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The onset of CNH in all patients regardless of age can be a precursor to ensuing deterioration in patients with infiltrative tumors of the brainstem and medulla. These patients experience prolonged series of CNH before succumbing to the associated deterioration of medullary cardiovascular center, which ultimately results in death. [1]
The medulla oblongata or simply medulla is a long stem-like structure which makes up the lower part of the brainstem. [1] It is anterior and partially inferior to the cerebellum . It is a cone-shaped neuronal mass responsible for autonomic (involuntary) functions, ranging from vomiting to sneezing . [ 2 ]
Brain herniation can cause severe disability or death. In fact, when herniation is visible on a CT scan , the prognosis for a meaningful recovery of neurological function is poor. [ 2 ] The patient may become paralyzed on the same side as the lesion causing the pressure, or damage to parts of the brain caused by herniation may cause paralysis ...
The risk of death from an intraparenchymal bleed in traumatic brain injury is especially high when the injury occurs in the brain stem. [48] Intraparenchymal bleeds within the medulla oblongata are almost always fatal, because they cause damage to cranial nerve X, the vagus nerve, which plays an important role in blood circulation and breathing ...
Medulla oblongata, shown by a transverse section passing through the middle of the olive. (Lateral medullary syndrome can affect structures in upper left: #9=vagus nerve, #10=acoustic nucleus, #12=nucleus gracilis, #13=nucleus cuneatus, #14=head of posterior column and lower sensory root of trigeminal nerve and #19=Ligula.) Specialty: Neurology
This is because the medulla oblongata is located in the area of the brain, the most inferior portion, which does not have a robust and highly developed blood-brain barrier. Without this barrier, emetic drugs and toxins are free to interact with a receptor , or multiple receptors located in the CTZ.
The medulla oblongata is the lower half of the brainstem. It controls autonomic functions and connects the higher levels of the brain to the spinal cord. It is responsible for regulating several basic functions of the autonomic nervous system, including respiration, cardiac function, vasodilation, and reflexes like vomiting, coughing, sneezing ...
The medulla oblongata, often just referred to as the medulla, is the lower half of the brainstem continuous with the spinal cord. Its upper part is continuous with the pons. [11]: 1121 The medulla contains the cardiac, dorsal and ventral respiratory groups, and vasomotor centres, dealing with heart rate, breathing and blood pressure.