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REPORT
1Tokyo Metropolitan Institute for Neuroscience, Tokyo 183-8526, Japan; 2Department of Developmental Physiology, National Institute for Physiological Sciences, Okazaki 444-8585, Japan; 3Institute of Physiology and Pharmacology, Department of Physiology, Göteborg University, 405 30 Göteborg, Sweden; 4Department of Integrative Medical Biology, Section of Physiology, Umeå University, 901 87 Umeå, Sweden; and 5Department of Integrative Physiology, Kyorin University School of Medicine, Shinkawa, Tokyo 181-8611, Japan
Submitted 2 April 2004; accepted in final form 25 May 2005
It is generally accepted that the precision grip and independent finger movements (IFMs) in monkey and man are controlled by the direct (monosynaptic) corticomotoneuronal (CM) pathway. This view is based on previous observations that pyramidotomy causes near permanent deficits of IFMs. However, in addition to the direct CM pathway, pyramidotomy interrupts several corticofugal connections to the brain stem and upper cervical segments. Indirect (oligosynaptic) CM pathways, which are phylogenetically older, have been considered to be of little or no importance in prehension. In three adult macaque monkeys, complete transection of the direct CM pathway was made in C4/C5, which is rostral to the forelimb segments (C6Th1). Electrophysiological recordings revealed lack of the direct lateral corticospinal tract (LCST) volley, monosynaptic extracellular field potentials in the motor nuclei, and monosynaptic CM excitation. However, a disynaptic volley, disynaptic field potentials and disynaptic CM excitation mediated via C3C4 propriospinal neurons remained after the lesion. Thus the lesion interrupted the monosynaptic CM pathway and oligosynaptic LCST pathways mediated by interneurons in the forelimb segments. Precision grip and IFMs were observed already after 128 days postoperatively. Weakness in force and deficits in preshaping remained for an observation period of 3 mo. Indirect CM pathways may be important for neuro-rehabilitation.
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