Phrenic Nerve
Diaphragm
Respiratory Paralysis
Respiration
Laryngeal Nerves
Vagotomy
Sciatic Nerve
Medulla Oblongata
Respiratory Mechanics
Intercostal Nerves
Hypoglossal Nerve
Respiratory Center
Peripheral Nerves
Cats
Decerebrate State
Hiccup
Nerve Fibers
Intercostal Muscles
Optic Nerve
Chemoreceptor Cells
Paralysis
Recurrent Laryngeal Nerve
Respiratory Physiological Phenomena
Nerve Endings
Brachial Plexus
Electromyography
Electric Injuries
Nerve Block
Facial Nerve
Neural Conduction
Brain Stem
Reflex
Peripheral Nervous System Diseases
Sural Nerve
Median Nerve
Carbon Dioxide
Carotid Body
Thoracic Nerves
Action Potentials
Spinal Cord
Rats, Sprague-Dawley
Tibial Nerve
Ulnar Nerve
Spinal Nerves
Brachial Plexus Neuritis
Cranial Nerves
Ribs
Trauma, Nervous System
Musculocutaneous Nerve
Femoral Nerve
Sodium Cyanide
Muscle Contraction
Horner Syndrome
Pressure
Esophagus
Hypercapnia
Sympathetic Nervous System
Electrophysiology
Pulmonary Ventilation
Methysergide
Tubocurarine
Motor Endplate
Posterior Thalamic Nuclei
Microinjections
Nerve Growth Factor
Carotid Sinus
Trigeminal Nerve
Cinanserin
Nerve Growth Factors
Efferent Pathways
Trochlear Nerve
Dogs
Vagus Nerve
Tidal Volume
Radial Nerve
Vocal Cord Paralysis
Spinal Cord Injuries
Cervical Vertebrae
Spinal Nerve Roots
Larynx
Raphe Nuclei
Nerve Compression Syndromes
Electrodes, Implanted
Nerve terminal damage by beta-bungarotoxin: its clinical significance. (1/947)
We report here original data on the biological basis of prolonged neuromuscular paralysis caused by the toxic phospholipase A2 beta-bungarotoxin. Electron microscopy and immunocytochemical labeling with anti-synaptophysin and anti-neurofilament have been used to show that the early onset of paralysis is associated with the depletion of synaptic vesicles from the motor nerve terminals of skeletal muscle and that this is followed by the destruction of the motor nerve terminal and the degeneration of the cytoskeleton of the intramuscular axons. The postjunctional architecture of the junctions were unaffected and the binding of fluorescein-isothiocyanate-conjugated alpha-bungarotoxin to acetylcholine receptor was not apparently affected by exposure to beta-bungarotoxin. The re-innervation of the muscle fiber was associated by extensive pre- and post-terminal sprouting at 3 to 5 days but was stable by 7 days. Extensive collateral innervation of adjacent muscle fibers was a significant feature of the re-innervated neuromuscular junctions. These findings suggest that the prolonged and severe paralysis seen in victims of envenoming bites by kraits (elapid snakes of the genus Bungarus) and other related snakes of the family Elapidae is caused by the depletion of synaptic vesicles from motor nerve terminals and the degeneration of the motor nerve terminal and intramuscular axons. (+info)Diaphragm electromyogram measured with unilateral magnetic stimulation. (2/947)
The purpose of this study was to establish the phrenic nerve conduction time (PNCT) for magnetic stimulation and further assess the relatively new technique of anterior unilateral magnetic stimulation (UMS) of the phrenic nerves in evaluating the diaphragm electromyogram (EMG). An oesophageal electrode was used to record the diaphragm compound muscle action potential (CMAP) elicited by supramaximal percutaneous electrical phrenic nerve stimulation (ES) and UMS from eight normal subjects. The oesophageal electrode used for recording the CMAP was positioned at the level of the hiatus and 3 cm below. The diaphragm CMAP was also recorded from chest wall surface electrodes in five subjects. All of the phrenic nerves could be maximally stimulated with UMS. A clear plateau of the amplitude of the CMAP was achieved for the right and left phrenic nerves. The mean amplitudes of the CMAP recorded from the oesophageal electrode were, for the right side, 0.74+/-0.29 mV (mean+SD) for ES and 0.76+/-0.30 mV for UMS with maximal power output, and for the left side 0.88+/-0.33 mV for ES and 0.80+/-0.24 mV for UMS. PNCT measured by the oesophageal electrode with ES and UMS with maximal output were, for the right side, 7.0+/-0.8 ms and 6.9+/-0.8 ms, respectively, and for the left side 7.8+/-1.2 ms and 7.7+/-1.3 ms, respectively. However, the CMAP recorded from chest wall surface electrodes with UMS was unsuitable for the measurement of PNCT. The results suggest that unilateral magnetic stimulation of the phrenic nerves combined with an oesophageal electrode can be used to assess diaphragmatic electrical activity and measure the phrenic nerve conduction time. (+info)Concurrent inhibition and excitation of phrenic motoneurons during inspiration: phase-specific control of excitability. (3/947)
The movements that define behavior are controlled by motoneuron output, which depends on the excitability of motoneurons and the synaptic inputs they receive. Modulation of motoneuron excitability takes place over many time scales. To determine whether motoneuron excitability is specifically modulated during the active versus the quiescent phase of rhythmic behavior, we compared the input-output properties of phrenic motoneurons (PMNs) during inspiratory and expiratory phases of respiration. In neonatal rat brainstem-spinal cord preparations that generate rhythmic respiratory motor outflow, we blocked excitatory inspiratory synaptic drive to PMNs and then examined their phase-dependent responses to superthreshold current pulses. Pulses during inspiration elicited fewer action potentials compared with identical pulses during expiration. This reduced excitability arose from an inspiratory-phase inhibitory input that hyperpolarized PMNs in the absence of excitatory inspiratory inputs. Local application of bicuculline blocked this inhibition as well as the difference between inspiratory and expiratory firing. Correspondingly, bicuculline locally applied to the midcervical spinal cord enhanced fourth cervical nerve (C4) inspiratory burst amplitude. Strychnine had no effect on C4 output. Nicotinic receptor antagonists neither potentiated C4 output nor blocked its potentiation by bicuculline, further indicating that the inhibition is not from recurrent inhibitory pathways. We conclude that it is bulbospinal in origin. These data demonstrate that rapid changes in motoneuron excitability occur during behavior and suggest that integration of overlapping, opposing synaptic inputs to motoneurons is important in controlling motor outflow. Modulation of phasic inhibition may represent a means for regulating the transfer function of PMNs to suit behavioral demands. (+info)An overview of phrenic nerve and diaphragm muscle development in the perinatal rat. (4/947)
In this overview, we outline what is known regarding the key developmental stages of phrenic nerve and diaphragm formation in perinatal rats. These developmental events include the following. Cervical axons emerge from the spinal cord during embryonic (E) day 11. At approximately E12.5, phrenic and brachial axons from the cervical segments merge at the brachial plexi. Subsequently, the two populations diverge as phrenic axons continue to grow ventrally toward the diaphragmatic primordium and brachial axons turn laterally to grow into the limb bud. A few pioneer axons extend ahead of the majority of the phrenic axonal population and migrate along a well-defined track toward the primordial diaphragm, which they reach by E13.5. The primordial diaphragmatic muscle arises from the pleuroperitoneal fold, a triangular protrusion of the body wall composed of the fusion of the primordial pleuroperitoneal and pleuropericardial tissues. The phrenic nerve initiates branching within the diaphragm at approximately E14, when myoblasts in the region of contact with the phrenic nerve begin to fuse and form distinct primary myotubes. As the nerve migrates through the various sectors of the diaphragm, myoblasts along the nerve's path begin to fuse and form additional myotubes. The phrenic nerve intramuscular branching and concomitant diaphragmatic myotube formation continue to progress up until E17, at which time the mature pattern of innervation and muscle architecture are approximated. E17 is also the time of the commencement of inspiratory drive transmission to phrenic motoneurons (PMNs) and the arrival of phrenic afferents to the motoneuron pool. During the period spanning from E17 to birth (gestation period of approximately 21 days), there is dramatic change in PMN morphology as the dendritic branching is rearranged into the rostrocaudal bundling characteristic of mature PMNs. This period is also a time of significant changes in PMN passive membrane properties, action-potential characteristics, and firing properties. (+info)Comparison between huperzine A, tacrine, and E2020 on cholinergic transmission at mouse neuromuscular junction in vitro. (5/947)
AIM: To compare the effects of huperzine A (Hup A), tacrine, and E2020 on cholinergic transmission at mouse neuromuscular junction in vitro. METHODS: The isolated mouse phrenic nerve-hemidiaphragm preparations were used with the conventional intracellular recording technique. The miniature end-plate potentials (MEPP), the mean quantal content of end-plate potentials (EPP), and the resting membrane potentials of muscle fiber were recorded. RESULTS: Hup A, tacrine, and E2020 at the concentration of 1.0 mumol.L-1 increased the amplitude, time-to-peak, and half-decay time of MEPP in the potencies of E2020 > Hup A > tacrine. Hup A did not significantly change the frequency of MEPP, the appearance of giant MEPP or slow MEPP, the resting membrane potentials, and the mean quantal content of EPP. CONCLUSION: Hup A is a selective and potent cholinesterase inhibitor, by which activity it facilitates the cholinergic transmission at mouse neuromuscular junction, and devoid of pre- and post-synaptic actions. (+info)Patterns of phrenic motor output evoked by chemical stimulation of neurons located in the pre-Botzinger complex in vivo. (6/947)
The pre-Botzinger complex (pre-BotC) has been proposed to be essential for respiratory rhythm generation from work in vitro. Much less, however, is known about its role in the generation and modulation of respiratory rhythm in vivo. Therefore we examined whether chemical stimulation of the in vivo pre-BotC manifests respiratory modulation consistent with a respiratory rhythm generator. In chloralose- or chloralose/urethan-anesthetized, vagotomized cats, we recorded phrenic nerve discharge and arterial blood pressure in response to chemical stimulation of neurons located in the pre-BotC with DL-homocysteic acid (DLH; 10 mM; 21 nl). In 115 of the 122 sites examined in the pre-BotC, unilateral microinjection of DLH produced an increase in phrenic nerve discharge that was characterized by one of the following changes in cycle timing and pattern: 1) a rapid series of high-amplitude, rapid rate of rise, short-duration bursts, 2) tonic excitation (with or without respiratory oscillations), 3) an integration of the first two types of responses (i.e., tonic excitation with high-amplitude, short-duration bursts superimposed), or 4) augmented bursts in the phrenic neurogram (i.e., eupneic breath ending with a high-amplitude, short-duration burst). In 107 of these sites, the phrenic neurogram response was accompanied by an increase or decrease (>/=10 mmHg) in arterial blood pressure. Thus increases in respiratory burst frequency and production of tonic discharge of inspiratory output, both of which have been seen in vitro, as well as modulation of burst pattern can be produced by local perturbations of excitatory amino acid neurotransmission in the pre-BotC in vivo. These findings are consistent with the proposed role of this region as the locus for respiratory rhythm generation. (+info)Electrophysiological properties of rat phrenic motoneurons during perinatal development. (7/947)
Past studies determined that there is a critical period at approximately embryonic day (E)17 during which phrenic motoneurons (PMNs) undergo a number of pivotal developmental events, including the inception of functional recruitment via synaptic drive from medullary respiratory centers, contact with spinal afferent terminals, the completion of diaphragm innervation, and a major transformation of PMN morphology. The objective of this study was to test the hypothesis that there would be a marked maturation of motoneuron electrophysiological properties occurring in conjunction with these developmental processes. PMN properties were measured via whole cell patch recordings with a cervical slice-phrenic nerve preparation isolated from perinatal rats. From E16 to postnatal day 1, there was a considerable transformation in a number of motoneuron properties, including 1) 10-mV increase in the hyperpolarization of the resting membrane potential, 2) threefold reduction in the input resistance, 3) 12-mV increase in amplitude and 50% decrease duration of action potential, 4) major changes in the shapes of potassium- and calcium-mediated afterpotentials, 5) decline in the prominence of calcium-dependent rebound depolarizations, and 6) increases in rheobase current and steady-state firing rates. Electrical coupling among PMNs was detected in 15-25% of recordings at all ages studied. Collectively, these data and those from parallel studies of PMN-diaphragm ontogeny describe how a multitude of regulatory mechanisms operate in concert during the embryonic development of a single mammalian neuromuscular system. (+info)The rostral ventrolateral medulla mediates the sympathoactivation produced by chemical stimulation of the rat nasal mucosa. (8/947)
1. We sought to outline the brainstem circuit responsible for the increase in sympathetic tone caused by chemical stimulation of the nasal passages with ammonia vapour. Experiments were performed in alpha-chloralose-anaesthetized, paralysed and artificially ventilated rats. 2. Stimulation of the nasal mucosa increased splanchnic sympathetic nerve discharge (SND), elevated arterial blood pressure (ABP), raised heart rate slightly and inhibited phrenic nerve discharge. 3. Bilateral injections of the broad-spectrum excitatory amino acid receptor antagonist kynurenate (Kyn) into the rostral part of the ventrolateral medulla (RVLM; rostral C1 area) greatly reduced the effects of nasal mucosa stimulation on SND (-80 %). These injections had no effect on resting ABP, resting SND or the sympathetic baroreflex. 4. Bilateral injections of Kyn into the ventrolateral medulla at the level of the obex (caudal C1 area) or into the nucleus tractus solitarii (NTS) greatly attenuated the baroreflex and significantly increased the baseline levels of both SND and ABP. However they did not reduce the effect of nasal mucosa stimulation on SND. 5. Single-unit recordings were made from 39 putative sympathoexcitatory neurons within the rostral C1 area. Most neurons (24 of 39) were activated by nasal mucosa stimulation (+65.8 % rise in discharge rate). Responding neurons had a wide range of conduction velocities and included slow-conducting neurons identified previously as C1 cells. The remaining putative sympathoexcitatory neurons were either unaffected (n = 8 neurons) or inhibited (n = 7) during nasal stimulation. We also recorded from ten respiratory-related neurons, all of which were silenced by nasal stimulation. 6. In conclusion, the sympathoexcitatory response to nasal stimulation is largely due to activation of bulbospinal presympathetic neurons within the RVLM. We suggest that these neurons receive convergent and directionally opposite polysynaptic inputs from arterial baroreceptors and trigeminal afferents. These inputs are integrated within the rostral C1 area as opposed to the NTS or the caudal C1 area. (+info)The phrenic nerve is a motor nerve that originates from the cervical spine (C3-C5) and descends through the neck to reach the diaphragm, which is the primary muscle used for breathing. The main function of the phrenic nerve is to innervate the diaphragm and control its contraction and relaxation, thereby enabling respiration.
Damage or injury to the phrenic nerve can result in paralysis of the diaphragm, leading to difficulty breathing and potentially causing respiratory failure. Certain medical conditions, such as neuromuscular disorders, spinal cord injuries, and tumors, can affect the phrenic nerve and impair its function.
A diaphragm is a thin, dome-shaped muscle that separates the chest cavity from the abdominal cavity. It plays a vital role in the process of breathing as it contracts and flattens to draw air into the lungs (inhalation) and relaxes and returns to its domed shape to expel air out of the lungs (exhalation).
