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Disruption of the pial basal lamina during early avian embryonic development inhibits histogenesis and axonal pathfinding in the optic tectum.

Bacterial collagenase was injected into the ventricular cavity of the optic tectum of chick and quail embryos. Histological examination up to 6 days after enzyme injection revealed that the collagenase disrupted the pial basal lamina, which was evident by the fragmented distribution of basal lamina proteins at the pial surface of the midbrain and the brainstem. Although the disrupted basal lamina was not reestablished at later stages of development, the pial basal lamina of the newly developing neuroepithelium in the caudal part of the tectum was continuous and intact. Western blot analysis showed that the collagenase digested collagens but spared noncollagenous proteins. The disruption of the pial basal lamina caused the neuroepithelial cells to retract their pial end feet and caused tectal axons to exit the brain tissue into the adjacent mesenchyme. The vertical migration of neuroblasts to the pial layers of the tectum was inhibited, leading to a disruption of the tectal histogenesis. In the developing optic pathways, retinal axons were misguided at the optic chiasma and terminated in the head mesenchyme instead of the tectum. None of the abnormalities in histogenesis and axonal pathways were observed when the basal lamina was disrupted at a later stage of embryonic development. The present experiments demonstrate that the pial basal lamina has an important function during brain morphogenesis in restricting axons to the brain, providing an anchoring of the neuroepithelial cells to the pial surface, and allowing the formation of a defined cytoarchitecture of the brain.

Animals↗

[The visual pathways, from anatomical MRI to physiological with (f)MRI and tractography with diffusion tensor MRI (DTMRI)].

Advances in MRI technology have led to a better knowledge of visual pathways (1984-2004), with a new descriptive anatomy and functional model. The authors first describe the technical development of MRI over the last thirty years, then describe and illustrate the new descriptive anatomy. Cephalic MRI reveals brain structures that were previously invisible, on different encephalic planes, in the optic pathways, horizontally from the cornea to the calcarin fissure (neuro-ocular plane (NOP), oblique trans-hemispheric neuro-ocular (OTNOP) and neuro-opto-tractal planes (NOTP)), in their orthogonal orientation upon the oculomotor pathways: head and axonal optic nerve pack (visual deutoneurons in their meninges), optic tracts, lateral geniculate bodies, optic radiations and the calcarian fissure. Comparative anatomy with the rhesus macaque is mentioned. Functional neuroanatomy (physiology) benefits from cine-MRI for ocular motricity (OD MRI), growth by the observation of myelinization in children, blood and CSF circulation by MR angiography, local blood volumes by perfusion imaging, neuronal quantification with inflammation or myelin regeneration by spectroscopy (MRS), brain mapping by functional MR ((f)MRI) measuring local CBF enhancement by paradigmatic stimulations. The recent functional imaging method, tractography (or diffusion tensor MRI (DTMRI)), using diffusion MRI techniques, natural vector calculations with diffusion tensor and software power for morphological and statistical directional results, represents the direction of projection, association and commissural white matter tracts. Normal examples are shown and some common clinical consequences are discussed.

Adult↗

Visual pathway hemorrhage associated with alcohol-induced coagulopathy.

Hemorrhage confined to the optic pathways is rare. We describe a patient with diffuse hemorrhage of the intracranial optic nerves, optic chiasm, and optic tracts, attributed to alcohol-induced coagulopathy. The hemorrhage resolved completely as the patient's vision improved, and subsequent neuroimaging studies showed atrophy of the affected structures.

Adult↗

Cavernous haemangiomas of the anterior visual pathways. Short review on occasion of an exceptional case.

