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At least 307 records · Page 17Linked to original sources
PubMed1997

Abdominal wall pain in pregnant women caused by thoracic lateral cutaneous nerve entrapment.

Three pregnant women presented with disabling lower abdominal wall pain unresponsive to conventional therapies. The striking similarities among the clinical signs and symptoms prompted a review of the literature and led to the suspicion of thoracic lateral cutaneous nerve entrapment, a syndrome reported in other conditions, including after surgery, but not during pregnancy. Treatment by nerve block with local anesthetics was rapidly and completely successful in relieving the symptoms.

Abdominal Muscles↗
PubMed2004

[A case of HNPP presenting with late onset of symptoms, chronic progressive course and sensory impairment in face and trunk].

A 69-year-old man was admitted with a chief complaint of progressive muscle weakness and tingling sensation in the distal portion of all extremities since the age of 55. On neurological examination, sensory impairment of all modalities was noted in the right side of face, segmental areas of the right Th4-10 and the distal portion of four extremities. Symmetrical muscle weakness and atrophy was also found over the distal portion of all extremities. All deep tendon reflexes except biceps brachii reflexes were absent. Neurophysiological studies, however, rather indicated mononeuritis multiplex in this case. The biopsied specimen of the sural nerve showed a significant decrease in large myelinated fibers and many tomaculous changes. The gene analysis revealed deletion in the CMT 1A locus on chromosome 17p11.2, providing evidence for the diagnosis of hereditary neuropathy with liability to pressure palsies (HNPP). The development of sensory impairment in face or thoracic nerves is quite rare in HNPP, indicating that there exists considerable phenotypic heterogeneity in the disease.

Aged↗
PubMed2006

Generalized peripheral nerve failure during thoracic spine surgery: a case report.

OBJECTIVE: Intra-operative systemic changes impairing peripheral nerve function are not commonly detected with electrophysiology. This case presentation illustrates how somatosensory evoked potential (SSEP) monitoring can detect global changes in peripheral nerve excitability during spine surgery. METHODS: A posterior thoracic spine fixation was performed on a young male with multiple traumatic injuries. Bilateral tibial nerve SSEPs were intraoperatively recorded, along with the right median nerve SSEP for control. RESULTS: A rapid, progressive loss of tibial and median nerve potentials (followed by cortical SSEP loss) occurred 90 min after anaesthetic induction. Oxygenation and fluid volume were adequate throughout the case, despite mean airway resistance being elevated (33 cmH(2)0) and blood pressure being low (80/45 mmHg). Corresponding to the decrease in peripheral nerve responses was a drop in end-tidal CO(2) partial pressure (PaCO(2)) from 37 to 25 mmHg. Approximately, 100 min later, the peripheral and cortically generated SSEPs recovered in 2 of 3 limbs monitored. On emergence from anesthesia it was clear that the patient had bitten and kinked the endotracheal tube thus increasing the airway resistance. Ventilation difficulties were magnified with the patient's prone position. Post-operatively there were no sensorimotor deficits. CONCLUSIONS: Somatosensory evoked potential monitoring during spine surgery can detect uncommon generalized nerve conduction block, and further alert surgical teams to a systemic impairment. This was discovered to result from a compromised endotracheal tube. This can apply in various monitoring situations, as the changes affecting the SSEPs were not related to surgical manipulation.

Adult↗
PubMedDate not supplied

Anatomy of nerve entrapment sites in the upper quarter.

The purpose of this article is to review the anatomical features of the most common nerve entrapment sites of the brachial plexus and major peripheral nerves of the upper limb. In this account, the term "entrapment" is considered to be caused by compression, tension, or friction, or any combination of these factors. The anatomy, including important relationships of the brachial plexus, is reviewed and the points of potential entrapment of the plexus are described. Entrapment of the suprascapular and long thoracic nerves is also included. Particular attention is paid to the five major peripheral nerves that result from the brachial plexus and supply the peripheral aspect of the upper limb, i.e., the median, ulnar, musculocutaneous, radial, and axillary nerves. In each case, the nerve's course is described and the anatomical details of the entrapment points described. Where possible, the sites of entrapment are illustrated in cadaveric photographs.

Brachial Plexus↗
PubMed2005

Thoracic vagal efferent nerve stimulation evokes substance P-induced early airway bronchonstriction and late proinflammatory and oxidative injury in the rat respiratory tract.

