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Multiple forebrain systems converge on motor neurons innervating the thyroarytenoid muscle acne gluten cleocin gel 20 gm purchase on-line. Localization of arm representation in the corona radiata and internal capsule in the non-human primate. Cortical innervation of the facial nucleus in the non-human primate: a new interpretation of the effects of stroke and related subtotal brain trauma on the muscles of facial expression. Cortical innervation of the hypoglossal nucleus in the non-human primate (Macaca mulatta). Which statement below best describes the spatial relationship between cranial nerve motor and sensory nuclei in the medulla and pons Which of the following statements best describes the difference between the innervation of skeletal muscle and smooth muscle by central nervous system neurons Central nervous system neurons innervate skeletal muscle monosynaptically and innervate smooth muscle disynaptically, via a synapse in peripheral ganglia. Central nervous system neurons innervate skeletal and smooth muscle monosynaptically. Central nervous system neurons innervate skeletal muscle disynaptically, via a synapse in peripheral ganglia, and innervate smooth muscle monosynaptically. Central nervous system neurons innervate skeletal and smooth muscle disynaptically, via a synapse in peripheral ganglia. After an internal capsule stroke, a person can lose some cranial nerve motor functions. When this occurs the lost function typically is expressed only on the contralateral side. All corticobulbar projections are contralateral Thus, a unilateral lesion will produce contralateral deficits affecting all cranial nerve motor nuclei. All corticobulbar projections are bilateral, but the contralateral projections are the strongest. When these strong connections are eliminated after a unilateral lesion, contralateral deficits occur in all cranial nerve motor nuclei. Some cranial nerve motor nuclei receive contralateral corticobulbar projections, whereas others receive a bilateral projection. Nevertheless, the contralateral projections are the strongest, and when they are eliminated after a unilateral lesion, contralateral deficits occur in all cranial nerve motor nuclei. Cranial nerve motor nuclei that receive bilateral corticobulbar projections are protected from gross impairment after unilateral corticobulbar lesions, whereas those receiving a contralateral corticobulbar projection are not and, in consequence, will show gross motor weakness. Which of the following best indicates the location of lost contralateral facial muscle control after a corticobulbar tract stroke Perioral and buccal muscles for assisting speech Chapter 11 · Cranial Nerve Motor Nuclei and Brain Stem Motor Functions 255 5. A stroke affecting the corticobulbar tract will produce whkh of the following trigeminal motor impairments Minimal weakness because the trigeminal motor nucleus receives a bilateral corticobulbar tract innervation 8. Loss of pain and temperature on the contralateral limbs and trunk and the ipsilateral face B. Loss of pain and temperature on the contralateral limbs and trunk and the ipsilateral face, and loss of facial touch ipsilaterally D. Loss of pain and temperature on the contralateral limbs and trunk and the ipsilateral face, and loss of facial touch contralaterally 6. Which of the following statements best describes the corticobulbar projection from the primary motor cortex in the internal capsule! They intermingle with corticospinal axons in the posterior limb of the internal capsule. A person has a developmental disorder in which some neurons fail to migrate from the ventricular surface during prenatal development. If this condition affects facial motor neurons, where would you expect to find facial motor neurons in this patient compared with a healthy person On examination, when asked to look to the left, her eyes remained fixed forward, as she described. In addition, it was noted that she had nystagmus in her right eye when she looked to the right (ie, right abduction nystagmus). The patient was diagnosed with multiple sclerosis based on these neurological and radlologtcal signs, as well as additional laboratory tests. Based on your reading of this chapter, you should be able to answer the following questions. Interruption of which components of the eye movement control circuit in this patient leads to the inability to look to the left Position of eyes when the patient Is attempting to look to her left Note that the left eye ls fixed forward. The right eye abducts, but the left eye Is fixed forward; tllere Is no left eye adduction. Myelln~lned section showing the loaitlons of key structures and the approximate location of the leslon. Note that there is slight asymmetry to the left eye, showing a small amount of adduction, due to Chapter 12 · the Vestibular System and Eye Movements 259 paralysis of the left lateral rectus muscle and the unopposed pulling of the intact right medial rectus muscle. Since multiple sclerosis is an inflammatory demyelinating condition, neurons are likely not degenerated but functionally impaired. A unilateral disorder of the ponti ne tegmentum: a study of 20 cases and review of the literature. D uring takeoff in a jet you experience a particularly salient function of the vestibular system: sensing body acceleration. Although perception of signals from the vestibular sensory organs occurs only under special circumstances, this system is operating continuously by controlling relatively automatic functions, such as maintaining balance when we are walking on uneven terrain or adjusting blood pressure when we stand up quickly.