The anterior optic pathways are rarely affected by vascular malformations. In a meticulous literature review, 42 published cases of patients with vascular malformations within optic nerves, chiasma and/or optic tract were found, 30 of them being diagnosed as cavernous haemangiomas. All of them suffered from visual disturbances; in 38.1% previous symptoms had occurred. Surgical treatment resulted in major improvement in most patients. We include a further patient with a cavernous haemangioma of the optic chiasma and left optic tract who presented with an acute defect of the right visual field and severe retro-orbital pain. We succeeded in total excision of the malformation via a neuronavigationally guided approach. In the postoperative course, vision of our patient improved immediately and was found to be completely normal three months after the surgical intervention. Considering our patient and the published cases in the literature, we are of the opinion that microsurgical excision is a safe and efficient treatment for these rare pathologies.

Adult↗

Pathfinding by retinal ganglion cell axons: transplantation studies in genetically and surgically blind mice.

Optic axons show a highly stereotypical intracranial course to attain the visual centers of the brainstem. Here we examine the course followed by axons arising from embryonic retinae implanted in neonatal ocular retardation mutant mice in which there had been no prior innervation of the visual centers. Retinae placed on the ventrolateral brainstem adjacent to the normal site of the optic tract send axons dorsolaterally toward the ipsilateral superior colliculus, which they innervate along with a number of other subcortical visual centers. Somewhat unexpectedly, axons also course ventrally to cross at the level of the suprachiasmatic nucleus or, less frequently, caudal to the mammillary body to follow the route of the optic tract and innervate contralateral visual centers. Retinae implanted along the course of the internal capsule emit axons that follow projection fibers through the striatum to innervate the lateral geniculate nucleus and other optic nuclei. These grafts also appear to project to the lateral part of the ventrobasal nucleus of the thalamus. The results show that prior existence of an optic projection is not necessary for axons derived from ectopic retinae to attain visual nuclei, not only on the side of implantation but also on the contralateral side of the brain. The cues that these growing axons follow appear to be stable temporally. The fact that axons can also follow highly anomalous routes, such as through the internal capsule, to attain target nuclei in the brainstem suggests that the normal optic pathway is not an obligatory route for optic outgrowth.

Animals↗

Is astrocyte laminin involved in axon guidance in the mammalian CNS?

This paper provides evidence for the expression of laminin on glia in correlation with axon elongation and nerve pathway formation during embryonic development of the mouse optic nerve and other parts of the central nervous system (CNS). We show that punctate deposits of laminin on immature glial cells precede the entrance of the first optic axons into the nerve, and remain in close association with growing axons. Furthermore, we show that in one particular region of the optic pathway that the retinal ganglion cell axons avoid in normal animals (i.e., the pigmented area of the distal nerve) the punctate laminin matrix is missing. As the optic nerve matures punctate laminin deposits disappear, and laminin is reduced in the astroglial cytoplasm. The close correlation of the punctate form of laminin with early axonal growth is true not only in the optic nerve but also in some other parts of the CNS. We demonstrate such punctate laminin deposits in a model of astrocyte-induced regeneration of the corpus callosum in acallosal mice (G. Smith, R. Miller, and J. Silver, 1986, J. Comp. Neurol. 251, 23-43), and in glia associated with several normal developing axon trajectories, such as the corpus callosum, fornix, and pathways in the embryonic hindbrain. In all of these regions punctate laminin deposits are found on astroglia that are associated with early growing axons. Our results indicate that the punctate form of laminin, produced by astrocytes, may be an important factor involved in axon elongation and nerve pathway formation in the mammalian CNS.

Animals↗

[Significance of flicker VEP and pattern VEP in the diagnosis of optic nerve and pathway diseases].

Both flicker VEP and pattern VEP of 23 patients (34 eyes) were recorded for their objective evaluation as visual function tests in diseases of the optic nerve or optic pathway. Each method has its own advantages and disadvantages. The flicker VEP is independent of poor visual acuity or opacities in the refractive media; however, the combined use of both methods is useful for accurate diagnosis of certain visual morbidities.

Adult↗

Responsiveness of neurones in the hippocampal region of anaesthetised and unanaesthetised cats to stimulation of sensory pathways.