In addition, a diaphragm is also a type of barrier method of birth control. It is a flexible dome-shaped device made of silicone that fits over the cervix inside the vagina. When used correctly and consistently, it prevents sperm from entering the uterus and fertilizing an egg, thereby preventing pregnancy.
Respiratory paralysis is a condition characterized by the inability to breathe effectively due to the failure or weakness of the muscles involved in respiration. This can include the diaphragm, intercostal muscles, and other accessory muscles.
In medical terms, it's often associated with conditions that affect the neuromuscular junction, such as botulism, myasthenia gravis, or spinal cord injuries. It can also occur as a complication of general anesthesia, sedative drugs, or certain types of poisoning.
Respiratory paralysis is a serious condition that requires immediate medical attention, as it can lead to lack of oxygen (hypoxia) and buildup of carbon dioxide (hypercapnia) in the body, which can be life-threatening if not treated promptly.
Medical Definition of Respiration:
Respiration, in physiology, is the process by which an organism takes in oxygen and gives out carbon dioxide. It's also known as breathing. This process is essential for most forms of life because it provides the necessary oxygen for cellular respiration, where the cells convert biochemical energy from nutrients into adenosine triphosphate (ATP), and releases waste products, primarily carbon dioxide.
In humans and other mammals, respiration is a two-stage process:
1. Breathing (or external respiration): This involves the exchange of gases with the environment. Air enters the lungs through the mouth or nose, then passes through the pharynx, larynx, trachea, and bronchi, finally reaching the alveoli where the actual gas exchange occurs. Oxygen from the inhaled air diffuses into the blood, while carbon dioxide, a waste product of metabolism, diffuses from the blood into the alveoli to be exhaled.
2. Cellular respiration (or internal respiration): This is the process by which cells convert glucose and other nutrients into ATP, water, and carbon dioxide in the presence of oxygen. The carbon dioxide produced during this process then diffuses out of the cells and into the bloodstream to be exhaled during breathing.
In summary, respiration is a vital physiological function that enables organisms to obtain the necessary oxygen for cellular metabolism while eliminating waste products like carbon dioxide.
The laryngeal nerves are a pair of nerves that originate from the vagus nerve (cranial nerve X) and provide motor and sensory innervation to the larynx. There are two branches of the laryngeal nerves: the superior laryngeal nerve and the recurrent laryngeal nerve.
The superior laryngeal nerve has two branches: the external branch, which provides motor innervation to the cricothyroid muscle and sensation to the mucous membrane of the laryngeal vestibule; and the internal branch, which provides sensory innervation to the mucous membrane of the laryngeal vestibule.
The recurrent laryngeal nerve provides motor innervation to all the intrinsic muscles of the larynx, except for the cricothyroid muscle, and sensation to the mucous membrane below the vocal folds. The right recurrent laryngeal nerve has a longer course than the left one, as it hooks around the subclavian artery before ascending to the larynx.
Damage to the laryngeal nerves can result in voice changes, difficulty swallowing, and respiratory distress.
A vagotomy is a surgical procedure that involves cutting or blocking the vagus nerve, which is a parasympathetic nerve that runs from the brainstem to the abdomen and helps regulate many bodily functions such as heart rate, gastrointestinal motility, and digestion. In particular, vagotomy is often performed as a treatment for peptic ulcers, as it can help reduce gastric acid secretion.
There are several types of vagotomy procedures, including:
1. Truncal vagotomy: This involves cutting the main trunks of the vagus nerve as they enter the abdomen. It is a more extensive procedure that reduces gastric acid secretion significantly but can also lead to side effects such as delayed gastric emptying and diarrhea.
2. Selective vagotomy: This involves cutting only the branches of the vagus nerve that supply the stomach, leaving the rest of the nerve intact. It is a less extensive procedure that reduces gastric acid secretion while minimizing side effects.
3. Highly selective vagotomy (HSV): Also known as parietal cell vagotomy, this involves cutting only the branches of the vagus nerve that supply the acid-secreting cells in the stomach. It is a highly targeted procedure that reduces gastric acid secretion while minimizing side effects such as delayed gastric emptying and diarrhea.
Vagotomy is typically performed using laparoscopic or open surgical techniques, depending on the patient's individual needs and the surgeon's preference. While vagotomy can be effective in treating peptic ulcers, it is not commonly performed today due to the development of less invasive treatments such as proton pump inhibitors (PPIs) that reduce gastric acid secretion without surgery.
The sciatic nerve is the largest and longest nerve in the human body, running from the lower back through the buttocks and down the legs to the feet. It is formed by the union of the ventral rami (branches) of the L4 to S3 spinal nerves. The sciatic nerve provides motor and sensory innervation to various muscles and skin areas in the lower limbs, including the hamstrings, calf muscles, and the sole of the foot. Sciatic nerve disorders or injuries can result in symptoms such as pain, numbness, tingling, or weakness in the lower back, hips, legs, and feet, known as sciatica.
The medulla oblongata is a part of the brainstem that is located in the posterior portion of the brainstem and continues with the spinal cord. It plays a vital role in controlling several critical bodily functions, such as breathing, heart rate, and blood pressure. The medulla oblongata also contains nerve pathways that transmit sensory information from the body to the brain and motor commands from the brain to the muscles. Additionally, it is responsible for reflexes such as vomiting, swallowing, coughing, and sneezing.
Respiratory mechanics refers to the biomechanical properties and processes that involve the movement of air through the respiratory system during breathing. It encompasses the mechanical behavior of the lungs, chest wall, and the muscles of respiration, including the diaphragm and intercostal muscles.
Respiratory mechanics includes several key components:
1. **Compliance**: The ability of the lungs and chest wall to expand and recoil during breathing. High compliance means that the structures can easily expand and recoil, while low compliance indicates greater resistance to expansion and recoil.
2. **Resistance**: The opposition to airflow within the respiratory system, primarily due to the friction between the air and the airway walls. Airway resistance is influenced by factors such as airway diameter, length, and the viscosity of the air.
3. **Lung volumes and capacities**: These are the amounts of air present in the lungs during different phases of the breathing cycle. They include tidal volume (the amount of air inspired or expired during normal breathing), inspiratory reserve volume (additional air that can be inspired beyond the tidal volume), expiratory reserve volume (additional air that can be exhaled beyond the tidal volume), and residual volume (the air remaining in the lungs after a forced maximum exhalation).
4. **Work of breathing**: The energy required to overcome the resistance and elastic forces during breathing. This work is primarily performed by the respiratory muscles, which contract to generate negative intrathoracic pressure and expand the chest wall, allowing air to flow into the lungs.
5. **Pressure-volume relationships**: These describe how changes in lung volume are associated with changes in pressure within the respiratory system. Important pressure components include alveolar pressure (the pressure inside the alveoli), pleural pressure (the pressure between the lungs and the chest wall), and transpulmonary pressure (the difference between alveolar and pleural pressures).
Understanding respiratory mechanics is crucial for diagnosing and managing various respiratory disorders, such as chronic obstructive pulmonary disease (COPD), asthma, and restrictive lung diseases.
Intercostal nerves are the bundles of nerve fibers that originate from the thoracic spinal cord (T1 to T11) and provide sensory and motor innervation to the thorax, abdomen, and walls of the chest. They run between the ribs (intercostal spaces), hence the name intercostal nerves.
Each intercostal nerve has two components:
1. The lateral cutaneous branch: This branch provides sensory innervation to the skin on the side of the chest wall and abdomen.
2. The anterior cutaneous branch: This branch provides sensory innervation to the skin on the front of the chest and abdomen.
Additionally, each intercostal nerve also gives off a muscular branch that supplies motor innervation to the intercostal muscles (the muscles between the ribs) and the upper abdominal wall muscles. The lowest intercostal nerve (T11) also provides sensory innervation to a small area of skin over the buttock.
Intercostal nerves are important in clinical practice, as they can be affected by various conditions such as herpes zoster (shingles), rib fractures, or thoracic outlet syndrome, leading to pain and sensory changes in the chest wall.
The hypoglossal nerve, also known as the 12th cranial nerve (CN XII), is primarily responsible for innervating the muscles of the tongue, allowing for its movement and function. These muscles include the intrinsic muscles that alter the shape of the tongue and the extrinsic muscles that position it in the oral cavity. The hypoglossal nerve also has some minor contributions to the innervation of two muscles in the neck: the sternocleidomastoid and the trapezius. These functions are related to head turning and maintaining head position. Any damage to this nerve can lead to weakness or paralysis of the tongue, causing difficulty with speech, swallowing, and tongue movements.
The Respiratory Center is a group of neurons located in the medulla oblongata and pons within the brainstem that are responsible for controlling and regulating breathing. It receives inputs from various sources, including chemoreceptors that detect changes in oxygen and carbon dioxide levels in the blood, as well as mechanoreceptors that provide information about the status of the lungs and airways. Based on these inputs, the respiratory center generates signals that are sent to the diaphragm and intercostal muscles to control the rate and depth of breathing, ensuring adequate gas exchange in the lungs.
Damage to the respiratory center can result in abnormal breathing patterns or even respiratory failure, highlighting its critical role in maintaining proper respiratory function.
Electric stimulation, also known as electrical nerve stimulation or neuromuscular electrical stimulation, is a therapeutic treatment that uses low-voltage electrical currents to stimulate nerves and muscles. It is often used to help manage pain, promote healing, and improve muscle strength and mobility. The electrical impulses can be delivered through electrodes placed on the skin or directly implanted into the body.
In a medical context, electric stimulation may be used for various purposes such as:
1. Pain management: Electric stimulation can help to block pain signals from reaching the brain and promote the release of endorphins, which are natural painkillers produced by the body.
2. Muscle rehabilitation: Electric stimulation can help to strengthen muscles that have become weak due to injury, illness, or surgery. It can also help to prevent muscle atrophy and improve range of motion.
3. Wound healing: Electric stimulation can promote tissue growth and help to speed up the healing process in wounds, ulcers, and other types of injuries.
4. Urinary incontinence: Electric stimulation can be used to strengthen the muscles that control urination and reduce symptoms of urinary incontinence.
5. Migraine prevention: Electric stimulation can be used as a preventive treatment for migraines by applying electrical impulses to specific nerves in the head and neck.
It is important to note that electric stimulation should only be administered under the guidance of a qualified healthcare professional, as improper use can cause harm or discomfort.
Peripheral nerves are nerve fibers that transmit signals between the central nervous system (CNS, consisting of the brain and spinal cord) and the rest of the body. These nerves convey motor, sensory, and autonomic information, enabling us to move, feel, and respond to changes in our environment. They form a complex network that extends from the CNS to muscles, glands, skin, and internal organs, allowing for coordinated responses and functions throughout the body. Damage or injury to peripheral nerves can result in various neurological symptoms, such as numbness, weakness, or pain, depending on the type and severity of the damage.
"Cat" is a common name that refers to various species of small carnivorous mammals that belong to the family Felidae. The domestic cat, also known as Felis catus or Felis silvestris catus, is a popular pet and companion animal. It is a subspecies of the wildcat, which is found in Europe, Africa, and Asia.
Domestic cats are often kept as pets because of their companionship, playful behavior, and ability to hunt vermin. They are also valued for their ability to provide emotional support and therapy to people. Cats are obligate carnivores, which means that they require a diet that consists mainly of meat to meet their nutritional needs.
Cats are known for their agility, sharp senses, and predatory instincts. They have retractable claws, which they use for hunting and self-defense. Cats also have a keen sense of smell, hearing, and vision, which allow them to detect prey and navigate their environment.
In medical terms, cats can be hosts to various parasites and diseases that can affect humans and other animals. Some common feline diseases include rabies, feline leukemia virus (FeLV), feline immunodeficiency virus (FIV), and toxoplasmosis. It is important for cat owners to keep their pets healthy and up-to-date on vaccinations and preventative treatments to protect both the cats and their human companions.
Motor neurons are specialized nerve cells in the brain and spinal cord that play a crucial role in controlling voluntary muscle movements. They transmit electrical signals from the brain to the muscles, enabling us to perform actions such as walking, talking, and swallowing. There are two types of motor neurons: upper motor neurons, which originate in the brain's motor cortex and travel down to the brainstem and spinal cord; and lower motor neurons, which extend from the brainstem and spinal cord to the muscles. Damage or degeneration of these motor neurons can lead to various neurological disorders, such as amyotrophic lateral sclerosis (ALS) and spinal muscular atrophy (SMA).
A decerebrate state is a medical condition that results from severe damage to the brainstem, specifically to the midbrain and above. This type of injury can cause motor responses characterized by rigid extension of the arms and legs, with the arms rotated outward and the wrists and fingers extended. The legs are also extended and the toes pointed downward. These postures are often referred to as "decerebrate rigidity" or "posturing."
The decerebrate state is typically seen in patients who have experienced severe trauma, such as a car accident or gunshot wound, or who have suffered from a large stroke or other type of brain hemorrhage. It can also occur in some cases of severe hypoxia (lack of oxygen) to the brain, such as during cardiac arrest or drowning.
The decerebrate state is a serious medical emergency that requires immediate treatment. If left untreated, it can lead to further brain damage and even death. Treatment typically involves providing supportive care, such as mechanical ventilation to help with breathing, medications to control blood pressure and prevent seizures, and surgery to repair any underlying injuries or bleeding. In some cases, patients may require long-term rehabilitation to regain lost function and improve their quality of life.
A hiccup, also known as singultus, is an involuntary spasmodic contraction of the diaphragm and intercostal muscles, followed by a sudden closure of the glottis (the opening between the vocal cords in the larynx), which produces the characteristic "hic" sound. Hiccups occur when the phrenic nerve, which runs from the neck to the diaphragm, is irritated or stimulated. This can be caused by various factors such as eating too quickly, consuming alcohol or carbonated drinks, stress, excitement, or sudden temperature changes. In most cases, hiccups are harmless and resolve on their own within a few minutes to a few hours. However, persistent hiccups lasting for more than 48 hours may indicate an underlying medical condition and should be evaluated by a healthcare professional.
Inhalation is the act or process of breathing in where air or other gases are drawn into the lungs. It's also known as inspiration. This process involves several muscles, including the diaphragm and intercostal muscles between the ribs, working together to expand the chest cavity and decrease the pressure within the thorax, which then causes air to flow into the lungs.
In a medical context, inhalation can also refer to the administration of medications or therapeutic gases through the respiratory tract, typically using an inhaler or nebulizer. This route of administration allows for direct delivery of the medication to the lungs, where it can be quickly absorbed into the bloodstream and exert its effects.
Nerve fibers are specialized structures that constitute the long, slender processes (axons) of neurons (nerve cells). They are responsible for conducting electrical impulses, known as action potentials, away from the cell body and transmitting them to other neurons or effector organs such as muscles and glands. Nerve fibers are often surrounded by supportive cells called glial cells and are grouped together to form nerve bundles or nerves. These fibers can be myelinated (covered with a fatty insulating sheath called myelin) or unmyelinated, which influences the speed of impulse transmission.
The intercostal muscles are a group of muscles located between the ribs (intercostal spaces) in the thoracic region of the body. They play a crucial role in the process of breathing by assisting in the expansion and contraction of the chest wall during inspiration and expiration.
