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At least 487 records · Page 27Linked to original sources
PubMed2005

[Intraoperative neurophysiological monitoring of brain stem in a case of cavernoma in the pons].

Neurophysiological monitoring during surgery to avoid damaging of eloquent brain areas is a useful tool. We are performing intraoperative neurophysiological test to locate motor, sensitive and speech areas with cortical stimulation and cranial nerves during cerebellopontine cranial base surgery. Neurophysiological monitoring during brain stem surgery has been less described. Brain stem surgery implies a careful selection of patients for surgery given the high risk of morbidity and mortality. For this reason, conservative treatment is usually indicated when an asymptomatic cavernoma is incidentally found. Instead, when bleeding or neurological deficit appear, operative treatment may be indicated and then the goal of surgery is to avoid the disability linked to the natural history. We present the case of a 29 year old woman with diagnosis of multiple cavernomas. She was admitted at our hospital because she presented weakness and sensitive disturbance of left limbs and dizziness. The CT scan and MRI showed a pontine haemorrhage caused by a cavernous hemangioma. We operated her on using neurophysiological monitoring of VII, VIII, X and XII cranial nerves with electromyographic recordings. Postoperative disability could be reduced with a better knowledge of entry zone into the brain stem and early physiotherapy.

Adult↗
PubMed1991

[Infarction of the pons, neurosyphilis and HIV infection].

A 31-year old patient presented a right hemiparesis related to a left basis pontis infarction. Laboratory investigations revealed both neurosyphilis and HIV infection. The patient was treated with two courses of penicillin and recovered from hemiparesis. The occurrence of strokes due to syphilitic arteritis in AIDS is emphasized.

Acquired Immunodeficiency Syndrome↗
PubMed1991

[The convergence of influences from the locomotor points of the midbrain and medulla oblongata and from the inhibitory point of the pons onto the bulbar neurons].

Synaptic responses of medial and lateral medullary neurons to repetitive stimulation of locomotor points (LPs) of the midbrain and medulla and of an inhibitory pontine point were recorded in mesencephalic decerebellate cats. Excitatory postsynaptic potentials (PSPs) and discharges were observed usually in medial neurons as well as mixed PSPs when an inhibitory point was stimulated. Almost a half of lateral neurons and more than a quarter of medial ones changed the frequency of the background discharge giving no responses time-locked to stimuli. Medial neurons with responses time-locked to stimuli were equally susceptible to stimuli delivered to midbrain and medullary LPs and almost as often to stimuli applied to the inhibitory point. Medial neurons with responses time-unlocked to stimuli and lateral neurons were mostly susceptible to the input from the medullary LP, less affected by stimulation of the midbrain LP and responded rarely to stimulation of the inhibitory point. Convergence of influences from the midbrain and medullary LPs was the same onto neurons of all populations. Role of different neuronal populations for initiation and cessation of locomotion is discussed.

Animals↗
PubMed1977

[Yawning in a case with transsecting glioma of the pons (author's transl)].

A patient with ponsglioma got completely tetraplegic and plegic in all muscles innervated by the caudal brainstem nerves (locked-in syndrome). He could not open or close the mouth, but he was able to yawn. It is concluded that the motivation of yawning stems from the sleep inducing system in the region of the raphe-nuclei and is projected directly to the nuclei of the caudal brainstem nerves.

Adult↗
PubMedDate not supplied

[Comparative analysis of the neuronal organization of the corticocerebellar relay formations of the pons].

Under nembutal narcosis on cats, intracellular electrophysiological studies have been made of common properties and differences in the neuronal organization of the nucleus reticularis tegmenti pontis and intrinsic pontine nuclei. Reciprocal connections of all the nuclei with the cerebellum and sensorimotor cortex were revealed. It was shown that the cerebellar peduncles are involved to a different extent in the transmission of cerebellofugal signals from the nucleus reticularis tegmenti pontis and the pontine nuclei; all these nuclei have different projections to the central cerebellar nuclei and receive different descending cortical impulsation. Functionally, the investigated cortico-cerebellar pontine relay structures supplement and duplicate each other.

Animals↗
PubMed1988

[Effect of stimulation of the central gray substance on the low- and high-threshold responses of the reticular neurons in the pons and medulla oblongata].

The modulation of somatosensory responses of bulbar (n. reticularis gigantocellularis) and pontine (n. reticularis pontis caudalis) reticular neurons by electrical stimulation of periaqueductal gray matter (PGM) was studied in cats under light chloralose anaesthesia. PGM points which evoked the inhibition of nociceptive jaw opening reflex were stimulated. It was found that in most cases (88%) the PGM stimulation had an inhibitory effect on both nociceptive and non-nociceptive responses of reticular neurons. For bulbar cells with predominant high-threshold inputs nociceptive responses were depressed much stronger than non-nociceptive ones and in pontine neurons for which low-threshold inputs were predominant non-nociceptive responses were inhibited mainly. The data suggest that the inhibitory action of PGM stimulation on somatosensory activity of reticular neurons are based on the principle of the "control of their main synaptic input".

Animals↗