Neuroanatomy
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MR Imaging of the Orbital Apex
J Korean Radiol Soc 2000;4 :26 9-0 6 1 6 MR Imaging of the Orbital Apex: An a to m y and Pat h o l o g y 1 Ho Kyu Lee, M.D., Chang Jin Kim, M.D.2, Hyosook Ahn, M.D.3, Ji Hoon Shin, M.D., Choong Gon Choi, M.D., Dae Chul Suh, M.D. The apex of the orbit is basically formed by the optic canal, the superior orbital fis- su r e , and their contents. Space-occupying lesions in this area can result in clinical d- eficits caused by compression of the optic nerve or extraocular muscles. Even vas c u l a r changes in the cavernous sinus can produce a direct mass effect and affect the orbit ap e x. When pathologic changes in this region is suspected, contrast-enhanced MR imaging with fat saturation is very useful. According to the anatomic regions from which the lesions arise, they can be classi- fied as belonging to one of five groups; lesions of the optic nerve-sheath complex, of the conal and intraconal spaces, of the extraconal space and bony orbit, of the cav- ernous sinus or diffuse. The characteristic MR findings of various orbital lesions will be described in this paper. Index words : Orbit, diseases Orbit, MR The apex of the orbit is a complex region which con- tains many nerves, vessels, soft tissues, and bony struc- Anatomy of the orbital apex tures such as the superior orbital fissure and the optic canal (1-3), and is likely to be involved in various dis- The orbital apex region consists of the optic nerve- eases (3). -
Pharnygeal Arch Set - Motor USMLE, Limited Edition > Neuroscience > Neuroscience
CNs 5, 7, 9, 10 - Pharnygeal Arch Set - Motor USMLE, Limited Edition > Neuroscience > Neuroscience PHARYNGEAL ARCH SET, CNS 5, 7, 9, 10 • They are derived from the pharyngeal (aka branchial) arches • They have special motor and autonomic motor functions CRANIAL NERVES EXIT FROM THE BRAINSTEM CN 5, the trigeminal nerve exits the mid/lower pons.* CN 7, the facial nerve exits the pontomedullary junction.* CN 9, the glossopharyngeal nerve exits the lateral medulla.* CN 10, the vagus nerve exits the lateral medulla.* CRANIAL NERVE NUCLEI AT BRAINSTEM LEVELS Midbrain • The motor trigeminal nucleus of CN 5. Nerve Path: • The motor division of the trigeminal nerve passes laterally to enter cerebellopontine angle cistern. Pons • The facial nucleus of CN 7. • The superior salivatory nucleus of CN 7. Nerve Path: • CN 7 sweeps over the abducens nucleus as it exits the brainstem laterally in an internal genu, which generates a small bump in the floor of the fourth ventricle: the facial colliculus • Fibers emanate from the superior salivatory nucleus, as well. Medulla • The dorsal motor nucleus of the vagus, CN 10 • The inferior salivatory nucleus, CN 9 1 / 3 • The nucleus ambiguus, CNs 9 and 10. Nerve Paths: • CNs 9 and 10 exit the medulla laterally through the post-olivary sulcus to enter the cerebellomedullary cistern. THE TRIGEMINAL NERVE, CN 5  • The motor division of the trigeminal nerve innervates the muscles of mastication • It passes ventrolaterally through the cerebellopontine angle cistern and exits through foramen ovale as part of the mandibular division (CN 5[3]). Clinical Correlation - Trigeminal Neuropathy THE FACIAL NERVE, CN 7  • The facial nucleus innervates the muscles of facial expression • It spans from the lower pons to the pontomedullary junction. -
CHQ-GDL-01074 Acute Management of Open Globe Injuries
Acute management of Open Globe Injuries Document ID CHQ-GDL-01074 Version no. 2.0 Approval date 14/05/2020 Executive sponsor Executive Director Medical Services Effective date 14/05/2020 Author/custodian Director Infection Management and Prevention service, Review date 14/05/2022 Immunology and Rheumatology Supersedes 1.0 Applicable to All Children’s Health Queensland (CHQ) staff Authorisation Executive Director Clinical Services (QCH) Purpose This evidence-based guideline provides clinical practice advice for clinicians for the acute management of children with open globe injuries. A paediatric ophthalmology team must be actively involved in the management of all patients presenting with this condition. Scope This guideline applies to all Children’s Health Queensland (CHQ) Staff treating a child presenting for the management of open globe injury. Related documents • CHQ-GDL-01202 CHQ Paediatric Antibiocard: Empirical Antibiotic Guidelines • CHQ-PROC-01035 Antimicrobial Restrictions • CHQ Antimicrobial Restriction list • CHQ-GDL-01023 Tetanus Prophylaxis in Wound Management CHQ-GDL-01074- Acute management of Open Globe Injuries - 1 - Guideline Introduction Ocular trauma is an important cause of eye morbidity and is a leading cause of non-congenital mono-ocular blindness among children.1 A quarter of a million children present each year with serious ocular trauma. The vast majority of these are preventable.2 Open globe injuries are injuries where the cornea and/or sclera are breached and there is a full-thickness wound of the eye wall.3 It can be further delineated into globe rupture from blunt trauma and lacerations from sharp objects. When a large blunt object impacts onto the eye, there is an instant increase in intraocular pressure and the eye wall yields at its weakest point leading to tissue prolapse.4 Open globe lacerations are caused by sharp objects or projectiles and subdivided into either penetrating or perforating injuries. -
The Nerve Lesion in the Carpal Tunnel Syndrome
J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.39.7.615 on 1 July 1976. Downloaded from Journal of Neurology, Neurosurgery, and Psychiatry, 1976, 39, 615-626 The nerve lesion in the carpal tunnel syndrome SYDNEY SUNDERLAND From the Department of Experimental Neurology, University of Melbourne, Parkville, Victoria, Australia SYNOPSIS The relative roles of pressure deformation and ischaemia in the production of compres- sion nerve lesions remain a controversial issue. This paper concerns the genesis of the structural changes which follow compression of the median nerve in the carpal tunnel. The initial lesion is an intrafunicular anoxia caused by obstruction to the venous return from the funiculi as the result of increased pressure in the tunnel. This leads to intrafunicular oedema and an increase in intrafunicular pressure which imperil and finally destroy nerve fibres by impairing their blood supply and by compression. The final outcome is the fibrous tissue replacement of the contents of the funiculi. Protected by copyright. In 1862 Waller described the motor, vasomotor, (Gasser, 1935; Allen, 1938; Bentley and Schlapp, and sensory changes which followed the com- 1943; Richards, 1951; Moldaver, 1954; Gelfan pression of nerves in his own arm. His account and Tarlov, 1956). carried no reference to the mechanism In the 1940s Weiss and his associates (Weiss, responsible for blocking conduction in the nerve 1943, 1944; Weiss and Davis, 1943; Weiss and fibres, presumably because he regarded it as Hiscoe, 1948), who were primarily concerned obvious that pressure was the offending agent. with the technical problem of uniting severed Interest in the effects of nerve compression nerves, observed that a divided nerve enclosed was not renewed until the 1920s when cuff or in a tightly fitting arterial sleeve became swollen tourniquet compression was used to produce a proximal and distal to the constriction. -
Brainstem: Structure & Its Mode of Action
Journal of Neurology & Neurophysiology 2021, Vol.12, Issue 3, 521 Opinion Brainstem: Structure & Its Mode of action Karthikeyan Rupani Research Fellow, Tata Medical Centre, India. Corresponding Author* The brainstem is exceptionally little, making up around as it were 2.6 percent of the brain's add up to weight. It has the basic parts of directing cardiac, and Rupani K, respiratory work, making a difference to control heart rate and breathing rate. Research Fellow, Tata Medical Centre, India; It moreover gives the most engine and tactile nerve supply to the confront and E-mail: [email protected] neck by means of the cranial nerves. Ten sets of cranial nerves come from the brainstem. Other parts incorporate the direction of the central apprehensive Copyright: 2021 Rupani K. This is an open-access article distributed under the framework and the body's sleep cycle. It is additionally of prime significance terms of the Creative Commons Attribution License, which permits unrestricted within the movement of engine and tangible pathways from the rest of the use, distribution, and reproduction in any medium, provided the original author brain to the body, and from the body back to the brain. These pathways and source are credited. incorporate the corticospinal tract (engine work), the dorsal column-medial lemniscus pathway and the spinothalamic tract [3]. The primary part of the brainstem we'll consider is the midbrain. The midbrain Received 01 March 2021; Accepted 15 March 2021; Published 22 March 2021 (too known as the mesencephalon) is the foremost prevalent of the three districts of the brainstem. It acts as a conduit between the forebrain over and the pons and cerebellum underneath. -