There are two sets of intercostal muscles: the external intercostals and the internal intercostals. The external intercostals run from the lower edge of one rib to the upper edge of the next lower rib, forming a layer that extends from the tubercles of the ribs down to the costochondral junctions (where the rib meets the cartilage). These muscles help elevate the ribcage during inspiration.
The internal intercostals are deeper and run in the opposite direction, originating at the lower edge of a rib and inserting into the upper edge of the next higher rib. They assist in lowering the ribcage during expiration.
Additionally, there is a third layer called the innermost intercostal muscles, which are even deeper than the internal intercostals and have similar functions. The intercostal membranes connect the ends of the ribs and complete the muscle layers between the ribs. Together, these muscles help maintain the structural integrity of the chest wall and contribute to respiratory function.
The optic nerve, also known as the second cranial nerve, is the nerve that transmits visual information from the retina to the brain. It is composed of approximately one million nerve fibers that carry signals related to vision, such as light intensity and color, from the eye's photoreceptor cells (rods and cones) to the visual cortex in the brain. The optic nerve is responsible for carrying this visual information so that it can be processed and interpreted by the brain, allowing us to see and perceive our surroundings. Damage to the optic nerve can result in vision loss or impairment.
Chemoreceptor cells are specialized sensory neurons that detect and respond to chemical changes in the internal or external environment. They play a crucial role in maintaining homeostasis within the body by converting chemical signals into electrical impulses, which are then transmitted to the central nervous system for further processing and response.
There are two main types of chemoreceptor cells:
1. Oxygen Chemoreceptors: These cells are located in the carotid bodies near the bifurcation of the common carotid artery and in the aortic bodies close to the aortic arch. They monitor the levels of oxygen, carbon dioxide, and pH in the blood and respond to decreases in oxygen concentration or increases in carbon dioxide and hydrogen ions (indicating acidity) by increasing their firing rate. This signals the brain to increase respiratory rate and depth, thereby restoring normal oxygen levels.
2. Taste Cells: These chemoreceptor cells are found within the taste buds of the tongue and other areas of the oral cavity. They detect specific tastes (salty, sour, sweet, bitter, and umami) by interacting with molecules from food. When a tastant binds to receptors on the surface of a taste cell, it triggers a series of intracellular signaling events that ultimately lead to the generation of an action potential. This information is then relayed to the brain, where it is interpreted as taste sensation.
In summary, chemoreceptor cells are essential for maintaining physiological balance by detecting and responding to chemical stimuli in the body. They play a critical role in regulating vital functions such as respiration and digestion.
Paralysis is a loss of muscle function in part or all of your body. It can be localized, affecting only one specific area, or generalized, impacting multiple areas or even the entire body. Paralysis often occurs when something goes wrong with the way messages pass between your brain and muscles. In most cases, paralysis is caused by damage to the nervous system, especially the spinal cord. Other causes include stroke, trauma, infections, and various neurological disorders.
It's important to note that paralysis doesn't always mean a total loss of movement or feeling. Sometimes, it may just cause weakness or numbness in the affected area. The severity and extent of paralysis depend on the underlying cause and the location of the damage in the nervous system.
The Recurrent Laryngeal Nerve (RLN) is a branch of the vagus nerve (cranial nerve X), which is a mixed sensory, motor, and autonomic nerve. The RLN has important functions in providing motor innervation to the intrinsic muscles of the larynx, except for the cricothyroid muscle, which is supplied by the external branch of the superior laryngeal nerve.
The recurrent laryngeal nerve supplies all the muscles that are responsible for adduction (bringing together) of the vocal cords, including the vocalis muscle, lateral cricoarytenoid, thyroarytenoid, and interarytenoid muscles. These muscles play a crucial role in voice production, coughing, and swallowing.
The right recurrent laryngeal nerve has a longer course than the left one. It loops around the subclavian artery in the chest before ascending to the larynx, while the left RLN hooks around the arch of the aorta. This anatomical course makes them vulnerable to injury during various surgical procedures, such as thyroidectomy and neck dissection, leading to potential voice impairment or vocal cord paralysis.
Respiratory physiological phenomena refer to the various mechanical, chemical, and biological processes and functions that occur in the respiratory system during breathing and gas exchange. These phenomena include:
1. Ventilation: The movement of air into and out of the lungs, which is achieved through the contraction and relaxation of the diaphragm and intercostal muscles.
2. Gas Exchange: The diffusion of oxygen (O2) from the alveoli into the bloodstream and carbon dioxide (CO2) from the bloodstream into the alveoli.
3. Respiratory Mechanics: The physical properties and forces that affect the movement of air in and out of the lungs, such as lung compliance, airway resistance, and chest wall elasticity.
4. Control of Breathing: The regulation of ventilation by the central nervous system through the integration of sensory information from chemoreceptors and mechanoreceptors in the respiratory system.
5. Acid-Base Balance: The maintenance of a stable pH level in the blood through the regulation of CO2 elimination and bicarbonate balance by the respiratory and renal systems.
6. Oxygen Transport: The binding of O2 to hemoglobin in the red blood cells and its delivery to the tissues for metabolic processes.
7. Defense Mechanisms: The various protective mechanisms that prevent the entry and colonization of pathogens and foreign particles into the respiratory system, such as mucociliary clearance, cough reflex, and immune responses.
Respiratory muscles are a group of muscles involved in the process of breathing. They include the diaphragm, intercostal muscles (located between the ribs), scalene muscles (located in the neck), and abdominal muscles. These muscles work together to allow the chest cavity to expand or contract, which draws air into or pushes it out of the lungs. The diaphragm is the primary muscle responsible for breathing, contracting to increase the volume of the chest cavity and draw air into the lungs during inhalation. The intercostal muscles help to further expand the ribcage, while the abdominal muscles assist in exhaling by compressing the abdomen and pushing up on the diaphragm.
Nerve endings, also known as terminal branches or sensory receptors, are the specialized structures present at the termination point of nerve fibers (axons) that transmit electrical signals to and from the central nervous system (CNS). They primarily function in detecting changes in the external environment or internal body conditions and converting them into electrical impulses.
There are several types of nerve endings, including:
1. Free Nerve Endings: These are unencapsulated nerve endings that respond to various stimuli like temperature, pain, and touch. They are widely distributed throughout the body, especially in the skin, mucous membranes, and visceral organs.
2. Encapsulated Nerve Endings: These are wrapped by specialized connective tissue sheaths, which can modify their sensitivity to specific stimuli. Examples include Pacinian corpuscles (responsible for detecting deep pressure and vibration), Meissner's corpuscles (for light touch), Ruffini endings (for stretch and pressure), and Merkel cells (for sustained touch).
3. Specialised Nerve Endings: These are nerve endings that respond to specific stimuli, such as auditory, visual, olfactory, gustatory, and vestibular information. They include hair cells in the inner ear, photoreceptors in the retina, taste buds in the tongue, and olfactory receptors in the nasal cavity.
Nerve endings play a crucial role in relaying sensory information to the CNS for processing and initiating appropriate responses, such as reflex actions or conscious perception of the environment.
The brachial plexus is a network of nerves that originates from the spinal cord in the neck region and supplies motor and sensory innervation to the upper limb. It is formed by the ventral rami (branches) of the lower four cervical nerves (C5-C8) and the first thoracic nerve (T1). In some cases, contributions from C4 and T2 may also be included.
The brachial plexus nerves exit the intervertebral foramen, pass through the neck, and travel down the upper chest before branching out to form major peripheral nerves of the upper limb. These include the axillary, radial, musculocutaneous, median, and ulnar nerves, which further innervate specific muscles and sensory areas in the arm, forearm, and hand.
Damage to the brachial plexus can result in various neurological deficits, such as weakness or paralysis of the upper limb, numbness, or loss of sensation in the affected area, depending on the severity and location of the injury.
Peripheral nerve injuries refer to damage or trauma to the peripheral nerves, which are the nerves outside the brain and spinal cord. These nerves transmit information between the central nervous system (CNS) and the rest of the body, including sensory, motor, and autonomic functions. Peripheral nerve injuries can result in various symptoms, depending on the type and severity of the injury, such as numbness, tingling, weakness, or paralysis in the affected area.
Peripheral nerve injuries are classified into three main categories based on the degree of damage:
1. Neuropraxia: This is the mildest form of nerve injury, where the nerve remains intact but its function is disrupted due to a local conduction block. The nerve fiber is damaged, but the supporting structures remain intact. Recovery usually occurs within 6-12 weeks without any residual deficits.
2. Axonotmesis: In this type of injury, there is damage to both the axons and the supporting structures (endoneurium, perineurium). The nerve fibers are disrupted, but the connective tissue sheaths remain intact. Recovery can take several months or even up to a year, and it may be incomplete, with some residual deficits possible.
3. Neurotmesis: This is the most severe form of nerve injury, where there is complete disruption of the nerve fibers and supporting structures (endoneurium, perineurium, epineurium). Recovery is unlikely without surgical intervention, which may involve nerve grafting or repair.
Peripheral nerve injuries can be caused by various factors, including trauma, compression, stretching, lacerations, or chemical exposure. Treatment options depend on the type and severity of the injury and may include conservative management, such as physical therapy and pain management, or surgical intervention for more severe cases.
Nerve regeneration is the process of regrowth and restoration of functional nerve connections following damage or injury to the nervous system. This complex process involves various cellular and molecular events, such as the activation of support cells called glia, the sprouting of surviving nerve fibers (axons), and the reformation of neural circuits. The goal of nerve regeneration is to enable the restoration of normal sensory, motor, and autonomic functions impaired due to nerve damage or injury.
I'm sorry for any confusion, but "magnetics" is not a term that is commonly used in medical definitions. It is a term more frequently used in physics and engineering to refer to things related to magnets or magnetic fields. If you have any questions about medical terminology or concepts, I would be happy to try to help with those!
Electromyography (EMG) is a medical diagnostic procedure that measures the electrical activity of skeletal muscles during contraction and at rest. It involves inserting a thin needle electrode into the muscle to record the electrical signals generated by the muscle fibers. These signals are then displayed on an oscilloscope and may be heard through a speaker.
EMG can help diagnose various neuromuscular disorders, such as muscle weakness, numbness, or pain, and can distinguish between muscle and nerve disorders. It is often used in conjunction with other diagnostic tests, such as nerve conduction studies, to provide a comprehensive evaluation of the nervous system.
EMG is typically performed by a neurologist or a physiatrist, and the procedure may cause some discomfort or pain, although this is usually minimal. The results of an EMG can help guide treatment decisions and monitor the progression of neuromuscular conditions over time.
Electric injuries refer to damage to the body caused by exposure to electrical energy. This can occur when a person comes into contact with an electrical source, such as a power line or outlet, and the electrical current passes through the body. The severity of the injury depends on various factors, including the voltage and amperage of the electrical current, the duration of exposure, and the path the current takes through the body.
Electric injuries can cause a range of symptoms and complications, including burns, cardiac arrest, muscle damage, nerve damage, and fractures or dislocations (if the victim is thrown by the electrical shock). In some cases, electric injuries can be fatal. Treatment typically involves supportive care to stabilize the patient's vital signs, as well as specific interventions to address any complications that may have arisen as a result of the injury. Prevention measures include following safety guidelines when working with electricity and being aware of potential electrical hazards in one's environment.
A nerve block is a medical procedure in which an anesthetic or neurolytic agent is injected near a specific nerve or bundle of nerves to block the transmission of pain signals from that area to the brain. This technique can be used for both diagnostic and therapeutic purposes, such as identifying the source of pain, providing temporary or prolonged relief, or facilitating surgical procedures in the affected region.
The injection typically contains a local anesthetic like lidocaine or bupivacaine, which numbs the nerve, preventing it from transmitting pain signals. In some cases, steroids may also be added to reduce inflammation and provide longer-lasting relief. Depending on the type of nerve block and its intended use, the injection might be administered close to the spine (neuraxial blocks), at peripheral nerves (peripheral nerve blocks), or around the sympathetic nervous system (sympathetic nerve blocks).
While nerve blocks are generally safe, they can have side effects such as infection, bleeding, nerve damage, or in rare cases, systemic toxicity from the anesthetic agent. It is essential to consult with a qualified medical professional before undergoing this procedure to ensure proper evaluation, technique, and post-procedure care.
The facial nerve, also known as the seventh cranial nerve (CN VII), is a mixed nerve that carries both sensory and motor fibers. Its functions include controlling the muscles involved in facial expressions, taste sensation from the anterior two-thirds of the tongue, and secretomotor function to the lacrimal and salivary glands.
The facial nerve originates from the brainstem and exits the skull through the internal acoustic meatus. It then passes through the facial canal in the temporal bone before branching out to innervate various structures of the face. The main branches of the facial nerve include:
1. Temporal branch: Innervates the frontalis, corrugator supercilii, and orbicularis oculi muscles responsible for eyebrow movements and eyelid closure.
2. Zygomatic branch: Supplies the muscles that elevate the upper lip and wrinkle the nose.
3. Buccal branch: Innervates the muscles of the cheek and lips, allowing for facial expressions such as smiling and puckering.
4. Mandibular branch: Controls the muscles responsible for lower lip movement and depressing the angle of the mouth.
5. Cervical branch: Innervates the platysma muscle in the neck, which helps to depress the lower jaw and wrinkle the skin of the neck.
Damage to the facial nerve can result in various symptoms, such as facial weakness or paralysis, loss of taste sensation, and dry eyes or mouth due to impaired secretion.
Neural conduction is the process by which electrical signals, known as action potentials, are transmitted along the axon of a neuron (nerve cell) to transmit information between different parts of the nervous system. This electrical impulse is generated by the movement of ions across the neuronal membrane, and it propagates down the length of the axon until it reaches the synapse, where it can then stimulate the release of neurotransmitters to communicate with other neurons or target cells. The speed of neural conduction can vary depending on factors such as the diameter of the axon, the presence of myelin sheaths (which act as insulation and allow for faster conduction), and the temperature of the environment.
The neuromuscular junction (NMJ) is the specialized synapse or chemical communication point, where the motor neuron's nerve terminal (presynaptic element) meets the muscle fiber's motor end plate (postsynaptic element). This junction plays a crucial role in controlling muscle contraction and relaxation.
At the NMJ, the neurotransmitter acetylcholine is released from the presynaptic nerve terminal into the synaptic cleft, following an action potential. Acetylcholine then binds to nicotinic acetylcholine receptors on the postsynaptic membrane of the muscle fiber, leading to the generation of an end-plate potential. If sufficient end-plate potentials are generated and summate, they will trigger an action potential in the muscle fiber, ultimately causing muscle contraction.
Dysfunction at the neuromuscular junction can result in various neuromuscular disorders, such as myasthenia gravis, where autoantibodies attack acetylcholine receptors, leading to muscle weakness and fatigue.
The brainstem is the lower part of the brain that connects to the spinal cord. It consists of the midbrain, pons, and medulla oblongata. The brainstem controls many vital functions such as heart rate, breathing, and blood pressure. It also serves as a relay center for sensory and motor information between the cerebral cortex and the rest of the body. Additionally, several cranial nerves originate from the brainstem, including those that control eye movements, facial movements, and hearing.
A reflex is an automatic, involuntary and rapid response to a stimulus that occurs without conscious intention. In the context of physiology and neurology, it's a basic mechanism that involves the transmission of nerve impulses between neurons, resulting in a muscle contraction or glandular secretion.
