, and upper pons after radiotherapy for pituitary adenoma, detected by gadolinium-enhanced, T1-weighted magnetic resonance imaging: case report.

A 26-year-old woman was treated for a prolactin secreting pituitary adenoma by surgery and radiotherapy (5860 rads). Fourteen months later, she developed right hemiparesis and dysarthria. A T1-weighted magnetic resonance imaging scan using gadolinium contrast showed a small, enhanced lesion in the upper pons. Seven months later, she had a sudden onset of loss of vision, and radiation optic neuropathy was diagnosed. A T1-weighted magnetic resonance imaging scan showed widespread gadolinium-enhanced lesions in the optic chiasm, optic tract, and hypothalamus. Magnetic resonance imaging is indispensable for the early diagnosis of radiation necrosis, which is not visualized by radiography or computed tomography.

Adenoma↗

Recessive dystrophic epidermolysis bullosa associated with mesangioproliferative glomerulonephritis and multifocal necrotizing leucoencephalopathy of the pons.

We report a woman with recessive dystrophic epidermolysis bullosa (RDEB) in whom there was prolonged sepsis and death at age 22 years. Autopsy revealed multiple epidermolytic skin lesions with chronic ulceration, mesangioproliferative glomerulonephritis and multifocal necrotizing leucoencephalopathy (MNL) of the pons. The latter two conditions may have been mediated by sepsis-associated cytokines. Although mesangioproliferative glomerulonephritis has previously been described in association with RDEB, to our knowledge this is the first report of MNL in a patient with RDEB.

Adult↗

Pons tumour behind a phenotypic Rett syndrome presentation.

We describe a girl with a brain-stem tumour and symptoms very similar to those of Rett syndrome (RS). Her early history was uneventful and development was normal (except for hypotonia). At the age of 6 months her development slowed. Subsequently, deterioration occurred and the features characteristic of RS were seen: loss of purposeful hand use, stereotypic hand movements, impaired social contact, decelerated head growth, and ataxia. Cerebral CT at the age of 3 years and 4 months revealed a tumour in the region of the pons and hydrocephalus. We suggest that a pons/midbrain tumour appearing at an early age may affect the developing CNS and cause symptoms similar to those of RS. A possible causal connection between midbrain pathology and RS is supported by this case.

Brain Neoplasms↗

Pharmacological properties of cholinoceptive neurones in the medulla and pons of the cat.

1. Iontophoretic application of acetylcholine to neurones in the medulla and pons of the unanaesthetized decerebrate cat excited 35.5% and inhibited 22%. This was not a representative sample of lower brain stem neurones, since most penetrations were made medially. Some cholinoceptive neurones were in the medial reticular formation.2. The time course of the response to different doses has been described.3. Nicotine and nicotinic agents 1,1-dimethyl-4-phenylpiperazinium iodide (DMPP) and choline phenyl ether (TM1) excited neurones excited by acetylcholine but, with one exception, did not inhibit neurones inhibited by acetylcholine.4. Muscarinic agents mimicked both the excitatory and inhibitory responses to acetylcholine. (+/-)-muscarine and bethanechol (beta-methylcholine carbamate) had a prolonged and powerful inhibitory action.5. Oxotremorine [1-(2-oxopyrrolidino)-4-pyrrolidino-butyne-2] had a long-lasting excitatory action on neurones excited by acetylcholine.6. Eserine and neostigmine potentiated the action of acetylcholine but in addition they had a strong excitatory effect on many brain stem neurones, independently of the action of acetylcholine.7. Excitatory and inhibitory responses to acetylcholine could be antagonized by gallamine, hexamethonium and atropine. Dihydro-beta-erythroidine (DHbetaE) antagonized only excitatory responses. (+)-Tubocurarine was a weak antagonist.8. It is concluded that the excitatory responses have both nicotinic and muscarinic properties but the inhibitory responses are only muscarinic. Since the pharmacology of these two types of response is different, it is concluded that the inhibitory action is not due to an indirect effect from excitation of a neighbouring inhibitory neurone.

Acetylcholine↗

Inspiration-promoting vagal reflex in anaesthetized rabbits after rostral dorsolateral pons lesions.

