論文

査読有り 国際誌
2019年12月

Alternative routes for recovery of hand functions after corticospinal tract injury in primates and rodents.

Current opinion in neurology
  • Tadashi Isa
  • ,
  • Masahiro Mitsuhashi
  • ,
  • Reona Yamaguchi

32
6
開始ページ
836
終了ページ
843
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1097/WCO.0000000000000749

PURPOSE OF REVIEW: Recent studies on various corticospinal tract (CST) lesions have shown the plastic changes at a variety of motor systems after the lesion. This review provides the alternative routes associated with the motor functional recovery after the CST lesions at various levels in nonhuman primates and rodents. RECENT FINDINGS: In the case of the motor cortical lesions, the perilesional area compensates for the lesion. In contrast, sprouting of the corticoreticular tracts was observed after the lesions involving sensorimotor cortical areas. After the internal capsule lesion, sprouting in the cortico-rubral pathway contributes to the recovery. In case of the pyramidal lesion, rubrospinal and reticulospinal tracts play a role of the functional recovery. After the dorsolateral funiculus (DLF) lesion at C4/C5, the indirect pathway via propriospinal tract contributes to the recovery. In case of the hemisection at lower cervical cord, the CST fibers sprouted from the bilateral motor cortex and descended to the contralesional DLF and crossed below the lesion area. SUMMARY: The central pathways can change their structure and activity dynamically depending on the lesion sites and size. Revealing the difference of the alternative pathways should be crucial to understand the whole recovery mechanism and develop the further neurorehabilitative treatment.

リンク情報
DOI
https://doi.org/10.1097/WCO.0000000000000749
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31688166
ID情報
  • DOI : 10.1097/WCO.0000000000000749
  • PubMed ID : 31688166

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