Reflexes are important for maintaining homeostasis, protecting the body from harm, and coordinating movements. They can be tested clinically to assess the integrity of the nervous system, such as the knee-j jerk reflex, which tests the function of the L3-L4 spinal nerve roots and the sensitivity of the stretch reflex arc.
Peripheral Nervous System (PNS) diseases, also known as Peripheral Neuropathies, refer to conditions that affect the functioning of the peripheral nervous system, which includes all the nerves outside the brain and spinal cord. These nerves transmit signals between the central nervous system (CNS) and the rest of the body, controlling sensations, movements, and automatic functions such as heart rate and digestion.
PNS diseases can be caused by various factors, including genetics, infections, toxins, metabolic disorders, trauma, or autoimmune conditions. The symptoms of PNS diseases depend on the type and extent of nerve damage but often include:
1. Numbness, tingling, or pain in the hands and feet
2. Muscle weakness or cramps
3. Loss of reflexes
4. Decreased sensation to touch, temperature, or vibration
5. Coordination problems and difficulty with balance
6. Sexual dysfunction
7. Digestive issues, such as constipation or diarrhea
8. Dizziness or fainting due to changes in blood pressure
Examples of PNS diseases include Guillain-Barre syndrome, Charcot-Marie-Tooth disease, diabetic neuropathy, and peripheral nerve injuries. Treatment for these conditions varies depending on the underlying cause but may involve medications, physical therapy, lifestyle changes, or surgery.
The sural nerve is a purely sensory peripheral nerve in the lower leg and foot. It provides sensation to the outer ( lateral) aspect of the little toe and the adjacent side of the fourth toe, as well as a small portion of the skin on the back of the leg between the ankle and knee joints.
The sural nerve is formed by the union of branches from the tibial and common fibular nerves (branches of the sciatic nerve) in the lower leg. It runs down the calf, behind the lateral malleolus (the bony prominence on the outside of the ankle), and into the foot.
The sural nerve is often used as a donor nerve during nerve grafting procedures due to its consistent anatomy and relatively low risk for morbidity at the donor site.
The median nerve is one of the major nerves in the human body, providing sensation and motor function to parts of the arm and hand. It originates from the brachial plexus, a network of nerves that arise from the spinal cord in the neck. The median nerve travels down the arm, passing through the cubital tunnel at the elbow, and continues into the forearm and hand.
In the hand, the median nerve supplies sensation to the palm side of the thumb, index finger, middle finger, and half of the ring finger. It also provides motor function to some of the muscles that control finger movements, allowing for flexion of the fingers and opposition of the thumb.
Damage to the median nerve can result in a condition called carpal tunnel syndrome, which is characterized by numbness, tingling, and weakness in the hand and fingers.
Carbon dioxide (CO2) is a colorless, odorless gas that is naturally present in the Earth's atmosphere. It is a normal byproduct of cellular respiration in humans, animals, and plants, and is also produced through the combustion of fossil fuels such as coal, oil, and natural gas.
In medical terms, carbon dioxide is often used as a respiratory stimulant and to maintain the pH balance of blood. It is also used during certain medical procedures, such as laparoscopic surgery, to insufflate (inflate) the abdominal cavity and create a working space for the surgeon.
Elevated levels of carbon dioxide in the body can lead to respiratory acidosis, a condition characterized by an increased concentration of carbon dioxide in the blood and a decrease in pH. This can occur in conditions such as chronic obstructive pulmonary disease (COPD), asthma, or other lung diseases that impair breathing and gas exchange. Symptoms of respiratory acidosis may include shortness of breath, confusion, headache, and in severe cases, coma or death.
The carotid body is a small chemoreceptor organ located near the bifurcation of the common carotid artery into the internal and external carotid arteries. It plays a crucial role in the regulation of respiration, blood pressure, and pH balance by detecting changes in the chemical composition of the blood, particularly oxygen levels, carbon dioxide levels, and hydrogen ion concentration (pH).
The carotid body contains specialized nerve endings called glomus cells that are sensitive to changes in these chemical parameters. When there is a decrease in oxygen or an increase in carbon dioxide or hydrogen ions, the glomus cells release neurotransmitters such as acetylcholine and dopamine, which activate afferent nerve fibers leading to the brainstem's nucleus tractus solitarius. This information is then integrated with other physiological signals in the brainstem, resulting in appropriate adjustments in breathing rate, depth, and pattern, as well as changes in heart rate and blood vessel diameter to maintain homeostasis.
Dysfunction of the carotid body can lead to various disorders, such as hypertension, sleep apnea, and chronic lung disease. In some cases, overactivity of the carotid body may result in conditions like primary breathing pattern disorders or pseudohypoxia, where the body responds as if it is experiencing hypoxia despite normal oxygen levels.
Thoracic nerves are the 12 paired nerves that originate from the thoracic segment (T1-T12) of the spinal cord. These nerves provide motor and sensory innervation to the trunk and abdomen, specifically to the muscles of the chest wall, the skin over the back and chest, and some parts of the abdomen. They also contribute to the formation of the sympathetic trunk, which is a part of the autonomic nervous system that regulates unconscious bodily functions such as heart rate and digestion. Each thoracic nerve emerges from the intervertebral foramen, a small opening between each vertebra, and splits into anterior and posterior branches to innervate the corresponding dermatomes and myotomes.
A nerve crush injury is a type of peripheral nerve injury that occurs when there is excessive pressure or compression applied to a nerve, causing it to become damaged or dysfunctional. This can happen due to various reasons such as trauma from accidents, surgical errors, or prolonged pressure on the nerve from tight casts, clothing, or positions.
The compression disrupts the normal functioning of the nerve, leading to symptoms such as numbness, tingling, weakness, or pain in the affected area. In severe cases, a nerve crush injury can cause permanent damage to the nerve, leading to long-term disability or loss of function. Treatment for nerve crush injuries typically involves relieving the pressure on the nerve, providing supportive care, and in some cases, surgical intervention may be necessary to repair the damaged nerve.
An action potential is a brief electrical signal that travels along the membrane of a nerve cell (neuron) or muscle cell. It is initiated by a rapid, localized change in the permeability of the cell membrane to specific ions, such as sodium and potassium, resulting in a rapid influx of sodium ions and a subsequent efflux of potassium ions. This ion movement causes a brief reversal of the electrical potential across the membrane, which is known as depolarization. The action potential then propagates along the cell membrane as a wave, allowing the electrical signal to be transmitted over long distances within the body. Action potentials play a crucial role in the communication and functioning of the nervous system and muscle tissue.
The spinal cord is a major part of the nervous system, extending from the brainstem and continuing down to the lower back. It is a slender, tubular bundle of nerve fibers (axons) and support cells (glial cells) that carries signals between the brain and the rest of the body. The spinal cord primarily serves as a conduit for motor information, which travels from the brain to the muscles, and sensory information, which travels from the body to the brain. It also contains neurons that can independently process and respond to information within the spinal cord without direct input from the brain.
The spinal cord is protected by the bony vertebral column (spine) and is divided into 31 segments: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal. Each segment corresponds to a specific region of the body and gives rise to pairs of spinal nerves that exit through the intervertebral foramina at each level.
The spinal cord is responsible for several vital functions, including:
1. Reflexes: Simple reflex actions, such as the withdrawal reflex when touching a hot surface, are mediated by the spinal cord without involving the brain.
2. Muscle control: The spinal cord carries motor signals from the brain to the muscles, enabling voluntary movement and muscle tone regulation.
3. Sensory perception: The spinal cord transmits sensory information, such as touch, temperature, pain, and vibration, from the body to the brain for processing and awareness.
4. Autonomic functions: The sympathetic and parasympathetic divisions of the autonomic nervous system originate in the thoracolumbar and sacral regions of the spinal cord, respectively, controlling involuntary physiological responses like heart rate, blood pressure, digestion, and respiration.
Damage to the spinal cord can result in various degrees of paralysis or loss of sensation below the level of injury, depending on the severity and location of the damage.
Sprague-Dawley rats are a strain of albino laboratory rats that are widely used in scientific research. They were first developed by researchers H.H. Sprague and R.C. Dawley in the early 20th century, and have since become one of the most commonly used rat strains in biomedical research due to their relatively large size, ease of handling, and consistent genetic background.
Sprague-Dawley rats are outbred, which means that they are genetically diverse and do not suffer from the same limitations as inbred strains, which can have reduced fertility and increased susceptibility to certain diseases. They are also characterized by their docile nature and low levels of aggression, making them easier to handle and study than some other rat strains.
These rats are used in a wide variety of research areas, including toxicology, pharmacology, nutrition, cancer, and behavioral studies. Because they are genetically diverse, Sprague-Dawley rats can be used to model a range of human diseases and conditions, making them an important tool in the development of new drugs and therapies.
The Tibial nerve is a major branch of the sciatic nerve that originates in the lower back and runs through the buttock and leg. It provides motor (nerve impulses that control muscle movement) and sensory (nerve impulses that convey information about touch, temperature, and pain) innervation to several muscles and skin regions in the lower limb.
More specifically, the Tibial nerve supplies the following structures:
1. Motor Innervation: The Tibial nerve provides motor innervation to the muscles in the back of the leg (posterior compartment), including the calf muscles (gastrocnemius and soleus) and the small muscles in the foot (intrinsic muscles). These muscles are responsible for plantarflexion (pointing the foot downward) and inversion (turning the foot inward) of the foot.
2. Sensory Innervation: The Tibial nerve provides sensory innervation to the skin on the sole of the foot, as well as the heel and some parts of the lower leg.
The Tibial nerve travels down the leg, passing behind the knee and through the calf, where it eventually joins with the common fibular (peroneal) nerve to form the tibial-fibular trunk. This trunk then divides into several smaller nerves that innervate the foot's intrinsic muscles and skin.
Damage or injury to the Tibial nerve can result in various symptoms, such as weakness or paralysis of the calf and foot muscles, numbness or tingling sensations in the sole of the foot, and difficulty walking or standing on tiptoes.
The Ulnar nerve is one of the major nerves in the forearm and hand, which provides motor function to the majority of the intrinsic muscles of the hand (except for those innervated by the median nerve) and sensory innervation to the little finger and half of the ring finger. It originates from the brachial plexus, passes through the cubital tunnel at the elbow, and continues down the forearm, where it runs close to the ulna bone. The ulnar nerve then passes through the Guyon's canal in the wrist before branching out to innervate the hand muscles and provide sensation to the skin on the little finger and half of the ring finger.
Spinal nerves are the bundles of nerve fibers that transmit signals between the spinal cord and the rest of the body. There are 31 pairs of spinal nerves in the human body, which can be divided into five regions: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal. Each spinal nerve carries both sensory information (such as touch, temperature, and pain) from the periphery to the spinal cord, and motor information (such as muscle control) from the spinal cord to the muscles and other structures in the body. Spinal nerves also contain autonomic fibers that regulate involuntary functions such as heart rate, digestion, and blood pressure.
Brachial plexus neuritis, also known as Parsonage-Turner syndrome or neuralgic amyotrophy, is a medical condition characterized by inflammation and damage to the brachial plexus. The brachial plexus is a network of nerves that originates from the spinal cord in the neck and travels down the arm, controlling movement and sensation in the shoulder, arm, and hand.
In Brachial plexus neuritis, the insulating covering of the nerves (myelin sheath) is damaged or destroyed, leading to impaired nerve function. The exact cause of this condition is not fully understood, but it can be associated with viral infections, trauma, surgery, or immunological disorders.
Symptoms of Brachial plexus neuritis may include sudden onset of severe pain in the shoulder and arm, followed by weakness or paralysis of the affected muscles. There may also be numbness, tingling, or loss of sensation in the affected areas. In some cases, recovery can occur spontaneously within a few months, while others may experience persistent weakness or disability. Treatment typically involves pain management, physical therapy, and in some cases, corticosteroids or other medications to reduce inflammation.
Cranial nerves are a set of twelve pairs of nerves that originate from the brainstem and skull, rather than the spinal cord. These nerves are responsible for transmitting sensory information (such as sight, smell, hearing, and taste) to the brain, as well as controlling various muscles in the head and neck (including those involved in chewing, swallowing, and eye movement). Each cranial nerve has a specific function and is named accordingly. For example, the optic nerve (cranial nerve II) transmits visual information from the eyes to the brain, while the vagus nerve (cranial nerve X) controls parasympathetic functions in the body such as heart rate and digestion.
In medical terms, ribs are the long, curved bones that make up the ribcage in the human body. They articulate with the thoracic vertebrae posteriorly and connect to the sternum anteriorly via costal cartilages. There are 12 pairs of ribs in total, and they play a crucial role in protecting the lungs and heart, allowing room for expansion and contraction during breathing. Ribs also provide attachment points for various muscles involved in respiration and posture.
Apnea is a medical condition defined as the cessation of breathing for 10 seconds or more. It can occur during sleep (sleep apnea) or while awake (wakeful apnea). There are different types of sleep apnea, including obstructive sleep apnea, central sleep apnea, and complex sleep apnea syndrome. Obstructive sleep apnea occurs when the airway becomes blocked during sleep, while central sleep apnea occurs when the brain fails to signal the muscles to breathe. Complex sleep apnea syndrome, also known as treatment-emergent central sleep apnea, is a combination of obstructive and central sleep apneas. Sleep apnea can lead to various complications, such as fatigue, difficulty concentrating, high blood pressure, heart disease, and stroke.
Nervous system trauma, also known as neurotrauma, refers to damage or injury to the nervous system, including the brain and spinal cord. This type of trauma can result from various causes, such as vehicular accidents, sports injuries, falls, violence, or penetrating traumas. Nervous system trauma can lead to temporary or permanent impairments in sensory, motor, or cognitive functions, depending on the severity and location of the injury.
Traumatic brain injury (TBI) is a common form of nervous system trauma that occurs when an external force causes brain dysfunction. TBIs can be classified as mild, moderate, or severe, based on factors such as loss of consciousness, memory loss, and neurological deficits. Mild TBIs, also known as concussions, may not cause long-term damage but still require medical attention to ensure proper healing and prevent further complications.
Spinal cord injuries (SCI) are another form of nervous system trauma that can have severe consequences. SCI occurs when the spinal cord is damaged due to a sudden, traumatic blow or cut, causing loss of motor function, sensation, or autonomic function below the level of injury. The severity and location of the injury determine the extent of impairment, which can range from partial to complete paralysis.
Immediate medical intervention is crucial in cases of nervous system trauma to minimize secondary damage, prevent complications, and optimize recovery outcomes. Treatment options may include surgery, medication, rehabilitation, or a combination of these approaches.
Anoxia is a medical condition that refers to the absence or complete lack of oxygen supply in the body or a specific organ, tissue, or cell. This can lead to serious health consequences, including damage or death of cells and tissues, due to the vital role that oxygen plays in supporting cellular metabolism and energy production.
Anoxia can occur due to various reasons, such as respiratory failure, cardiac arrest, severe blood loss, carbon monoxide poisoning, or high altitude exposure. Prolonged anoxia can result in hypoxic-ischemic encephalopathy, a serious condition that can cause brain damage and long-term neurological impairments.
Medical professionals use various diagnostic tests, such as blood gas analysis, pulse oximetry, and electroencephalography (EEG), to assess oxygen levels in the body and diagnose anoxia. Treatment for anoxia typically involves addressing the underlying cause, providing supplemental oxygen, and supporting vital functions, such as breathing and circulation, to prevent further damage.
