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Cranial Nerves: Twelve pairs of nerves that carry general afferent, visceral afferent, special afferent, somatic efferent, and autonomic efferent fibers.

Cranial Nerves Exam I (I-VI)

JoVE 10091

Source:Tracey A. Milligan, MD; Tamara B. Kaplan, MD; Neurology, Brigham and Women's/Massachusetts General Hospital, Boston, Massachusetts, USA


During each section of the neurological testing, the examiner uses the powers of observation to assess the patient. In some cases, cranial nerve dysfunction is readily apparent: a patient might…

 Physical Examinations III

Cranial Nerves Exam II (VII-XII)

JoVE 10005

Source:Tracey A. Milligan, MD; Tamara B. Kaplan, MD; Neurology, Brigham and Women's/Massachusetts General Hospital, Boston, Massachusetts, USA


The cranial nerve examination follows the mental status evaluation in a neurological exam. However, the examination begins with observations made upon greeting…

 Physical Examinations III

Eye Exam

JoVE 10149

Source: Richard Glickman-Simon, MD, Assistant Professor, Department of Public Health and Community Medicine, Tufts University School of Medicine, MA


Proper evaluation of the eyes in a general practice setting involves vision testing, orbit inspection, and ophthalmoscopic examination. Before beginning the exam, it is crucial to be familiar…

 Physical Examinations II

Sensory Exam

JoVE 10113

Source:Tracey A. Milligan, MD; Tamara B. Kaplan, MD; Neurology, Brigham and Women's/Massachusetts General Hospital, Boston, Massachusetts, USA


A complete sensory examination consists of testing primary sensory modalities as well as cortical sensory function. Primary sensory modalities include pain, temperature, light touch, vibration,…

 Physical Examinations III

Ion Channels

JoVE 10722

Ion channels maintain the membrane potential of a cell. For most cells, especially excitable ones, the inside has a more negative charge than the outside of the cell, due to a greater number of negative ions than positive ions. For excitable cells, like firing neurons, contracting muscle cells, or sensory touch cells, the membrane potential must be able to change rapidly moving from a negative membrane potential to one that is more positive. To achieve this, cells rely on two types of ion channels: ligand-gated and voltage-gated. Ligand-gated ion channels, also called ionotropic receptors, are transmembrane proteins that form a channel but which also have a binding site. When a ligand binds to the surface, it opens the ion channel. Common ionotropic receptors include the NMDA, kainite, and AMPA glutamate receptors and the nicotinic acetylcholine receptors. When a ligand, like glutamate or acetylcholine, binds to its receptor it allows the influx of sodium (Na+) and calcium (Ca++) ions into the cells. The positive ions, or cations, follow down their electrochemical gradient, moving from the more positive extracellular surface to the less positive (more negative) intracellular surface. This changes the membrane potential near the receptor, which can then activate nearby voltage gated ion channels to propagate the change in membrane potential throughout the cell

 Core: Cell Signaling

Gustation

JoVE 10851

Gustation is a chemical sense that, along with olfaction (smell), contributes to our perception of taste. It starts with the activation of receptors by chemical compounds (tastants) dissolved in the saliva. The saliva and filiform papillae on the tongue distribute the tastants and increase their exposure to the taste receptors.

Taste receptors are found on the surface of the tongue as well as on the soft palate, the pharynx, and the upper esophagus. On the tongue, taste receptors are contained within structures called taste buds. The taste buds are embedded within papillae, which are visible on the tongue surface. There are three types of papillae that contain taste buds and their receptors. Circumvallate papillae are the largest papillae and are located near the back of the tongue. Foliate papillae resemble folds on the side of the tongue. Fungiform papillae are found across the front three-quarters of the tongue but are less concentrated in the middle of the tongue. There are five basic tastes: salty, sour, sweet, bitter, and savory (or umami). The perception of salty taste is caused by tastants that release sodium ions upon dissolution. Sour taste, by contrast, is produced by the release of hydrogen ions from dissolved acidic tastants. Salty and sour tastants produce a neural response by depolarizing the membrane directly (salty tastants) or via ion chan

 Core: Sensory Systems

Neural Regulation

JoVE 10835

Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.