High densities of amyloid plaques and neurofibrillary tangles are essentially pathognomonic for Alzheimer disease acne 2nd trimester cleocin gel 20 gm without a prescription. Typically, traumatic injury will affect many functions within the damaged brain region. By contrast, a developmental impairment produced by a genetic defect can be remarkably selective ifthe affected gene has a limited set of brain functions. This affected both deep branches to subcortical white matter and superficial branches supplying the cerebral cortex. Since all descending motor control axons converge within the internal capsule, damage to this structure alone can produce the major limb and facial motor signs seen in this patient 3. Whereas the lower facial muscles receive contralateral control by the cortex, retained upper facial control is explained by the presence of ipsilateral control. Understanding and producing speech are functions of two brain regions, the superior temporal gyrus and the inferior frontal gyrus, respectively. Moreover, the tract that brings information from the superior temporal gyrus to the inferior frontal gyrus is supplied by deep branches of the middle cerebral artery. The problem is therefore not paralysis of the right eye, but rather an inability to direct gaze to the right side. Both the dorsal column-medial lemniscal pathway and the corticospinal tract decussate within the ventral portion of the medulla. Without these decussations, the two sides of the ventral medulla become somewhat separated, and a sulcus forms. Axons important for coordinating eye movements normally deaissate in the dorsal pons. No, the corpus callosum is an example of a midline structure with intact decussating axons. The image rdlects the properties of hydrogen ions in water associated with neural pathways. The dorsal columns primarily contain the amnal processes of neurons and oligodendrocytes, which form the myelin sheath. In addition, there are astrocytes, which provide 467 468 Answers to Clinical Cases metabolic and other functional support for axons and oligodendrocytes. Microglia are present throughout the healthy central nervous systems, but in small numbers; their job is to surveil for infection, tissue damage, and inflammation. Their numbers would be expected to increase in association with inflammation, infection, and degeneration when microglia become activated and competent to phagocytize degenerationrelated debris. Most of the axons in the dorsal columns are the central, ascending, branches of a subset of dorsal root ganglion neurons. A smaller percentage of axons are the ascending branch of dorsal horn sensory-processing neurons. Oligodendrocytes and their myelinating processes are present locally within the dorsal column, as are astrocytes. The principal function of the dorsal columns is mechanical sensations: fine/discriminative touch, limb proprioception and vibration sense. Vibration sense and proprioception are mediated by largediameter mechanosensory afferents that ascend in the dorsal columns. By contrast, pain, temperature, and itch are collectively mediated primarily by small-diameter myelinated fibers and unmyelinated fibers that synapse on dorsal horn neurons. Touch is mediated by a wider range of fiber types, including a minority of smaller diameter mechanosensory fibers and fibers that are not well-myelinated. A pathological process that differentially impacts large-diameter fibers might spare smaller diameter mechanosensory fibers. The ability to maintain an upright posture depends, in part, on lower limb proprioception. Therefore, when this patient closes his eyes, he is deprived of this compensating modality and, in consequence, he loses his balance. Maintaining proper balance is all the more challenging when the feet are close together. Focal damage to decussating axons of the pain and temperature system will result in bilateral sensory loss. Whereas initially the cavity can readily damage decussating anterolateral axons, as the cavity enlarges it can encroach on motor neurons in the motor pools, which can lead to muscle weakness, and the ventral portion of the dorsal column, which can produce mechanosensory impairments. The lesion damages the entering axons ofthe trigeminal nerve, before they synapse and decussate. Thus, the system is uncrossed at this level In contrast, the pain pathway from the limbs and trunk decussated caudal to this level, in the spinal cord. In contrast, the pain pathway from the limbs and trunk decussates in the spinal cord, which is caudal to this level. Mechanosensation from the limbs and trunk is mediated by the dorsal column medial lemniscal system. At this level, the medial lemniscus carries mechanosensory information from the contralateral side. The afferent fibers enter along with the pain and temperature fibers at the mid-pons, but instead of descending into the spinal trigeminal tract, project into the pons and synapse on the main sensory nucleus. Instead, its arterial supply is from long circumferential branches of the basilar artery.