The musculocutaneous nerve is a peripheral nerve that originates from the lateral cord of the brachial plexus, composed of contributions from the ventral rami of spinal nerves C5-C7. It provides motor innervation to the muscles in the anterior compartment of the upper arm: the coracobrachialis, biceps brachii, and brachialis. Additionally, it gives rise to the lateral antebrachial cutaneous nerve, which supplies sensory innervation to the skin on the lateral aspect of the forearm.
The femoral nerve is a major nerve in the thigh region of the human body. It originates from the lumbar plexus, specifically from the ventral rami (anterior divisions) of the second, third, and fourth lumbar nerves (L2-L4). The femoral nerve provides motor and sensory innervation to various muscles and areas in the lower limb.
Motor Innervation:
The femoral nerve is responsible for providing motor innervation to several muscles in the anterior compartment of the thigh, including:
1. Iliacus muscle
2. Psoas major muscle
3. Quadriceps femoris muscle (consisting of four heads: rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius)
These muscles are involved in hip flexion, knee extension, and stabilization of the hip joint.
Sensory Innervation:
The sensory distribution of the femoral nerve includes:
1. Anterior and medial aspects of the thigh
2. Skin over the anterior aspect of the knee and lower leg (via the saphenous nerve, a branch of the femoral nerve)
The saphenous nerve provides sensation to the skin on the inner side of the leg and foot, as well as the medial malleolus (the bony bump on the inside of the ankle).
In summary, the femoral nerve is a crucial component of the lumbar plexus that controls motor functions in the anterior thigh muscles and provides sensory innervation to the anterior and medial aspects of the thigh and lower leg.
Sodium cyanide is a highly toxic chemical compound with the formula NaCN. It is a white solid that is readily soluble in water, and it has a bitter, almond-like odor that some people can detect. Sodium cyanide is used in various industrial processes, including metal cleaning and electroplating, but it is perhaps best known as a poison.
Cyanide ions (CN-) are extremely toxic because they bind to the ferric iron (Fe3+) in cytochrome c oxidase, a crucial enzyme in the mitochondria that is responsible for cellular respiration and energy production. When cyanide ions bind to this enzyme, it becomes unable to function, leading to a rapid depletion of ATP (adenosine triphosphate) and an accumulation of lactic acid, which can cause metabolic acidosis, coma, and death within minutes to hours.
It is important to note that sodium cyanide should be handled with extreme care and only by trained professionals who are familiar with its hazards and proper safety protocols. Exposure to this compound can cause severe health effects, including respiratory failure, convulsions, and cardiac arrest.
Muscle contraction is the physiological process in which muscle fibers shorten and generate force, leading to movement or stability of a body part. This process involves the sliding filament theory where thick and thin filaments within the sarcomeres (the functional units of muscles) slide past each other, facilitated by the interaction between myosin heads and actin filaments. The energy required for this action is provided by the hydrolysis of adenosine triphosphate (ATP). Muscle contractions can be voluntary or involuntary, and they play a crucial role in various bodily functions such as locomotion, circulation, respiration, and posture maintenance.
Horner syndrome, also known as Horner's syndrome or oculosympathetic palsy, is a neurological disorder characterized by the interruption of sympathetic nerve pathways that innervate the head and neck, leading to a constellation of signs affecting the eye and face on one side of the body.
The classic triad of symptoms includes:
1. Ptosis (drooping) of the upper eyelid: This is due to the weakness or paralysis of the levator palpebrae superioris muscle, which is responsible for elevating the eyelid.
2. Miosis (pupillary constriction): The affected pupil becomes smaller in size compared to the other side, and it may not react as robustly to light.
3. Anhydrosis (decreased sweating): There is reduced or absent sweating on the ipsilateral (same side) of the face, particularly around the forehead and upper eyelid.
Horner syndrome can be caused by various underlying conditions, such as brainstem stroke, tumors, trauma, or certain medical disorders affecting the sympathetic nervous system. The diagnosis typically involves a thorough clinical examination, pharmacological testing, and sometimes imaging studies to identify the underlying cause. Treatment is directed towards managing the underlying condition responsible for Horner syndrome.
In medical terms, pressure is defined as the force applied per unit area on an object or body surface. It is often measured in millimeters of mercury (mmHg) in clinical settings. For example, blood pressure is the force exerted by circulating blood on the walls of the arteries and is recorded as two numbers: systolic pressure (when the heart beats and pushes blood out) and diastolic pressure (when the heart rests between beats).
Pressure can also refer to the pressure exerted on a wound or incision to help control bleeding, or the pressure inside the skull or spinal canal. High or low pressure in different body systems can indicate various medical conditions and require appropriate treatment.
The esophagus is the muscular tube that connects the throat (pharynx) to the stomach. It is located in the midline of the neck and chest, passing through the diaphragm to enter the abdomen and join the stomach. The main function of the esophagus is to transport food and liquids from the mouth to the stomach for digestion.
The esophagus has a few distinct parts: the upper esophageal sphincter (a ring of muscle that separates the esophagus from the throat), the middle esophagus, and the lower esophageal sphincter (another ring of muscle that separates the esophagus from the stomach). The lower esophageal sphincter relaxes to allow food and liquids to enter the stomach and then contracts to prevent stomach contents from flowing back into the esophagus.
The walls of the esophagus are made up of several layers, including mucosa (a moist tissue that lines the inside of the tube), submucosa (a layer of connective tissue), muscle (both voluntary and involuntary types), and adventitia (an outer layer of connective tissue).
Common conditions affecting the esophagus include gastroesophageal reflux disease (GERD), Barrett's esophagus, esophageal cancer, esophageal strictures, and eosinophilic esophagitis.
Hypercapnia is a state of increased carbon dioxide (CO2) concentration in the blood, typically defined as an arterial CO2 tension (PaCO2) above 45 mmHg. It is often associated with conditions that impair gas exchange or eliminate CO2 from the body, such as chronic obstructive pulmonary disease (COPD), severe asthma, respiratory failure, or certain neuromuscular disorders. Hypercapnia can cause symptoms such as headache, confusion, shortness of breath, and in severe cases, it can lead to life-threatening complications such as respiratory acidosis, coma, and even death if not promptly treated.
Denervation is a medical term that refers to the loss or removal of nerve supply to an organ or body part. This can occur as a result of surgical intervention, injury, or disease processes that damage the nerves leading to the affected area. The consequences of denervation depend on the specific organ or tissue involved, but generally, it can lead to changes in function, sensation, and muscle tone. For example, denervation of a skeletal muscle can cause weakness, atrophy, and altered reflexes. Similarly, denervation of an organ such as the heart can lead to abnormalities in heart rate and rhythm. In some cases, denervation may be intentional, such as during surgical procedures aimed at treating chronic pain or spasticity.
The sympathetic nervous system (SNS) is a part of the autonomic nervous system that operates largely below the level of consciousness, and it functions to produce appropriate physiological responses to perceived danger. It's often associated with the "fight or flight" response. The SNS uses nerve impulses to stimulate target organs, causing them to speed up (e.g., increased heart rate), prepare for action, or otherwise respond to stressful situations.
The sympathetic nervous system is activated due to stressful emotional or physical situations and it prepares the body for immediate actions. It dilates the pupils, increases heart rate and blood pressure, accelerates breathing, and slows down digestion. The primary neurotransmitter involved in this system is norepinephrine (also known as noradrenaline).
Electrophysiology is a branch of medicine that deals with the electrical activities of the body, particularly the heart. In a medical context, electrophysiology studies (EPS) are performed to assess abnormal heart rhythms (arrhythmias) and to evaluate the effectiveness of certain treatments, such as medication or pacemakers.
During an EPS, electrode catheters are inserted into the heart through blood vessels in the groin or neck. These catheters can record the electrical activity of the heart and stimulate it to help identify the source of the arrhythmia. The information gathered during the study can help doctors determine the best course of treatment for each patient.
In addition to cardiac electrophysiology, there are also other subspecialties within electrophysiology, such as neuromuscular electrophysiology, which deals with the electrical activity of the nervous system and muscles.
Pulmonary ventilation, also known as pulmonary respiration or simply ventilation, is the process of moving air into and out of the lungs to facilitate gas exchange. It involves two main phases: inhalation (or inspiration) and exhalation (or expiration). During inhalation, the diaphragm and external intercostal muscles contract, causing the chest volume to increase and the pressure inside the chest to decrease, which then draws air into the lungs. Conversely, during exhalation, these muscles relax, causing the chest volume to decrease and the pressure inside the chest to increase, which pushes air out of the lungs. This process ensures that oxygen-rich air from the atmosphere enters the alveoli (air sacs in the lungs), where it can diffuse into the bloodstream, while carbon dioxide-rich air from the bloodstream in the capillaries surrounding the alveoli is expelled out of the body.
Methysergide is a medication that belongs to a class of drugs called ergot alkaloids. It is primarily used for the prophylaxis (prevention) of migraine headaches. Methysergide works by narrowing blood vessels around the brain, which is thought to help prevent migraines.
The medical definition of Methysergide is:
A semisynthetic ergot alkaloid derivative used in the prophylaxis of migraine and cluster headaches. It has both agonist and antagonist properties at serotonin receptors, and its therapeutic effects are thought to be related to its ability to block the binding of serotonin to its receptors. However, methysergide can have serious side effects, including fibrotic reactions in various organs, such as the heart, lungs, and kidneys, so it is usually used only for short periods of time and under close medical supervision.
Tubocurarine is a type of neuromuscular blocking agent, specifically a non-depolarizing skeletal muscle relaxant. It works by competitively binding to the nicotinic acetylcholine receptors at the motor endplate, thereby preventing the binding of acetylcholine and inhibiting muscle contraction. Tubocurarine is derived from the South American curare plant and has been used in anesthesia to facilitate intubation and mechanical ventilation during surgery. However, its use has largely been replaced by newer, more selective agents due to its potential for histamine release and cardiovascular effects.
A motor endplate, also known as the neuromuscular junction, is the site where a motor neuron's axon terminal synapses with a muscle fiber. It is a specialized chemical synapse that allows for the transmission of electrical signals from the nervous system to the skeletal muscles, resulting in muscle contraction. The motor endplate is composed of several structures including the presynaptic membrane, which contains neurotransmitter-filled vesicles, and the postsynaptic membrane, which contains numerous nicotinic acetylcholine receptors. When an action potential reaches the axon terminal, it triggers the release of acetylcholine into the synaptic cleft, where it binds to receptors on the postsynaptic membrane and causes the opening of ion channels, leading to the generation of an endplate potential that can trigger muscle contraction.
The posterior thalamic nuclei are a group of nuclei located in the dorsal part of the thalamus, a major relay center in the brain. These nuclei include the lateroposterior nucleus (LP), pulvinar, and the medial and lateral geniculate bodies (MGN, LGN). They play crucial roles in processing and integrating sensory information, particularly from visual and auditory pathways, as well as motor and cognitive functions.
1. Lateroposterior nucleus (LP): This nucleus is involved in the processing of somatosensory information, which includes touch, pain, temperature, and proprioception (body position sense). It receives input from the cerebellum and sends outputs to the parietal cortex, contributing to the perception of body movement and position.
2. Pulvinar: The pulvinar is the largest nucleus in the thalamus and is primarily involved in visual processing. It receives inputs from multiple sources, including the retina, superior colliculus, and visual cortex, and sends outputs to various areas of the visual cortex. The pulvinar plays a critical role in attentional selection, object recognition, and scene perception.
3. Medial geniculate body (MGN): This nucleus is a part of the auditory pathway and receives input from the inferior colliculus in the midbrain. The MGN sends outputs to the primary auditory cortex, where sound processing and interpretation occur.
4. Lateral geniculate body (LGN): The LGN is a critical component of the visual pathway, receiving direct input from the retina and sending outputs to the primary visual cortex. It contains six layers, with alternating ON and OFF layers that process information from corresponding regions of the visual field.
In summary, the posterior thalamic nuclei are essential for sensory processing, attention, and perception in various modalities, including vision, audition, and somatosensation.
Microinjection is a medical technique that involves the use of a fine, precise needle to inject small amounts of liquid or chemicals into microscopic structures, cells, or tissues. This procedure is often used in research settings to introduce specific substances into individual cells for study purposes, such as introducing DNA or RNA into cell nuclei to manipulate gene expression.
In clinical settings, microinjections may be used in various medical and cosmetic procedures, including:
1. Intracytoplasmic Sperm Injection (ICSI): A type of assisted reproductive technology where a single sperm is injected directly into an egg to increase the chances of fertilization during in vitro fertilization (IVF) treatments.
2. Botulinum Toxin Injections: Microinjections of botulinum toxin (Botox, Dysport, or Xeomin) are used for cosmetic purposes to reduce wrinkles and fine lines by temporarily paralyzing the muscles responsible for their formation. They can also be used medically to treat various neuromuscular disorders, such as migraines, muscle spasticity, and excessive sweating (hyperhidrosis).
3. Drug Delivery: Microinjections may be used to deliver drugs directly into specific tissues or organs, bypassing the systemic circulation and potentially reducing side effects. This technique can be particularly useful in treating localized pain, delivering growth factors for tissue regeneration, or administering chemotherapy agents directly into tumors.
4. Gene Therapy: Microinjections of genetic material (DNA or RNA) can be used to introduce therapeutic genes into cells to treat various genetic disorders or diseases, such as cystic fibrosis, hemophilia, or cancer.
Overall, microinjection is a highly specialized and precise technique that allows for the targeted delivery of substances into small structures, cells, or tissues, with potential applications in research, medical diagnostics, and therapeutic interventions.
Nerve Growth Factor (NGF) is a small secreted protein that is involved in the growth, maintenance, and survival of certain neurons (nerve cells). It was the first neurotrophin to be discovered and is essential for the development and function of the nervous system. NGF binds to specific receptors on the surface of nerve cells and helps to promote their differentiation, axonal growth, and synaptic plasticity. Additionally, NGF has been implicated in various physiological processes such as inflammation, immune response, and wound healing. Deficiencies or excesses of NGF have been linked to several neurological disorders, including Alzheimer's disease, Parkinson's disease, and pain conditions.
The carotid sinus is a small, dilated area located at the bifurcation (or fork) of the common carotid artery into the internal and external carotid arteries. It is a baroreceptor region, which means it contains specialized sensory nerve endings that can detect changes in blood pressure. When the blood pressure increases, the walls of the carotid sinus stretch, activating these nerve endings and sending signals to the brain. The brain then responds by reducing the heart rate and relaxing the blood vessels, which helps to lower the blood pressure back to normal.
The carotid sinus is an important part of the body's autonomic nervous system, which regulates various involuntary functions such as heart rate, blood pressure, and digestion. It plays a crucial role in maintaining cardiovascular homeostasis and preventing excessive increases in blood pressure that could potentially damage vital organs.
The trigeminal nerve, also known as the fifth cranial nerve or CNV, is a paired nerve that carries both sensory and motor information. It has three major branches: ophthalmic (V1), maxillary (V2), and mandibular (V3). The ophthalmic branch provides sensation to the forehead, eyes, and upper portion of the nose; the maxillary branch supplies sensation to the lower eyelid, cheek, nasal cavity, and upper lip; and the mandibular branch is responsible for sensation in the lower lip, chin, and parts of the oral cavity, as well as motor function to the muscles involved in chewing. The trigeminal nerve plays a crucial role in sensations of touch, pain, temperature, and pressure in the face and mouth, and it also contributes to biting, chewing, and swallowing functions.
