Immunohistochemical determination of the sympathetic pathway in the orbit via the cranial nerves in humans.

OBJECT: The present study was undertaken to elucidate the extent and precise distribution of the postganglionic sympathetic fibers in the cranial nerves projecting to the orbit and to reconstruct sympathetic routes in the orbit in humans. For this purpose, the authors made an immunohistochemical determination of the sympathetic fibers by using an antibody against norepinephrine-synthetic enzyme, tyrosine hydroxylase (TH). METHODS: Specimens containing the orbit and the cavernous sinus were obtained from formalin-fixed human cadavers. First, it was confirmed that the superior cervical ganglion contained strongly immunostained TH-positive neuronal cell bodies and fibers. After careful dissection of the cranial nerves projecting to the orbit, different segments of each cranial nerve were processed for immunohistochemical analysis for TH. All of the intraorbital cranial nerves contained TH-positive sympathetic fibers, although the amounts were very different in each cranial nerve. At the proximal site of the common tendinous ring, TH-positive fibers were found mainly in the abducent and trochlear nerves. At the distal site of this ring, TH-positive fibers were lost or markedly reduced in number in the abducent and trochlear nerves and were distributed mostly in the ophthalmic and oculomotor nerves. Among the cranial nerves projecting to the orbit, the ophthalmic nerve and its bifurcated nerves--frontal, lacrimal, and nasociliary--contained numerous TH-positive fibers. CONCLUSIONS: The authors conclude that the postganglionic sympathetic fibers are distributed to all cranial nerves projecting to the orbit and that the ophthalmic nerve provides a major sympathetic route in the orbital cavity in humans.

Axotomy-induced changes in cytochrome oxidase activity in the cat trochlear nucleus.

Following a unilateral section of the trochlear nerve, the effects of axotomy on cytochrome oxidase levels in the trochlear nucleus were studied. Cytochrome oxidase levels in the axotomized nucleus were significantly lower than in the control nucleus. The maximal decrease was observed at 2 weeks. Following partial restoration during weeks 3 and 4, cytochrome oxidase levels stabilized at levels only slightly below normal. Since a significant number of trochlear motoneurons die following axotomy, the restoration of cytochrome oxidase levels close to normal suggests that the surviving neurons may compensate for an increased load with a permanent increase in oxidative metabolism.

The trochlear nerve of amphibians and its relation to proprioceptive fibers: a qualitative and quantitative HRP study.

The cells of origin of the trochlear nerve of urodeles, anurans and gymnophionans were labelled with HRP in order to compare the location and morphology of trochlear motoneurons and to find evidence for sensory fibers in the trochlear nerve of amphibians. Trochlear motoneuron perikarya were found in a ventral tegmental position predominantly on the contralateral side, but an ipsilateral cell was present in some specimens of urodeles and anurans. About 19 motoneurons were labelled in Ambystoma, about 60 motoneurons in Xenopus, and a maximum of 7 cells in Ichthyophis. Decussation of trochlear nerve fibers showed only in Xenopus a highly variable pattern. In urodeles, selective filling of the trochlear nerve labelled in addition to trochlear motoneurons a caudo-medical tectal group of about 20 neurons of the nucleus of the mesencephalic root of the trigeminal nerve. Gymnophionans showed also labelled cells of the mesencephalic trigeminal root in the caudal midbrain close to the trochlear nerve root. In some frogs, a few cells of the mesencephalic trigeminal root were labelled in the caudal tectum and occasionally in the velum medullare anterius. Comparison of the numbers of trochlear nerve fibers with HRP-labelled motoneurons revealed in Xenopus a proportion of 1.2:1, but of 2.7:1 in Ambystoma. However, counting both labelled motoneurons and cells of the mesencephalic trigeminal root resulted in a trochlear nerve fiber to labelled neuron proportion of 1.3:1 in Ambystoma much like in Xenopus. The numbers of superior oblique muscle fibers and of trochlear nerve fibers, but not of HRP-labelled motoneurons, increased significantly with size in Xenopus laevis. We suggest that increased peripheral branching of individual fibers within the trochlear nerve with size rather than differentiation of additional motoneurons takes place in growing postmetamorphic Xenopus. In contrast to other vertebrates studied so far, the trochlear nerve is a mixed nerve in Ambystoma and perhaps in Ichthyophis. Whether this reflects a primitive or a derived condition is at present unclear.