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Diagnosis and management of abscesses in the basal ganglia and thalamus: a survey.

A review is made of the current management strategies of abscesses in basal ganglia and thalamus, based on a review of the literature and three of our own cases. Clinical picture, aetiology, diagnostic, surgical treatment and outcome are discussed. Stereotactic abscess puncture in combination with temporary drainage and rinsing of the abscess cavity in combination with systemic medication of antibiotics has become the management of choice with satisfactory results.

Adult↗

Neuronal and synaptic organization of the centromedian nucleus of the monkey thalamus: a quantitative ultrastructural study, with tract tracing and immunohistochemical observations.

The ultrastructure of the centromedian nucleus of the monkey thalamus was analysed qualitatively and quantitatively and projection neurons, local circuit neurons, and synaptic bouton populations identified. Projection neurons were mostly medium-sized, with oval-fusiform or polygonal perikarya, few primary dendrites, and frequent somatic spines; local circuit neurons were smaller. Four basic types of synaptic boutons were distinguished: (1) Small- to medium-sized boutons containing round vesicles (SR) and forming asymmetric contacts, identified as corticothalamic terminals. (2) Heterogeneous medium-sized boutons with asymmetric contacts and round vesicles, similar to the so-called large round (LR) boutons, which were in part of cortical origin. (3) Heterogeneous GAD-positive small- to medium-sized boutons, containing pleomorphic vesicles and forming symmetric contacts (F1 type), which included pallidothalamic terminals. (4) Presynaptic profiles represented by GAD-positive vesicle-containing dendrites of local circuit neurons. Complex synaptic arrangements, serial synapses and triads with LR and SR boutons engaging all parts of projection neuron dendrites and somata, were seen consistently, whereas classical glomeruli were infrequent. LR and SR boutons also established synapses on dendrites of local circuit neurons. F1 boutons established synapses on projection neuron somata, dendrites and initial axon segments. Compared to other previously studied motor-related thalamic nuclei, differences in synaptic coverage between proximal and distal projection neuron dendrites were less pronounced, and the density of synapses formed by local circuit dendrites on projection neuron dendrites was lower. Thus, compared to other thalamic nuclei, the overlap of different inputs was higher on monkey centromedian cells, and centromedian inhibitory circuits displayed a different organization.

Animals↗

Changes in the spike activity of neurons in the ventrolateral nucleus of the thalamus in humans during performance of a voluntary movement.

The responses of neurons in the ventrolateral nucleus (VL) of the thalamus were studied in humans during performance of voluntary motor tests; recordings were made with microelectrodes during stereotaxic operations in patients with Parkinson's disease. Two previously classified types of polyvalent neurons (A, B) were found to show different patterns of responses during the functional stages of carrying out a voluntary movement (preparation, initiation, performance). A and B neurons showed concordant changes in the dynamics of ongoing network activity in the form of linked (activation-inhibition) and synergic (activation) response patterns, correlating with the preparation-trigger and performance phases of movements. It is suggested that the simultaneous activity of both types of neuron, with their common functional nature, reflects integrative processes occurring in the ventrolateral nucleus and associated with programming and processing of general signal parameters but not with the performance of any particular movement. The anterior (Voa nucleus) and posterior (Vop) parts of the ventrolateral nucleus were found to have different roles in organizing voluntary movements, associated with differences in their cellular organization and mechanisms of transmitting motor signals. It is suggested that the concordant changes in the activities of the two types of neurons in these areas seen during the performance of voluntary movements gives the ventrolateral nucleus a key role in the motor control system in humans.

Electromyography↗

Spontaneous activity of individual neurons in the human ventrolateral thalamus during changes in the functional state of the brain.

Background spike activity of 235 cells of the integrative subcortical motor center, i.e., the ventrolateral nucleus of the thalamus, were analyzed in nonanesthetized human brains during stereotaxic surgery in patients with various forms of Parkinson's disease. Previous data on the existence of two major types of neurons with convergent properties in the ventrolateral nucleus were confirmed. These cell types are: 1) cells with irregular occasional activity, with a tendency for spikes to group into the frequency ranges 5 +/- 1 and 10-30 Hz (type A cells, 74%), and 2) cells with constant rhythmic (3-6 Hz) generation of short volleys of discharges, with an interval structure similar to that of low-threshold Ca(2+)-dependent volley activity (type B, 26%). This is the first report demonstrating that changes in the functional state of the brain (after repeated movement trials, in transient anesthesia) are accompanied by transiently occurring transformations of the initial irregular activity of A cells into a rhythmic, volley-like pattern whose interval structure was in some cases similar to the spike activity of B cells. Differences in the localizations of A and B neurons in the ventrolateral nucleus are described, along with differences in the correlation characteristics of their background spike activity with the pathological features of Parkinson's disease (tremor, rigidity). The nature of the two types of convergent neurons in the ventrolateral nucleus is discussed, and a basis is laid for the importance of the functional factor in understanding the transformation of their background spike activity, due to the properties of cell membranes and intercellular and interstructure interactions in conditions of the living nonanesthetized human brain.

