Abstract
Representation of cardiovascular function has not been investigated in the human thalamus. In the rat, the insular cortex is the principal forebrain site of cardiovascular representation whose afferents originate from a circumscribed thalamic area (nucleus ventralis posterolateralis-parvicellular portion, VPLpc). We therefore evaluated 4481 thalamic cells for phasic cardiovascular activity using extracellular recording techniques in 60 unanesthetized patients undergoing neurosurgical procedures. We identified 26 cells with phasic activity strongly related to the cardiac cycle in 10 patients. These cells clustered within the ventrocaudal nucleus of the thalamus (the principal sensory nucleus analagous to the ventral posterior thalamic group in the rat and monkey) and were equally distributed between the right and left sides. The majority of these cells (17/26) showed peaks of phasic neuronal activity within 50 ms of the peak systolic pressure; 35% had peripheral cutaneous fields in areas to which cardiac pain is often referred. We suggest that these cells may be involved in the integration of afferent baroreceptor information; may possibly be concerned with the generation and/or processing of central cardiac pain in humans; and that their derangement may possibly contribute to the lethal cardiovascular disturbances which occur in fatal familial insomnia.
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References
Cechetto DF, Saper CB. Evidence for a viscerotopic sensory representation in the cortex and thalamus in the rat.J Comp Neurol 1987;262:27–45.
Oppenheimer SM, Gelb A, Girvin JP, Hachinski V. Cardiovascular effects of human insular stimulation.Neurology 1992;42:1727–1732.
Burton H, Jones EG. The posterior thalamic region and its cortical projection in new world and old world monkeys.J Comp Neurol 1976;168:249–302.
Guldin WO, Markowitsch HJ. Cortical and thalamic afferent connections of the insular and adjacent cortex of the cat.J Comp Neurol 1984;229:393–418.
Mufson EJ, Mesulam MM. Thalamic connections of the insula in the rhesus monkey and comments on the paralimbic connectivity of the medial pulvinar nucleus.J Comp Neurol 1984;227:109–120.
Jimenez-Castellanos J, Reinoso-Suarez F. Topographical organisation of the afferent connections of the principal ventromedial thalamic nucleus in the cat.J Comp Neurol 1985;236:297–314.
Buchanan SL, Powell DA. 3H-2-deoxyglucose uptake after electrical stimulation of cardioactive sites in insular cortex and mediodorsal nucleus of the thalamus in rabbits.Brain Res Bull 1987;19:439–452.
Allen GV, Saper CB, Hurley KM, Cechetto DF. Organisation of visceral and limbic connections in the insular cortex of the rat.J Comp Neurol 1991;311:1–16.
Ott I. Vaso-tonic centres in the thalami.J Nerv Ment Dis 1891;17:483–488.
Lenz FA, Gracely RH, Hope EJ,et al. The sensation of angina can be evoked by stimulation of the human thalamus.Pain 1994;59:119–125.
Rosen SD, Paulesu E, Nihoyannopoulos Pet al. Silent ischemia as a central problem: regional brain activation compared in silent and painful myocardial ischemia.Ann Intern Med 1996;124:939–949.
Cortelli P, Parchi P, Contin Met al. Cardiovascular dysautonomia in fatal familial insominia.Clin Auton Res 1991;1:15–21.
Manetto V, Medori R, Cortelli Pet al. Fatal familial insomina: clinical and pathological study of five new cases.Neurology 1992;42:312–319.
Montagna P, Cortelli P, Gambetti P et al. Fatal familial insominia: sleep, neuroendocrine and vegatative alterations.Adv Neuroimmunol 1995;5:13–21.
Oppenheimer SM, Kulshreshtha N, Rowland L, Lenz F, Dougherty P. Distribution of cardiovascular related sites within the human thalamus.Soc Neurosci Abs 1995; 258.4.
Schaltenbrand G, Bailey P.Introduction to sterotaxis with an atlas of the human brain. Stuttgart: Thieme, 1959.
Hawrylyshyn P, Rowe IH, Tasker RRet al. A computer system for stereotactic neurosurgery.Comput Biol Med 1976;6:87–97.
Lenz FA, Dostrovsky JO, Kwan HC, Tasker RR, Yamashiro K, Murphy JT. Methods for microstimulation and recording of single neurons and evoked potentials in the human central nervous system.J Neurosurgery 1988;68:630–634.
Lenz FA, Seike M, Lin YCet al. Neurons in the area of human thalamic nucleus ventralis caudalis respond to painful heat stimuli.Brain Res 1993;623:235–240.
Lawson D, Norley I, Korbon G, Loeb R, Ellis J. Blood flow limits and pulse oximeter signal detection.Anesthesiology 1987;67:599–603.
Talke P, Nichols RJ, Traber DL. Does measurement of systolic blood pressure with a pulse oximeter correlate with conventional methods?J Clin Monit 1990;6:5–9.
Frysinger RC, Harper RM. Cardiac and respiratory correlations with unit discharge in human amygdala and hippocampus.Electorenceph Clin Neurophysiol 1989;72:463–470.
Frysinger RC, Zhang JX, Harper RM. Cardiovascular and respiratory relationships with neuronal discharge in the central nucleus of the amygdala during sleep-waking states.Sleep 1988;11:317–332.
Lambertz M, Langhorst P. Cardiac rhythm patterns in neuronal activity are related to the firing rate of the neurons: II. Amygdala neurons of cats.J Auton Nervous Syst 1995;51:165–173.
Lambertz M, Langhorst P. Cardiac rhythm patterns in neuronal activity are related to the firing rate of the neurons: I. Brainstem reticular neurons of dogs.J Auton Nervous Syst 1995;51:153–163.
Horie H, Yokota T. Responses of the nociceptive VPL neurons to intracardiac injection of bradykinin in the cat.Brain Res 1990;516:161–164.
Buchanan SL, Powell DA. Electrical stimulation of anteromedial and mediodorsal thalamus elicits differential cardiovascular response patterns from concsious rabbits.Physiol Psychol 1986;14:115–123.
Powell DA, Buchanan SL. Autonomic changes elicited by chemical stimulation of mediodorsal nucleus of the thalamus.Pharmacol Biochem Behav 1989;25:423–430.
West CHK, Benjamin RM. Effects of stimulation of the mediodorsal nucleus and its projection cortex on heart rate in the rabbit.J Auton Nerv Syst 1983;9:547–557.
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Oppenheimer, S.M., Kulshreshtha, N., Lenz, F.A. et al. Distribution of cardiovascular related cells within the human thalamus. Clinical Autonomic Research 8, 173–179 (1998). https://doi.org/10.1007/BF02281122
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DOI: https://doi.org/10.1007/BF02281122