Early recovery of neuronal functioning in the sensory cortex after nerve reconstruction surgery

Restor Neurol Neurosci. 2019;37(4):409-419. doi: 10.3233/RNN-190914.

Abstract

Background: Nerve reconstructive surgery induces a transient loss and a prolonged and a gradual return of sensory inputs to the brain. It is unknown whether, following this massive peripheral denervation, the brain will experience a prolonged period of severe, intrinsic dysfunction.

Objective: We aim to investigate the mechanisms of return of processing function in cortical neurons.

Methods: We used the whisker model in rats to evaluate the functional recovery in the somatosensory cortex after a nerve reconstruction surgery. Multi-unit recording in the barrel cortex was performed in lightly anesthetized rats while their whiskers were stimulated by a whisker stimulator.

Results: We observed a loss of neuronal responses to whisker stimulation 1 week after surgery, which started to recover 2 weeks after surgery. Following the surgery, only 11.8% of units had principle whiskers (PWs) returned to their original status while 17.7% had PWs different from their original status, indicating the effect of aberrant reinnervation on the whisker response map.

Conclusions: Robust neuronal responses to sensory stimulation even when only sparse sensory inputs are available in the early recovery phase. During this phase, aberrant reinnervation induces disorganized whisker tuning, a finding that might be account for the hypoesthesia and paresthesia during early recovery after nerve reconstruction.

Keywords: Barrel cortex; infraorbital nerve; neurorrhaphy; reconstruction surgery; whisker.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Maxillary Nerve / physiopathology*
  • Physical Stimulation
  • Plastic Surgery Procedures*
  • Rats
  • Recovery of Function / physiology*
  • Somatosensory Cortex / physiopathology*
  • Vibrissae / innervation*
  • Vibrissae / physiology*