ISSN : 1226-9654
최근 저자들은 좌골신경 분지중 tibial nerve와 sural nerve를 손상시키고 common peroneal nerve는 손상시키지 않고 남겨두는 신경병리성 동통에 관한 새로운 동물 모델을 개발하였다. 본 연구는 이 모델이 교감신경계 관련 동통인가 아니면 교감신경계 무관 동통인가를 규명하기 위하여 수행되었다. 할로탄을 이용하여 동물을 마취시킨후 tibial nerve와 sural nerve를 절단하고 common peroneal nerve는 남겨두는 수술을 시행하여 2주 후 urethane으로 다시 마취시켜 전기생리학적인 실험을 수행하였다. 그 결과 말초의 축색이 손상받은 것이든 아니든 관계없이 L4 또는 L5 후근의 거의 모든 신경섬유는 아드레날린성 약물에 반응하지 않았다. 이러한 결과는 신경병리성 동통에 관한 새로운 동물 모델이 교감신경계 무관 동통을 나타낸다는 것을 시사한다.
Neuropathic pain produced by nerve injury is very intolerable and uncontrollable. It is also resistant to analgesics including opioids. Until now the mechanism of neuropathic pain symptoms has been unknown at least in part because there is no reasonable and reliable animal model. Recently we developed new animal model of neuropathic pain in which the tibial and sural nerves of the sciatic nerve branches were injured and the common peroneal nerve was left intact. The present study was conducted to determine whether this animal model of neuropathic pain represent sympathetically maintained or independent pain. Under halothane anesthesia, rats were subjected to neuropathic surgery by cutting the tibial and sural nerves, leaving the common peroneal nerve intact. Two weeks after neuropathic surgery, the animals were anesthetized with urethane for electrophysiological experiments. Almost all the nerve fibers of L4 or L5 dorsal root, regardless whose peripheral axons were injured or not, did not respond to adrenergic drugs. These results suggest that this new animal model of neuropathic pain produced by the injury of the tibial and sural nerves, leaving the common peroneal nerve intact, may represent sympathetically independent pain.