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The Value of the Examination of Visuooculomotor Reflexes in
The Value of the Examination of Visuooculomotor Reflexes in

... by voluntary reflexes dependent on alertness and motivation [1,16]. The pontine part of the reticular formation is responsible for the fast phase of spontaneous and optokinetic nystagmus, and it is also important in saccadic movements [14,17]. In humans, the neocerebellum is the first modulator of v ...
Contributions of temporal-parietal junction to the human
Contributions of temporal-parietal junction to the human

... Lesions evident on CT scan were transcribed onto corresponding CT templates by 3 independent raters. Software permitted reconstruction of the lateral perspective, determination of lesion volume and cytoarchitectonic areas affected, and extraction of group-averaged lesions. All temporal patients had ...
Representation of the Visual Field in the Human Occipital Cortex
Representation of the Visual Field in the Human Occipital Cortex

... Consecutive patients with visual field defects and occipital lobe lesions seen in the neuro-ophthalmology clinic at The Toronto Hospital, Toronto, Ontario, were screened using the central 30-2 threshold program of the Humphrey Field Analyzer (Allergan-Humphrey Instruments, San Leandro, Calif). Patie ...
18. Cranial Nerves
18. Cranial Nerves

... blindness in part or all of the visual field ...
PPRF lesions at the level of abducens
PPRF lesions at the level of abducens

... There are four theoretical possibilities to account for the ipsilateral horizontal gaze palsy due to a single unilateral lesion affecting 1. The ipsilateral paramedial pontine reticular formation (PPRF) only 2. The ipsilateral abducens nucleus (AN) alone 3. Both the ipsilateral PPRF and the AN, or w ...
Horizontal Gaze Palsy
Horizontal Gaze Palsy

... The patient was unable to move her eyes to the right past the midline using either saccadic or pursuit eye movements Head rotation to the left, however, drove the eyes past the midline, but the right eye abducted incompletely Vergence movements induced the left eye to cross the midline Vertical eye ...
2 m – 21. I, II, III, IV, VI, VIII pairs of cranial nerves
2 m – 21. I, II, III, IV, VI, VIII pairs of cranial nerves

... the route of the olfactory nerve represents a potential site for an infection to track towards the brain. Injury of this nerve can lead to 'anosmia', or loss of smell. The olfactory organ in dogs is extremely well developed and species such as canines use olfaction to orientate themselves in an envi ...
SPHS 4050, Neurological Bases, PP 09a
SPHS 4050, Neurological Bases, PP 09a

... • Cranial nerves – Some are sensory only, some are motor only, and some are mixed. ...
The Reflex Arc and Reflexes Lab
The Reflex Arc and Reflexes Lab

... system. This pathway begins with a receptor at the dendrite end of a sensory (afferent) neuron. The sensory neuron leads into the central nervous system and may communicate with one or more interneurons. Some of these interneurons, in turn, communicate with motor (efferent) neurons, whose axons (ner ...
Case Report - Dr. Hooshmand`s
Case Report - Dr. Hooshmand`s

... Thermography. Infrared thermal imaging (ITI) measures the thermal changes of the body with the help of an infrared camera. It provides both diagnostic and therapeutic information which identifies the areas of permanent sympathetic nerve damage. Sympathetic nerve damage causes hyperthermia due to los ...
Cortical sensorimotor alterations classify clinical phenotype and
Cortical sensorimotor alterations classify clinical phenotype and

... Background and purpose: Spasmodic dysphonia (SD), or laryngeal dystonia, is a task-specific isolated focal dystonia of unknown causes and pathophysiology. Although functional and structural abnormalities have been described in this disorder, the influence of its different clinical phenotypes and genoty ...
Diabetic Peripheral Neuropathy - Remarkable Podiatrist at Foot
Diabetic Peripheral Neuropathy - Remarkable Podiatrist at Foot

... o Sensory nerves, which enable people to feel pain, temperature, and other sensations o Motor nerves, which control the muscles and give them their strength and tone o Autonomic nerves, which allow the body to perform certain involuntary functions, such as sweating Diabetic peripheral neuropathy doe ...
Cranial Nerves: Assessment of Functions
Cranial Nerves: Assessment of Functions

... object with his or her eye as you move it to each of the following positions: up, down, right, left, up right, down right, up left, down left. Eye movement should occur smoothly and precisely. As you record your observations, use a + sign to indicate that the subject had normal results and a – sign ...
Lower Gut Motility Disorders Procedure Profile
Lower Gut Motility Disorders Procedure Profile

... muscles, improves coordination, and teaches patients to avoid straining. Biofeedback allows the patient to visualize their improvement in contracting the anal sphincter. In addition, the patients are trained to contract their sphincters more rapidly. Bowel Training — Relearning to control the bowels ...
Reflex Activity/Lab
Reflex Activity/Lab

