Extracellular unit responses were recorded from the vestibular nucleus (VN) and medial longitudinal fasciculus during horizontal head rotation of an in vitro turtle brainstem in which the temporal bones remained attached. Units were characterized as type I or type II based on the responses to ipsiversive or contraversive rotation, respectively. Lidocaine injections (0.5-2 microl of 0.5%) into the root of the eighth cranial nerve within the cranium caused rapid effects on unit responses to head rotation. Responses of type I units were reduced by ipsilateral injection but enhanced following contralateral injection. On the other hand, type II units had their responses increased by ipsilateral injections yet decreased by contralateral injections. In approximately half of the type II cells, decrease of the contraversive response was accompanied by the appearance of latent ipsiversive activity. Our findings not only confirm that each eighth nerve has afferents that drive ipsiversive excitation of both vestibular nuclei but also suggest that both nerves compete to dominate a central neuron's vestibular response. These results may be inconsistent with the push-pull vestibular model in which each nerve drives the central neuron with a complementary response that enhances the vestibular output. An alternate model is described in which vestibular neurons receive bilateral excitation, and that excitatory input is antagonized by crossed inhibition during contraversive motion.
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http://dx.doi.org/10.1016/j.brainres.2003.11.043 | DOI Listing |
J Int Adv Otol
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Department of Oto-Rhino-Laryngology, Plastic, Aesthetic and Reconstructive Head and Neck Surgery, University Hospital of Würzburg, Würzburg, Germany.
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Department of General Medicine, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Centre, Sri Ramaswamy Memorial (SRM) Institute of Science and Technology, Chengalpattu, IND.
Facial nerve palsy (FNP) may arise from multiple etiological reasons, including anatomical anomalies, circulatory complications, and infectious agents. This case series underscores the importance of a comprehensive diagnostic approach to identify the precise etiology, including structural abnormalities, vascular anomalies, or infectious illnesses. Here, we present three distinct occurrences of FNP, emphasizing the varied diagnostic difficulties and therapeutic strategies.
View Article and Find Full Text PDFNeurochirurgie
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Departments of Pediatric Neurosurgery, Schneider Children's Medical Center of Israel, Petah Tikva, Israel. Electronic address:
Objective: Deformational plagiocephaly (DP) is a well-recognized condition, affecting up to 20% of all babies. Its prevalence lead centers worldwide to create multi-group clinics and incorporate technology to decrease repetitive counselling, save clinic hours and shorten waiting times. This paper describes the modalities incorporated in our craniofacial clinic since 2016 and their effect on our patient population.
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December 2024
Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts. Electronic address:
BMJ Case Rep
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Christian Medical College and Hospital Vellore, Vellore, India.
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