Thiamylal antagonizes the inhibitory effects of dorsal column stimulation on dorsal horn activities in humans

Neurosci Res. 2009 Aug;64(4):391-6. doi: 10.1016/j.neures.2009.04.012. Epub 2009 Apr 23.

Abstract

In humans, peripheral somatosensory information converges upon dorsal horn neurons in the spinal cord, which can be recorded from the dorsal epidural space as spinal cord potentials (SCPs) following segmental dorsal root stimulation (SS) employing epidural catheter electrodes. Antidromic action potentials and descending inhibition from the dorsolateral funiculus may contribute to SCPs following dorsal column stimulation (DCS). Effects of thiamylal (2.5-7.5 mg/kg, i.v.) on SCPs evoked by independent DCS or SS were compared with those evoked by simultaneous DCS and SS (DCS/SS). DCS- and SS-evoked SCPs recorded from the lumbar enlargement consisted of a sharp negative (N) followed by a slow positive (P) potential. Thiamylal induced dose-dependent increases in amplitude and duration of both N and P potentials evoked by DCS and SS, whether the responses were summed or evoked simultaneously. In awake subjects, N and P potentials produced by simultaneous DCS/SS were significantly smaller than the sum of independent responses. Thiamylal anesthesia antagonized this inhibition; responses to simultaneous DCS/SS were larger than the sum of independent responses. These results suggest that in wakefulness DCS inhibits dorsal horn neuron activity in the lumbar spinal cord, while thiamylal antagonizes DCS-induced inhibition in dose-dependent fashion.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Action Potentials / physiology
  • Adolescent
  • Afferent Pathways / drug effects*
  • Afferent Pathways / physiology
  • Anesthetics, Intravenous / pharmacology
  • Child
  • Dose-Response Relationship, Drug
  • Electric Stimulation Therapy / methods
  • Electrodes
  • Electrophysiology / instrumentation
  • Electrophysiology / methods
  • Epidural Space / physiology
  • Evoked Potentials, Somatosensory / drug effects
  • Evoked Potentials, Somatosensory / physiology
  • Female
  • Humans
  • Lumbar Vertebrae
  • Male
  • Neural Inhibition / drug effects*
  • Neural Inhibition / physiology
  • Pain / drug therapy
  • Pain / physiopathology
  • Posterior Horn Cells / drug effects*
  • Posterior Horn Cells / physiology
  • Spinal Cord / cytology
  • Spinal Cord / drug effects*
  • Spinal Cord / physiology
  • Spinal Nerve Roots / physiology
  • Thiamylal / pharmacology*
  • Wakefulness / physiology

Substances

  • Anesthetics, Intravenous
  • Thiamylal