The responses to sensory stimuli and to shocks to the optic pathways have been studied for 399 units in the hippocampal region of 19 cats. 172 units were recorded from anaesthetised cats and 229 from 7 unanaesthetised cats. In the unanaesthetised animals the proportions of units responding were high (60%) and did not differ significantly between regions for each type of stimulation investigated: visual, auditory and optic chiasma shocks. The proportion of units responsive to chiasmatic stimulation was related to the background firing rate. The latencies and duration of the responses were relatively long and variable. Both increases and decreases in responsiveness occurred. In a number of units response were erratic, sometimes being brisk and at other times totally absent. Responses during one series of stimuli were not always similar to those during a subsequent series. A higher proportion of units responded decrementally to a series of sensory stimuli than to a series of shocks to the optic chiasma. Movement by the animal was wihtout consistent effect on unit activity. Responses were markedly influenced according to whether or not the cat looked intently at an object. An important determinant of HR unit responses was the state of arousal, the effect being regionally distributed. In anaesthetised animals the proportions of responding units were substantially lower and the responses were weaker than those in the unanaesthetised cats.

Anesthesia, General↗

[VEP in the determination of multiple lesions in the visual system in patients with multiple sclerosis].

18 patients with proven multiple sclerosis were examined by pattern reversal visual stimulation. Stimulations were carried out on full fields, foveal areas and horizontal half-fields of single eyes and on half-fields of both eyes. 77% of the patients demonstrated pathological alterations of the potentials in more than one kind of stimulation. In all patients pathological signs could be found, which pointed on the optic nerve. Only the results of three patients suggested a lesion within the central optic pathway. The demonstration of multiple lesions of the optic system in patients with multiple sclerosis is difficult and rarely possible.

Evoked Potentials, Visual↗

Intraocular lymphomas. Natural history based on a clinicopathologic study of eight cases and review of the literature.

Eight patients with intraocular lymphoma were studied; all were middle-aged or elderly, usually presenting with a unilateral visual deficit. All patients also had an extraocular lymphoma with either systemic (2) or isolated central nervous system (CNS) involvement (6). When ocular symptoms preceded CNS symptoms, they presented from 11 months to 10 years earlier. Intraocular lymphoma tended to affect the eye ipsilateral to the CNS tumor either exclusively or initially, and to the greatest degree histologically. Histologic examination of intervening optic pathways revealed extension of intraocular tumor across the optic nerve into orbital leptomeninges in 3 cases. Corresponding CNS tumors showed prominent leptomeningeal involvement. All intraocular and extraocular tumors showed diffuse growth patterns with histiocytic (large cell), poorly differentiated lymphocytic or mixed lymphocytic-histiocytic subtypes. CNS tumors were detected only after onset of neurologic symptoms, and were almost always fatal, although CNS irradiation prolonged survival for years in some cases. Our data suggest that the peculiar link between intraocular and CNS lymphomas may reflect both multicentric and metastatic disease processes. The prompt recognition of intraocular lymphomas as a harbinger of extraocular tumor may prove valuable in earlier recognition and treatment of the disease.

Aged↗

Retinofugal pathways in fetal and adult spiny dogfish, Squalus acanthias.

Retinofugal pathways in fetal and adult spiny dogfish were determined by intraocular injection of [3H]proline for autoradiography. Distribution and termination of the primary retinal efferents were identical in pups and adults. The retinal fibers decussate completely, except for a sparse ipsilateral projection to the caudal preoptic area. The decussating optic fibers terminate ventrally in the preoptic area and in two rostral thalamic areas, a lateral neuropil area of the dorsal thalamus and more ventrally in the lateral half of the ventral thalamus. At this same rostral thalamic level, a second optic pathway, the medial optic tract, splits from the lateral marginal optic tract and courses dorsomedially to terminate in the rostral tectum and the central and periventricular pretectal nuclei. The marginal optic tract continues caudally to terminate in a superficial pretectal nucleus and also innervates the superficial zone of the optic tectum. A basal optic tract arises from the ventral edge of the marginal optic tract and courses medially into the central pretectal nucleus, as well as continuing more caudally to terminate in a dorsal neuropil adjacent to nucleus interstitialis and in in a more ventrally and medially located basal optic nucleus. Comparison of the retinofugal projections of Squalus with those of other sharks reveals two grades of neural organization with respect to primary visual projections. Squalomorph sharks possess a rostral dorsal thalamic nucleus whose visual input is primarily, if not soley, axodendritic, and an optic tectum in which the majority of the cell bodies are located deep to the visual terminal zone. In contrast, galeomorph sharks are characterized by an enlarged and migrated rostrodorsal thalamic visual nucleus, and an optic tectum in which the majority of the cell bodies are located within the visual terminal zone. These data suggest that evolution of primary visual pathways in sharks occurs by migration and an increase in neuronal number, rather than by the occurrence of new visual pathways.