Brain↗

Effect of injection of thyrotropin-releasing hormone into nucleus accumbens on pain discharges in nucleus parafascicularis of the thalamus in rats.

Glass microelectrode recording method was used to investigate the effect of injection of thyrotropin-releasing hormone (TRH) into nucleus accumbens, nucleus amygdalae or nucleus caudatus on unit discharges from pain-excitation neurons (PEN) in nucleus parafascicularis of the thalamus in rats. The results showed that: 1) Injection of TRH into the nucleus accumbens resulted in a significant inhibition of pain discharges from PEN in nucleus parafascicularis, while injection of TRH into nucleus amygdalae, nucleus caudatus exerted no significant effect. 2) Pretreatment with atropine abolished the above-mentioned effect of TRH. 3) Pretreatment with haloperidol also abolished the above-mentioned inhibitory effect of TRH. 4) Pretreatment with naloxone, propranolol or phentolamine did not affect the inhibitory effect of TRH. These results suggested that nucleus accumbens might be a special area in response to TRH and the effect of TRH seems to be involved in both cholinergic M-receptor and dopaminergic receptor.

Animals↗

5-HT1A receptor-mediated inhibition of nucleus accumbens neurons activated by stimulation of parafascicular nucleus of thalamus.

Electrophysiological studies using chloral hydrate-anesthetized rats were performed to elucidate the role of serotonin1A (5-HT1A) receptors in the regulation of neuronal activity of nucleus accumbens (Acc) neurons receiving input from the parafascicular nucleus of the thalamus (Pf). Extracellular neuronal activities were recorded in Acc using a glass microelectrode attached along a seven-barreled micropipette, each barrel of which was filled with dopamine, 5-HT, 8-hydroxy-2-(di-n-propylamino)tetralin (8-OH-DPAT: 5-HT1A agonist) hydrobromide, 1-(2-methoxyphenyl)-4-[4-(2-phthalimido)butyl]-piperazine (NAN-190: 5-HT1A antagonist) hydrobromide, glutamate and 2 M NaCl. These drugs were microiontophoretically applied to the immediate vicinity of the target neuron. Spikes elicited by Pf stimulation were inhibited by iontophoretically applied dopamine, 5-HT and 8-OH-DPAT in a dose-dependent manner. In these neurons, firing induced by iontophoretic application of glutamate was also suppressed by dopamine, 5-HT and 8-OH-DPAT. The 5-HT or 8-OH-DPAT-induced inhibitions of the glutamate-induced firing were antagonized by concomitant application of NAN-190. These findings suggest that the dopamine-sensitive Acc neurons receiving input from Pf are inhibited by 5-HT via 5-HT1A receptors located on postsynaptic Acc neurons.

8-Hydroxy-2-(di-n-propylamino)tetralin↗

Temporal shaping of phasic neuronal responses by GABA- and non-GABA-mediated mechanisms in the somatosensory thalamus of the rat.

Trapezoidal mechanical movement of whiskers was used to study the responses of 44 single thalamic ventral posteromedial (VPM) neurons to dynamic and static stimulus components in urethane-anesthetized rats. The effects of local administration of the GABAA receptor antagonist, bicuculline, and the GABAB receptor antagonist, 2-hydroxysaclofen, were tested to determine whether and to what extent the responses altered when GABA-mediated inhibitory synaptic transmission was blocked. Two classes of phasically responding neurons were identified, ON/OFF and movement-sensitive types. Bicuculline enhanced the magnitudes of the responses from both types by 2.5-fold and ON/OFF responses were converted to movement-sensitive ones in 17 (43%) of the 40 ON/OFF neurons. 2-hydroxysaclofen either had no effect or appeared to act like a GABA agonist. In 21 (48%) neurons, a significantly reduced responsiveness was observed during a 100-ms period following the ON and OFF responses. This discharge suppression was especially prominent during the plateau phase of the stimulus, and in some cases extended for several 100 ms following its onset. This suppression was overcome neither by the GABA receptor antagonists, nor by ejection of AMPA or glutamate at currents that otherwise produced vigorous excitation. These results suggest that one functional role for GABAA-receptor-mediated synaptic inhibition in the somatosensory thalamus is the intramodal regulation of the form of expression of phasically responding neurons. Other thalamic inhibitory processes not mediated by GABAA or GABAB receptors that help to shape the expression of the responses of certain phasic neurons to maintained stimulation may exist. Overall, these mechanisms appear to mediate the precision of timing of thalamic neuronal firing in response to the rat's tactile environment.

