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At least 289 records · Page 16Linked to original sources
PubMed1983

Conduction studies of the medial cutaneous nerve of the forearm.

The forearm medial cutaneous nerve is a pure sensory branch from the medial cord of the brachial plexus. Its fibers are derived from the eighth cervical and first thoracic nerves. A simple, easily reproducible antidromic technique for studying conduction of the forearm medial cutaneous nerve is described with the knowledge (obtained from cadaver dissections) of its exact topography. Sixty nerves were studied in 30 able-bodied adults, 15 women and 15 men. Surface stimulation was done over the medial aspect of the middle of the arm at a level where the nerve pierces the deep fascia. Surface recordings were made 18cm distally over the course of its volar branch. Action potentials were obtained in 100% of the subjects without electronic averaging. Mean values obtained were as follows: latency to onset 2.73 +/- 0.17 msec; latency to peak 3.31 +/- 0.19 msec; conduction velocity of the fastest fibers 65.9 +/- 4.3 m/s; amplitude 15.4 +/- 4.1 microvolts, and the mean difference in latency between the right and left nerves in the same subject was 0.1 msec. Conduction studies of this nerve should be useful in electrodiagnostic evaluation of peripheral neuropathy (particularly in below amputees), local neuropathic conditions, and entrapment syndromes involving the medial cord of the brachial plexus.

Adult↗
PubMed2001

[Applied anatomy of the sensate latissimus dorsal muscular flap with the lateral posterior branch of the intercostal nerve].

OBJECTIVE: To provide anatomy basis for a free latissimus dorsal muscular flap with the sensate nerve. METHODS: The structure of back and lateral chest area were dissected and the origin, alignment and distribution of the intercostals nerve within the area of latissimus dorsal muscular flap were observed in 40 adult cadaver specimens. RESULTS: The 5th to 10th lateral posterior branches of the thoracic nerve pierced from respective intercostal area near the axial anterior line and run a long distance in deep fascia. They distributed mainly in lateral latissimus skin outside the scapular line and anastomosed with the lower branch near the scapular line. Among these branchs, the 6th to 8th branches had a longer nerve distribution respectively and the pedicle of nerve and artery was parallel and long. CONCLUSION: It is possible to design a sensate latissimus dorsal muscular flap with the 6th to 8th lateral posterior branch of the intercostal nerve.

Adult↗
PubMed1994

Morphology, physiology, and homology of the N-cell and muscle receptor organs in the thorax of the crayfish Cherax destructor.

The serial homology of arthropods, together with our ability to identify individual neurons from segment to segment, and from animal to animal, provides opportunities for studying the changes wrought by natural selection on specific neural elements when functional requirements change in different parts of the trunk. Using this concept as a guide, we studied the morphology and physiology of the thoracic N-cells and muscle receptor organs (MROs) of the crayfish Cherax destructor for evidence of serial homology and functional plasticity. Methylene blue staining, together with anterograde and retrograde filling with cobalt through cut axons, revealed the morphology of the receptors, disposition of their endings, and the pathways of their axons from receptor to ganglion. The seventh thoracic segment has tonic and phasic MROs with receptor muscles in parallel with different heads of the deep thoraco-abdominal extensor muscle. The sixth segment has a tonic MRO with a receptor muscle in parallel with one head of the abdominal abductor. These three receptors are typical MROs complete with accessory nerves. Thoracic segments 1-5 each give rise to one mechanosensory N-cell with a small cell body and long processes ramifying in a target muscle. N-cell 5 is associated with the abdominal-thoracic abductor muscle, and the other four are associated with parts of the epimeral attractor. The responses of N-cells 1-4 range from tonic to phasico-tonic and show a range of thresholds to passive muscle stretch and active contraction. Cobalt introduced into bundles of nerve fibers known to include N-cell axons reveals projections with branching patterns and morphology similar to abdominal MROs. The present findings, together with information on thoracic MROs and N-cells from other species, were tabulated according to neurotome. The clear pattern revealed leads us to propose that N-cells are derivatives of segmentally repeating MROs modified to monitor postural and locomotory movements in the less mobile thorax.

Animals↗
PubMed1981

Effect of baricity on spinal anaesthesia with bupivacaine.

In a double-blind study of spinal anaesthesia with 0.5% bupivacaine 3 ml with no glucose, 5% glucose or 8% glucose all three solutions gave consistently good nerve blocks. The hyperbaric solutions (5% and 8% glucose) produced a greater cephalad spread and were suitable for lower abdominal surgery, whereas the plain solution (no glucose) seldom affected the thoracic nerves. Cardiovascular changes were more marked with the hyperbaric solutions but only necessitated treatment on two occasions. The duration of block was not affected by baricity and was in the range 140-160 min.

