Histological and electrophysiological changes of the lower motor neurone with aging.

J Rafalowska, H Drac, K Rosińska
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Abstract

Maximal motor conduction velocity of ulnar nerve was measured in 7 patients 80-93 years old, who suffered from cerebro-vascular stroke. In 2 cases motor conduction velocity was significantly decreased. Specimens for histopathological study were taken from the spinal cord at the C8 and Th1 segments and from the ulnar nerve at the elbow level on the side opposite to the hemiparesis. In 100 sections of each senile case and in 3 control cases of younger individuals the motoneurons of the retro-postero-lateral nucleus with visible nucleoli were counted. In the ulnar nerve qualitative and quantitative examinations were performed. The study showed a significant loss of motoneurons in the nucleus and a loss of myelinated fibers especially the thickest ones in the ulnar nerve in elderly cases. In teased preparations axonal degeneration and segmental demyelination of some fibers were seen. Morphological changes in some cases, resulted in a slowed down motor conduction velocity.

下运动神经元随衰老的组织学和电生理变化。
对7例80 ~ 93岁脑血管卒中患者进行尺神经最大运动传导速度测定。2例运动传导速度明显降低。组织病理学研究的标本取自脊髓C8和Th1节段,以及偏瘫侧肘部水平的尺神经。在每例老年患者和3例年轻对照患者的100个切片中,计数可见核仁的后后外侧核运动神经元。对尺神经进行定性和定量检查。研究表明,在老年病例中,细胞核中运动神经元显著减少,有髓鞘纤维减少,尤其是尺神经中最厚的纤维。在戏弄制剂中,可见轴突变性和部分纤维脱髓鞘。在某些情况下,形态学改变导致运动传导速度减慢。
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