Electrical stimulation of efferent thoracic vagus nerve (TVN) evoked neurogenic inflammation in respiratory tract of atropine-treated rats by an undefined mechanism. We explored whether efferent TVN stimulation via substance P facilitates neurogenic inflammation via action of nuclear factor-kappaB (NF-kappaB) activation and reactive oxygen species (ROS) production. Our results showed that increased frequency of TVN stimulation concomitantly increased substance P-enhanced hypotension, and bronchoconstriction (increases in smooth muscle electromyographic activity and total pulmonary resistance). The enhanced SP release evoked the appearance of endothelial gap in silver-stained leaky venules, India-ink labeled extravasation, and accumulations of inflammatory cells in the respiratory tract, contributing to trachea plasma extravasation as well as increases in blood O (2)(-) and H(2)O(2) ROS amount. L-732138 (NK(1) receptor antagonist), SR-48968 (NK(2) receptor antagonist), dimethylthiourea (H(2)O(2) scavenger) or catechins (O (2)(-) and H(2)O(2) scavenger) pretreatment reduced efferent TVN stimulation-enhanced hypotension, bronchoconstriction, and plasma extravasation. Increased frequency of TVN stimulation significantly upregulated the expression of nuclear factor-kappaB (NF-kappaB) in nuclear protein and intercellular adhesion molecule-1 (ICAM-1) in total protein of the lower respiratory tract tissue. The upregulation of NF-kappaB and ICAM-1 was attenuated by NK receptor antagonist and antioxidants. In conclusion, TVN efferent stimulation increases substance P release to trigger NF-kappaB mediated ICAM-1 expression and O (2)(-) and H(2)O(2) ROS production in the respiratory tract.

Animals↗
PubMed1978

Atropine-resistant excitation of motility of the dog stomach and colon induced by stimulation of the extrinsic nerves and their centers.

The atropine-resistant contraction of the alimentary canal, first reported by CAMPBELL (1966) and subsequently confirmed by others, was examined in dog in vivo. The gastric and colonic motor excitations were examined by stimulating the extrinsic nerves, the medulla oblongata or the spinal cord and its roots. Prolonged stimulation of the vagus, medulla oblongata or splanchnic nerve, thoracic cord and its dorsal root produced excitation of the gastric motility even after intravenous injection of sufficient atropine, although the intensity and frequency of peristalsis were slightly reduced. Prolonged latent periods were characteristic of the atropine-resistant excitation in the stomach, the latency being 29.8--49.4 sec as compared to 2.3--14.5 sec in control (without atropine). On the other hand, the colonic excitation induced by the stimulation of the pelvic nerve, or sacral cord and its ventral root was not inhibited by atropine; no prolongation in latency and reduction of peristalsis was observed.

Animals↗
PubMed1981

[Galactorrhoea and thoracic surgery (author's transl)].

The authors report 4 cases where galactorrhoea complicated thoracotomy. It was only possible to find 21 cases altogether in the literature where this complication followed thoracic surgery. Galactorrhoea started in the week following surgery. It follows irritation of the 3rd, 4th, 5th and 6th thoracic nerves which induces hyperprolactinaemia. Stress which is linked to the surgery and the drugs used for the anaesthetics can not by themselves be responsible for so persistent a hypersecretion. The galactorrhoea is cured spontaneously in two or three months, and treatment with bromocriptine which might have been prescribed was contraindicated in two out of the four cases that have been reported because there was a Raynaud's syndrome which was the indication for thoracic sympathectomy.

Adult↗
PubMed1996

Transfer of the levator scapulae, rhomboid major, and rhomboid minor for paralysis of the trapezius.

Twenty-two patients who had paralysis of the trapezius muscle secondary to injury of the spinal accessory nerve had transfer of the levator scapulae and rhomboid major and minor muscles. In each patient, function of the trapezius had failed to improve with either physical therapy or an operative attempt at neurolysis or reconstruction of the spinal accessory nerve. The etiology of the injury was biopsy of a cervical node in thirteen patients, trauma in seven, and radical dissection in the neck in two. All patients had pain, visible deformity, and dysfunction of the shoulder girdle. Physical examination revealed asymmetry of the neckline, drooping of the shoulder girdle with lateral displacement of the scapula, and weakness of active elevation. Fourteen patients had had an incorrect clinical diagnosis, and twelve patients had had an inaccurate or incomplete electromyographic examination. A long thoracic nerve palsy developed in three patients. At an average of seven and a half years (range, two to fourteen years), the result of the operative procedure, as determined with the American Shoulder and Elbow Surgeons Shoulder Evaluation Form, was excellent for thirteen patients, satisfactory for six, and unsatisfactory for three. All but three patients had adequate relief of pain and demonstrable functional improvement.