Adolescent↗
PubMed1991

Spinal cord projections of the rat main forelimb nerves, studied by transganglionic transport of WGA-HRP and by the disappearance of acid phosphatase.

The spinal cord projections of the 3 main forelimb nerves-median, radial and ulnar, were studied in the rat dorsal horn with transganglionic transport of wheat germ agglutinin-horseradish peroxidase (WGA-HRP), or using the disappearance of fluoride resistant acid phosphatase (FRAP) after nerve section. The projection patterns in lamina II were similar following the two procedures. The median and the radial nerve fibers projected to the medial and the intermediate thirds, respectively, of the dorsal horn lamina II in spinal cord segments C4-C8. The ulnar nerve projected to segments C6-C8 between the areas occupied by the other two nerves. The FRAP method also showed that the lateral part of lamina II, which was not filled by radial nerve fibers, received the projections from the dorsal cutaneous branches of cervical spinal nerves. In addition, FRAP disappeared from the medial end of segment T1 after skin incisions extending from the medial brachium to the axilla, which seemed due to severance of the cutaneous branchlets of the lateral anterior thoracic nerve. The FRAP procedure is thus sensitive enough to detect fibers in lamina II arising from small peripheral nerves, and may be used as an alternative to the anterograde tracing methods whenever there are no overlapping projections.

Acid Phosphatase↗
PubMed1993

Intercostal somatosensory-evoked potentials. A new technique.

Presently, there are few electrodiagnostic medicine techniques to evaluate lesions affecting the thoracic nerve roots or spinal cord. A new electrophysiologic technique to assess these structures, intercostal somatosensory-evoked potentials (SEPs), is described. Thirty neurologically normal subjects were used in this investigation to generate intercostal SEPs. Bilateral intercostal SEPs were easily elicited after stimulation of the third intercostal nerves just lateral to the sternum anteriorly. Intercostal SEPs were also easily elicited from the fifth, seventh and ninth intercostal nerves along the anterior axillary line bilaterally. Intercostal SEPs are not only easily and painlessly obtained, but are specific for individual spinal levels. This SEP method will provide the clinician with another neural stimulation procedure to assist in the diagnosis of both central and peripheral thoracic neural compromise.

Adult↗
PubMed1982

Anatomy of the intercostal nerve: its importance during thoracic surgery.

Complications from attempts to block the intercostal nerves intraneurally before closure of a thoracotomy have resulted in hypotension with or without spinal block. Placement of a chest tube has resulted in transection of the intercostal nerve. The first of these complications can be avoided by not attempting intraneural block of the nerves intrathoracically. Avoidance of the latter requires careful dissection of the intercostal spaces and identification of the intercostal nerve, as opposed to stab insertion of a chest tube.

Humans↗
PubMed1977

Multiple meningeal diverticula and cysts associated with duplications of the sheaths of spinal nerve posterior roots.

Multiple diverticula and cysts of the meninges were found during an anatomical dissection. They were associated with duplications of sheaths of the posterior roots of the spinal nerves. The diverticula and cysts appeared as simple flaccid corrugated dilatations of the sheaths, as ampullary expansions, as pediculated cysts, or as saccular dilatations of different sizes and locations. The duplication of the sheaths affected posterior roots of the thoracic nerves only. Some variations of the sheaths described in the literature are discussed. The possibility is considered that both conditions result from the same pathological factors in the embryo.

Adult↗
PubMed2003

Morphology and monoaminergic modulation of Crustacean Hyperglycemic Hormone-like immunoreactive neurons in the lobster nervous system.

Neuronal somata located near branch points in the second thoracic nerve roots of the lobster are immunoreactive for Crustacean Hyperglycemic Hormone (CHH)-like peptides, a family of putative stress hormones. We have employed intracellular dye injection, immunostaining, and confocal imaging to observe the anatomy of these root neurons, which are morphologically diverse and dye coupled. Some root neurons contribute to neurosecretory structures at the points of exit of the root from the nerve cord. Other CNS-projecting root neurons send projections into the T5-A1 interganglionic connectives. Neurosecretory elements of the serotonin (5HT) and octopamine (OCT) systems, implicated in postural control and aggression, terminate densely in the vicinity of the second thoracic root neurons. We have confirmed by double immunostaining for 5HT and CHH-like peptides that the endings of the 5HT neurons are in close apposition to root neurons in the superficial regions of the root. We have also extended previous studies documenting electrophysiological responses of the root neurons to 5HT or OCT. Bath-applied 5HT and OCT inhibit the spontaneous bursting activity of root neurons at concentrations higher than 100 nM. The root neurons desensitize to the persistent presence of high concentrations of 5HT, but not OCT, in the bath. Nanomolar concentrations of OCT, but not 5HT have an excitatory effect on the spontaneous bursting activity of root neurons. This region of the lobster nervous system is of continuing interest, as identified neurons of three neuromodulatory systems implicated in stress and aggression converge and interact at the level of identified neurons.