Animals↗

Axonin 1 is expressed primarily in subclasses of avian sensory neurons during outgrowth.

A 120 kDa protein, which is expressed mainly on the surface of chick sensory neurons during outgrowth, was identified by monoclonal antibody 1A12. Crossreactivity studies showed that this protein was identical to axonin 1, a member of the immunoglobulin superfamily which promotes neurite outgrowth. Using the 1A12 antibody, we show that in the peripheral nervous system of the chick, axonin 1 is present on the cell bodies and processes of cutaneous and visceral neurons, but not on muscle afferents. In the central nervous system, axonin 1 is present in sensory pathways, such as fibers of the dorsal funiculi in the spinal cord and the optic pathway. However, axonin 1 is only expressed on growing nerve fibers. Late in embryonic development, it is present only on a small population of dorsal root ganglion cells, and is entirely absent on optic fibers. The disappearance of axonin 1 in the visual pathway coincides with the arrival of optic axons at the tectum, suggesting its expression is down regulated by axonal contact with its target. The localization of this protein on the surface of neuronal membranes was confirmed by EM immunohistochemistry and by labeling live nerve cells and their processes in tissue culture. The restricted spatio-temporal expression of axonin 1, together with its expression on the surface of neuronal membranes suggests that it is important for the development of sensory projections.

Animals↗

Developmental tumour of the visual pathways. Report of an unusual case.

An unusual case of congenital hydrocephalus and visual loss due to developmental tumour of optic pathways is described. Diffuse, uniform and symmetrical replacement and enlargement of optic nerves, chiasma and optic tracts resulted in remarkable computerized tomographic (CT) scan images not yet described in the literature. Embryo-pathogenesis of this anatomical configuration of the neoplasm outlining the enlarged visual pathways in their entirety is discussed. The relevant literature is reviewed.

Blindness↗

The relationship of glucose utilization and morphological change in the visual system in hexacarbon neuropathy.

A reduction in local glucose utilization occurs in the superficial layer of the superior colliculus of rats following exposure to 0.5% 2,5-hexanedione in drinking water for 3 weeks. Axonal pathology, with increased neurofilaments and swelling, is seen at about 5 weeks in the distal portions of the optic pathways to the superior colliculus. These lesions in the optic system occur earlier and are more marked than those in the peripheral nerves and dorsal columns. The results suggest that the functional abnormality, as implied by the decreased glucose utilization, precedes the morphological changes in hexacarbon neuropathy.

Animals↗

Fibre organization and reorganization in the retinotectal projection of Xenopus.

