Brainstem and Multiple Cranial Nerve Syndromes

Dec 16, 2016 by in NEUROLOGY Comments Off on Brainstem and Multiple Cranial Nerve Syndromes

CN, cranial nerve; CST, corticospinal tract; ICP, inferior cerebellar peduncle; LST, lateral spinothalamic tract; ML, medial lemniscus; PICA, posterior inferior cerebellar artery; SCM, sternocleidomastoid; ST, solitary tract. Wallenberg described the…

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The Glossopharyngeal and Vagus Nerves

Dec 16, 2016 by in NEUROLOGY Comments Off on The Glossopharyngeal and Vagus Nerves

FIGURE 18.1 Section through the medulla at the level of the inferior olivary nucleus. CN IX exits the skull through the jugular foramen, lateral and anterior to CNs X and…

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The Motor Unit Level

Dec 16, 2016 by in NEUROLOGY Comments Off on The Motor Unit Level

FIGURE 23.1 The motor unit. An alpha motor neuron in the anterior horn gives rise to an axon, which branches and arborizes in the periphery to innervate scattered muscle fibers…

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Muscle Volume and Contour

Dec 16, 2016 by in NEUROLOGY Comments Off on Muscle Volume and Contour

FIGURE 29.1 A patient with amyotrophic lateral sclerosis showing advanced atrophy of the muscles of the hands and shoulders. Involvement of nerve roots, plexus elements, or peripheral nerves leads to…

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Miscellaneous Neurologic Signs

Dec 16, 2016 by in NEUROLOGY Comments Off on Miscellaneous Neurologic Signs

FIGURE 52.1 Opisthotonos in a patient suffering from tetanus; painting by Sir Charles Bell, 1809. Dr. Bell was a noted artist as well as physician. (see Chapter 16.) Stiffness and…

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Disorders of Speech and Language

Dec 16, 2016 by in NEUROLOGY Comments Off on Disorders of Speech and Language

Lesions of the cerebral centers and connections that subserve language function may cause aphasia, an abnormality of language, even though the articulation mechanisms may be intact. Mutism is a total…

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Associated Movements

Dec 16, 2016 by in NEUROLOGY Comments Off on Associated Movements

Wartenberg’s Sign Active flexion of the terminal phalanges of the four fingers of a paretic hand about a firm object, or against resistance offered by the examiner’s fingers similarly flexed,…

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The Corticospinal (Pyramidal) Level

Dec 16, 2016 by in NEUROLOGY Comments Off on The Corticospinal (Pyramidal) Level

FIGURE 25.1 A lateral view of some of the clinically relevant cortical areas from the Brodmann cytoarchitectonic map. (Modified from Kiernan JA. Barr’s The Human Nervous System: An Anatomical Viewpoint….

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The Extrapyramidal Level

Dec 16, 2016 by in NEUROLOGY Comments Off on The Extrapyramidal Level

FIGURE 26.1 Drawing of the superior surface of an unstained horizontal section of the adult human brain, through the internal capsule, basal ganglia (BG), and thalamus. The internal capsule thrusts…

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