Action Potentials↗
PubMed1996

Acute baroreflex resetting: differential control of pressure and nerve activity.

This study evaluated acute resetting of carotid baroreflex control of arterial blood pressure and renal or thoracic sympathetic nerve activity in thiopental-anesthetized mongrel dogs with the use of a vascularly isolated carotid sinus preparation, the experimental model used previously to characterize acute resetting in carotid baroreceptor afferent fibers. Carotid baroreceptors were conditioned with a pulsatile pressure for 20 minutes at three pressure ranges: low (50 to 75 mm Hg), mid (100 to 125), or high (150 to 175). Blood pressure and nerve activity were recorded in response to slow ramp increases in sinus pressure; nonlinear regression and best-fit analyses were used for determination of curve fit parameters of the blood pressure and nerve activity versus sinus pressure response curves. Carotid sinus pressure thresholds for blood pressure and renal nerve activity responses at all conditioning pressures were significantly different; however, only the pressure threshold for thoracic nerve activity at the low conditioning pressure was significantly different from the responses at other conditioning pressures. Average renal activity resetting (0.506 +/- 0.072) was significantly greater than blood pressure resetting (0.335 +/- 0.046) in the same dogs, and thoracic activity (0.200 +/- 0.057) was not different from blood pressure resetting (0.194 +/- 0.031) in the same dogs. In a previous investigation, our laboratory had demonstrated that type 1 carotid baroreceptors acutely reset at a value of about 0.15. These results indicate that (1) renal and thoracic nerve activities and blood pressure acutely reset to a greater degree than type 1 carotid baroreceptors and that (2) renal activity acutely resets to a greater degree than blood pressure and thoracic nerve activity.

Animals↗
PubMed2006

Brachial plexus lesions after backpack carriage in young adults.

Carrying a heavy backpack exerts compression on shoulders, with the potential to cause brachial plexopathy. We evaluated the incidence and predisposing factors of compression plexopathy of the shoulder region in 152,095 military conscripts, hypothesizing that a low body mass index and poor physical fitness predispose to the plexus lesion. Reports of conscripts with neural lesions of the upper arm associated with load carriage were reviewed retrospectively for details associated with the condition onset, symptoms, signs, nerve conduction studies, and electromyographic examinations. Height, weight, and physical fitness scores were obtained from their military training data. The incidence of neural compression after shoulder load carriage in Finnish soldiers was 53.7 (95% confidence interval, 39.5-67.8) per 100,000 conscripts per year. The long thoracic nerve was affected in 19, the axillary nerve in 13, the suprascapular nerve in seven, and the musculocutaneous nerve in six patients. Four patients (7%) had hereditary neuropathy with susceptibility to pressure palsies (HNPP). Symptoms were induced by lighter loads in patients with HNPP. Vulnerability to brachial plexopathy was not predictable from body structure or physical fitness level. To prevent these lesions, awareness of the condition and its symptoms should be increased and backpack designs should be improved.

Adolescent↗
PubMed1989

Intracellular transport and neuronal activation of phospholipid and glycoprotein synthesis during axonal regeneration of cranio-spinal nerves.

In the present work, the hypothesis that the increased rapid intracellular transport of newly-synthesized material along the axons of a regenerating system is sustained by an alteration of the transport of proteolipid complexes through subcellular compartments of a neuronal cell body was tested by a biochemical methodology. The motoneurons of spinal cord ventral horn, 4 wk after unilateral lesion (crush) of cervico-thoracic nerves of the rabbit at the level of brachial plexus, were chosen as the model system of regeneration. A time-staggered procedure of in vivo and in vitro double labeling with metabolic precursors, such as [3H]-choline, [14C]-choline, [3H]-fucose, and [14C]-fucose, was used. Subcellular fractions (RER, SER, Golgi apparatus, and plasma membranes) of ventral horn tissue, taken from spinal cord hemisections (regenerating and contralateral side), were further isolated. Twenty-eight days after axotomy, we did not observe any change of intracellular transport kinetics (14C/3H ratio) of newly-synthesized choline-phospholipids and glycoproteins in regenerating motoneurons compared to controls. However, associated with regenerating phenomenon in Golgi apparatus, we observed an increase of labeled choline-phospholipid and glycoprotein material that could contribute to the increased fast axonal transport and delivery of membrane proteolipid complexes to plasma membrane and axonal compartments. The increase of glycoprotein labeling was more pronounced in the SER portion (vesicles and elements of smooth membranes). This result is in favor of the hypothesis that membrane-bound proteins are transported from the Golgi to the axon through the perikaryal SER.

Animals↗