[The changes of central and peripheral nerve conduction and the effect of thyroxine replacement in thyroidectomized rats].

C L Lai, R T Lin, C K Liu, C T Tai, S L Howng
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Abstract

The aim of this study is to make serial BAEPs and PNCS in hypothyroid rats in order to provide objective and quantitative methods of detecting dysfunction of the central and peripheral nervous system in hypothyroid status and elucidating the relationship between the recovery potential and the duration of hypothyroid status. Thyroidectomy was performed in eighteen naive 5-month-old Sprague-Dawley rats in order to induce hypothyroid status, which was confirmed by RIA study 1-2 months after the surgery. Initial BAEP and PNCS were performed in two groups of the hypothyroid animals 1 and 3 months after thyroidectomy. Following the initial examination, thyroxin replacement therapy was given to each hypothyroid group, and then followed by BAEPs and PNCS at two month intervals, up to twice normal studies or six months after the initiation of therapy. In the BAEP study, the prolonged I-V inter-peak latency was the most consistent abnormal finding in all hypothyroid rats. Delayed peak latencies as well as prolonged I-III and III-V inter-peak intervals occurred when the hypothyroid status was longer than one month. We noted that the longer the hypothyroid status, the more severe the central conduction dysfunction. Nonetheless, these abnormalities always returned to normal after the replacement therapy if the hypothyroid state was shorter than 3 months in duration. For the PNCS study, all groups of thyroidectomized rats showed the normal results. We think the peripheral nervous system of rats may be more resistant to damage by hypothyroidism than the central nervous system.

[去甲状腺大鼠中枢神经和周围神经传导的变化及甲状腺素替代的影响]。
本研究的目的是在甲状腺功能减退大鼠中制备BAEPs和PNCS序列,为检测甲状腺功能减退时中枢和周围神经系统功能障碍提供客观定量的方法,并阐明恢复电位与甲状腺功能减退持续时间的关系。对18只5月龄的Sprague-Dawley大鼠行甲状腺切除术,以诱导甲状腺功能减退,术后1-2个月经RIA研究证实。两组甲状腺功能减退动物在甲状腺切除术后1个月和3个月分别进行BAEP和PNCS检查。在初始检查后,对每个甲状腺功能减退组给予甲状腺素替代治疗,然后每隔两个月进行baep和PNCS治疗,最多两次正常研究或治疗开始后6个月。在BAEP研究中,I-V峰间潜伏期延长是所有甲状腺功能减退大鼠最一致的异常发现。当甲状腺功能减退状态超过1个月时,出现峰潜伏期延迟以及I-III和III-V峰间间隔延长。我们注意到,甲状腺功能减退状态越长,中枢传导功能障碍越严重。然而,如果甲状腺功能减退状态持续时间短于3个月,这些异常总是在替代治疗后恢复正常。在PNCS实验中,去甲状腺大鼠各组结果均正常。我们认为大鼠的周围神经系统可能比中枢神经系统更能抵抗甲状腺功能减退症的损害。
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