Neuroplasticity. Key to recovery after central nervous system injury.

After an injury to the central nervous system, physical and cognitive impairments and disabilities often abate. These gains may be partly mediated by mechanisms that allow reorganizing of the structure and function within gray and white matter. The potential to enhance neurologic recovery by manipulating the brain and spinal cord must now be considered in clinical practice. Today''s rehabilitation routines may not encourage maximum recovery. Indeed, some commonly used physical and pharmacologic methods could inhibit the restoration of motor activities such as walking. On the other hand, therapies that use our expanding knowledge of neuroplasticity could lead to better results for patients.     

Behavioral recovery associated with central nervous system regeneration in the snail Melampus

The pulmonate snail Melampus bidentatus regenerates central nervous tracts following commissurotomy, connective transection, and cerebral ganglion ablation. Our goal was to determine whether or not neural regrowth within the central nervous system restored behaviors disrupted by lesions. One behavior that is disrupted by commissurotomy is retraction of facial structures that are contralateral to a stimulated facial region, a response that normally accompanies the ipsilateral retraction. Tentacle withdrawal on the side contralateral to stimulation reappeared on a timescale that was correlated with growth of a commissural link (8-19 days post-lesion). Electrophysiological recordings from a labial nerve pathway that has a contralateral component similar to the contralateral tentacle response showed that development or strengthening of an alternative pathway could also mediate contralateral responses. Thus, a major conclusion of this study was that both tract regeneration and changes in existing CNS pathways can underlie recovery. The percentage (approx. 75%) of snails that regenerate the cerebral commissure and show behavioral recovery is established early in the period following commissure transection. Behavioral recovery and anatomical evidence of regeneration were also correlated in the other two operations: single cerebral ganglion removal and unilateral cerebropleural and cerebropedal connective transection. We conclude that Melampus is able to regenerate neuronal connectivity that can restore normal behavior.     

A mechanism for the observed recovery from ineffectiveness of synapses in the central nervous system

Three recent experiments have shown that synaptic connections in the central nervous system that are structurally present but functionally ineffective can be made to recover their effectiveness for exciting neurons. The common features of these experiments are briefly reviewed. A mechanism is proposed requiring three postulates that are each consistent with orthodox physiology. There is an opportunity for a quantitative treatment to test against future experimental results.