In rats with the spinal pain syndrome caused by penicillin application to the dorsal surface of lumbar segments of the spinal cord, the following changes in evoked potentials were observed in the dorsal horn in L S segment at the side of penicillin application: a marked increase in primary response and disappearance of the secondary hyperpolarization wave with its replaument by a high-amplitude and long depolarizing wave. In addition to these changes, repetitive spontaneous burst discharges were recorded in the corresponding region of the sensorimotor cortex. Thus, the pathogenic basis of the pain syndrome is a pathological algetie system formed of altered structures that belong to nociceptive apparatus in dorsal horn and higher subdivisions of. the pain sensory system.
Key Words: dorsal horns; sensorimotor cortex, generator of pathologically enhanced excitation; pathological algetic system; spinal pain syndrome; penicillinWe have shown that application of convulsants (tetanotoxin, penicillin, and strychnine)to various subdivisions of the noeiceptive system provokes pain syndromes [ 1,2,5]. In this work our aim was to study the pathophysiological mechanisms of spinal pain syndrome caused by application of penicillin to the dorsal surface (DS) of the spinal cord lumbar segments and to analyze the characteristic features of electrical activity both in the penicillin-affected primary nocieeptive relay (dorsal horn, DH) and in the corresponding area of the sensorimotor cortex.
MATERIALS AND METHODSThe study was carried out on 24 male Wistar rats weighing 270-320 g in accordance to regulations for experimental pain investigations in animals [9] and to the principles of work with animals in neuroInstitute of General Pathology and Pathophysioiogy0 Russian Academy of Medical Sciences, Moscow physiological studies [10]. In group 1 rats, an agar plate [2] (6xl.5x2 mm) containing 25000 U/ml penicillin sodium chloride salt was applied to the DS of lumbar segments of spinal cord exposed under ether anesthesia. The wound was sutured, and the animals were observed during the development of pain syndrome.In group 2 rats, electrical activity was recorded in penicillin-affected DH and in the corresponding region of the sensorimotor cortex. Measurements were performed when the pain syndrome reached the maximum in group 1 rats. The rats were anesthetized by intraperitoneal urethane (1400 mg/kg), placed in a stereotaxic apparatus with rigid fixation of the head and spine, trepanized, laminectomized, immobilized with a muscle relaxant (Myo-Relaxin, 50 mg/kg intramuscularly), and artificially ventilated. Muscle tissue, skin, and the vertebral spinous processes in the stereotaxic fixation points were treated with 0.5% procaine. Evoked potentials (EP) in DH of the spinal cord and in the sensorimotor cortex were recorded