Cinanserin is a serotonin antagonist, which is a type of drug that blocks the action of serotonin, a neurotransmitter in the brain. Cinanserin has been investigated for its potential use as a treatment for various conditions, including anxiety, depression, and schizophrenia. However, it is not currently approved for use in clinical practice.
Serotonin antagonists like cinanserin work by blocking the action of serotonin at certain receptors in the brain. This can help to reduce the symptoms of various conditions, such as anxiety and depression, by altering the way that neurons communicate with each other. However, the exact mechanism of action of cinanserin is not fully understood, and more research is needed to determine its potential therapeutic uses.
While cinanserin has shown promise in some studies, it has also been associated with a number of side effects, including dizziness, drowsiness, and dry mouth. Additionally, there is some evidence to suggest that cinanserin may increase the risk of certain types of heart problems, such as irregular heart rhythms. As a result, further research is needed to determine the safety and efficacy of this drug before it can be approved for use in clinical practice.
Nerve Growth Factors (NGFs) are a family of proteins that play an essential role in the growth, maintenance, and survival of certain neurons (nerve cells). They were first discovered by Rita Levi-Montalcini and Stanley Cohen in 1956. NGF is particularly crucial for the development and function of the peripheral nervous system, which connects the central nervous system to various organs and tissues throughout the body.
NGF supports the differentiation and survival of sympathetic and sensory neurons during embryonic development. In adults, NGF continues to regulate the maintenance and repair of these neurons, contributing to neuroplasticity – the brain's ability to adapt and change over time. Additionally, NGF has been implicated in pain transmission and modulation, as well as inflammatory responses.
Abnormal levels or dysfunctional NGF signaling have been associated with various medical conditions, including neurodegenerative diseases (e.g., Alzheimer's and Parkinson's), chronic pain disorders, and certain cancers (e.g., small cell lung cancer). Therefore, understanding the role of NGF in physiological and pathological processes may provide valuable insights into developing novel therapeutic strategies for these conditions.
An axon is a long, slender extension of a neuron (a type of nerve cell) that conducts electrical impulses (nerve impulses) away from the cell body to target cells, such as other neurons or muscle cells. Axons can vary in length from a few micrometers to over a meter long and are typically surrounded by a myelin sheath, which helps to insulate and protect the axon and allows for faster transmission of nerve impulses.
Axons play a critical role in the functioning of the nervous system, as they provide the means by which neurons communicate with one another and with other cells in the body. Damage to axons can result in serious neurological problems, such as those seen in spinal cord injuries or neurodegenerative diseases like multiple sclerosis.
Efferent pathways refer to the neural connections that carry signals from the central nervous system (CNS), which includes the brain and spinal cord, to the peripheral effectors such as muscles and glands. These pathways are responsible for the initiation and control of motor responses, as well as regulating various autonomic functions.
Efferent pathways can be divided into two main types:
1. Somatic efferent pathways: These pathways carry signals from the CNS to the skeletal muscles, enabling voluntary movements and postural control. The final common pathway for somatic motor innervation is the alpha-motor neuron, which synapses directly onto skeletal muscle fibers.
2. Autonomic efferent pathways: These pathways regulate the function of internal organs, smooth muscles, and glands. They are further divided into two subtypes: sympathetic and parasympathetic. The sympathetic system is responsible for the 'fight or flight' response, while the parasympathetic system promotes rest and digestion. Both systems use a two-neuron chain to transmit signals from the CNS to the effector organs. The preganglionic neuron has its cell body in the CNS and synapses with the postganglionic neuron in an autonomic ganglion located near the effector organ. The postganglionic neuron then innervates the target organ or tissue.
In summary, efferent pathways are the neural connections that carry signals from the CNS to peripheral effectors, enabling motor responses and regulating various autonomic functions. They can be divided into somatic and autonomic efferent pathways, with further subdivisions within the autonomic system.
Physical stimulation, in a medical context, refers to the application of external forces or agents to the body or its tissues to elicit a response. This can include various forms of touch, pressure, temperature, vibration, or electrical currents. The purpose of physical stimulation may be therapeutic, as in the case of massage or physical therapy, or diagnostic, as in the use of reflex tests. It is also used in research settings to study physiological responses and mechanisms.
In a broader sense, physical stimulation can also refer to the body's exposure to physical activity or exercise, which can have numerous health benefits, including improving cardiovascular function, increasing muscle strength and flexibility, and reducing the risk of chronic diseases.
The trochlear nerve, also known as the fourth cranial nerve (CN IV), is a nerve that originates in the midbrain and innervates the superior oblique muscle of the eye. This muscle helps with the downward and outward movement of the eye, playing a crucial role in controlling eye movements and maintaining binocular vision. The trochlear nerve's main function is to provide motor (efferent) innervation to the superior oblique muscle, enabling fine-tuning of eye movements during activities such as reading, writing, or driving. Damage to this nerve can result in vertical diplopia (double vision), strabismus (eye misalignment), and other visual impairments.
I believe there might be a misunderstanding in your question. "Dogs" is not a medical term or condition. It is the common name for a domesticated carnivore of the family Canidae, specifically the genus Canis, which includes wolves, foxes, and other extant and extinct species of mammals. Dogs are often kept as pets and companions, and they have been bred in a wide variety of forms and sizes for different purposes, such as hunting, herding, guarding, assisting police and military forces, and providing companionship and emotional support.
If you meant to ask about a specific medical condition or term related to dogs, please provide more context so I can give you an accurate answer.
The vagus nerve, also known as the 10th cranial nerve (CN X), is the longest of the cranial nerves and extends from the brainstem to the abdomen. It has both sensory and motor functions and plays a crucial role in regulating various bodily functions such as heart rate, digestion, respiratory rate, speech, and sweating, among others.
The vagus nerve is responsible for carrying sensory information from the internal organs to the brain, and it also sends motor signals from the brain to the muscles of the throat and voice box, as well as to the heart, lungs, and digestive tract. The vagus nerve helps regulate the body's involuntary responses, such as controlling heart rate and blood pressure, promoting relaxation, and reducing inflammation.
Dysfunction in the vagus nerve can lead to various medical conditions, including gastroparesis, chronic pain, and autonomic nervous system disorders. Vagus nerve stimulation (VNS) is a therapeutic intervention that involves delivering electrical impulses to the vagus nerve to treat conditions such as epilepsy, depression, and migraine headaches.
Tidal volume (Vt) is the amount of air that moves into or out of the lungs during normal, resting breathing. It is the difference between the volume of air in the lungs at the end of a normal expiration and the volume at the end of a normal inspiration. In other words, it's the volume of each breath you take when you are not making any effort to breathe more deeply.
The average tidal volume for an adult human is around 500 milliliters (ml) per breath, but this can vary depending on factors such as age, sex, size, and fitness level. During exercise or other activities that require increased oxygen intake, tidal volume may increase to meet the body's demands for more oxygen.
Tidal volume is an important concept in respiratory physiology and clinical medicine, as it can be used to assess lung function and diagnose respiratory disorders such as chronic obstructive pulmonary disease (COPD) or asthma.
The Radial nerve is a major peripheral nerve in the human body that originates from the brachial plexus, which is a network of nerves formed by the union of the ventral rami (anterior divisions) of spinal nerves C5-T1. The radial nerve provides motor function to extensor muscles of the upper limb and sensation to parts of the skin on the back of the arm, forearm, and hand.
More specifically, the radial nerve supplies motor innervation to:
* Extensor muscles of the shoulder (e.g., teres minor, infraspinatus)
* Rotator cuff muscles
* Elbow joint stabilizers (e.g., lateral head of the triceps)
* Extensors of the wrist, fingers, and thumb
The radial nerve also provides sensory innervation to:
* Posterior aspect of the upper arm (from the lower third of the humerus to the elbow)
* Lateral forearm (from the lateral epicondyle of the humerus to the wrist)
* Dorsum of the hand (skin over the radial side of the dorsum, including the first web space)
Damage or injury to the radial nerve may result in various symptoms, such as weakness or paralysis of the extensor muscles, numbness or tingling sensations in the affected areas, and difficulty with extension movements of the wrist, fingers, and thumb. Common causes of radial nerve injuries include fractures of the humerus bone, compression during sleep or prolonged pressure on the nerve (e.g., from crutches), and entrapment syndromes like radial tunnel syndrome.
Vocal cord paralysis is a medical condition characterized by the inability of one or both vocal cords to move or function properly due to nerve damage or disruption. The vocal cords are two bands of muscle located in the larynx (voice box) that vibrate to produce sound during speech, singing, and breathing. When the nerves that control the vocal cord movements are damaged or not functioning correctly, the vocal cords may become paralyzed or weakened, leading to voice changes, breathing difficulties, and other symptoms.
The causes of vocal cord paralysis can vary, including neurological disorders, trauma, tumors, surgery, or infections. The diagnosis typically involves a physical examination, including a laryngoscopy, to assess the movement and function of the vocal cords. Treatment options may include voice therapy, surgical procedures, or other interventions to improve voice quality and breathing functions.
Spinal cord injuries (SCI) refer to damage to the spinal cord that results in a loss of function, such as mobility or feeling. This injury can be caused by direct trauma to the spine or by indirect damage resulting from disease or degeneration of surrounding bones, tissues, or blood vessels. The location and severity of the injury on the spinal cord will determine which parts of the body are affected and to what extent.
The effects of SCI can range from mild sensory changes to severe paralysis, including loss of motor function, autonomic dysfunction, and possible changes in sensation, strength, and reflexes below the level of injury. These injuries are typically classified as complete or incomplete, depending on whether there is any remaining function below the level of injury.
Immediate medical attention is crucial for spinal cord injuries to prevent further damage and improve the chances of recovery. Treatment usually involves immobilization of the spine, medications to reduce swelling and pressure, surgery to stabilize the spine, and rehabilitation to help regain lost function. Despite advances in treatment, SCI can have a significant impact on a person's quality of life and ability to perform daily activities.
The cervical vertebrae are the seven vertebrae that make up the upper part of the spine, also known as the neck region. They are labeled C1 to C7, with C1 being closest to the skull and C7 connecting to the thoracic vertebrae in the chest region. The cervical vertebrae have unique structures to allow for a wide range of motion in the neck while also protecting the spinal cord and providing attachment points for muscles and ligaments.
Blood gas analysis is a medical test that measures the levels of oxygen and carbon dioxide in the blood, as well as the pH level, which indicates the acidity or alkalinity of the blood. This test is often used to evaluate lung function, respiratory disorders, and acid-base balance in the body. It can also be used to monitor the effectiveness of treatments for conditions such as chronic obstructive pulmonary disease (COPD), asthma, and other respiratory illnesses. The analysis is typically performed on a sample of arterial blood, although venous blood may also be used in some cases.
Exhalation is the act of breathing out or exhaling, which is the reverse process of inhalation. During exhalation, the diaphragm relaxes and moves upwards, while the chest muscles also relax, causing the chest cavity to decrease in size. This decrease in size puts pressure on the lungs, causing them to deflate and expel air.
Exhalation is a passive process that occurs naturally after inhalation, but it can also be actively controlled during activities such as speaking, singing, or playing a wind instrument. In medical terms, exhalation may also be referred to as expiration.
Spinal nerve roots are the initial parts of spinal nerves that emerge from the spinal cord through the intervertebral foramen, which are small openings between each vertebra in the spine. These nerve roots carry motor, sensory, and autonomic fibers to and from specific regions of the body. There are 31 pairs of spinal nerve roots in total, with 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal pair. Each root has a dorsal (posterior) and ventral (anterior) ramus that branch off to form the peripheral nervous system. Irritation or compression of these nerve roots can result in pain, numbness, weakness, or loss of reflexes in the affected area.
The larynx, also known as the voice box, is a complex structure in the neck that plays a crucial role in protection of the lower respiratory tract and in phonation. It is composed of cartilaginous, muscular, and soft tissue structures. The primary functions of the larynx include:
1. Airway protection: During swallowing, the larynx moves upward and forward to close the opening of the trachea (the glottis) and prevent food or liquids from entering the lungs. This action is known as the swallowing reflex.
2. Phonation: The vocal cords within the larynx vibrate when air passes through them, producing sound that forms the basis of human speech and voice production.
3. Respiration: The larynx serves as a conduit for airflow between the upper and lower respiratory tracts during breathing.
The larynx is located at the level of the C3-C6 vertebrae in the neck, just above the trachea. It consists of several important structures:
1. Cartilages: The laryngeal cartilages include the thyroid, cricoid, and arytenoid cartilages, as well as the corniculate and cuneiform cartilages. These form a framework for the larynx and provide attachment points for various muscles.
2. Vocal cords: The vocal cords are thin bands of mucous membrane that stretch across the glottis (the opening between the arytenoid cartilages). They vibrate when air passes through them, producing sound.
3. Muscles: There are several intrinsic and extrinsic muscles associated with the larynx. The intrinsic muscles control the tension and position of the vocal cords, while the extrinsic muscles adjust the position and movement of the larynx within the neck.
4. Nerves: The larynx is innervated by both sensory and motor nerves. The recurrent laryngeal nerve provides motor innervation to all intrinsic laryngeal muscles, except for one muscle called the cricothyroid, which is innervated by the external branch of the superior laryngeal nerve. Sensory innervation is provided by the internal branch of the superior laryngeal nerve and the recurrent laryngeal nerve.
The larynx plays a crucial role in several essential functions, including breathing, speaking, and protecting the airway during swallowing. Dysfunction or damage to the larynx can result in various symptoms, such as hoarseness, difficulty swallowing, shortness of breath, or stridor (a high-pitched sound heard during inspiration).
The Raphe Nuclei are clusters of neurons located in the brainstem, specifically in the midline of the pons, medulla oblongata, and mesencephalon (midbrain). These neurons are characterized by their ability to synthesize and release serotonin, a neurotransmitter that plays a crucial role in regulating various functions such as mood, appetite, sleep, and pain perception.
The Raphe Nuclei project axons widely throughout the central nervous system, allowing serotonin to modulate the activity of other neurons. There are several subdivisions within the Raphe Nuclei, each with distinct connections and functions. Dysfunction in the Raphe Nuclei has been implicated in several neurological and psychiatric disorders, including depression, anxiety, and chronic pain.
Nerve compression syndromes refer to a group of conditions characterized by the pressure or irritation of a peripheral nerve, causing various symptoms such as pain, numbness, tingling, and weakness in the affected area. This compression can occur due to several reasons, including injury, repetitive motion, bone spurs, tumors, or swelling. Common examples of nerve compression syndromes include carpal tunnel syndrome, cubital tunnel syndrome, radial nerve compression, and ulnar nerve entrapment at the wrist or elbow. Treatment options may include physical therapy, splinting, medications, injections, or surgery, depending on the severity and underlying cause of the condition.
Afferent neurons, also known as sensory neurons, are a type of nerve cell that conducts impulses or signals from peripheral receptors towards the central nervous system (CNS), which includes the brain and spinal cord. These neurons are responsible for transmitting sensory information such as touch, temperature, pain, sound, and light to the CNS for processing and interpretation. Afferent neurons have specialized receptor endings that detect changes in the environment and convert them into electrical signals, which are then transmitted to the CNS via synapses with other neurons. Once the signals reach the CNS, they are processed and integrated with other information to produce a response or reaction to the stimulus.
