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The ciliospinal reflex (pupillary-skin reflex) consists of dilation of the ipsilateral pupil in response to pain applied to the neck, face, and upper trunk. If the right side of the neck is subjected to a painful stimulus, the right pupil dilates (increases in size 1-2mm from baseline).
loss of ciliospinal reflex; bloodshot conjunctiva, depending on the site of lesion. unilateral straight hair (in congenital Horner's syndrome); the hair on the affected side may be straight in some cases. heterochromia iridum (in congenital Horner's syndrome) [4] Interruption of sympathetic pathways leads to several implications.
Hering–Breuer reflex — is a reflex triggered to prevent over-inflation of the lung; Hoffmann's reflex — also known as the finger flexor reflex; middle finger and thumb response. Test can indicate both neurological damage and nerve regeneration; often combined with the Babinski reflex test. Jaw jerk reflex
Dilation and constriction of the pupil. Pupillary response is a physiological response that varies the size of the pupil, via the optic and oculomotor cranial nerve.. A constriction response (), [1] is the narrowing of the pupil, which may be caused by scleral buckles or drugs such as opiates/opioids or anti-hypertension medications.
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As the brain matures, certain areas (usually within the frontal lobes) exert an inhibitory effect, thus causing the reflex to disappear. When disease processes disrupt these inhibitory pathways, the reflex is "released" from inhibition and can be elicited once again, hence the term "frontal release sign".
The SCG receives pre-ganglionic sympathetic afferents from the ciliospinal center which synapse in the ganglion. Post-ganglionic efferents then leave the SCG and join the internal carotid nerve plexus of the internal carotid artery, accompanying first this artery and subsequently its branches to reach the orbit and ultimately innervate the dilator pupillae muscle to mediate pupillary dilatation.
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