The centrally generated respiratory rhythm is under strong modulation by peripheral information, such as that from the slowly adapting pulmonary stretch receptors (SA-PSRs) conveyed via the vagus nerve. We have already demonstrated that vagal afferent stimulation at a low frequency (5-40 Hz), or holding the lung volume at the end-expiratory level (no-inflation test) prevents spontaneous termination of the inspiratory (I) phase or initiates I activity in anaesthetized rabbits in which the NMDA receptors (NMDA-Rs) are pharmacologically blocked. Here we show that this I-promoting vagal reflex also becomes manifest in animals where the pontine respiratory groups are ablated. Following lesions of the rostral dorsolateral pons, including the nucleus parabrachialis medialis and Kölliker-Fuse nucleus, with radio-frequency current or local injection of kainic acid, low-frequency stimulation of the vagus nerve and the no-inflation test significantly prolonged the I phase in a manner highly similar to that observed in rabbits with NMDA-R block. Brief stimuli at low frequency during the mid-expiratory (E) phase evoked I discharge with a latency significantly smaller and less variable than that before the lesions. It is concluded that low-frequency input from the SA-PSR suppresses I-to-E phase transition and promotes central I activity when the medullary respiratory network is released from pontine influence, which involves NMDA-R-mediated signalling.

Anesthesia↗

Rapid eye movement sleep PGO-type waves are present in the dorsal pons of the albino rat.

We have found rapid eye movement sleep central phasic activity in the form of episodic, repetitive, monophasic waves in the albino rat. This activity is recorded in discrete areas of the dorso-lateral pons, including the nucleus locus ceruleus. The vast majority of these waves occur during rapid eye movement sleep. Their distribution and electrophysiological characteristics are similar to those of ponto-geniculo-occipital waves in the cat.

Animals↗

Ultrastructural analysis of attachment to and penetration of capillaries in the murine pons, midbrain, thalamus, and hypothalamus by Nocardia asteroides.

The attachment to and penetration of endothelial cells in the pons and midbrain (especially the substantia nigra) regions of the brains of BALB/c mice by log-phase Nocardia asteroides GUH-2 cells were determined by both scanning and transmission electron microscopic analysis. Within 15 min after exposure, the nocardiae attached to the surface of the endothelial cell membrane. This attachment occurred primarily at the growing tip of the nocardial filament, and the outermost layer of the nocardial cell wall had regions (electron-dense areas) that bound firmly to the cytoplasmic membrane of the host cell. There appeared to be specificity for this binding localized within the capillaries and arterioles because some regions had large numbers of bacteria bound, whereas adjacent areas had no bacterial cells. Nocardial filaments that attached by the apex induced a cuplike deformation of the endothelial cell membrane. This was followed by a rapid penetration of the endothelial cell so that within 25 min many of the bacteria were internalized within the host cell. These internalized bacteria remained within vesicles, and there was no ultrastructural evidence of damage to the nocardial cell during this process. Heat-killed GUH-2 cells still attached to endothelial surfaces (at a reduced frequency), but they did not penetrate into the endothelial cell. These data suggest that brain-invasive nocardiae possess both an adhesin for attachment to the membrane of endothelial cells and an invasion factor that promotes nocardial penetration of these cells.

Animals↗

Ataxic tetraparesis from lacunar infarction in the pons.

A 45-year-old woman with hypertension suffered four episodes of right hemiparesis and two attacks of left hemiparesis, within seven months. On examination she showed weakness and cerebellar ataxia of all four limbs. Computed tomography demonstrated a radiolucent area in the base of the pons, consistent with lacunar infarction.

Cerebellar Ataxia↗

The neuroanatomy of vomiting in man: association of projectile vomiting with a solitary metastasis in the lateral tegmentum of the pons and the middle cerebellar peduncle.

Animal studies have indicated a "vomiting center" situated in the dorsal portion of the lateral reticular formation of the medulla at the level of the dorsal nucleus of the vagus. There is also a chemoreceptor trigger zone in the floor of the fourth ventricle in the area postrema which influences the vomiting center. A 63 year old man with a three year history of metastatic malignant melanoma presented with nausea, projectile vomiting, gait ataxia and diplopia associated with horizontal and vertical nystagmus. CT scan showed a solitary brainstem metastasis without hydrocephalus and he was treated with radiotherapy with resolution of his vomiting after four weeks. At post mortem three months later a metastasis was found in the right middle cerebellar peduncle and lateral tegmentum of the pons; there was no pathological change in the area of the vomiting center or area postrema. It is postulated that this lesion caused projectile vomiting because of involvement of either afferent projections to the vomiting center. The neuroanatomy of vomiting is discussed.

Brain Neoplasms↗

Lateral medullary infarction extending to the lower pons.

A case of lateral ponto-medullary infarction was studied pathologically using serial sections of the involved region. The infarct involved 4 mm of the lower pons and 10 mm of the upper medulla. The feeding arteries of most of the infarct were traced back to form one small artery 350 micron in diameter which arose from an artery 2 mm in diameter identified as the posterior inferior cerebellar artery. The latter was occluded by a recent thrombus or embolus which blocked the mouth of the branch to ponto-medullary region.