Action Potentials↗

The pedunculopontine nucleus projection to the parafascicular nucleus of the thalamus: an electrophysiological investigation in the rat.

Extracellular electrophysiological recordings of neurons of the parafascicular nucleus of the thalamus were done in normal rats and in rats bearing lesions of either the cerebellar nuclei or the entopeduncular nucleus to investigate the functional control of the pedunculopontine nucleus on the parafascicular nucleus. A total of 97 neurons were recorded in the parafascicular nucleus in intact rats, 83 in rats bearing a chronic electrolytic lesion of the ipsilateral deep cerebellar nuclei, and 69 in rats bearing an ibotenate lesion of the ipsilateral entopeduncular nucleus. Lesions of the cerebellar nuclei or the entopeduncular nucleus were made to evaluate the participation of cerebellothalamic fibers or of polysynaptic basal ganglia circuits in the responses recorded in parafascicular neurons following electrical microstimulation of the ipsilateral pedunculopontine nucleus. Two types of excitation and one type of inhibition were the main responses observed in neurons of the parafascicular nucleus following stimulation of the pedunculopontine nucleus. The first type of excitation, observed in 49.5% of neurons recorded in normal rats, had an onset of 1.8 +/- 0.6 ms, lasted 9.2 +/- 0.8 ms and was able to follow high frequency stimulation over 300 Hz. The second type of excitation, observed in a smaller percentage of neurons recorded (3.1%), was a long-latency (8.3 +/- 0.7 ms) activation lasting 19.0 +/- 4.5 ms. It did not follow stimulation frequencies higher than 50-100 Hz. The inhibitory response was observed in 17.5% of the neurons recorded. The latency of this inhibition was 4.5 +/- 1.8 ms and the duration 41.9 +/- 6.8 ms. In rats bearing a lesion of the deep cerebellar nuclei or of the entopeduncular nucleus, the short-latency activation was still present in 24.1% and 31.9% of neurons recorded, respectively. However, the occurrence of the long-latency excitation rats bearing lesions of either the cerebellum or the entopeduncular nucleus increased to 12.1% and to 17.4%, respectively, while the occurrence of the inhibition rose to 22.9% and to 28.9%. These results show that an excitatory influence on the parafascicular nucleus is exerted by the pedunculopontine nucleus irrespectively of the presence of cerebellofugal fibers. This influence appears to be also independent from the integrity of basal ganglia circuits having a relay at the level of the entopeduncular nucleus. However, the variety of responses recorded suggests that the influences of the pedunculopontine nucleus on the parafascicular nucleus are by far more complex than those exerted on its basal ganglia targets such as the substantia nigra. The results are discussed according to a model of functioning of pedunculopontine fibers directed to thalamic and basal ganglia nuclei.

Animals↗

The role of the parafascicular complex (CM-Pf) of the human thalamus in the neuronal mechanisms of selective attention.

The reactions of 93 neurons in the parafascicular complex (CM-Pf) of the human thalamus were studied by microelectrode recording during stereotaxic neurosurgical operations in patients with spastic torticollis. High reactivity was demonstrated for two previously classified types of neurons with identical irregular (type A) and bursting Ca2+ -dependent (type B) activities in response to presentation of relevant verbal stimuli evoking selective attention in humans. Concordant changes in the network activity of A and B neurons were observed, in the form of linked activatory-inhibitory patterns of responses and the appearance, at the moment of presentation of an imperative morpheme of the command stimulus, of rapidly occurring intercellular interactions consisting of local synchronization with simultaneously developing rhythmic oscillatory (3-4 Hz) activity. Data are presented on the existence of a direct connection between these neuronal rearrangements and activation of selective attention, providing evidence for the involvement of the thalamic parafascicular complex (CM-Pf) in the mechanisms of selective attention and processing of relevant verbal information during the preparative period of voluntary actions.

Acoustic Stimulation↗

Structural organization, neurochemical characteristics, and connections of the reticular nucleus of the thalamus.