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In myelin-stained material skin care di bandung cheap cleocin gel 20 gm online, the white matter of the central nervous system stains black and the gray matter stains light. For example, cell stains are used to characterize the cellular architecture of nuclei and cortical areas, and myelin stains are used to reveal the general t:opography of brain regions. Myelin staining is also used to reveal the location of damaged axons because, after such damage, the myelin sheath degenerates. Certain llpophlllc dyes that diffuse preferentlally along neuronal membranes can be applied directly to a human postmortem brain specimen. This technique allows delineation of some neural connections In the human brain because the axons of neurons at the site of application of the tracer are labeled. Chapter 2 · Structural and Functional Organization of the Central Nervous System 35 A To B Dorsal column Central canal brain stem. Three-dimensional schematic view of a spinal cord segment showing key spinal cord structures, the circuit for tfte knee-jerk reflex. Myelln-stalned section through the Immature splnal cord showing pale-staining unmyeflnated regions In the dorsolateral portion of tfte lateral columns, where the cortlcosplnal tracts are located. These sensory receptor neurons also terminate in the spinal cord, for mediating reflexes. A special class of neurons, motor neurons, are located here; they have axons that exit the spinal cord through the ventral root to innervate muscle. In certain segments of the spinal cord, this circuit mediates the knee-jerk refla. A tap to the patella tendon of the knee stretches the quadriceps muscle, thereby stretching the receptors in the muscle. Within the spinal gray matter, the branches of dorsal root ganglion cells that innervate these receptors synapse on quadriceps motor neurons. The axon branch that enters the dorsal column transmits information to the brain about limb position. This is an example of a dorsal root ganglion neuron that has both local spinal and ascending connections and, as a consequence, can serve both reflexes and perception. Computerized tomography (Cl) produces scans that are a sequence of images of single planes, or "slices," of tissue. Each image is a computerized reconstruction of the degree to which different tissues absorb transmitted x-rays. Once excited, protons emit a signal with three components, or parameters, that depend on tissue characteristics. Water is the major source of protons and this parameter is primarily a measure of water content. The second and third parameters are related to proton relaxation times; that is, the times it takes protons to return to the energy state they were in before excitation by electromagnetic waves. T1 relaxation time (or spin-lattice relaxation time) is related to the overall tissue environment, and T2 relaxation time (or spin-spin relaxation time), to interactions between protons. This differential dependence is accomplished by fine-tuning the electromagnetic waves used to excite the tissue. The choice of whether to have an image reflect proton density, T1 relaxation time, or T2 relaxation time depends on the purpose of the image. These images can be used to distinguish an edematous region of the white matter after stroke, for example, from a normal region. For T1 images, the signals produced by protons in cerebrospinal fluid are weak, and, on this image, cerebrospinal fluid is shaded black. Cerebrospinal fluid in the ventricles and overlying the brain surface, in the subarachnoid space, has the same dark appearance. On T2 images, cerebrospinal fluid appears white, because the signal it generates is strong. In T1 images, protons in blood in arteries and veins produce a strong signal, and these tissue constituents appear white. The gray and white matters are also distinct because their protons emit signals of slightly different strengths. This approach can be used to examine fiber pathways in the brain, or tractography. Remarkably, tracts with different orientations, such as connecting the two hemispheres or the cortex and brain stem and spinal cord, can be distinguished. This technique provides an image of the changes in blood flowrelated neural activity in different brain regions. The image shows that the anterior cingulate gyrus is activated, suggesting it is important in this kind of emotion. This is because the axons of the corticospinal tract are unmyelinated in the young infant; they become myelinated only after about 1 year of age. Another way to localize a myelinated pathway is to stain for the presence of myelin after axons in the pathway have been damaged, such as by a physical traumatic injury or stroke. The portion of the axon distal to the cut, now isolated from the neuronal cell body, degenerates because it is deprived of nourishment. In the central nervous system, when a myelinated axon degenerates, the myelin sheath around the axon also degenerates. The ventral column contains the axons of both ascending sensory and descending motor pathways and is considered in later chapters. However, we see the small size of the spinal cord in relation to the size of the neck.