Aged↗

Proton MR spectroscopy of the cerebellum and pons in patients with degenerative ataxia.

PURPOSE: To investigate whether proton magnetic resonance (MR) spectroscopy is a useful complement to MR imaging in patients with degenerative ataxia. MATERIALS AND METHODS: Brain MR imaging and single-voxel proton MR spectroscopy of the right cerebellar hemisphere and pons were performed in 30 patients with sporadic (n = 16) or inherited (n = 14) degenerative ataxia and in 20 healthy control subjects. Several indexes of brainstem and cerebellar atrophy were measured on MR images, as well as the N-acetylaspartate/creatine (NAA/Cr), choline/Cr (Cho/Cr), and myo-inositol/Cr (mI/Cr) ratios in the MR spectra. Differences between patients and subjects were evaluated with the Kruskal-Wallis and Mann-Whitney tests, whereas correlation of clinical, MR imaging, and spectroscopic data was assessed with nonparametric Spearman rank correlation. RESULTS: Measurements of brainstem and cerebellar atrophy obtained from MR images revealed patients had olivopontocerebellar atrophy (OPCA) (n = 11), spinal atrophy (SA) (n = 8), or corticocerebellar atrophy (CCA) (n = 4). Seven patients did not fulfill the criteria for any group and were considered undefined. In patients with OPCA, the pontine and cerebellar NAA/Cr and Cho/Cr ratios were significantly decreased when compared with those of the control subjects. Pontine and cerebellar NAA/Cr ratios were also significantly reduced in patients with SA and CCA. Five patients with undefined ataxia had a substantial decrease of pontine or cerebellar NAA/Cr ratio when compared with that of the control subjects. In patients with OPCA, the pontine NAA/Cr ratio (but not the atrophy measurements) showed a correlation (P =.04) with disability. CONCLUSION: MR spectroscopy is a useful complement to MR imaging in patients with degenerative ataxia.

Adolescent↗

Parabrachial pons mediates hypothalamically induced renal vasoconstriction.

The role of the parabrachial region of the dorsal rostral pons (PB) in mediating control of renal blood flow and of systemic arterial blood pressure was investigated in nine cats anesthetized with chloralose-urethan. Electrical stimulation through electrodes placed stereotaxically in lateral and medial positions in the hypothalamus (LH and MH) in PB and in ventrolateral reticular formation (VLRF) of each cat elicited pronounced systemic arterial pressor responses and renal vasoconstrictions. Stimulation parameters were adjusted so that renal flow responses elicited from each site were equal. Following a unilateral lesion in the PB, responses of renal vasoconstriction induced by hypothalamic stimulation were attenuated, but responses of arterial pressure were not altered. Stimulation of the VLRF, posterior to the lesion, consistently produced undiminished systemic pressor responses and renal vasoconstriction throughout the durations of the experiments excluding decay of renal vascular responsiveness. Thus, the data suggest that pathways mediating renal vasoconstriction in response to hypothalamic stimulation was discrete and pass through the parabrachial region, whereas pathways mediating systemic vasoconstriction in response to hypothalamic stimulation are distinct or less compact.

Animals↗

Location and quantification of muscarinic receptor subtypes in rat pons: implications for REM sleep generation.

Microinjecting cholinomimetics into the pontine reticular formation produces a state that resembles natural rapid eye movement (REM) sleep. Evocation of this REM sleeplike states is anatomically site dependent within the pons and is mediated by muscarinic receptors. The cellular and molecular mechanisms underlying cholinergic REM sleep generation and muscarinic receptor subtype involvement remain to be specified. This study tested the hypothesis that muscarinic receptor subtypes are differentially distributed within the oral and caudal divisions of rat pontine reticular nucleus. In vitro receptor autoradiography was used to localize and quantify M1, M2, and M3 binding sites in the pontine reticular formation and in pontine brain stem regions known to regulate REM sleep. M1-M3 binding sites were present in some REM sleep-related nuclei, such as dorsal raphe and locus ceruleus. The pontine reticular formation was found to have a homogeneous distribution of M2 binding sites across its rostral to caudal extent, indicating that anatomic specificity of cholinergic REM sleep induction cannot be accounted for by a differential density of muscarinic receptors.

Animals↗

Taste responses in the parabrachial pons of decerebrate rats.