... the motor response is contraction of skeletal muscle, the reflex is called a somatic reflex. If the motor response involves cardiac muscle, smooth muscle, or glands, the reflex is called an autonomic (visceral) reflex. Reflexes mediated by spinal nerves are called spinal reflexes, whereas reflexes m ...
Cranial Nerves: Assessment of Functions
Cranial Nerves: Assessment of Functions

... object with his or her eye as you move it to each of the following positions: up, down, right, left, up right, down right, up left, down left. Eye movement should occur smoothly and precisely. As you record your observations, use a + sign to indicate that the subject had normal results and a – sign ...
Changes in Resting State Effective Connectivity in the Motor
Changes in Resting State Effective Connectivity in the Motor

... and different strategies for task completion. Taskbased comparisons of movement-impaired stroke populations to control groups, or assessment of the neural correlates of functional recovery after stroke, face the additional confounds of mirror movements and differences in task difficulty due to sever ...
CASE STUDY - Atlas Orthogonal Chiropractic
CASE STUDY - Atlas Orthogonal Chiropractic

... Chiropractic care to the upper cervical spine has been shown to cause a reduction in hypertension without the use of medication. Incidentally, the patients were able to wean themselves off their hypertension medications entirely and their blood pressure was able to remain normal.7 One method to expl ...
pdf
pdf

... crosses obliquely across the posterior neck triangle and ends in the fascial plane beneath the trapezius muscle. Pathology of this nerve most commonly occurs due to iatrogenic injury during neck dissections or lymph node exstirpations. The latter is the case in the next patient ...
Differential responses in three thalamic nuclei in moderately
Differential responses in three thalamic nuclei in moderately

... between moderately disabled, severely disabled and vegetative patients (Jennett et al., 2001). Moreover, a difference in clinical outcome has become established where patients who are vegetative after blunt head injury are more likely to experience some recovery than those who are vegetative due to ...
2012 Year In Review - UCSF Neurosurgery
2012 Year In Review - UCSF Neurosurgery

... Their work will make the road easier for other families dealing with the diagnosis of a brain tumor.” – Susan Chang, director of neuro-oncology Brain Tumor Center at ...
Perioperative care of patients with cerebral palsy
Perioperative care of patients with cerebral palsy

... precipitate joint contractures and dislocation. Early medical intervention to control spasticity and prevent contractures may reduce the need for future orthopedic surgical intervention. The primary goal of medical therapy is to increase the person’s independence and improve the caretaker’s ability ...
Clinicopathological characteristics of patients with amyotrophic
Clinicopathological characteristics of patients with amyotrophic

... patients with amyotrophic lateral sclerosis (ALS) that had progressed to result in a totally locked-in state (communication Stage V), in which all voluntary movements are lost and communication is impossible. In 11 patients, six had phosphorylated TAR DNA-binding protein 43 (pTDP-43)-immunoreactive ...
Cranial Nerves
Cranial Nerves

... IV is the trochlear Nerve. This nerve is mixed, and innervates the superior oblique muscle of the eye, which also controls the movement of the eye. These axons convey nerve impulses for proprioception. Cranial Nerve V is the trigeminal nerve, and likes its name has 3 branches, ophthalmic, maxillary, ...
Proper Performance and Interpretation
Proper Performance and Interpretation

... *The use of the term “onsite” indicates that the summary of the patient’s history and physical examination, execution of all of the appropriate nerve conduction studies and EMG examinations, analysis of the EDX data, and determination of the diagnoses for the patient are all performed in the same lo ...
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Coma



In medicine, coma (from the Greek κῶμα koma, meaning ""deep sleep"") is a state of unconsciousness in which a person: cannot be awakened; fails to respond normally to painful stimuli, light, or sound; lacks a normal wake-sleep cycle; and does not initiate voluntary actions. A person in a state of coma is described as being comatose. Typically, a distinction is made in the medical community between a coma and a medically induced coma, the former is generally understood to be a result of circumstances beyond the control of the medical community, while the latter is generally understood to be a means by which medical professionals may allow a patient's injuries to heal in a controlled environment. A comatose person exhibits a complete absence of wakefulness and is unable to consciously feel, speak, hear, or move. For a patient to maintain consciousness, two important neurological components must function. The first is the cerebral cortex—the gray matter that forms the outer layer of the brain. The other is a structure located in the brainstem, called reticular activating system (RAS).Injury to either or both of these components is sufficient to cause a patient to experience a coma. The cerebral cortex is a group of tight, dense, ""gray matter"" composed of the nuclei of the neurons whose axons then form the ""white matter"", and is responsible for perception, relay of the sensory input (sensation) via the thalamic pathway, and many other neurological functions, including complex thinking.RAS, on the other hand, is a more primitive structure in the brainstem that is tightly in connection with reticular formation (RF). The RAS area of the brain has two tracts, the ascending and descending tract. Made up of a system of acetylcholine-producing neurons, the ascending track, or ascending reticular activating system (ARAS), works to arouse and wake up the brain, from the RF, through the thalamus, and then finally to the cerebral cortex. A failure in ARAS functioning may then lead to a coma.
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