Accessory Nerve Injuries↗
PubMed2004

Scalenus muscles in macaque monkeys.

The attachment and innervation of the scalenus muscles in both sides of two Japanese monkeys and a rhesus monkey were observed to discuss their morphological significance while comparing their findings in humans. The scalenus ventralis muscle in macaques had almost the same attachments as the scalenus anterior muscle in humans and was innervated by the cervical nerve branches, which were lower in spinal segment than in humans and had a close relationship with the branches to the intertransversus ventralis muscles. Furthermore, the scalenus ventralis muscle was penetrated by the phrenic nerve in all cases observed. The posterior part of the scalenus muscle in macaques (the scalenus dorsalis muscle) was divided into short (the scalenus dorsalis brevis) and long (the scalenus dorsalis longus) parts according to their attachments. The former was attached to the transverse processes of the lowest two cervical vertebrae and the first rib, whereas the latter was attached to the 3rd-5th ribs. It is notable that the scalenus dorsalis muscles in macaques were innervated by branches from the long thoracic nerve in addition to direct branches from the cervical nerve roots. In addition, the scalenus dorsalis longus was supplied by twigs from the lateral cutaneous branches of the 2nd and 3rd intercostal nerves. This indicates that the scalenus dorsalis muscles contain a muscular component derived from the upper limb girdle musculature, unlike the human scalenus muscles, which have been considered to belong to the cervical trunk muscles.

Animals↗
PubMed2004

Substantial changes in central nervous system neurotransmitters and neuromodulators accompany phase change in the locust.

Desert locusts (Schistocerca gregaria) can undergo a profound transformation between solitarious and gregarious forms, which involves widespread changes in behaviour, physiology and morphology. This phase change is triggered by the presence or absence of other locusts and occurs over a timescale ranging from hours, for some behaviours to change, to generations, for full morphological transformation. The neuro-hormonal mechanisms that drive and accompany phase change in either direction remain unknown. We have used high-performance liquid chromatography (HPLC) to compare amounts of 13 different potential neurotransmitters and/or neuromodulators in the central nervous systems of final instar locust nymphs undergoing phase transition and between long-term solitarious and gregarious adults. Long-term gregarious and solitarious locust nymphs differed in 11 of the 13 substances analysed: eight increased in both the brain and thoracic nerve cord (including glutamate, GABA, dopamine and serotonin), whereas three decreased (acetylcholine, tyramine and citrulline). Adult locusts of both extreme phases were similarly different. Isolating larval gregarious locusts led to rapid changes in seven chemicals equal to or even exceeding the differences seen between long-term solitarious and gregarious animals. Crowding larval solitarious locusts led to rapid changes in six chemicals towards gregarious values within the first 4 h (by which time gregarious behaviours are already being expressed), before returning to nearer long-term solitarious values 24 h later. Serotonin in the thoracic ganglia, however, did not follow this trend, but showed a ninefold increase after a 4 h period of crowding. After crowding solitarious nymphs for a whole larval stadium, the amounts of all chemicals, except octopamine, were similar to those of long-term gregarious locusts. Our data show that changes in levels of neuroactive substances are widespread in the central nervous system and reflect the time course of behavioural and physiological phase change.

Acetylcholine↗
PubMed1988

Cardiac effects produced by long-term stimulation of thoracic autonomic ganglia or nerves: implications for interneuronal interactions within the thoracic autonomic nervous system.

