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How Can Corticospinal Tract Neurons Contribute to Ipsilateral Movements? A Question With Implications for Recovery of Motor Functions
Elzbieta Jankowska
Department of Physiology, Göteborg University, Göteborg, Sweden, Elzbieta.Jankowska{at}physiol.gu.se
Stephen A. Edgley
Department of Anatomy, Cambridge University, Cambridge, UK
In this review, the authors discuss some recent findings that bear on the issue of recovery of function after corticospinal tract lesions. Conventionally the corticospinal tract is considered to be a crossed pathway, in keeping with the clinical findings that damage to one hemisphere, for example, in stroke, leads to a contralateral paresis and, if the lesion is large, a paralysis. However, there has been great interest in the possibility of compensatory recovery of function using the undamaged hemisphere. There are several substrates for this including ipsilaterally descending corticospinal fibers and bilaterally operating neuronal networks. Recent studies provide important evidence bearing on both of these issues. In particular, they reveal networks of neurons interconnecting two sides of the gray matter at both brainstem and spinal levels, as well as intrahemispheric transcallosal connections. These may form "detour circuits" for recovery of function, and here the authors will consider some possibilities for exploiting these networks for motor control, even though their analysis is still at an early stage.
Key Words: Pyramidal tract Spinal cord Interneurons Reticular formation Motor system
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The Neuroscientist, Vol. 12, No. 1,
67-79 (2006)
DOI: 10.1177/1073858405283392

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T. Askim, B. Indredavik, T. Vangberg, and A. Haberg
Motor Network Changes Associated With Successful Motor Skill Relearning After Acute Ischemic Stroke: A Longitudinal Functional Magnetic Resonance Imaging Study
Neurorehabil Neural Repair,
March 1, 2009;
23(3):
295 - 304.
[Abstract]
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I. Salimi, K. M. Friel, and J. H. Martin
Pyramidal Tract Stimulation Restores Normal Corticospinal Tract Connections and Visuomotor Skill after Early Postnatal Motor Cortex Activity Blockade
J. Neurosci.,
July 16, 2008;
28(29):
7426 - 7434.
[Abstract]
[Full Text]
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O Noskin, J W Krakauer, R M Lazar, J R Festa, C Handy, K A O'Brien, and R S Marshall
Ipsilateral motor dysfunction from unilateral stroke: implications for the functional neuroanatomy of hemiparesis
J. Neurol. Neurosurg. Psychiatry,
April 1, 2008;
79(4):
401 - 406.
[Abstract]
[Full Text]
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K. Stecina, E. Jankowska, A. Cabaj, L.-G. Pettersson, B. A. Bannatyne, and D. J. Maxwell
Premotor interneurones contributing to actions of feline pyramidal tract neurones on ipsilateral hindlimb motoneurones
J. Physiol.,
January 15, 2008;
586(2):
557 - 574.
[Abstract]
[Full Text]
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Y. Bleyenheuft, C. B. Grandin, G. Cosnard, E. Olivier, and J.-L. Thonnard
Corticospinal Dysgenesis and Upper-Limb Deficits in Congenital Hemiplegia: A Diffusion Tensor Imaging Study
Pediatrics,
December 1, 2007;
120(6):
e1502 - e1511.
[Abstract]
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K. M. Friel and J. H. Martin
Bilateral Activity-Dependent Interactions in the Developing Corticospinal System
J. Neurosci.,
October 10, 2007;
27(41):
11083 - 11090.
[Abstract]
[Full Text]
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K. Stecina and E. Jankowska
Uncrossed actions of feline corticospinal tract neurones on hindlimb motoneurones evoked via ipsilaterally descending pathways
J. Physiol.,
April 1, 2007;
580(1):
119 - 132.
[Abstract]
[Full Text]
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E. Jankowska and K. Stecina
Uncrossed actions of feline corticospinal tract neurones on lumbar interneurones evoked via ipsilaterally descending pathways
J. Physiol.,
April 1, 2007;
580(1):
133 - 147.
[Abstract]
[Full Text]
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