Quantitative Analysis of Axon Collaterals of Single Pyramidal Cells
Yang et al. BMC Neurosci (2017) 18:25 DOI 10.1186/s12868-017-0342-7 BMC Neuroscience RESEARCH ARTICLE Open Access Quantitative analysis of axon collaterals of single pyramidal cells of the anterior piriform cortex of the guinea pig Junli Yang1,2*, Gerhard Litscher1,3* , Zhongren Sun1*, Qiang Tang1, Kiyoshi Kishi2, Satoko Oda2, Masaaki Takayanagi2, Zemin Sheng1,4, Yang Liu1, Wenhai Guo1, Ting Zhang1, Lu Wang1,3, Ingrid Gaischek3, Daniela Litscher3, Irmgard Th. Lippe5 and Masaru Kuroda2 Abstract Background: The role of the piriform cortex (PC) in olfactory information processing remains largely unknown. The anterior part of the piriform cortex (APC) has been the focus of cortical-level studies of olfactory coding, and asso- ciative processes have attracted considerable attention as an important part in odor discrimination and olfactory information processing. Associational connections of pyramidal cells in the guinea pig APC were studied by direct visualization of axons stained and quantitatively analyzed by intracellular biocytin injection in vivo. Results: The observations illustrated that axon collaterals of the individual cells were widely and spatially distrib- uted within the PC, and sometimes also showed a long associational projection to the olfactory bulb (OB). The data showed that long associational axons were both rostrally and caudally directed throughout the PC, and the intrinsic associational fibers of pyramidal cells in the APC are omnidirectional connections in the PC. Within the PC, associa- tional axons typically followed rather linear trajectories and irregular bouton distributions. Quantitative data of the axon collaterals of two pyramidal cells in the APC showed that the average length of axonal collaterals was 101 mm, out of which 79 mm (78% of total length) were distributed in the PC. -
Microscopic Anatomy of the Eye Dog Cat Horse Rabbit Monkey Richard R Dubielzig Mammalian Globes Mammalian Phylogeny General Anatomy Dog
Microscopic Anatomy of the eye Dog Cat Horse Rabbit Monkey Richard R Dubielzig Mammalian globes Mammalian Phylogeny General Anatomy Dog Arterial Blood Vessels of the Orbit General Anatomy Dog * Horizontal section Long Posterior Ciliary a. Blood enters the globe Short Post. Ciliary a Long Post. Ciliary a. Anterior Ciliary a. Blood Supply General Anatomy Dog Major arterial circle of the iris Orbital Anatomy Dog Brain Levator Dorsal rectus Ventral rectus Zygomatic Lymph node Orbital Anatomy Dog Orbital Anatomy Dog Cartilaginous trochlea and the tendon of the dorsal oblique m. Orbital Anatomy Dog Rabbit Orbital Anatomy Dog Zygomatic salivary gland mucinous gland Orbital Anatomy Dog Gland of the Third Eyelid Eye lids (dog) Eye lids (dog) Meibomian glands at the lid margin Holocrine secretion Eye lids (primate) Upper tarsal plate Lower tarsal plate Eye lids (rabbit) The Globe The Globe Dog Cat Orangutan Diurnal Horse Diurnal Cornea Epithelium Stromal lamellae Bowman’s layer Dolphin Descemet’s m Endothelium TEM of surface epithelium Cornea Doubling of Descemet’s Vimentin + endothelium Iris Walls: The vertebrate eye Iris Sphincter m. Dilator m Blue-eye, GFAP stain Iris Collagen Iris Cat Sphinctor m. Dilator m. Iris Cat Phyomelanocytes Iris Equine Corpora nigra (Granula iridica) seen in ungulates living without shade Ciliary body Pars plicata Ciliary muscle Pars plana Ciliary body Zonular ligaments Ciliary body Primarily made of fibrillin A major component of elastin Ciliary body Alcian Blue staining acid mucopolysaccharides: Hyaluronic acid Ciliary -
Deconstructing Spinal Interneurons, One Cell Type at a Time Mariano Ignacio Gabitto
