Small sensory fibre dysfunction in selective cholinergic dysautonomia

2002 ◽  
Vol 9 (1) ◽  
pp. 109-109 ◽  
Author(s):  
G. Warner ◽  
M. K. Sharief ◽  
P. Anand
Keyword(s):  
1983 ◽  
Vol 229 (4) ◽  
pp. 227-235 ◽  
Author(s):  
L. Santoro ◽  
R. Rosato ◽  
G. Caruso
Keyword(s):  

Author(s):  
Taimour Alam ◽  
Alexander StJ.E. Barker ◽  
James J.P. Alix ◽  
Marios Hadjivassiliou ◽  
Dasappaiah G. Rao

AbstractBackground: Sensory ganglionopathy (SG) is characterised by asymmetrical sensory fibre degeneration, with the primary pathology occurring at the level of the dorsal root ganglion. It is seen in the context of autoimmune, paraneoplastic, and degenerative disorders. There is limited literature examining the electrophysiological correlate of the trigeminal ganglion and associated pathways, the blink reflex (BR), in cases of SG. Previous work has suggested that the BR is preserved in cases of SG associated with paraneoplasia. Methods: The local clinical neurophysiology database was searched for patients diagnosed with SG from peripheral nerve conduction studies in whom the BR was performed. Twenty-six patients were included in the final analysis. Results: Sjögren’s syndrome constituted the most common SG aetiology (8/26), followed by idiopathic cases (7/26) and paraneoplasia (5/26). BR abnormalities were seen in 9 of the 26 patients (34.6%) across all aetiologies. No patients reported sensory disturbance in the distribution of the trigeminal nerve, indicating that the changes noted are subclinical. Three patients showed abnormality of the R1 response; in the remaining six patients, only R2 responses were affected. Conclusions: Subclinical abnormalities of both R1 and R2 can be seen in the context of SG of varying aetiologies, including paraneoplasia. Performing the BR in patients with suspected of having SG may be helpful in providing additional evidence of patchy sensory fibre involvement that is characteristic of the disease.


Cephalalgia ◽  
2019 ◽  
Vol 39 (14) ◽  
pp. 1818-1826 ◽  
Author(s):  
David García-Azorín ◽  
Javier Trigo-López ◽  
Álvaro Sierra ◽  
Laura Blanco-García ◽  
Enrique Martínez-Pías ◽  
...  

Background Nummular headache is a primary headache characterised by superficial, coin-shaped pain. Superficial sensory fibre dysfunction might be involved in its pathophysiology. Considering the mechanism of action of onabotulinumtoxinA, it could be a reasonable option in treatment of nummular headache. The aim of the study was to evaluate the efficacy and tolerability of onabotulinumtoxinA in a series of nummular headache patients. Patients and methods This was an observational, prospective, non-randomized and open-label study. Nummular headache patients with at least 10 headache days in three preceding months were included. They were administered 25 units of onabotulinumtoxinA. The primary endpoint was the decrease of headache days per month, evaluated between weeks 20 to 24, compared with baseline. The secondary endpoints included reduction of intense headache days and acute treatment days evaluated between weeks 20–24 and weeks 8–12, compared with baseline. The 30%, 50% and 75% responder rates were determined, and tolerability described. Results We included 53 patients, 67.9% females, with a median age of 54 years. Preventive treatment had been used previously in 60.4% of patients. The median diameter of the nummular headache was 5 cm. At baseline, the number of headache days per month was 24.5 (7.3); the number of intense headache days was 12.5 (10.1), and the number of acute treatment days was 12.8 (7.8). After onabotulinumtoxinA, the mean number of headache days per month decreased to 6.9 (9.3) between weeks 20 and 24 ( p < 0.001). Secondary endpoints concerning intense headache days per month and acute treatment days per month were also statistically significant ( p < 0.001). The 50% responder rate, evaluated between weeks 20 and 24, was 77.4% and the 75% responder rate was 52.8%. Concerning tolerability, 26 patients (49.1%) experienced an adverse event (AE), the commonest being injection-site pain in 12 cases (22.6%). There were no moderate or severe AEs. Conclusion It was found that after injecting onabotulinumtoxinA, the number of headache days per month was reduced in nummular headache patients. The number of intense headache days per month and acute treatment days were also lowered. No serious adverse events occurred during treatment.


