During procedures for parkinsonian tremor, neurons in the thalamic ventral nuclear group show periodic activity at tremor frequency (tremor-frequency activity). The tremor-frequency activity of some cells is significantly correlated with tremor. Cells in this region also display functional properties defined by activity related to somatosensory stimuli and to active movement. Cells with activity related to somatosensory stimulation were termed sensory cells while those with activity related to active movement were termed voluntary cells. Cells with activity related to both somatosensory stimulation and active movement were termed combined cells. Those with activity related to neither somatosensory stimulation nor active movement were termed no-response cells. Combined, voluntary and no-response cells were located in the region of thalamus where a lesion stops tremor and anterior to the region where sensory cells were found. Spectral cross-correlation analysis demonstrated that many combined, voluntary and no-response cells had a peak of activity at tremor frequency which was significantly correlated with electromyogram (EMG). Analysis of the phase of thalamic activity relative to EMG activity indicated that voluntary and combined cell activity usually led EMG during tremor. These results suggest that thalamic cells unresponsive to somatosensory stimulation (voluntary and no-response cells) and those responsive to somatosensory stimulation (combined cells) are involved in the mechanism of parkinsonian tremor. The activity of sensory cells frequently lagged behind tremor while activity of combined cells often led tremor. This finding suggests that the activity of these two cell types, both responding to sensory input, is related to tremor by different mechanisms.

Stereotactic lesions in the thalamus for treatment of parkinsonian tremor are often made at the location where neurons fire at approximately tremor frequency (tremor cells). Some of these cells show a large amount of activity at tremor frequency and are significantly correlated with electromyographic activity (EMG) during tremor. Our analysis of cellular location identifies a cluster of neurons showing activity characterized both by concentration of power at tremor frequency and by significant correlation with EMG. In a retrospective analysis of results in 15 patients, lesions placed within 2 mm of the center of this cluster were uniformly effective in relieving tremor. Therefore, a small lesion targeting this cluster is effective in treatment of parkinsonian tremor.

During neurosurgical operations for the relief of movement disorders, single thalamic neurons (n = 107) were identified with activity which was related to verbally cued active movements (movement-related cells). The activity of each neuron was examined during different contralateral movements in order to determine the movement which was associated with the most consistent and pronounced change in firing rate (the optimal response). The optimal response was determined by analysis of histograms of neuronal activity which were constructed by using the onset of EMG activity to synchronize successive repetitions of the active movement. Movement-related cells exhibited optimal responses associated with such movements as making a fist, extension or flexion of the wrist, flexing or extending the elbow, pointing with the entire upper extremity, extending the tongue and lifting the leg. Most movement-related cells recorded in a single parasagittal plane in an individual patient had optimal responses related to movements involving the same part of the body. Movement-related cells were classified into those that were activated in response to somatosensory stimulation (combined cells, n = 20) and those which were not (voluntary cells, n = 87). Combined cells were activated in advance of EMG activity during active movement and so could be distinguished from cells responding only to sensory stimulation (sensory cells). Movement-related cells (combined and voluntary cell types) were located anterior to sensory cells and tended to show a mediolateral somatotopic organization parallel to that of sensory cells with cutaneous receptive fields. Combined cells responded to somatosensory stimulation of the same part of the body as that involved in the active movement related to the optimal response of the cell. Combined cells responding to passive movements of a joint always had their optimal response during active movement about the same joint. The activity of combined cells during parkinsonian tremor may clarify the role of sensory feedback in tremor.

The effects of deafferentation of the tooth pulps of mandibular or maxillary teeth were investigated on the functional properties of single neurons recorded in the subnucleus oralis of the trigeminal (V) spinal tract nucleus of adult cats. Deafferentation was produced by endodontic removal, under sterile conditions, of the coronal pulp of the canine, premolar, and molar teeth. The subnucleus oralis of each animal was then studied electrophysiologically in a series of microelectrode penetrations of the subnucleus at a single postoperative time that varied between 3 days and 2 yr. Data from deafferented cats were compared with those obtained from control (unoperated) animals. The study was based on an examination of over 2,000 single units recorded on the side ipsilateral to the pulp deafferentation. In animals deafferented 7-15 days prior to brain stem neuron recording, tooth pulp deafferentation was associated with a statistically significant decrease compared with control animals in the incidence of neurons having a mechanoreceptive field localized within the mandibular or maxillary division; this decrease in incidence was coincident with a significant increase in the occurrence of neurons having a mechanoreceptive field involving two or three V divisions. Linear trend analysis indicated a progressive return to control values from the 7- to 15-day postoperative period. In deafferented cats there were also statistically significant increases in the incidence of neurons having spontaneous activity or showing rapidly habituating responses to brisk tap stimuli applied to the orofacial region; neurons having a receptive field consisting of discontinuous zones of mechanosensitivity were also encountered. The mean impulse frequency of spontaneous activity was not, however, significantly different between control and deafferented animals. The responsiveness of the habituating tap-sensitive neurons was further quantified and compared with neurons showing normal rapidly adapting (RA) features of their responses to mechanical orofacial stimuli. Whereas most (85%) of the RA neurons could faithfully follow stimuli applied by a mechanical stimulator at a mean maximal following frequency of 6.6 Hz and showed entrainment and 'turning curve' profiles comparable to those previously described for oralis neurons in normal animals, most of the habituating tap-sensitive neurons could not follow mechanical stimulus frequencies greater than 1 Hz (mean maximal following frequency 0.3 Hz) and none could be entrained sufficiently to allow for a determination of their tuning curve.(ABSTRACT TRUNCATED AT 400 WORDS)

Since we have recently shown that tooth pulp deafferentation results in changes in the receptive field properties and activity of brain-stem neurones in the adult cat's subnucleus oralis of the trigeminal (V) spinal tract nucleus, we wished to determine if these changes are associated with alterations in the powerful inhibitory influence that the nucleus raphe magnus (NRM) normally exerts on these neurones and on the related digastric jaw-opening reflex. In control cats or in cats that had undergone mandibular or maxillary tooth pulp deafferentation 7-140 days previously, the effects of NRM conditioning stimulation were tested on jaw-opening reflex responses or oralis neuronal responses evoked by stimulation of the maxillary or mandibular tooth pulp, facial skin, or oral mucosa. No statistically significant difference was noted between control and deafferented animals (n = 32) in the incidence, threshold or time course of NRM-induced inhibition of the reflex responses. Likewise, no difference was noted between control and deafferented animals in these features of the inhibition of oralis neuronal responses. In 276 neurones tested, the high incidence (92%), low threshold (0.08-0.15 mA) and prolonged time course (approximately 400 msec) of NRM-induced inhibition of responses evoked by electrical stimulation of the tooth pulp or by low-intensity electrical or mechanical stimulation of facial skin and oral mucosa were comparable in both groups of animals. These findings indicate that the alterations in properties or oralis neurones subsequent to tooth pulp deafferentation may not be associated with changes in the modulatory influence emanating from the NRM.