Deconstructing spinal interneurons, one cell type at a time Mariano Ignacio Gabitto Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy under the Executive Committee of the Graduate School of Arts and Sciences COLUMBIA UNIVERSITY 2016 © 2016 Mariano Ignacio Gabitto All rights reserved ABSTRACT Deconstructing spinal interneurons, one cell type at a time Mariano Ignacio Gabitto Abstract Documenting the extent of cellular diversity is a critical step in defining the functional organization of the nervous system. In this context, we sought to develop statistical methods capable of revealing underlying cellular diversity given incomplete data sampling - a common problem in biological systems, where complete descriptions of cellular characteristics are rarely available. We devised a sparse Bayesian framework that infers cell type diversity from partial or incomplete transcription factor expression data. This framework appropriately handles estimation uncertainty, can incorporate multiple cellular characteristics, and can be used to optimize experimental design. We applied this framework to characterize a cardinal inhibitory population in the spinal cord. Animals generate movement by engaging spinal circuits that direct precise sequences of muscle contraction, but the identity and organizational logic of local interneurons that lie at the core of these circuits remain unresolved. By using our Sparse Bayesian approach, we showed that V1 interneurons, a major inhibitory population that controls motor output, fractionate into diverse subsets on the basis of the expression of nineteen transcription factors. Transcriptionally defined subsets exhibit highly structured spatial distributions with mediolateral and dorsoventral positional biases. These distinctions in settling position are largely predictive of patterns of input from sensory and motor neurons, arguing that settling position is a determinant of inhibitory microcircuit organization. -
Bilateral Cerebellar Dysfunctions in a Unilateral Meso-Diencephalic Lesion
J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.44.4.361 on 1 April 1981. Downloaded from Journal of Neurology, Neurosurgery, and Psychiatry, 1981, 44, 361-363 Short report Bilateral cerebellar dysfunctions in a unilateral meso-diencephalic lesion D VON CRAMON From the Max-Planck-Institute for Psychiatry, Munich, Germany SUMMARY The clinical syndrome of a 65-year-old patient with a slit-shaped right-sided meso- diencephalic lesion was analysed. A cerebellar syndrome with limb-kinetic ataxia, intention tremor and hypotonicity in all extremities as well as ataxic dysarthria was found. The disruption of the two cerebello-(rubro)-thalamic pathways probably explained the signs of bilateral cere- bellar dysfunction. The uncrossed ascending limb of the right, and the crossed one of the left brachium conjunctivum may have been damaged by the unilateral lesion extending between caudal midbrain and dorsal thalamus. Protected by copyright. Most of the fibres which constitute the superior general hospital where neurological examination cerebellar peduncle leave the cerebellum and showed bilateral miosis, convergent strabism, vertical originate in cells of the dentate nucleus but also gaze paresis on upward gaze with gaze-paretic nystag- arise from neurons of the globose and emboli- mus, flaccid sensori-motor hemiparesis with increased stretch reflexes and Babinski sign on the left side, forme nuclei. The crossed ascending fibres of the and dysmetric movements of the right upper extremity. brachia conjunctiva constitute the major outflow The CT scan showed an acute haemorrhage in the from the cerebellum, they form the cerebello- right mesodiencephalic area. On 19 February 1979 (rubro)-thalamic and dentato-thalamic tracts.' the patient was admitted to our department. -
Brainstem Exclusive of the Pyramids Themselves, Which Were Blood-Supplied Through the Intact Basilar Artery
NOTE ON CONVERGENCE OF PYRAMIDAL AND PRIMARY AFFERENT IMPULSES IN THE SPINAL CORD OF THE CAT BY DAVID P. C. LLOYD THE ROCKEFELLER UNIVERSITY Communicated December 20, 1967 The burden of this note is to present an example of observations long since made but not previously published. The immediate stimulus for presenting them now was provided by the paper by R. Porter' in which a combination of im- pulses of cortical and of lingual nerve origin was shown by convergence to facilitate the response of interneurons in or near the spinal trigeminal nucleus to a level of activity greater than that of the sum of responses elicited by lingual nerve stimu- lation and corticospinal stimulation, respectively, in isolation. Experiments of the sort now to be described concern the convergence upon interneurons in the lumbar spinal enlargement of pyramidal tract impulses and primary afferent im- pulses engendered by stimulation of the seventh lumbar dorsal root. To an ex- tent these experiments are confirmatory, with respect to another location in the neuraxis, of the observations of Porter,' but they demonstrate, in addition, how one pathway by occlusion may pre-empt the interneuron from service to the other pathway. In a prior paper2 convergence at the internuncial level was im- plied by virtue of pyramidal tract facilitatory influence upon disynaptic (three- neuron-arc) reflexes in the absence of any influence upon monosynaptic (two- neuron-arc) reflexes (ref. 2, Figs. 9 and 10). Preparation and procedure were discussed in the previous publication2 and need not be restated here, except to note that the pyramidal tract impulses were "pure" because the bulbar pyramid was stimulated rostral to a lesion that sev- ered the entire brainstem exclusive of the pyramids themselves, which were blood-supplied through the intact basilar artery. -