1980 ◽  
Vol 86 (1) ◽  
pp. 305-331
Author(s):  
A. J. CANNONE ◽  
B. M. H. BUSH

Address for reprints. 1. Injection of depolarizing and hyperpolarizing currents into the nonimpulsive S and T sensory fibres has allowed a quantitative analysis of the input-output relationships of this sensory-reflex system. 2. Graded depolarization of the T fibre typically results in sigmoid voltage-frequency relationships for motoneurones Pm1–3, the maximum ‘slopes’ in the most sensitive preparation being 31, 47.5 and 33 Hz/mV respectively, without taking into account further afferent attenuation within the thoracic ganglion. 3. Graded depolarizations of the S fibre recruit four motoneurones Pmi-4 common to the T fibre reflex pathway, although activation thresholds are much higher and the maximum slope or ‘gain’ of the voltage frequency relationships is much reduced compared to that of the T fibre reflex pathways. Thus, although the S fibre synapses either directly or indirectly with promotor motoneurones, typical 5–10 mV stretch-induced receptor potentials remain sub-threshold for a contribution to the reflex output, albeit under experimental conditions and at all but the most extended receptor muscle lengths. 4. Differentiating between motor impulse amplitudes, and using simultaneously recorded promotor muscle junction potentials as a further aid, establishes at least nine motoneurones as being reflexly recruited by the S and T fibres: Pm1–8 by the T fibre and Pm1–4 and Pm9 by the S fibre. 5. Hyperpolarization of the T and S fibres confirms that ongoing tonic motor activity is peripherally determined by receptor length prescribed T fibre ‘resting’ potentials, rather than by the more linearly related S fibre ‘resting’ potentials at different receptor muscle lengths. Moreover, suppression of the reflex response by sensory fibre hyperpolarizations coincident with stretch stimuli leaves little doubt that it is the T rather than the S fibre that provides the sensory drive for the stretch reflex in vitro. 6. By using long duration, constant value T fibre depolarizing potentials, the postsynaptic component of adaptation for Pm1–3 has been found to be slight, in contrast to the more rapid adaptation of the higher threshold Pm 5–8 motoneurones. Moreover, adaptation rates for Pm 1–3 discharges are lower the smaller the afferent drive. It is suggested therefore that reflexly activated promotor MNs can be differentiated into ‘tonic’ and ‘phasic’ categories. 7. Motoneurone Pm2 sometimes discharges in the form of ‘rigid’ (7–8 ms intervals) impulse couplets. At low mean reflex frequencies all Pm2 impulses are locked into couplets (‘complete’ patterning). While both ‘rigid’ and ‘complete’ patterning break down abruptly as mean frequencies increase, re-establishment is more gradual (hysteretic) with decreasing mean frequencies. Patterning, albeit a particularly labile phenomenon, is almost certainly an intrinsic, if unknown, property of the motoneurone itself.


1980 ◽  
Vol 86 (1) ◽  
pp. 275-303
Author(s):  
A. J. CANNONE ◽  
B. M. H. BUSH

Address for reprints. 1. A preparation of the thoracic-coxal muscle receptor organ of the posterior leg of the shore crab, in which central synaptic efficacy of the sensori-motor reflex pathways is maintained for long periods, is described. 2. The reflex response to receptor muscle stretch commonly involves three promotor motoneurones, designated Pm1-3 in order of their recruitment. 3. Motoneurone Pm1, and less frequently Pm2 and Pm3, may be tonically active during maintained receptor length changes within the in situ length range of the receptor muscle. 4. The following observations suggest that the T rather than the S sensory fibre provides the afferent drive onto reflexly activated promotor motoneurones: selective section of the S or T sensory fibres; frequency ‘envelopes’ of individual motoneurone responses to trapezoid stretch stimuli, including features such as adaptation and velocity sensitivity of the reflex response; and the ‘hysteresis’ in the response to increasing followed by decreasing receptor length changes, with or without superimposed trapezoid stretch stimuli. 5. The initial reflex response to ramp stretch can be directly related to the complex ‘initial component’ of the T fibre receptor potential waveform. This comprises a variable spiky alpha (α) component, followed by a longer duration, more predictable beta (β) component, which depends upon stimulus parameters such as stretch velocity and the length and tension of the receptor muscle at the onset of stretch. 6. In the de-efferented receptor muscle, changes in compliance or ‘tonus’ resulting from receptor manipulation have a marked effect on the sensory, and hence reflex, response to stretch. As this would have profound implications for the functioning of this muscle receptor organ in vivo, a role for the receptor motor innervation in counteracting any such response variability seems likely.


