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of Alternatiuve Pathways
Figure of Alternative Pathways

Figure Legend
The brain nerve cells which send impulses to the spinal
cord to activiate the nerve cells that make the diaphragm contract,
are located in
the rostral division of the ventral respiratory group (rVRG). The
nerve cells that make the diaphragm contract are located in the
phrenic nucleus on each side of the spinal cord. The rVRG nerve
cell axons will either cross or not cross the midline of the brain
before descending down into the spinal cord where they connect
directly with nerve cells in the phrenic nucleus.
Both the crossed and uncrossed pathways also have branches that
cross the midline of the spinal cord to project to both phrenic
nuclei
(crossed phrenic pathways). The crossed phrenic pathways are
normally inactive. Cervical spinal cord injury (spinal hemisection)
above the level of the phrenic nuclei interrupts (dotted lines) the
main, active pathways between the brain and spinal cord cells which
results in paralysis of parts of the diaphragm (in this case, the
left side or left hemidiaphragm).
However, when theophylline is administered in rats, the activity
of the rVRG nerve cells in increased. The much stronger descending
impulses from the brain now travel over the crossed phrenic pathways
to the phrenic nerve cells on the same side as the spinal cord injury. The
phrenic nerve cells are reactivated and thus, function is restored
to the left hemidiaphragm. Arrows indicate the pathways
followed by respiratory impulsesto restore function to the hemidiaphragm
paralyzed by spinal cord injury.
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