Implanted electrodes are medical devices that are surgically placed inside the body to interface directly with nerves, neurons, or other electrically excitable tissue for various therapeutic purposes. These electrodes can be used to stimulate or record electrical activity from specific areas of the body, depending on their design and application.
There are several types of implanted electrodes, including:
1. Deep Brain Stimulation (DBS) electrodes: These are placed deep within the brain to treat movement disorders such as Parkinson's disease, essential tremor, and dystonia. DBS electrodes deliver electrical impulses that modulate abnormal neural activity in targeted brain regions.
2. Spinal Cord Stimulation (SCS) electrodes: These are implanted along the spinal cord to treat chronic pain syndromes. SCS electrodes emit low-level electrical pulses that interfere with pain signals traveling to the brain, providing relief for patients.
3. Cochlear Implant electrodes: These are surgically inserted into the cochlea of the inner ear to restore hearing in individuals with severe to profound hearing loss. The electrodes stimulate the auditory nerve directly, bypassing damaged hair cells within the cochlea.
4. Retinal Implant electrodes: These are implanted in the retina to treat certain forms of blindness caused by degenerative eye diseases like retinitis pigmentosa. The electrodes convert visual information from a camera into electrical signals, which stimulate remaining retinal cells and transmit the information to the brain via the optic nerve.
5. Sacral Nerve Stimulation (SNS) electrodes: These are placed near the sacral nerves in the lower back to treat urinary or fecal incontinence and overactive bladder syndrome. SNS electrodes deliver electrical impulses that regulate the function of the affected muscles and nerves.
6. Vagus Nerve Stimulation (VNS) electrodes: These are wrapped around the vagus nerve in the neck to treat epilepsy and depression. VNS electrodes provide intermittent electrical stimulation to the vagus nerve, which has connections to various regions of the brain involved in these conditions.
Overall, implanted electrodes serve as a crucial component in many neuromodulation therapies, offering an effective treatment option for numerous neurological and sensory disorders.
Cryosurgery is a medical procedure that uses extreme cold, such as liquid nitrogen or argon gas, to destroy abnormal or unwanted tissue. The intense cold causes the water inside the cells to freeze and form ice crystals, which can rupture the cell membrane and cause the cells to die. Cryosurgery is often used to treat a variety of conditions including skin growths such as warts and tumors, precancerous lesions, and some types of cancer. The procedure is typically performed in a doctor's office or outpatient setting and may require local anesthesia.
In medical terms, the "neck" is defined as the portion of the body that extends from the skull/head to the thorax or chest region. It contains 7 cervical vertebrae, muscles, nerves, blood vessels, lymphatic vessels, and glands (such as the thyroid gland). The neck is responsible for supporting the head, allowing its movement in various directions, and housing vital structures that enable functions like respiration and circulation.
Respiratory insufficiency is a condition characterized by the inability of the respiratory system to maintain adequate gas exchange, resulting in an inadequate supply of oxygen and/or removal of carbon dioxide from the body. This can occur due to various causes, such as lung diseases (e.g., chronic obstructive pulmonary disease, pneumonia), neuromuscular disorders (e.g., muscular dystrophy, spinal cord injury), or other medical conditions that affect breathing mechanics and/or gas exchange.
Respiratory insufficiency can manifest as hypoxemia (low oxygen levels in the blood) and/or hypercapnia (high carbon dioxide levels in the blood). Symptoms of respiratory insufficiency may include shortness of breath, rapid breathing, fatigue, confusion, and in severe cases, loss of consciousness or even death. Treatment depends on the underlying cause and severity of the condition and may include oxygen therapy, mechanical ventilation, medications, and/or other supportive measures.
Phrenic nerve
Diaphragm pacing
Edward Waymouth Reid
Artificial ventilation
Subclavian nerve
Phrenic plexus
Exhalation
Ancylometes
Glen Lake Sanatorium
Implant (medicine)
Central tendon of diaphragm
Root of the lung
Neural dust
Hubert von Luschka
Pericardium
Raventoxin
Thoracic duct
Pericardiacophrenic artery
List of anatomy mnemonics
List of medical mnemonics
Intermittent hypoxia
Pericardiacophrenic veins
Hypoxic ventilatory response
Diaphragmatic paradox
Lung cancer staging
Pulmonary pleurae
Cervical spinal nerve 4
Interrupted aortic arch
Common carotid artery
Botzinger complex
Phrenic nerve - Wikipedia
Phrenic nerve Definition & Meaning | Merriam-Webster Medical
Unilateral Phrenic Nerve Palsy in Infants with Congenital Zika Syndrome - Volume 24, Number 8-August 2018 - Emerging Infectious...
Anterior magnetic phrenic nerve stimulation: laboratory and clinical evaluation
Phrenic Nerve Surgery Shown to Lead to Remarkable Recovery
Impact of cryoballoon application abortion due to phrenic nerve injury on reconnection rates: a YETI subgroup analysis -...
Division and distribution of phrenic nerves in the diaphragms of Murrah buffaloes (Bubalus bubalis Linnaeus, 1758) |...
Phrenic nerve injury during coronary artery bypass
Contacting the Phrenic Nerves inside the Ribcage
Surgery of the Phrenic Nerve | Pearson's General Thoracic
Stimulation of Phrenic nerve activity by an acetylcholine releasing drug: 4-aminopyridine<...
Non‐invasive phrenic nerve stimulation to avoid ventilator‐induced diaphragm dysfunction in critical care - Nuffield Department...
The Mid-Term Changes of Pulmonary Function Tests After Phrenic Nerve Transfer
Zwerchfellparese nach extremer Frühgeburtlich keit mit Ösophagusatresie<...
Unearthing Miami's Leading Phrenic Nerve Surgeons | Medical Tourism Magazine | Medical Travel | Health Tourism
Closed-loop parameter optimisation for patient-specific phrenic nerve stimulation. | LJMU Research Online
Ultrasound-Guided Interscalene Brachial Plexus Nerve Block - NYSORA | NYSORA
Accessory Nerve Injury: Practice Essentials, History of the Procedure, Problem
ESC 365 - New onset of phrenic nerve palsy after laser-assisted transvenous lead extraction: a single-centre experience
Hilum of the Lung: Overview of Anatomy, Function, and Illnesses
Paralyzed diaphragm--effect of plication on respiratory mechanics
Hiccups: MedlinePlus Medical Encyclopedia
Visualization and mapping of the right phrenic nerve by intracardiac echocardiography during atrial fibrillation ablation. |...
Spinal Vascular Endothelial Growth Factor Induces Phrenic Motor Facilitation via Extracellular Signal-Regulated Kinase and Akt...
Diaphragm and Phrenic Nerve Ultrasound in COVID-19 Patients and Beyond: Imaging Technique, Findings, and Clinical Applications ...
Borreliosis presenting as autonomic nervous dysfunction, phrenic nerve palsy with respiratory failure and myocardial...
ZOLL Announces Approval of Next-Generation remedē System for the Treatment of Central Sleep Apnea (transvenous phrenic nerve...
Response to comments on "Capnography as an aid in localizing the phrenic nerve in brachial plexus surgery. Technical note" |...
Feasibility of minimally invasive stimulation of the phrenic nerves for supporting ventilation in fully anesthetized swine |...
Stimulation12
- Anterior magnetic stimulation (aMS) of the phrenic nerves is a new method for the assessment of diaphragm contractility that might have particular applications for the clinical assessment of critically ill patients who are commonly supine. (nih.gov)
- Although aMS was not demonstrably supramaximal in normal subjects, the mean value of twitch transdiaphragmatic pressure (Tw Pdi) obtained at 100% of stimulator output, 23.7 cmH2O, did not differ significantly from that obtained with bilateral supramaximal electrical stimulation (ES), 24.9 cmH2O, or bilateral anterior magnetic phrenic nerve stimulation (BAMPS), 27.3 cmH2O. (nih.gov)
- Closed-loop parameter optimisation for patient-specific phrenic nerve stimulation. (ljmu.ac.uk)
- Phrenic nerve stimulation has shown promise in maintaining diaphragm function by inducing diaphragm contractions. (ljmu.ac.uk)
- Methods: We applied non-invasive electrical stimulation to the phrenic nerve in the neck in healthy volunteers. (ljmu.ac.uk)
- The idea of using controlled ventilation was to abolish the respiratory efforts and consequently have a uniform capnograph which would enable us to appreciate any changes in response to electrical stimulation of phrenic nerve. (biomedcentral.com)
- The hemodynamic response to phrenic nerve stimulation was unremarkable. (biomedcentral.com)
- Hiccups can occur during phrenic nerve stimulation. (biomedcentral.com)
- Consequently, the stimulation was attempted in and around the phrenic nerve, which may result in incomplete diaphragmatic contraction. (biomedcentral.com)
- Following electrical stimulation around the phrenic nerve with lower amplitude of electric current, there is subclinical diaphragmatic contraction (mimicking premature inspiratory efforts) and a fall in ETCO 2 . (biomedcentral.com)
- However, researchers have reported promising results using a "fully implantable unilateral transvenous phrenic nerve stimulation (TPNS) device" to improve central sleep apnea symptoms. (medicalnewstoday.com)
- Stimulation of upper airway cold receptors on the trigeminal nerve (TGN) with TGN agonists such as menthol or cool air to the face/nose has been hypothesized to reduce breathlessness by decreasing IND. (lu.se)
Left phrenic nerve4
- The left phrenic nerve passes over the pericardium of the left ventricle and pierces the diaphragm separately. (wikipedia.org)
- The ventral branches of the left phrenic nerve (10%) had heterolateral distribution. (usp.br)
- Next, we performed a prospective, randomized study in 100 consecutive patients, using a cardiac insulation pad to protect the left phrenic nerve in 58 patients and using no protective pad in 42 patients. (elsevierpure.com)
- We conclude that cooling of the left phrenic nerve with icy slush in the pericardial cavity causes left-sided diaphragmatic paralysis and that the frequency of this injury can be reduced if a cardiac insulation pad is placed between the nerve and the icy slush. (elsevierpure.com)
Palsy2
- Phrenic nerve palsy, autonomic nervous system dysfunction and carditis with acute heart failure are among rare manifestations as well as late generalised stage with myelitis. (edu.pl)
- We present a case of a patient with meningoradiculitis, autonomic nervous dysfunction, respiratory failure due to phrenic nerve palsy and acute heart failure with systolic myocardial dysfunction. (edu.pl)
Brachial plexus13
- Although the nerve receives contributions from nerve roots of the cervical plexus and the brachial plexus, it is usually considered separate from either plexus. (wikipedia.org)
- US guidance allows for visualization of the spread of the local anesthetic and additional injections around the brachial plexus if needed to ensure an adequate spread of local anesthetic, improving nerve block success. (nysora.com)
- Sensory distribution of the interscalene brachial plexus nerve block (in red). (nysora.com)
- Ultrasound-guided interscalene brachial plexus nerve block: transducer and needle position to obtain the desired ultrasound image for an in-plane approach. (nysora.com)
- Response to comments on "Capnography as an aid in localizing the phrenic nerve in brachial plexus surgery. (biomedcentral.com)
- Interscalene nerve block refers to the placement of local anesthetic around the roots or trunks of the brachial plexus at the level of the C6 vertebral body between the anterior and middle scalene muscles. (medscape.com)
- The five roots (anterior rami) of the brachial plexus originate from the spinal nerves of C5-T1. (medscape.com)
- An anesthetic injection is administered in the area above the collarbone (clavicle) close to the network of nerves (brachial plexus) that provides sensation to the upper extremities. (hdkino.org)
- A supraclavicular nerve block is the quickest and most effective block for the entire arm because the nerves are tightly packed in the targeted anatomical region (brachial plexus). (hdkino.org)
- Pancoast syndrome (Pancoast's syndrome) typically results when a malignant neoplasm of the superior sulcus of the lung leads to destructive lesions of the thoracic inlet and involvement of the brachial plexus and cervical sympathetic nerves (stellate ganglion). (medscape.com)
- The brachial plexus (plexus brachialis) is a somatic nerve plexus formed by intercommunications among the ventral rami (roots) of the lower 4 cervical nerves (C5-C8) and the first thoracic nerve (T1). (medscape.com)
- The brachial plexus supplies all of the cutaneous innervation of the upper limb, except for the area of the axilla (which is supplied by the supraclavicular nerve) and the dorsal scapula area, which is supplied by cutaneous branches of the dorsal rami. (medscape.com)
- The spinal nerves that form the brachial plexus run in an inferior and anterior direction within the sulci formed by these structures. (medscape.com)
Paralysis1
- The article, Functional Restoration of Diaphragmatic Paralysis: An Evaluation of Phrenic Nerve Reconstruction, includes the first known published protocol for surgical management of patients with diaphragm paralysis . (advancedreconstruction.com)
Right phrenic nerve7
- The right phrenic nerve passes over the brachiocephalic artery, posterior to the subclavian vein, and then crosses the root of the right lung anteriorly and then leaves the thorax by passing through the vena cava hiatus opening in the diaphragm at the level of T8. (wikipedia.org)
- The right phrenic nerve passes over the right atrium. (wikipedia.org)
- Some sources describe the right phrenic nerve as innervating the gallbladder, other sources make no such mention. (wikipedia.org)
- The right phrenic nerve may also supply the capsule of the liver. (wikipedia.org)
- The right phrenic nerve may be crushed by the vena cava clamp during liver transplantation. (wikipedia.org)
- Visualization and mapping of the right phrenic nerve by intracardiac echocardiography during atrial fibrillation ablation. (bvsalud.org)
- This study aimed to evaluate the feasibility of real- time visualization and mapping of the right phrenic nerve (RPN) by using intracardiac echocardiography ( ICE ) during atrial fibrillation (AF) ablation. (bvsalud.org)
Respiratory4
- Diaphragmatic plication and nerve transfers may be necessary for treatment of respiratory compromise after phrenic injury. (sts.org)
- In the restoration of elbow flexion, the phrenic nerve has proven to be a good donor, but considering the role of the phrenic nerve in respiratory function, we cannot disregard the potential dangers of this method. (ac.ir)
- Damage or impairment to the phrenic nerve can lead to severe, debilitating respiratory conditions. (medicaltourism.com)
- Because another growth/trophic factor that signals via a receptor tyrosine kinase (brain derived neurotrophic factor) elicits a long-lasting facilitation of respiratory motor activity in the phrenic nerve, we tested the hypothesis that VEGFA-165 elicits similar phrenic motor facilitation (pMF). (jneurosci.org)
Dysfunction2
Controls the diaphragm2
- The phrenic nerve controls the diaphragm. (medlineplus.gov)
- Phrenic nerve surgery (the nerve that controls the diaphragm) is a treatment of last resort. (medicinenet.com)
Respiration2
- The nerve is important for breathing because it provides exclusive motor control of the diaphragm, the primary muscle of respiration. (wikipedia.org)
- It was possible to capture and stimulate both phrenic nerves using a minimally invasive approach to support respiration and sustain blood gases at physiological levels. (biomedcentral.com)
Ventilator1
- Kaufman, who also performs phrenic nerve surgery to free spinal cord injury patients from ventilator dependency , states, "Time and again, phrenic nerve patients are told they just have to live with the damage and restrictions. (advancedreconstruction.com)