1. Behavioral studies have shown that chronic decerebrate rats retain the capacity to react appropriately to gustatory stimuli (12), but do not form taste-illness associations (13). Little is known, however, about the effects of decerebration on the processing of gustatory information. The present experiment was designed to investigate this issue in the parabrachial nucleus of the pons (PbN). 2. Rats were decerebrated at the supracollicular level under ketamine and ether anesthesia and were prepared for electrical recording in the PbN. Thereafter, animals were maintained under Flaxedil, and wound edges were frequently treated with lidocaine. Heart rate, core temperature, and CO2 were monitored throughout each experiment. Control subjects were treated identically, except that they were not decerebrated. 3. Sapid solutions of NaCl (0.1 M), HCl (0.01 M), sucrose (0.5 M), saccharin sodium (0.004 M), and quinine HCl (.01 M) were used as taste stimuli. After a 10-s base line, each stimulus was bathed over the tongue for 10 s followed by a 10-s wait and a 20-s rinse of distilled water. The intertrial interval was at least 2 min. 4. Gustatory responses from 32 parabrachial units in 13 decerebrate rats were recorded. These were compared with responses in 31 units from the PbN of 16 intact rats. 5. Analysis of response profiles of PbN units in decerebrate rats showed that these units produced smaller responses to NaCl and HCl and larger responses to saccharin sodium compared with units in intact rats. 6. Despite changes in response magnitude, the temporal patterns of response (phasic-tonic relationships) were not different in PbN units in decerebrate rats compared with controls. Differences in the length of responses were, however, apparent. Responses to saccharin sodium were longer, response to NaCl, HCl and sucrose were shorter, and responses to quinine HCl were unchanged. 7. Results of a multidimensional scaling analysis of the response profiles across units showed that "taste spaces" for decerebrate and intact rats were similar. Units in each group were meaningfully placed near stimuli that evoked the best response in a given unit. Units that did not respond well to any stimulus were placed close together regardless of their best stimulus in both taste spaces. 8. Responses to the termination of the taste stimulus (OFF-responses) were observed in PbN units in the decerebrate rat but not in units from the intact rat. Twenty-one OFF-responses were recorded in 14 units; 6 of these occurred in the absence of a response to the stimulus.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Taste responses in neurons in the nucleus of the solitary tract that do and do not project to the parabrachial pons.

1. Mechanisms of neural coding of gustatory stimuli were studied in the nucleus of the solitary tract (NTS), the first relay in the neural pathway for gustation, in anesthetized rats. Taste-responsive NTS units were identified as "relay" or "nonrelay" based on the electrophysiological response to electrical pulses delivered to the parabrachial nucleus of the pons (PbN), the second relay in the neural pathway for gustation. Coding mechanisms in each group were analyzed separately. 2. Taste responses to sapid solutions of NaCl (0.1 M), HCl (0.01 M), quinine HCl (0.01 M), sucrose (0.5 M) and Na-saccharin (0.004 M) were recorded in single units in the NTS. After gustatory stimulation, electrophysiological responses to electrical stimulation of the taste-responsive part of the ipsilateral PbN were recorded. A 0.2-ms pulse was delivered at 75-250 microA at a rates of 1, 25, 50 and 100 pps through a bipolar stainless steel electrode. An antidromic response was defined as a time-locked spike that occurred at a fixed latency after PbN stimulation that followed high stimulation frequencies. A collision test also was performed. 3. Of 42 taste-responsive NTS units, 19 (45%) were relay units, 22 (52%) were nonrelay and 1 unit was activated orthodromically by PbN stimulation. Latencies of evoked spikes ranged from 1.75 to 4.0 ms 2.1 +/- 0.2 ms (mean +/- SE, median, 1.75 ms). 4. Examination of general response characteristics revealed few differences among relay and nonrelay units.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Increase in amino acids in the pons after sleep deprivation: a pilot study using proton magnetic resonance spectroscopy.

Total sleep deprivation (TSD) is an efficient method to relieve depression. An involvement of GABAergic and glutamatergic neurotransmission in the pathophysiology of depression and the mechanism of action of TSD has been suggested. To directly assess the content of GABA, glutamate (Glu) and glutamine (Gln) before and after TSD, we estimated their concentrations in four brain regions in six healthy subjects using proton magnetic resonance spectroscopy. The unresolved estimate of GABA, Glu and Gln, as well as GABA and Gln were increased in the pons after 24 h of TSD, the effect being prominent in three subjects. There were no significant changes in the hypothalamus, thalamus or parietooccipital cortex. These preliminary data support earlier animal data and indirect findings in humans suggesting that GABA and Gln, especially in the pontine structures, may play a key role in the mechanism of TSD.

Adult↗

Benign ependymal cyst of the pons.

Clinical presentation, radiological aspects, surgical treatment and histology of a case of an ependyma-lined cyst of the pons are depicted. Slight psychomotor retardation and long-standing neurological signs associated with a marked dolichocephalic skull and right aortic arch suggest a congenital anomaly. Differential diagnosis of cystic lesions in the posterior fossa is discussed.

Aorta, Thoracic↗