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The brain stem and cerebellum are structures that have fascinated and puzzled physicians, anatomists, and physio logists for centuries. Relatively small in volume compared to the much larger and more majestic human cerebrum, and hidden away in relative obscurity in the back of the head under the protection of the bony posterior fossa and the firm dural envelope, the tentorium cerebelli, these critical neural structures defied precise study during life until very recently. Recent advances in brain and vascular imaging and improved understanding of brain-stem reflex and tract functions and their measurement by electrophysiological techniques have presented an opportunity for clinicians and researchers to better study, during life, patients with stroke and other conditions that involve the brain stem and cere bellum. A congress was held at the Neurology Clinic of the University in Mainz, April 4-5, 1992, during which clinicians and researchers reported and discussed modern topical diagnosis of diseases of the brain stem and cere bellum. This volume represents the edited proceedings of that congress. Early information about brain stem anatomy and func tions came from anatomical studies by Ludwig Turk, Paul Flechsig, Rudolph von K6lliker, Karl Burdach, Vladimir Bekterew, and Benedikt Stilling, among others, all working in Germany during the middle years of the nineteenth century. Johann Reil, a German anatomist, in the begin ning of the nineteenth century had described the structure and some functions of the cerebellum which he called the little brain ("Kleinhirn").
Auteur
Louis R. Caplan obtained his medical degree from the University of Maryland School of Medicine. From 1970-78 he was Assistant Professor of Neurology at Harvard Medical School and in 1979 became Neurologist-in chief at the Michael Reese Hospital and Professor of Neurology University of Chicago. From 1985-1997, he was Neurologist-in-Chief at the new England Medical Center and was Professor and Chair of Neurology at Tufts University School of Medicine. In 1999, he became Professor of Neurology at Harvard Medical School. Professor Caplan is a member of many medical societies, including the American Heart Association for which he has served on the science advisory, and nominating committees and was Chairman of the Stroke Council from 1986-89. He has received many awards and honours, and is an honorary member of several neurological societies. As a member of the steering committee, data and safety committee, or executive committee, Professor Caplan has been involved in many neurological clinical trials, and is a member of several advisory boards.
Professor Caplan has been or is currently on the editorial board of journals such as Stroke, Neurology, Clinical Neuropharmacology, Cerebrovascular Diseases (Associate Editor), Headache, Brain, European Neurology (Associate Editor), Archives of Neurology, The Neurologist, Journal of Neurology, Neurosurgery & Psychiatry (International Editor for North America), Current Neurology and Neuroscience Reports, Reviews in Neurological Disease (Co-Editor), and the Journal of Clinical Neurology.
Texte du rabat
The localization of small vascular lesions within the brain-stem is the focal point of this volume which correlates clinical examination, evoked potentials, brain-stem reflexes and imaging techniques in one overview. For the first time, a group of experts has been brought together to summarize the various methods for detecting functional disturbances of specialized structures, to correlate these findings with morphologic criteria (MRI) and, finally, to elaborate patterns of abnormal findings which are characteristic of small brain-stem lesions. You are thus informed about neuro-physiological techniques which are superior to imaging techniques in local brain-stem pathology.
Contenu
General Considerations.- Rules for Correlating Posterior Circulation Brain and Vascular Lesions.- Contribution of Magnetic Resonance Imaging to the Diagnosis of Brain-Stem and Cerebellar Infarcts.- Multifocal Ischemic Brain-Stem Lesions.- Craniocaudal Disintegration of Neurophysiological Findings in Progressive Coma.- Bilateral Thalamic Infarction: A Contribution to Coma Analysis.- Cerebellar System, Vestibular Function, FAEP.- Topical Signs of Cerebellar Disease.- Is Saccadic Lateropulsion in Wallenberg's Syndrome Caused by a Cerebellar or a Brain-Stem Lesion?.- Paroxysmal Ataxia and Dysarthria with a Single Lesion in the Cerebellar Peduncle.- Preliminary Classification of Vestibular Brain-Stem Disorders.- Electronystagmography: The Answers One Might Get.- Vertigo, Masseter Paresis or Masseter Reflex Abnormality, and Impaired Caloric Response.- Oculomotor Function.- Oculomotor Syndromes in Rostral Brain-Stem Lesions.- The Internuclear Ophthalmoplegias.- Isolated Internuclear Ophthalmoplegia Following Head Injury: Magnetic Resonance Imaging and Neurophysiologic Findings.- Nuclear and Fascicular Oculomotor Nerve Lesions in Brain-Stem Infarcts: A Clinicomorphological Study.- A Case Report Illustrating the Brain-Stem Anatomy of Horizontal Eye Movements.- The Oculo-auricular Phenomenon in Brain-Stem Disease.- Sensory Functions and Trigeminal Reflexes.- Correlation of Somatosensory Evoked Potentials and Somatosensory Findings in Patients with Brain-Stem Lesions.- Functional Anatomy of the Spinal Trigeminal Nucleus.- Somatosensory Evoked Potentials After Trigeminal Stimulation in the Diagnosis of Brain-Stem Lesions.- Diagnostic Value of Trigeminal SEP and the Jaw-Opening Reflex in Brain-Stem Lesions.- The Masseter Reflex in the Topodiagnosis of Brain-Stem Lesions.- TheMasseter Inhibitory Reflex in Pontine Lesions.- Diagnostic Localizing Value of the Electrically Elicited Blink Reflex.- Facial Nerve Function and Taste.- Magnetically Evoked Corticofacial Potentials of Orbicularis Oculi Muscle Conditioned by the Electrical Blink Reflex.- Facial Mykokymia in Brain-Stem Disorders.- Persistent Tonic Facial Contraction: A Local Brain-Stem Sign.- One-and-a-half Syndrome and Facial Palsy of Peripheral Type: A Rare Brain-Stem Syndrome.- The Stapedial Reflex in Pontine Lesions.- Taste Disturbance Associated with Paramedian Posterior Thalamo-Subthalamic Artery Syndrome.