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For other type's of strokes visit The Stroke Information Directory or Strokenetwork.org

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brain awarenss logo Brain Awareness Week March 11 - 17, 2002

Locked-in Syndrome
A condition resulting from interruption of motor pathways in the ventral pons, usually by infarction. This disconnection of the motor cells in the lower brain stem and spinal cord from controlling signals issued by the brain leaves the patient completely paralyzed and mute, but able to receive and understand sensory stimuli; communication may be possible by code using blinking, or movements of the jaw or eyes, which can be spared.
 
"Locked-In Syndrome" by Mayank Pathak, M.D.
Article reprinted with permission at the Stroke Awareness For Everyone (SAFE) web site.
 
Persistent Vegetative State (PVS)
is subject to a high degree of error as a diagnosis, a high measure of onfusion as to definitiuon, and an inflation of the role of the expert. This article from Issues in Law and Me dicine discusses these issues in detail.
brain stem.gif from World book multimedia encylopedia
-- From the World Book Multimedia Encyclopedia (TM)(C) 1997 World Book, Inc. 525W.Monroe, Chicago, IL 60661. All rights reserved.
-- Brain Stem
BRAIN STEM

Functions

  • Breathing
  • Heart Rate
  • Swallowing
  • Reflexes to seeing and hearing (Startle Response).
  • Controls sweating, blood pressure, digestion, temperature (Autonomic Nervous System).
  • Affects level of alertness.
  • Ability to sleep.
  • Sense of balance (Vestibular Function).

Observed Problems:

  • Decreased vital capacity in breathing, important for speech.
  • Swallowing food and water (Dysphagia).
  • Difficulty with organization/perception of the environment.
  • Problems with balance and movement.
  • Dizziness and nausea (Vertigo).
  • Sleeping difficulties (Insomnia, sleep apnea).
  • -- Center for Neuro Skills

 

The signs and symptoms of a brainstem stroke
The brainstem contains the fibers which connect the brain to the spinal cord and cerebellum and also emits the nerves which project to the face and head. Strokes within the brainstem may be localized by the pattern of deficits caused by the interruption of these nerves. The cerebellum functions in the coordination of movement. The clumsy hand-dysarthria syndrome is produced by injury to cerebellar projections and to the motor centers of face which serve articulation. Cerebellar injury alone may produce a characteristic cerebellar tremor or gait. A large stroke in the upper brainstem may sever the connections between the brain and the body. In such an instance, a person may retain consciousness and intelligent thought but become entirely paralyzed except for eye movements. This is called the locked-in syndrome.
-- The BrainCenter

  ABTA's: A Primer of Brain Tumors - Parts of the brain

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All posted articles and replies are PUBLICLY ACCESSIBLE on the Web.

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Resources

If you have any good links to post here please e-mail them to me at billmcm@buffnet.net

AMA Health Insight - General Health - Medical Glossary Medical Glossary

The Brain stem connects the brain to the spinal cord and almost every output from the brain goes through the brain stem to the spinal cord. According to information at The Virtual Hospital , the brain stem itself also controls the following functions: Breathing, Heart Rate, Swallowing, Reflexes for Seeing & Hearing, Sweating, Blood Pressure, Digestion, Temperature, Sense of balance, Ability to Sleep and Level of Alertness.

 

Additional in-depth medical information dealing with the brain stem and its functions can be found at The University of Wisconsin Medical School.

 

brain stem icon   ALIS
Association for the Locked-In Syndrome (English version)
Association Du Locked-In Syndrome (version Francaise)
 
brain stem icon   Brain Function Cerebellum and Brain Stem
A Guide to Brain Anatomy, Function and Symptoms. The Cerebellum and the Brain Stem
 
brain stem icon Blood Supply of the Brain
While the brain is only about 2% of the total body weight in humans, it receives about 15% of the blood supply.
brain stem icon   National Institute of Neurological Disorders and Stroke
Information sheet on locked-in syndrome.
brain stem icon   NORD - Locked-in Syndrome
National Organization for Rare Disorders, Inc. - Locked-in Syndrome
brain stem icon   Perspectives Network On-Line, The
The Perspectives Network, Inc.'s  primary focus is positive communication between persons with brain injury, family members/ caregivers/friends of persons with brain injury, those many professionals who treat persons with brain injury and community members in order to create positive changes and enhance public awareness and knowledge of acquired/traumatic brain injury.
brain stem icon   Stroke Information Directory | Image Archivess.
Use SID's annotated links to find and preview archives that contain images related to stroke.
brain stem icon   Traumatic Brain Injury for survivors and caregivers.
Homepage for brain injury survivors and caregivers with TBI picture, story, and poem gallery, discussion board, question of the week, TBI and ABI links.
brain stem icon   Traumatic Brain Injury Resource Guide
A traumatic brain injury resource guide with information on brain injury, rehabilitation, long-term assisted living, current research, free article reprints, books, adaptive equipment, pharmacology, mild head injury, and much more.
 
helpping hand icon   waiting.com
A Page Directed to You Who are Waiting While Someone is in a Coma
 

Notice: I make no implied or expressed warranties about the reliability of the information in this website and will not be responsible for damages caused by it's use.

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Please report any problems with this page to me, 
Bill McMurray at  billmcm@buffnet.net 
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Last Modified: Sunday, April 22, 2001