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Journal of Neural Transmission

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01.10.2011 | Basic Neurosciences, Genetics and Immunology - Review Article

The pedunculopontine tegmental nucleus: implications for a role in modulating spinal cord motoneuron excitability

verfasst von: Eugenio Scarnati, Tiziana Florio, Annamaria Capozzo, Giuseppina Confalone, Paolo Mazzone

Erschienen in: Journal of Neural Transmission | Ausgabe 10/2011

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Abstract

There is evidence that deep brain stimulation (DBS) of the pedunculopontine tegmental nucleus (PPTg) improves parkinsonian motor signs. The mechanisms that mediate these effects and the modifications that occur in the PPTg in Parkinson’s disease (PD) are not fully known and are the object of current debate. The aim of this paper was to critically review available data with respect to (1) the presence of PPTg neurons linked to reticulospinal projections, (2) the involvement of these neurons in modulating spinal reflexes, and (3) the participation of fibers close to or within the PPTg region in such modulation. The PPTg neurons are distributed in a large pontotegmental region, stimulation of which can evoke activity in hindlimb, shoulder and neck muscles, and potentiate motor responses evoked by stimulation of dorsal roots. This influence seems to be carried out by fast-conducting descending fibers, which likely run in the medial reticulospinal pathway. It is yet unclear which neurotransmitters are involved and on which elements of the gray matter of the spinal cord PPTg fibers synapse. The modulation of spinal cord activity which can be achieved by stimulating the PPTg region seems to be mediated not only by PPTg neurons, but also by tecto-reticular fibers which run in the pontotegmental area, and which likely are activated during PPTg-DBS. The importance of these fibers is discussed taking into account the degeneration of PPTg neurons in PD and the benefits in gait and postural control that PPTg-DBS exerts in PD. The potential usefulness of PPTg-DBS in other neurodegenerative disorders characterized by neuronal loss in the brainstem is also considered.

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Titel: The pedunculopontine tegmental nucleus: implications for a role in modulating spinal cord motoneuron excitability
verfasst von: Eugenio Scarnati
Tiziana Florio
Annamaria Capozzo
Giuseppina Confalone
Paolo Mazzone
Publikationsdatum: 01.10.2011
Verlag: Springer Vienna
Erschienen in: Journal of Neural Transmission / Ausgabe 10/2011
Print ISSN: 0300-9564
Elektronische ISSN: 1435-1463
DOI: https://doi.org/10.1007/s00702-010-0532-2

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