Spinal nerves4
- The phrenic nerve is a mixed motor/sensory nerve that originates from the C3-C5 spinal nerves in the neck. (wikipedia.org)
- In humans, the right and left phrenic nerves are primarily supplied by the C4 spinal nerve, but there is also a contribution from the C3 and C5 spinal nerves. (wikipedia.org)
- Pain arising from structures supplied by the phrenic nerve is often "referred" to other somatic regions served by spinal nerves C3-C5. (wikipedia.org)
- The ventral rami of spinal nerves C5 to T1 are referred to as the "roots" of the plexus. (medscape.com)
Surgery17
- The phrenic nerve must be identified during thoracic surgery and preserved. (wikipedia.org)
- Don Bird underwent phrenic nerve surgery with Dr. Matthew Kaufman in November 2011. (advancedreconstruction.com)
- The initial injury to Bird's phrenic nerve occurred during surgery for skin cancer when the 48-year-old Australian handyman was 17 years old. (advancedreconstruction.com)
- A unique area of our practice is our Phrenic Nerve surgery program. (advancedreconstruction.com)
- I am so blessed to have had the phrenic nerve surgery that Dr. Kaufman had performed on Friday, March 13th! (advancedreconstruction.com)
- NJ Reconstructive Plastic Surgeon, Dr. Matthew Kaufman, Performs Phrenic Nerve Surgery Gal Cohen*, who was used to a. (advancedreconstruction.com)
- We reviewed the results of serial spirometry tests, which were performed before and after phrenic nerve transfer surgery. (ac.ir)
- Phrenic nerve surgery is a sophisticated procedure designed to repair or stimulate the phrenic nerve, a crucial structure responsible for controlling the diaphragm - our primary muscle for breathing. (medicaltourism.com)
- When considering phrenic nerve surgery, the choice of the right hospital and surgeon is crucial. (medicaltourism.com)
- As with any surgery, phrenic nerve procedures have potential risks, including infection, bleeding, and potential worsening of symptoms. (medicaltourism.com)
- Therefore, consider the patient experience in your choice of hospital and surgeon for your phrenic nerve surgery. (medicaltourism.com)
- While considering your options for phrenic nerve surgery, it's essential to do your due diligence and research thoroughly. (medicaltourism.com)
- For those exploring the possibility of phrenic nerve surgery, we highly recommend you consider The Institute for Advanced Reconstruction. (medicaltourism.com)
- Abdominal surgery can also irritate the nerves that control the diaphragm, causing hiccups. (medicinenet.com)
- This treatment rarely is performed, and phrenic nerve surgery is used only in individuals with long-term hiccups that do not respond to other treatments. (medicinenet.com)
- Interscalene nerve block is typically performed to provide anesthesia or analgesia for surgery of the shoulder and upper arm. (medscape.com)
- Supraclavicular nerve block performed before surgery and for post-surgical pain may involve hospitalization for a day or two, depending on the complexity of the surgery. (hdkino.org)
Pulmonary4
- In the current study, we reviewed the results of pulmonary function tests (PFT) in four patients who underwent phrenic nerve transfer. (ac.ir)
- This study highlights the close link between the role of the phrenic nerve and pulmonary function, such that the use of this nerve as a transfer donor leads to spirometric impairments. (ac.ir)
- Being able to tell the difference between your pulmonary vessels and your phrenic nerve is crucial during surgical procedures. (healthline.com)
- Carcinomas in the superior pulmonary sulcus produce Pancoast syndrome, thus causing pain in the shoulder and along the ulnar nerve distribution of the arm and hand. (medscape.com)
Control the diaphragm1
- Any disease or disorder that irritates the nerves that control the diaphragm (such as liver disease , pneumonia , or other lung disorders). (medicinenet.com)
Ventral3
- The phrenic nerve originates in the phrenic motor nucleus in the ventral horn of the cervical spinal cord. (wikipedia.org)
- The phrenic nerves terminate by trifurcation, only at the right sides (16.7%), in dorsal, lateral and ventral branches. (usp.br)
- The typical spinal nerve root results from the confluence of the ventral nerve rootlets originating in the anterior horn cells of the spinal cord and the dorsal nerve rootlets that join the spinal ganglion in the region of the intervertebral foramen. (medscape.com)
Motor nucleus1
- Intermittent hypoxia-induced pLTF is associated with greater ERK phosphorylation (activation) in the region of the phrenic motor nucleus ( Wilkerson and Mitchell, 2009 ), and pLTF requires ERK (not Akt) activation in its underlying mechanism (M. S. Hoffman and G. S. Mitchell, unpublished observation). (jneurosci.org)
Cervical nerves3
- In 1933, Bardeen suggested that the origin of motor input to the trapezius muscle was purely from the cervical nerves. (medscape.com)
- Subsequent anatomic study reported a possible plexus composed of both cervical nerves and contributions from the SAN that collectively provided trapezial motor innervation. (medscape.com)
- The classic and much-used Gray's Anatomy assigned cervical nerves to a proprioceptive sensory role, with only the SAN providing motor innervation to the trapezius. (medscape.com)
Diaphragmatic2
- Both of these nerves supply motor fibers to the diaphragm and sensory fibers to the fibrous pericardium, mediastinal pleura, and diaphragmatic peritoneum. (wikipedia.org)
- To confirm the identity of the phrenic nerve, a doctor may gently manipulate it to elicit a dartle (diaphragmatic startle) response. (wikipedia.org)
Stimulate2
- When conservative treatments fail, surgical intervention becomes necessary, entailing either nerve reconstruction or implantation of a phrenic nerve pacemaker to artificially stimulate the diaphragm. (medicaltourism.com)
- The rem edē System is an implantable device that activates automatically each night to stimulate a nerve in the chest (phrenic nerve) that sends signals to the breathing muscles (diaphragm) to help restore a normal breathing pattern. (zoll.com)
Lung1
- On both sides, the phrenic nerve usually runs posterior to the subclavian vein as it enters the thorax where it runs anterior to the root of the lung and between the fibrous pericardium and mediastinal parietal pleura. (wikipedia.org)
Injury8
- This variant may predispose the phrenic nerve to injury during subclavian vascular cannulation. (wikipedia.org)
- Until now, treatment for phrenic nerve injury has been limited to either nonsurgical therapy or diaphragm plication, neither of which attempts to restore normal function to the paralyzed diaphragm. (advancedreconstruction.com)
- The most frequent complication during CB-based PVI is right-sided phrenic nerve injury (PNI) which is leading to premature abortion of the freeze cycle. (uni-koeln.de)
- To test our hypothesis that this phenomenon is due to phrenic nerve injury resulting from either 1) dissection of the proximal portion of the left internal mammary artery or 2) topical cooling of the heart with icy slush, we performed the following 2-part study. (elsevierpure.com)
- Comprehensive knowledge of phrenic nerve anatomy is essential to avoid injury. (sts.org)
- Cranial nerve XI, the spinal accessory nerve (SAN), is vulnerable to injury, owing to its long and superficial course in the posterior cervical neck. (medscape.com)
- High-resolution ultrasonography (HRUS) allows visualization of the normal SAN, as well as changes after accessory nerve injury. (medscape.com)
- nerve is at risk of injury with orbital blowout fractures . (radiopaedia.org)
Recurrent1
- Involvement of the phrenic or recurrent laryngeal nerve or superior vena cava obstruction is not representative of the classic Pancoast tumor. (medscape.com)
Clinical3
- This article reviews diaphragm and phrenic nerve ultrasound and describes clinical applications in the context of COVID-19. (wustl.edu)
- The diagnosis of GBS is clinical but may be aided by electrophysiology which is also important to characterise the two main electrophysiological subtypes: acute inflammatory demyelinating polyradiculoneuropathy (AIDP), which is sensory and motor and displays demyelinating changes on nerve conduction studies, and acute motor axonal neuropathy (AMAN), which is primarily axonal and thought to be purely motor. (bmj.com)
- Neurilemmomas arising from Schwann cells, rarely found in oral cavity, are characterized by solitary occurrence, slow growth and smooth surface with variable clinical aspects, depending on the nerve origin. (bvsalud.org)
Neck4
- From its origin in the neck, the nerve travels downward into the chest to pass between the heart and lungs towards the diaphragm. (wikipedia.org)
- As with most nerves in the neck, multiple anatomic variants have been described. (wikipedia.org)
- The phrenic nerve arises from the neck (C3-C5) and innervates the diaphragm, which is much lower. (wikipedia.org)
- In an interscalene block, the injection is administered in the neck, closer to the nerve roots. (hdkino.org)
Amplitude1
- The threshold amplitude for reliable nerve capture was moderately correlated with BMI (Pearson's r = 0.66, p = 0.049). (ljmu.ac.uk)
Interscalene block1
- During an interscalene block, the nerves are anesthetized at the root or trunk level. (medscape.com)
Ulnar nerve distribution1
- Ulnar nerve distribution area (C8-T1) can also be accomplished by using larger volume (e.g. 15-20 ml) and using low interscalene nerve block where the injection occurs between the ISB and supraclavicular nerve block. (nysora.com)
Supraclavicular nerve block9
- How Long Does a Supraclavicular Nerve Block Last? (hdkino.org)
- What is a supraclavicular nerve block? (hdkino.org)
- A supraclavicular nerve block is a procedure to block the sensation in the arm below the shoulder. (hdkino.org)
- An alternative to supraclavicular nerve block, the interscalene nerve block, is also used to anesthetize the same array of nerves. (hdkino.org)
- With sufficient anesthetic, a supraclavicular nerve block can diffuse to the shoulder area as well. (hdkino.org)
- The supraclavicular nerve block was first introduced in 1911. (hdkino.org)
- A supraclavicular nerve block is usually performed prior to surgeries and for post-operative pain relief (analgesia) in the upper extremities. (hdkino.org)
- The supraclavicular nerve block may also help manage chronic pain from rheumatoid and degenerative arthritis . (hdkino.org)
- A supraclavicular nerve block may be performed as an outpatient procedure for chronic pain management . (hdkino.org)
Pericardium3
- The pericardium, especially, is often quite joined to the phrenic nerves. (integrativebodyworkeducation.com)
- I call the phrenic nerves the "neurofascial axis" of pericardium-diaphragm. (integrativebodyworkeducation.com)
- The nerves are part of the pericardium's fabric (indeed, they innervate the pericardium), and you can create space, mobility and tensile balance in the phrenic nerves by doing the same with the whole landscape. (integrativebodyworkeducation.com)
Methods2
- In very rare cases, if medicines or other methods do not work, treatment such as phrenic nerve block may be tried. (medlineplus.gov)
- Author keywords: Chiropractic - Subluxation - Adaptability - Activator Methods™ - Phrenic nerve. (chiroindex.org)
Institute for Advanced Reconstruction1
- According to Dr. Kaufman of The Institute for Advanced Reconstruction, such a recovery is remarkable due to the fact that Bird's phrenic nerve completely degenerated. (advancedreconstruction.com)
Irritation3
- Irritation of the phrenic nerve (or the tissues it supplies) leads to the hiccup reflex. (wikipedia.org)
- Issues that may cause hiccups to last more than 48 hours include nerve damage or irritation, central nervous system disorders, metabolic issues, and certain drug and alcohol problems. (mayoclinic.org)
- A cause of long-term hiccups is damage to, or irritation of, the vagus nerves or phrenic nerves. (mayoclinic.org)
Subclavian2
- On the left, the phrenic nerve crosses anterior to the first part of the subclavian artery. (wikipedia.org)
- Notably, there may be variability in the course of the phrenic nerve in the retro-clavicular region such that the nerve courses anterior to the subclavian vein, rather than its typical position posterior to the vein (between the subclavian vein and artery). (wikipedia.org)
Trigeminal1
- The infraorbital nerve is a branch of the maxillary division of the trigeminal nerve . (radiopaedia.org)
Joining the diaphragm1
- Then, upon joining the diaphragm, each nerve branches in multiple directions to innervate the whole dome of the diaphragm. (integrativebodyworkeducation.com)
Shoulder2
- The patient should be asked to reach for the ipsilateral knee in order to lower the shoulder and provide more space for the nerve block performance. (nysora.com)
- The suprascapular nerve contributes sensory fibers to the shoulder joint and provides motor innervation to the supraspinatus and infraspinatus muscles. (medscape.com)
Visualization1
- The successful capture of the right and left phrenic nerves was confirmed by fluoroscopic visualization. (biomedcentral.com)
Posterior2
- Course of the spinal accessory nerve (SAN) in the posterior cervical triangle. (medscape.com)
- The infraorbital nerve divides off the maxillary division in the pterygopalatine fossa just after it gives off the the posterior superior alveolar nerve . (radiopaedia.org)
Lungs2
- It is the space where vessels and nerves pass from your bronchus to your lungs. (healthline.com)
- Masses or obstructions in the hilum can place pressure on the vital vessels and nerves to your lungs. (healthline.com)
Originates1
- It originates from Schwann cells of the peripheral nerves and may occur at any site where there are nerves with Schwann cells 1 . (bvsalud.org)
Dorsal3
- Based on the dissection of 30 diaphragms of adult male buffaloes of the Murrah breed, the authors studied the division and distribution of the phrenic nerves and the results found were as the follow: the phrenic nerves terminate in bifurcation both in dorsal branches and ventrolateral trunks at right (36.7%) and into left (100%) sides. (usp.br)
- The phrenic nerves were divided symmetrically (40%) by bifurcation into dorsal branches and ventrolateral trunks. (usp.br)
- The dorsal branches of the left phrenic nerves (23.3%) had heterolateral distribution. (usp.br)
Anatomic1
- Anatomic study of the SAN has long maintained a debate as to the exact contributions of this nerve and other cervical motor nerves to the innervation of the trapezius muscle. (medscape.com)
Accessory1
- In addition, an accessory phrenic nerve is commonly identified, present in up to 75% of a cadaveric study. (wikipedia.org)
Crucial1
- This approach also carries less chances of blocking the phrenic nerve, which is responsible for the diaphragm 's function that is crucial for breathing . (hdkino.org)
Acute1
- Here, we use phrenic motor facilitation (pMF) as a general term, including pLTF after acute intermittent hypoxia and other forms induced, for example, by spinal administration of receptor agonists. (jneurosci.org)
Pleura1
- In addition to motor fibers, the phrenic nerve contains sensory fibers, which receive input from the central tendon of the diaphragm and the mediastinal pleura, as well as some sympathetic nerve fibers. (wikipedia.org)
Trunks3
- The phrenic nerves terminate in bifurcation only to the right (46.7%) branches and dorsolateral trunks. (usp.br)
- These roots will join and divide several times to form trunks, divisions, cords, and then finally emerge as terminal nerve branches. (medscape.com)
- The anterior divisions of the upper and middle trunks unite to form the lateral cord, which is the origin of the lateral pectoral nerve (C5, C6, C7). (medscape.com)
Anterior2
- So it is with the phrenic nerves - innervators of the diaphragm - as they spill over the anterior scalene and begin their journey down each side of the heart. (integrativebodyworkeducation.com)
- The anterior division of the lower trunk forms the medial cord, which gives off the medial pectoral nerve (C8, T1), the medial brachial cutaneous nerve (T1), and the medial antebrachial cutaneous nerve (C8, T1). (medscape.com)