Electrical stimulation of an acutely decentralized stellate or middle cervical ganglion or cardiopulmonary nerve augments cardiac chronotropism or inotropism; as the stimulation continues there is a gradual reduction of this augmentation following the peak response, i.e., an inhibition of augmentation. The amount of this inhibition was found to be dependent upon the region of the heart investigated and the neural structure stimulated. The cardiac parameters which were augmented the most displayed the greatest inhibition. Maximum augmentation or inhibition occurred, in most instances, when 5-20 Hz stimuli were used. Inhibition of augmentation was overcome when the stimulation frequency was subsequently increased or following the administration of nicotine or tyramine, indicating that the inhibition was not primarily due to the lack of availability of noradrenaline in the nerve terminals of the efferent postganglionic sympathetic neurons. Furthermore, as infusions of isoproterenol or noradrenaline during the period of inhibition could still augment cardiac responses, whereas during the early peak responses they did not, the inhibition of augmentation does not appear to be due primarily to down regulation of cardiac myocyte beta-adrenergic receptors. The inhibition was modified by hexamethonium but not by phentolamine or atropine. Inhibition occurred when all ipsilateral cardiopulmonary nerves connected with acutely decentralized middle cervical and stellate ganglia were stimulated, whereas significant inhibition did not occur when these nerves were stimulated after they had been disconnected from the ipsilateral decentralized ganglia. Taken together these data indicate that the inhibition of cardiac augmentation which occurs during relatively long-term stimulation of intrathoracic sympathetic neural elements is due in large part to nicotinic cholinergic synaptic mechanisms that lie primarily in the major thoracic autonomic ganglia. They also indicate that long-term stimulation in intrathoracic sympathetic neural elements with frequencies as low as 2 Hz may augment the heart as much as higher stimulation frequencies, depending upon the structure stimulated and the cardiovascular parameter monitored.

Adrenergic beta-Antagonists↗
PubMed1977

Diagnostic, prognostic, and therapeutic nerve blocks.

During the past three quarters of a century, nerve blocks have been used with varying success as a primary treatment technique for patients with acute and chronic pain. However, practicing dolorologists soon realized that, in certain individuals, anesthetic blocking of noxious, peripheral afferent sensations did not always amelliorate pain complaints and at times even exaggerated them. The recent advent of the multidisciplinary approach to the management of pain, including neurosurgical procedures, new drugs, electrical stimulation and psychosocial intervention, has helped to clarify the indications for, limitations of, and disadvantages of the use of nerve blocks. The purpose of this article is to place nerve blocks in proper perspective and to define their role among the many methods currently available for the evaluation and control of severe pain.

Ammonium Sulfate↗
PubMed1982

Ulnar F-wave conduction velocity in epidural metastatic root lesions.

In 40 controls and 19 patients with neoplastic lesions of the eighth cervical and first thoracic nerve roots confirmed by myelography, ulnar F-wave conduction velocity (FWCV) was estimated using the shortest F-wave latency (FWL). F-waves were recorded from needle electrodes inserted in the abductor digiti minimi manus muscle after stimulation of the ulnar nerve at the wrist. Motor nerve conduction velocities of distal ulnar segments were normal. It was found that the ulnar FWCV decreases significantly with increasing age. This is not true for FWL. During the initial examinations ulnar FWCV was delayed in 18 patients. At follow-up, ulnar signs correlated well with changes in FWCV. Low F-wave frequency and wide FWL differences are also important features in ulnar root disease.

Adolescent↗
PubMed1990

Organization of the auditory pathway in the thoracic ganglia of noctuid moths.

We describe the neuroarchitecture of the noctuid thoracic nerve cord and use this framework to interpret the organization of the auditory pathway responsible for escape behaviour in noctuid moths. Noctuid moths possess only two auditory receptors (A1, A2), in each ear. The axon of the A1 cell projects initially to a glomerulus located ventrally and medially in the metathoracic ganglion, where it bifurcates. One branch ascends in the ventral intermediate tract to the brain, the other descends in the ventral intermediate tract into abdominal neuromeres of the metathoracic ganglion. Both axons arborize in the median ventral and ring tracts in each neuromere. The central projections of the A2 cell remain largely within the metathoracic ganglion. The axon bifurcates at the midline and directs arborizations dorsally to the dorsal intermediate and median dorsal tracts, and ventrally into the ring tract where the arborizations overlap those of the A1 afferent. The afferent projections remain ipsilateral to the ear of origin. We describe a posterior auditory association area in the metathoracic ganglion in which the major arborizations of several identified interneurones overlap those of the A1 afferent and make monosynaptic connections with it. These interneurones all respond tonically to sound stimuli. We have also identified the projections of the A1 afferent, interneurones, and motor neurones in the segmentally equivalent anterior auditory association area of the mesothoracic ganglion. An interneurone with major arborizations in the same tracts as the A1 afferent, and receiving monosynaptic input from it, is described. The arborizations of higher order interneurones lie mainly in dorsal tracts along with those of flight motor neurones. All the interneurones in this anterior centre respond phasically or phasic/tonically to sound stimuli. The relevance of this anatomical organization for predator avoidance behaviour is considered and the organization of auditory pathways in tympanate insects compared.

Animals↗
PubMed1983

Intercostal nerve transfer in brachial plexus injuries: an experimental study.