The Complexity and Origins of the Human Eye: a Brief Study on the Anatomy, Physiology, and Origin of the Eye
Running Head: THE COMPLEX HUMAN EYE 1 The Complexity and Origins of the Human Eye: A Brief Study on the Anatomy, Physiology, and Origin of the Eye Evan Sebastian A Senior Thesis submitted in partial fulfillment of the requirements for graduation in the Honors Program Liberty University Spring 2010 THE COMPLEX HUMAN EYE 2 Acceptance of Senior Honors Thesis This Senior Honors Thesis is accepted in partial fulfillment of the requirements for graduation from the Honors Program of Liberty University. ______________________________ David A. Titcomb, PT, DPT Thesis Chair ______________________________ David DeWitt, Ph.D. Committee Member ______________________________ Garth McGibbon, M.S. Committee Member ______________________________ Marilyn Gadomski, Ph.D. Assistant Honors Director ______________________________ Date THE COMPLEX HUMAN EYE 3 Abstract The human eye has been the cause of much controversy in regards to its complexity and how the human eye came to be. Through following and discussing the anatomical and physiological functions of the eye, a better understanding of the argument of origins can be seen. The anatomy of the human eye and its many functions are clearly seen, through its complexity. When observing the intricacy of vision and all of the different aspects and connections, it does seem that the human eye is a miracle, no matter its origins. Major biological functions and processes occurring in the retina show the intensity of the eye’s intricacy. After viewing the eye and reviewing its anatomical and physiological domain, arguments regarding its origins are more clearly seen and understood. Evolutionary theory, in terms of Darwin’s thoughts, theorized fossilization of animals, computer simulations of eye evolution, and new research on supposed prior genes occurring in lower life forms leading to human life. -
Imaging of the Confused Patient: Toxic Metabolic Disorders Dara G
Imaging of the Confused Patient: Toxic Metabolic Disorders Dara G. Jamieson, M.D. Weill Cornell Medicine, New York, NY The patient who presents with either acute or subacute confusion, in the absence of a clearly defined speech disorder and focality on neurological examination that would indicate an underlying mass lesion, needs to be evaluated for a multitude of neurological conditions. Many of the conditions that produce the recent onset of alteration in mental status, that ranges from mild confusion to florid delirium, may be due to infectious or inflammatory conditions that warrant acute intervention such as antimicrobial drugs, steroids or plasma exchange. However, some patients with recent onset of confusion have an underlying toxic-metabolic disorders indicating a specific diagnosis with need for appropriate treatment. The clinical presentations of some patients may indicate the diagnosis (e.g. hypoglycemia, chronic alcoholism) while the imaging patterns must be recognized to make the diagnosis in other patients. Toxic-metabolic disorders constitute a group of diseases and syndromes with diverse causes and clinical presentations. Many toxic-metabolic disorders have no specific neuroimaging correlates, either at early clinical stages or when florid symptoms develop. However, some toxic-metabolic disorders have characteristic abnormalities on neuroimaging, as certain areas of the central nervous system appear particularly vulnerable to specific toxins and metabolic perturbations. Areas of particular vulnerability in the brain include: 1) areas of high-oxygen demand (e.g. basal ganglia, cerebellum, hippocampus), 2) the cerebral white matter and 3) the mid-brain. Brain areas of high-oxygen demand are particularly vulnerable to toxins that interfere with cellular respiratory metabolism.