A new preparation for the study of synaptic transmission is described from the thoracic ganglion of the crab Callinectes sapidus . The central anatomy of the nonimpulsive stretch-receptor neurons of the thoracic-coxal joint and that of the promotor motoneurons with which they form synaptic junctions was studied with intracellular cobalt staining and light and electron microscopy. Attention was centred on the interaction of the stretch-receptor T-fibre and the four large motoneurons supplying the promotor muscle which have their cell-bodies on the dorsal surface of the ganglion. The presynaptic terminal region of the T-fibre appeared to be a simple cylinder in form with a diameter of 40-60 μm and containing large stores of synaptic vesicles at its periphery, opposite the complex of motoneuron dendrites. The transmission characteristics of the junctions between receptor cell and motoneurons were studied by transmembrane current injection into the isolated T-fibre by means of a sucrose gap and simultaneous intracellular recording with microelectrodes from the presynaptic terminal and the somata of postsynaptic cells. It was shown that depolarization-release coupling in the T-fibre has similar properties to those that have been demonstrated in the squid giant synapse, with the same values for ‘threshold’, peak release and ‘suppression potential’. The crab synapses differ from that of the squid in that they normally transmit prolonged, graded depolarizations (i.e. receptor potentials) which are decrementally conducted from the periphery. Consistent with this role, the junctions were found to be capable of continuous tonic transmission over many seconds without the strong depletion seen in more phasic synapses. In a study of the relation between the synaptic properties and the stretch reflex it was shown that some of the time- and amplitude-dependent behaviour of the overall reflex can be encoded at the level of the synaptic transmission, largely through the parameter of transmitter availability. Conduction of electrical signals in the proximal and presynaptic part of the sensory fibre was also investigated. Transient responses to step depolarizing currents in the fibre indicate the existence of a mechanism for the partial compensation of capacitative distortion in the decrementally conducted receptor potential. This is the first example of intracellular recording from presynaptic terminals of nonimpulsive neurons with simultaneous monitoring of postsynaptic potential changes, allowing for a direct analysis of depolarization-release coupling characteristics. The use of the preparation for further study of synaptic physiology and sensorimotor systems is discussed.


The micromorphology of the tibio-tarsal joint of Periplaneta is described, based on the mesothoracic limb. There are two muscles acting on the joint, numbered 144 and 145. There is a connective chordotonal organ, which branches off from the trunk of N5 proximally and inserts on the intersegmental membrane distally. In addition, a previously undescribed group of campaniform sensilla is reported from the tibiotarsal joint. The tibio-tarsal chordotonal organ subdivides into a main branch and two side branches. It contains 26 bipolar sensory neurons, whose dendrites are associated distally with 14 scolopales. These scolopidia are arranged in three groups which differ in position, fine structure and number of cells per scolopale. There is one group 1 scolopidium in each of the side branches and two proximally in the main branch. Group 2 scolopidia are spread out along the main branch and group 3 scolopidia occur distally in the main branch. Group 1 scolopidia consist of two bipolar neurons, 15 to 20 µm in diameter, whose dendrites, heavily sheathed, insert in a single scolopale. Group 2 scolopidia consist of two bipolar neurons, 8 to 15 µm in diameter, whose dendrites are less well sheathed and insert in a single scolopale. Group 3 scolopidia consist of a single bipolar neuron, about 10 µm in diameter, with a short, poorly sheathed dendrite inserting in a single scolopale. The scolopales of groups 1 and 2 are identical, consisting of the usual pattern of a ring of scolopale rods inserting into a distal cap and enclosing the cilia on the dendrite terminations. In this case, the cap is particularly long and pointed and both the cilia and the scolopale rods penetrate a long way into it. The cilia of the two members of a pair of dendrites are identical but the ciliary roots differ between the two members of a pair. Electrophysiological recordings show that the organ responds to downward and backward deflexion of the tarsus. The response comprises at least two classes of sensory fibre distinguishable both by their size and by their behaviour. The larger fibres show a unidirectional phasic and tonic response to extreme deflexion of the tarsus and are identified with the group 1 scolopidia. The smaller fibres show a unidirectional tonic response to the full range of deflexion of the tarsus and are identified with the group 2 scolopidia. On structural evidence, it is suggested that the differences in adaptation between these two groups of scolopidia is not likely to be caused by differences in mechanical attachment. The combination of electrophysiological and fine structural evidence indicates that in this chordotonal organ the adequate stimulus of the scolopidia is an increase in their longitudinal tension but it is not possible to say which fine structural component responds to strain.


Neuroscience ◽  
2001 ◽  
Vol 108 (1) ◽  
pp. 157-166 ◽  
Author(s):  
I Ruocco ◽  
A.C Cuello ◽  
R Shigemoto ◽  
A Ribeiro-da-Silva
Keyword(s):  
Rat Skin ◽  

Sign in / Sign up

Export Citation Format

Share Document