1994
DOI: 10.1111/j.1365-2990.1994.tb01014.x
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Is Purkinje cell loss in Leigh's disease an excitotoxic event secondary to damage to inferior olivary nuclei?*

Abstract: In a series of 17 cases of Leigh's disease it has been observed that there is a close correlation between damage to the inferior olivary nuclei by vasculo-necrotic change and loss of Purkinje cells in the cerebellar cortex. It is suggested that this association may be explained on the basis of the selective loss of climbing fibres causing increased firing activity of Purkinje cells with consequent excessive entry of calcium ions. In these circumstances control of calcium ion regulation in the presence of reduc… Show more

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Cited by 11 publications
(5 citation statements)
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References 30 publications
(10 reference statements)
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“…The excitatory inputs to the Purkinje cells are provided by the climbing fibers and parallel fibers through excitatory amino acid receptors (Ross et al, 1990). The neurotransmitters are thought to be aspartate for climbing fibers (Cavanagh, 1994) and glutamate for parallel fibers (Olson et al, 1987). The climbing fibers originate from the contralateral inferior olivary nuclear complex.…”
Section: Purkinje Cell Death: Putative Mechanisms Of Injurymentioning
confidence: 99%
See 1 more Smart Citation
“…The excitatory inputs to the Purkinje cells are provided by the climbing fibers and parallel fibers through excitatory amino acid receptors (Ross et al, 1990). The neurotransmitters are thought to be aspartate for climbing fibers (Cavanagh, 1994) and glutamate for parallel fibers (Olson et al, 1987). The climbing fibers originate from the contralateral inferior olivary nuclear complex.…”
Section: Purkinje Cell Death: Putative Mechanisms Of Injurymentioning
confidence: 99%
“…Each Purkinje cell throughout the cerebellar cortex directly receives the input from only one climbing fiber (Burt, 1993). Since each climbing fiber may have up to 500 individual synapses on the Purkinje cell, excitation of the climbing fiber may result in a massive, synchronous release of an excitotoxin, such as aspartate (Burt, 1993;Cavanagh, 1994) leading to cell death. A precise topographic relation exists between parts of the inferior olivary nuclear complex and the cerebellar cortical area of termination of these olivocerebellar climbing fibers.…”
Section: Purkinje Cell Death: Putative Mechanisms Of Injurymentioning
confidence: 99%
“…In SCA-6, degeneration in precerebellar regions occurs (the vestibular complex, motor cortex, and inferior olive; Ishikawa and others 1999). Detailed analysis of cerebellar disease may implicate the inferior olive in other cases, such as in Leigh’s disease (Cavanagh 1994) or in other forms of SCA (Koeppen 2005). …”
Section: Physiology Of Uvula-nodulusmentioning
confidence: 99%
“…In SCA-6, degeneration in pre-cerebellar regions also occurs (the vestibular complex, motor cortex, and inferior olive) (Ishikawa et al 1999;Watase et al 2008). Detailed analysis of cerebellar disease may implicate the inferior olive in other cases, such as in Leigh's disease (Cavanagh 1994) or in other forms of SCA (Koeppen 2005).…”
Section: Abnormal Cerebellar Functionmentioning
confidence: 99%