This review analyzes current concepts of the structural organization and ultrastructure of the reticular nucleus of the thalamus (RNT) and the neurochemical characteristics of its neurons. The topography, cytoarchitectonics, and neuronal organization of this nucleus are considered in detail, as are questions of its neurogenesis. Neurochemical data clarifying the representation of neurotransmitter systems in the RNT and data on neuropeptides synthesized in its neurons are systematized. The complex ultrastructural organization of the RNT is characterized in terms of recent data from state-of-the-art immunocytochemical methods allowing localization of glutamatergic and GABAergic receptors on synaptic elements. Data on the afferent and efferent connections of the RNT demonstrate its influences on various parts of the brain and the specific features of its interactions with cortical formations.

Animals↗

Co-localization of glutamic acid decarboxylase and phosphate-activated glutaminase in neurons of lateral reticular nucleus in feline thalamus.

Immunohistochemical methods were used to label singly and/or in combination glutamic acid decarboxylase (GAD, the sole synthesizing enzyme for the inhibitory neurotransmitter gamma-aminobutyric acid) and phosphate-activated glutaminase (GLN, a synthesizing enzyme for glutamate) in neurons of lateral reticular nucleus (LRN) of thalamus of adult cats. (1) GAD- and GLN-immunoreactivity (IR) exhibited matching regional patterns of organization within LRN. (2) GAD- and GLN-IR co-localized within most if not all LRN neuronal cell bodies as shown by light microscopy. (3) GAD- and GLN-IR had distinct subcellular localizations in LRN neurons as shown by correlative light/electron microscopy. LRN neurons are important conceptual models where strongly inhibitory cells receive predominant excitatory glutamatergic afferents (from neocortex). Consistent with known actions of intermediary astrocytes, LRN neurons demonstrate GLN enrichment synergistically coupled with glutamatergic innervation to supplement the glutamate pool for GABA synthesis (via GAD) and for metabolic utilization (via the GABA shunt/tricarboxylic acid cycle) but not, apparently, for excitatory neurotransmission.

Animals↗

Visual receptive field types in the nucleus dorsolateralis anterior of the pigeon's thalamus.

Extracellular recordings were made from cells in the dorsolateral thalamus (DLLv, DLLd, DLAmc) of the pigeon, and their receptive field properties analyzed with stationary and moving visual stimuli. One hundred and ten cells were classified as follows on the basis of their responses. I. On-center and off-center cells (56%). Most of the units in this class had a powerful inhibitory surround which decreased the activity generated at the field center and in some cases gave rise to firing when stimulated alone. II. On-off center cells (16%). These gave on-off responses to static stimulation. More than half of them had an inhibitory surround which suppressed both on and off discharge, or in other cases either the on or the off burst of the center response. This group of cells also responded strongly to motion independently of direction. III. Cells sensitive only to motion (28%). The discharges to movements of units in this class were not affected by the direction of motion. The visual properties of the thalamic units are discussed in conjunction with previous results in the optic tectum of the pigeon.

Animals↗

Evidence for a cholinergic fiber tract connecting the thalamus with the head of the striatum of the rat.

Placement of electrolytic lesions in the zona incerta or parafascicular nucleus of the rat forebrain resulted in a marked reduction of choline acetyltransferase (ChAc) activity in the head of the striatum 2-4 weeks later. Lesions of the habenula did not cause this effect implying that concomitant destruction of the fasciculus retroflexus with the parafascicular nucleus was not responsible for the effects observed. The data suggest that there is a cholinergic fiber tract connection between the parafascicular nucleus of the thalamus and the head of the striatum in the rat forebrain.

Animals↗

Connections of latero-dorsal nucleus of the thalamus. II. Experimental study in Papio papio.

Modifications of the latero-dorsal (L.D.) nucleus of the thalamus have been observed earlier in man in relation to limbic lesion of various etiologies. Our proposal was to determine the role of L.D. in memory disturbances. We attempted to study the connections of L.D. in Papio papio baboon after surgical lesion using silver impregnations as well as traditional techniques. We found three afferent pathways: from the fornix, the posterior cingulate and the parietal cortex (area 7). The most important is the afferent system from the fornix, it terminates in the antero-dorso-medial part of L.D.; the other two afferent pathways have a postero-lateral projection in L.D. The three efferent systems to parietal cortex, cingulate and fornix were not delineated in this study. It was concluded that the antero-dorso-medial portion of L.D. is connected to the limbic system and the ventro-postero-lateral portion integrated into a large parieto-cingulo-parahippocampal circuit to which it is joined by direct and indirect projections with several relays. These connections have important implications, perhaps, in our understanding of memory disturbances.