This study concerns the retinotopic organization of the ganglion cell fibres in the visual system of the frog Xenopus laevis. HRP was used to trace the pathways taken by fibres from discrete retinal positions as they pass from the retina, along the optic nerve and into the chiasma. The ganglion cell fibres in the retina are arranged in fascicles which correspond with their circumferential positions of origin. Within the fascicles the fibres show little age-related layering and do not have a strict radial organization. As the fascicles of fibres pass into the optic nerve head there is some exchange of position resulting in some loss of the retinal circumferential organization. The poor radial organization of the fibres in the retinal fascicles persists as the fibres pass through the intraocular part of the nerve. At a position just behind the eye there is a major fibre reorganization in which fibres arising from cells of increasingly peripheral retinal locations are found to have passed into increasingly peripheral positions in the nerve. Thus, fibres from peripheral-most retina are located at the nerve perimeter, whilst fibres from central retina are located in the nerve core. It is at this point that the radial, chronotopic, ordering of the ganglion cell axons, found throughout the rest of the optic pathway, is established. This annular organization persists along the length of the nerve until a position just before the nerve enters the brain. Here, fibres from each annulus move to form layers as they pass into the optic chiasma. This change in the radial organization appears to be related to the pathway followed by all newly growing fibres, in the most superficial part of the optic tract, adjacent to the pia. Just behind the eye, where fibres become radially ordered, the circumferential organization of the projection is largely lost. Fibres from every circumferential retinal position, which are of similar radial position, are distributed within the same annulus of the nerve. At the nerve-chiasma junction where each annulus forms a single layer as it enters the optic tract, there is a further mixing of fibres from all circumferential positions. However, as the fibres pass through the chiasma some active pathway selection occurs, generating the circumferential organization of the fibres in the optic tract. Additional observations of the organization of fibres in the optic nerve of Rana pipiens confirm previous reports of a dual representation of fibres within the nerve. The difference in the organization of fibres in the optic nerve of Xenopus and Rana pipiens is discussed.

Animals↗

Optic nerve hypoplasia: absence of posterior pituitary bright signal on magnetic resonance imaging correlates with diabetes insipidus.

PURPOSE: Magnetic resonance imaging has been used to examine children with optic nerve hypoplasia for pituitary abnormalities who may be at risk for anterior pituitary hormonal deficiencies. We correlated the sellar and optic pathway anatomic findings on magnetic resonance imaging in children with optic nerve hypoplasia with findings from their endocrinologic and ophthalmologic examinations to determine whether magnetic resonance imaging findings predict anterior and posterior pituitary dysfunction. METHODS: A retrospective review identified five children with optic nerve hypoplasia and endocrinopathy who also underwent high resolution volumetric magnetic resonance imaging. RESULTS: All children had severe bilateral optic nerve hypoplasia and anterior pituitary hormone deficiencies. Three children had no recognizable intrasellar or ectopic posterior pituitary bright spot on magnetic resonance imaging; all had clinical evidence of diabetes insipidus. Two patients with a recognizable but ectopic posterior pituitary did not have diabetes insipidus. CONCLUSION: Children with optic nerve hypoplasia and no recognizable posterior lobe of the pituitary gland on magnetic resonance imaging are at risk for both anterior and posterior pituitary dysfunction, whereas those with a posterior lobe on magnetic resonance imaging appear to have intact posterior pituitary function.

Diabetes Insipidus↗

Retinal red-free light photographs in two congenital conditions: a case of optic hypoplasia and a case of congenital hemianopia.

Two patients with congenital anomalies involving the optic pathways are described. The first case presented a unilateral hypoplastic optic nerve as well as an ipsilateral inferior conus and an elevated disc. The second case showed the features of homonymous hemianopia with sparing of the macula and decreased visual acuity on the side of the affected cerebral hemisphere. Red-free photographs were obtained in both cases. The importance of this old-new investigative tool in completing a neuro-ophthalmological study is stressed.

Adolescent↗

Optic nerve gliomas in children: a reappraisal.

The Children's Tumour Registry in Manchester records details of children in the North West Region of England with gliomas of the anterior optic pathways. In the 30 years to 1983, the diagnosis of optic nerve glioma was confirmed in only 22 children out of a population of 1 million under the age of 15 years. This paper examines the presentation, investigation and management of these children in relation to the site of their tumour. The place of radiotherapy is considered, and with the widespread availability of new imaging techniques, fresh protocols are offered for the investigation and treatment of this rare tumour.

Adolescent↗