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Biomedical subjects

R Metson

Publications and source records attributed to R Metson.

41 records · Page 3Linked to original sources

Facial nerve evoked potentials.

Evoked potentials representing both intracranial and extracranial activity have been recorded from the canine scalp after retrograde stimulation of peripheral facial nerve branches. A negative electrode at the vertex and a positive electrode at the ipsilateral mastoid (grounded at the contralateral mastoid) show a monophasic negative stylomastoid evoked potential that appears to be generated from the facial nerve trunk at the stylomastoid foramen. When the positive electrode is moved from the mastoid to the posterior scalp (overlying the foramen magnum), a similar potential with a latency 1.5 msec greater is obtained. This brain stem evoked potential is generated from fibers in the vicinity of the root entry zone and the initial trajectory into the brain stem. A potential of similar latency but greater magnitude is recorded with the positive electrode in the cerebrospinal fluid of the posterior fossa.

Animals↗

Kawasaki disease in adults. An otolaryngologist's perspective.

Kawasaki disease has been recognized for more than 15 years in children, but it is only recently that adult cases have been known to occur. One such case is reported herein. The cases of previously described adult patients are reviewed in depth, emphasizing the otolaryngologic findings. Diagnosis is based on clinical findings with prominent fever, oropharyngeal erythema, dermatitis, and cervical lymphadenopathy. The underlying lesion is a vasculitis and treatment is mainly supportive, although aspirin seems to have some value in the prevention of cardiac complications.

Adolescent↗

Bilateral facial nerve paralysis following arterial embolization for epistaxis.

Risk of carotid artery embolization is usually attributed to inadvertent occlusion of the internal carotid system. This report highlights some recently noted complications associated with occlusion of external carotid branches. A case of bilateral facial paralysis following embolization of the internal maxillary arteries for severe epistaxis is presented. The clinician must recognize that facial paralysis is a real and sometimes inevitable sequela to the ever-increasing practice of arterial embolization in the head and neck.

Arteries↗