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19th Global and Conference & 13th Global Neurologists Meeting on Neurology and November 07-08, 2019 | Frankfurt, Germany

Keynote Forum

Neuroscience-2019 | Neurologists 2019 November 07-08, 2019|Frankfurt, Germany Page 1 conferenceseries.com AV Srinivasan,J Neuro Neurophy 2019, Volume 10 19th Global Neuroscience and Neurology Conference and 13th Global Neurologists Meeting on Neurology and Neurosurgery November 07-08, 2019 | Frankfurt, Germany

AV Srinivasan The Tamil Nadu Dr. M.G.R Medical University, India

Sensory modulation in peripheral and central lesions of somoto sensory system S Ramachandran and AV Srinivasan et al (1998) described allesthesia and extinction of referred sensations in Vbrachial plus lesions. K. Sathian et al (2000) suggested that intermanual referral of sensations can occur after central lesions of the Somato sensory system. This communication considers eight patients with five central lesions and three peripheral lesions of the Somato sensory system. Methodology & Theoretical Orientation: Ecological model of sensory modulations has external and internal dimensions. This refers both physiological and behavioural responses. Disfunction in sensory integration is the ability, modulate, discriminate, co-ordinate or organise sensation adaptively. Eight patients aged between 19-51 with brachial plexus lesion one, amputation 2 patients, hemiparesis with hemisensory deficit five patients were analysed. Patients vibration and kinesthesis were tested. Stimuli were applied manually. All patients had Magnetic Resonance Imaging of the Brain and ENMG studies. Findings: Central lesions: All the five patients showed intermanual referral of sensations between 3rd and 4th month after developing hemisensory deficit. Three had thalamic stroke and two patients has temparoparietal infarct. Intermanual referred sensations to the affected hand in these patients were not referred to the affected leg. Intermanual referred sensations were poorly localised and the facial sensations were referred with increased intensity in the thalamic patients. When applied pressure on the normal hand resulted in the extinction of sensation side and pain recurred within one minute of the pressure being relieved. Peripheral Lesions: Amputation of Limbs: Both the patients (below elbow and knee amputation) showed intermanual referral sensation within ten days. The referred sensation of touch and vibration lacked spatial organisation and poor localization with a relatively high threshold. Brachial Plexus Lesion: Patient had sensation intermanually referred in a topographically organised manner in the phantom limb. Intriguingly, simultaneous stimulation of the specific region (e.g. thumb) of the face and the corresponding finger of the right hand resulted in a mutual cancellation or extinction of the referred sensations in the phantom limb. Conclusions & Significance: 1.0 Intermanual referral of the sensations in the phantom limb occurred immediately in Brachial plexus lesion and amputation, whereas it occurred after a delay of three month is in hemiparesis with hemisensory deficit. This can be utilised for extinction of pain in the paretic side and in the Phantom limb. 2.0 Sensations were referred intermanually in a topographically organized manner in Brachial Plexus lesions, whereas in amputations and hemiparesis with hemisensory deficit, lacked spatial and poor localization. Disclosure: Dr. Venkatesan has nothing to disclose. Recent Publications: 1. Willis WD Jr.: The sensory system with emphasis on structures important for pain. Brain Res Rev 2007; 55:297-313. 2. Miller LJ, Reisman JE. An ecological model of sensory modulation, Chapter 4,292-324. 3.DOBKIN BH. The clinicalscience of neurological rehabilitation. Second edn, Chapter 4, 292-324. 4. Srinivasan AV, Ramachandran VS, Ramachandran R,et al, 127th Annual Meeting of the AMRICAN Neurological Association; Oct 12 to 16,2002. Marriot Marquis Hotel, New York. 5. Srinivasan AV, Velmurugendran CU, Roger-Ramachandran, et al,. Anaesthesia and extinction of referred

Volume 10 Journal of Neurology & Neuroscience-2019 | Neurologists 2019 ISSN: 2155-9562 November 07-08, 2019|Frankfurt, Germany Page 2 conferenceseries.com 19th Global Neuroscience and Neurology Conference and 13th Global Neurologists Meeting on Neurology and Neurosurgery November 07-08, 2019 | Frankfurt, Germany sensations after brachial plexus avulsion 5th American Academy of Neurology Meeting: Minneapolis.1998. 6. RamachandranVS, Hirstein W. T he perception of phantom limbs: the DO.Hebb lecture. Brain. 1998:121:1603-30

Biography

He is Emeritus Professor in the Tamil Nadu Dr. M.G.R. Medical University; Former Adjunct Prof. – IIT (Madras) – (Bio – Technology) and Visiting Professor in Cleveland – Ohio – USA; Hershey Medical College, USA and Former Adjunct Prof. – IIT (Madras) – (Bio – Technology)

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Volume 10 Journal of Neurology & Neurophysiology Neuroscience-2019 | Neurologists 2019 ISSN: 2155-9562 November 07-08, 2019|Frankfurt, Germany Page 3 conferenceseries.com Maria Lourdes de Vera, J Neuro Neurophy 2019, Volume 10 19th Global Neuroscience and Neurology Conference and 13th Global Neurologists Meeting on Neurology and Neurosurgery November 07-08, 2019 | Frankfurt, Germany

Maria Lourdes de Vera Nurse and Psychologist, Philippines

Long term effects of abuse and violence on children’s behavior buse and Violence are a health risk among children. It carries the potential of producing long and debilitating Amental health problems that includes maladaptive behaviors, anxiety disorders, personality or relational issues. Abuse and violence in all forms is a serious global health problem affecting children. It is not an isolated case. It is cause for alarm and concern.

This health issue requires equal importance as any other physiologic and physical disorder. It advocates the use of client centered or person-centered . The child’s right to be respected for his views is necessary in the treatment and healing process.

Every child is a human being having similar rights as any adults have. It includes their right to association with both parents, human identity, the provision of the basic needs for physical protection, food, universal state-paid education, , and criminal laws appropriate for the age and development of the child, equal protection of the child’s civil rights, and freedom. Prevention of a disruptive home environment is better than a whole system of cure. Abuse, whatever the nature is; physical, psychological or sexual according to Mullen and Fleming (1998) reveals a significant connection between a history of child abuse and a range of adverse outcomes both in childhood and adulthood. The important role of the family and community where the child is raised is stressed. This study describes coping mechanism, mental health wellbeing and functioning of an abused child Biography

Maria lourdes de vera is an artist and an award winning author. She has written articles about child rearing and written books on the significance of creative art works for children. She is a registered Nurse specializing in Intensive Care as former Clinical Instructor she handles research as her main field of interest.Maria is a Licensed Professional Teacher and Psychologist with post graduates in Medical Surgical Nursing, Guidance and Counselling and Fine Arts. She gives lectures to undergraduate and and graduate school students in selected colleges and universities in the National Capital Region.

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Volume 10 Journal of Neurology & Neurophysiology Neuroscience-2019 | Neurologists 2019 ISSN: 2155-9562 November 07-08, 2019|Frankfurt, Germany Page 4