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Collier, however, was "unable to accept this explanation", his view being that since the sixth nerve emerges straight forward from the brain stem, whereas other cranial nerves emerge obliquely or transversely, it is more liable to the mechanical effects of backward brain stem displacement by intracranial space occupying lesions. [7]
Chronic subdural hematomas have been known to be a familiar cause of Kernohan's notch. [7] MRIs have shown evidence of Kernohan's notch from patients with traumatic head injury that are related to acute space-occupying lesions such as subdural hematoma, epidural hematoma, depressed skull fracture, or spontaneous intracerebral hematoma. [8] [9]
Space occupying lesions of the brain; Anatomical disorders of the spine such as scoliosis (although where pulmonary function is also impaired, spinal anaesthesia may be favored) [6] Hypovolaemia e.g. following massive haemorrhage, including in obstetric patients; Allergy; Relative Contraindication
For neuropathic pain, clinicians look for an underlying lesion to the nervous system or an inciting cause consistent with the development of neuropathic pain. The obvious presence of an underlying feature or cause is not always detectable, and response to treatment may be used as a surrogate particularly in cases where diagnosis of the ...
Lesions in the area of cerebellopontine angle cause signs and symptoms secondary to compression of nearby cranial nerves, including cranial nerve V (trigeminal), cranial nerve VII (facial), and cranial nerve VIII (vestibulocochlear). The most common cerebellopontine angle (CPA) tumor is a vestibular schwannoma affecting cranial nerve VIII (80% ...
Severely raised ICP, if caused by a unilateral space-occupying lesion (e.g. a hematoma) can result in midline shift, a dangerous sequela in which the brain moves toward one side as the result of massive swelling in a cerebral hemisphere. Midline shift can compress the ventricles and lead to hydrocephalus. [21]
Cervical traction devices, commonly called neck stretchers, can help alleviate pain in the neck and promote better posture. Here’s what to know before buying one. 6 cervical traction devices to ...
Electroanalgesia is a form of analgesia, or pain relief, that uses electricity to ease pain and belongs to a type of neurotherapy. Electrical devices can be internal or external, at the site of pain (local) or delocalized throughout the whole body.