Eighteen adult mongrel dogs underwent unilateral surgical disruption of the brachial plexus. Twelve animals (Group I) had as a second-stage procedure transfer of T4 and T5 intercostal nerves and their accompanying vascular bundles to the distal musculocutaneous nerve stump. Six animals (Group II) had restoration of musculocutaneous nerve continuity with conventional interpositional sural nerve cable grafts. Group I animals demonstrated significantly better electromyographic evidence of reinnervation and, comparing appearance and weight of operated and unoperated biceps muscles at the time of animal sacrifice, maintained greater gross weight and more normal overall appearance of muscle. Histologic study of muscle tissue showed no significant difference between the two groups whereas musculocutaneous nerve histology distal to all anastomoses revealed less fibrous tissue and a greater number of healthy-appearing axons in Group I. It is concluded that vascularized intercostal nerve transfer as performed in this study has theoretical advantages over conventional nonvascularized intercostal nerve transfer but additional investigation is required to make this determination. The superiority of vascularized intercostal nerve transfers over conventional interpositional sural nerve cable grafts has been demonstrated.

Animals↗
PubMed1986

The central projections of primary afferent neurons of greater splanchnic and intercostal nerves in the rat. A horseradish peroxidase study.

The central projections of primary afferent fibers of the greater splanchnic nerve of the rat were investigated using the transganglionic horseradish peroxidase transport technique. In addition, the corresponding spinal ganglion cells and the preganglionic sympathetic neurons were demonstrated. For comparing visceral and somatic afferents, intercostal nerve afferents were labelled by the same technique. Splanchnic afferent dorsal root ganglion cells were found at segments T3 to T13 ipsilaterally, with the greatest density at T8 to T12. Labelled cells represented about 10%-15% of all neurons in the ganglia at maximal projection levels. They were randomly distributed within individual ganglia. The great majority were medium to small sized and round to slightly oval in shape. In the spinal cord, labelled visceral afferent axons were found maximally at T8 to T11, but could be detected in decreasing density up to T1 and down to L1. They were distributed over Lissauer's tract and the dorsal funiculus to a medial and lateral collateral pathway (MCP and LCP, respectively). The MCP, somewhat more prominent than the LCP, was destined primarily to clustered presumptive terminal fields in medial lamina I and outermost lamina IIa. Only a few axons continued further to laminae V and X. Splanchnic afferent axons, most likely derived from the MCP, formed a longitudinal bundle ventral to the central canal. The LCP consisted of more or less well-defined axon bundles emanating from the lateral Lissauer's tract and curving round the lateral edge of the dorsal horn and through the dorsolateral funiculus. Presumptive terminal sites of LCP axons are the lateral laminae I and IIa, the nucleus of the dorsolateral funiculus and the dorsal part of lamina V. A few LCP axons were seen in the vicinity of lateral dendrites of preganglionic sympathetic axons. Visceroafferent terminals were absent from laminae IIb-IV and VII. The possible consequences of the MCP/LCP duality for the central connections of splanchnic afferents are discussed. Some splanchnic afferents ascended to the gracile and cuneate nuclei, and rarely to the spinal trigeminal nucleus. These results fit into the general concept of visceroafferent terminal organization that has emerged during the last few years. Differences to other reports in the detailed arrangement of fibers and terminals are discussed. Somatoafferent cell bodies represented the vast majority of neurons in the respective spinal ganglia. Cell sizes encompassed the whole range from very small to very large without a clear predominance of one particular size class.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗
PubMed1992

Localization of Lom-AG-myotropin I-like substances in the male reproductive and nervous tissue of the locust, Locusta migratoria.

Lom-AG myotropin I (Lom-AG-MTI) was the first peptide to be isolated from the male accessory reproductive glands of the locust, Locust migratoria. It shows no sequence similarity to any of the peptides identified from vertebrate or invertebrate tissues. A polyclonal antiserum was used to localize Lom-AG-MTI-like material in the male reproductive system and nervous system of the locust. Immunoreactivity was found in two of the hyaline gland tubules. In the brain, cell bodies were detected in the photo- and deuterocerebrum as well as the frontal ganglion. Nerve fibers were stained in the neuropils of the brain and throughout the labial nerves into the recurrent nerve. Thoracic and last abdominal ganglia contained neurons which could be stained with Lom-AG-MTI antiserum. The pronounced reactivity in the central nervous system suggests a possible neuroregulatory function of the peptide.

Amino Acid Sequence↗