Afferent Pathways↗

Rebound excitation and the rhythmic activity of the ventrobasal complex of the thalamus.

(1) Membrane potential changes of 18 thalamocortical relay (TCR) cells of the ventrobasal complex of the cat thalamus were recorded intracellularly during rhythmic thalamic activities under moderate barbiturate anesthesia. (2) A single cutaneous stimulus evoked an initial EPSP followed by a longlasting IPSP. On the late declining phase of the IPSP, clustered rapidly rising depolarizations (RDs) were seen to generate a burst of spike potentials. The cluster of depolarizations was often followed by an IPSP, and another cycle of IPSPs and RDs with bursts of spikes was repeated. Similar rhythmic activities of TCR cells and clusters of RDs were also evoked by a single cortical stimulus, Spontaneous occurence of RDs was observed. (3) The temporal correlation between the occurrence of RDs and that of the spike potentials was noted. (4) Chloride ions were injected into the TCR cell through the recording microelectrode to eliminate the membrane hyperpolarization which would initiate the postanodal exaltation. After inversion of the IPSPs, RDs remained in the similar phase of rebound excitation to that before the reversal of the IPSPs. (5) it is concluded that excitatory inputs to TCR cells play an important role for the generation of the rhythmic discharges of TCR cells.

Animals↗

Reciprocal anatomical connections between anterior thalamus and cingulate--retrosplenial cortex in the rabbit.

Reciprocal anatomical connections between posterior limbic (i.e. cingulate-retrosplenial) cortex and anterior thalamus in the rabbit were investigated using horseradish peroxidase histochemistry. Results showed that the cells of origin for corticofugal fibers are contained only within deep cortical layers, while thalamofugal projections terminate only within superficial laminae. That is, only layer VI neurons of cingulate-retrosplenial cortex project to thalamic regions, while cortical layers I and IV are the primary targets of thalamic afferents.

Animals↗

An ascending serotonergic pain modulation pathway from the dorsal raphe nucleus to the parafascicularis nucleus of the thalamus.

Three types of spontaneously active neurons were found in the parafascicularis (PF) nucleus of the thalamus of the rat: slow firing units (0.5-10 spikes/s), bursting units (2-5 spikes/burst in 10-20 ms, one burst every 1-2 s) and fast firing units (15-40 spikes/s). A similar population of neurons was found in the PF of rats treated with 5,7-dihydroxytryptamine (5,7-DHT), a serotonin neurotoxin. Noxious tail pinch (TP) caused 68% of the PF neurons to increase their firing rates to 242% of their initial baseline activity, while non-noxious touch stimulation failed to induce a response. In the 5,7-DHT-treated rats, TP caused 85% of the neurons in the PF to increase their firing rates to 581% of their initial baseline activity and 22% of the neurons increased their firing in response to touching the tail. Both the number of cells responding (P less than 0.05) and the percentage increase (P less than 0.001) were statistically greater in serotonin-depleted rats than in controls. This indicates that serotonin (5-HT) has a tonic inhibitory influence on responses to both noxious and non-noxious sensory stimuli. In control rats, electrical stimulation of the dorsal raphe nucleus (DR) decreased the firing rates of PF neurons. In contrast, the same DR stimulation induced an increase in PF firing rates during stimulation in serotonin-depleted rats and this increase in firing rates remained several seconds after cessation of stimulation. This indicates that the DR may use at least two different neurotransmitters in its projections to forebrain structures. In control rats, the TP stimulation induced an increase in firing rates of rates of PF neurons while DR stimulation attenuated the excitation induced by TP stimulation. In serotonin-depleted rats, DR stimulation and TP both caused an increase in firing rates. This effect was not additive indicating that there may be a serotonergic projection from the DR to the PF which modifies responses to somatosensory stimuli. The inhibitory effects elicited by electrical stimulation were limited to the immediate area of the DR. Stimulation of the adjacent reticular formation 1 mm lateral to the DR produced the opposite effect, an increase in firing rate often accompanied by driven spike activity in the PF.

Animals↗

Catecholamine distribution patterns in rat thalamus.

Detailed distribution patterns for norepinephrine and dopamine in rat thalamus were determined by liquid chromatographic assays. The norepinephrine distribution is in good accord with that suggested previously by neuroanatomical tracing techniques. Detailed anterior-posterior concentration profiles for norepinephrine are summarized. An unexpected finding was a strong animal variability in thalamic dopamine content. Thalami were distinguished as having either low, intermediate or extremely high dopamine concentrations.

Animals↗