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- Shannon felt strange when she awoke one morning. Shecould not hold a pen in her right hand when trying to writean entry in her diary, and her muscles were noticeablyweaker on the right side of her body. Additionally, herhusband noticed that she was slurring her speech, so he tookher to the emergency room. What does the ER physiciansuspect has occurred? Where in the brain might thephysician suspect that abnormal activity or perhaps a lesionis located, and why?How is it explained that aperson with the spinal cordsectioned at the cervical levelis still able to perform thepatellar reflex?Bill and Mary were involved in an accident, and each experienced lossof proprioception, fine touch, and vibration on the left side of the bodybelow the waist. Physicians determined by magnetic resonance imaging(MRI) that Bill had damage to his spinal cord and that Mary had damageto her brainstem. Explain which side of the spinal cord was damaged inBill and which side of the brainstem was damaged in Mary
- What is the importance of acetylcholinesterase in thesynaptic cleft? What would occur if acetylcholinesterasewere not present?Melissa had a horrible headache, restricted movement in herright arm, and slight slurring of her speech. After an MRIwas performed, the ER physician suggested that Melissa hadsuffered a CVA (cerebrovascular accident). What structures inthe brain were affected by this incident? What might be thecause of the problem and the expected outcome?Most of the neurons from the fasciculus gracilis synapse in the inferior thoraxand enter the spinocerebellar system, whereas most of the neurons fromthe fasciculus cuneatus synapse in the nucleus cuneatus and then continueto the thalamus and cerebrum. Therefore, it can be deduced that most ofthe proprioception from the lower limbs is unconscious and most of theproprioception from the upper limbs is conscious. Explain why this differencein the two sets of limbs is of value.
- Describe the protective sturctures ofthe spinalcordWoody was accidentally struck in the head with a baseball bat. He fellto the ground, unconscious. Later, when he regained consciousness,he could not remember any of the events that happened 10 minutesbefore the accident. Explain. What complications might develop at alater time?Is the neural impulsegenerated by the stimulusthat triggers the arch reflexrestricted within the neuronsof this circuit?
- In a procedure known as a lumbar puncture (commonlyreferred to as a spinal tap), physicians use a needle to withdraw asmall amount of cerebrospinal fluid from the bottom of the spine to helpdiagnose specific illnesses. What effects might this procedure have on apatient?A patient with a cerebral lesion exhibits loss of fine motor control ofthe left hand, arm, forearm, and shoulder. All other motor and sensoryfunctions appear to be intact. Describe the location of the lesion asprecisely as possibleInjury to the accessory nerve may result in sternocleidomastoid muscledysfunction, a condition called torticollis (sometimes called wry neck),in which the head is drawn to one side. If the head is turned to the left,does this position indicate injury to the left or the right spinal componentof the accessory nerve?