脑卒中后运动功能恢复中皮质脊髓束作用的研究现状

摘要

皮质脊髓束(CST)是调节随意运动的主要神经通路。CST在脑卒中患者运动功能恢复中的作用反映在以下几个方面：恢复受损的CST、在皮层下水平病灶周围的重组、在皮层水平病灶周围的重组、从受损半球到受损肢体的同侧运动通路的恢复和运动恢复。%Corticospinal tract (CST) is the major neuronal pathway that mediates voluntary movements. This article reviewed the litera-ture related to the role of the CST in motor recovery in stroke patients with respect to the following:recovery of a damaged CST, perilesion-al reorganization at the subcortical level, perilesional reorganization at the cortex level, the ipsilateral motor pathway from the affected hemi-sphere to the affected extremities, and locomotor recovery.