Journal of Neuroscience, Vol 10, 2077-2095, Copyright © 1990 by Society for Neuroscience
Long-term changes in purposive and reflexive responses to nociceptive stimulation following anterolateral chordotomy
CJ Vierck Jr, JD Greenspan and LA Ritz
Department of Physiology, University of North Carolina School of Medicine, Chapel Hill 27514.
Macaca nemestrina monkeys received unilateral interruption of the
spinothalamic tract, producing contralateral hypalgesia and a bilateral
decrease in amplitude of the flexion reflex. These effects on operant
escape and reflex responses to electrocutaneous stimulation (ES) were
monitored for months to evaluate relationships between the extent of each
lesion and the presence or absence of recovery from the early postoperative
deficits. Before surgery, the animals were trained to perform an operant
response that terminated ES to the lateral calf of either leg. The
durations of ES tolerated by each monkey were inversely related to stimulus
intensities within the pain sensitivity range of human subjects. The vigor
of operant escape responses and the frequency of intertrial pulls of the
manipulandum were directly related to stimulus intensity. Following
anterolateral chordotomy at an upper thoracic level, these measures
revealed a contralateral hypalgesia for each animal. Operant responsivity
to stimulation contralateral to the lesion recovered to control levels for
7 animals (group R). Sustained contralateral recovery of operant reactivity
was not observed for 8 monkeys (group U). Most of the lesions in groups R
and U were similar in extent and location, involving the classical
distribution of the spinothalamic tract (in the anterolateral and ventral
columns). Thus, recovery was not determined solely by lesion configuration.
However, when recovery did occur, it was associated with medially extensive
lesions. A subgroup of 3 unrecovered animals received superficial lesions
that did not substantially involve the gray matter or the ventral columns.
For all animals, reflex magnitudes were initially diminished bilaterally
and then increased over months of testing. Reflex recovery was greater for
the animals that demonstrated recovery of intentional reactions to
nociception (group R). An ipsilateral hyperreflexia became apparent for
group R. Contralateral recovery to normal levels was observed for group R
but not for group U. The time course of recovery for operant and reflex
responses clearly differed, indicating that different processes determined
changes in these spinal and supraspinal reactions to nociceptive
stimulation.