The cephalic phase is a conditioned or learned response to familiar foods. Our appetite or desire for a particular food modifies the preparatory responses directed by the brain. Individuals may produce more saliva and stomach rumblings in anticipation of apple pie than of broccoli. Appetite and desire are products of the hypothalamus and amygdala—brain areas associated with visceral processes and emotion. After the cephalic phase, digestion is governed by the enteric nervous system (ENS) as an unconditioned reflex. Individuals do not have to learn how to digest food; it happens regardless of whether it is apple pie or broccoli. The ENS is unique in that it functions (mostly) independent of the brain. About 90% of the communication are messages sent from the ENS to the brain rather than the other way around. These messages give the brain information about satiety, nausea, or bloating. The ENS, as part of the peripheral nervous system, is also unique in that it contains both motor and sensory neurons. For example, the ENS directs smooth muscle movements that churn and propel food al

 Core: Nutrition and Digestion

Intra-Operative Neural Monitoring of Thyroid Surgery in a Porcine Model

1Department of Otorhinolaryngology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, 2Department of Otorhinolaryngology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 3Department of Otorhinolaryngology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, 4Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 5Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 6Laboratory Animal Center, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 7Department of Thyroid and Parathyroid Surgery, China-Japan Union Hospital and Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin University, 8Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary; Division of Surgical Oncology, Department of Surgery, Massachusetts General Hospital; Department of Otology and Laryngology, Harvard Medical School, 9Division for Endocrine Surgery, Department of Human Pathology in Adulthood and Child-hood "G. Barresi", University Hospital G. Martino, University of Messina, 10Department of Anesthesiology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, 11Department of Anesthesiology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University

JoVE 57919

 Medicine

Transposon Mediated Integration of Plasmid DNA into the Subventricular Zone of Neonatal Mice to Generate Novel Models of Glioblastoma

1Department of Neurosurgery, University of Michigan School of Medicine, 2Department of Pediatrics, Division of Hematology-Oncology, University of Michigan School of Medicine, 3Department of Cell and Developmental Biology, University of Michigan

JoVE 52443

 Medicine

Use of a Piglet Model for the Study of Anesthetic-induced Developmental Neurotoxicity (AIDN): A Translational Neuroscience Approach

1Department of Anesthesiology, Ohio State University College of Medicine, 2Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, 3Department of Anaesthesia and Critical Care Medicine, University of Toronto, 4Department of Biomedical Sciences, Section of Anatomic Pathology, Cornell University College of Veterinary Medicine, 5Department of Pathology and Anatomy, Ohio State University College of Medicine, 6Department of Pathology and Laboratory Medicine, Nationwide Children's Hospital

JoVE 55193

 Medicine

Assessing Pupil-Linked Changes in Locus Coeruleus-Mediated Arousal Elicited by Trigeminal Stimulation

1Department of Translational Research and of New Surgical and Medical Technologies, University of Pisa, 2Scuola Superiore di Studi e di Perfezionamento Sant'Anna, 3Institut des Maladie Neurodégénératives, University of Bordeaux, 4Department of Physics, University of Pisa, 5Department of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, 6Department of Developmental Neuroscience, IRCCS Foundation Stella Maris

Video Coming Soon

JoVE 59970

 JoVE In-Press

Ex Vivo Oculomotor Slice Culture from Embryonic GFP-Expressing Mice for Time-Lapse Imaging of Oculomotor Nerve Outgrowth

1Department of Ophthalmology, Boston Children's Hospital, 2Department of Ophthalmology, Harvard Medical School, 3F.M. Kirby Neurobiology Center, Boston Children's Hospital, 4Department of Neurology, Boston Children's Hospital, 5Department of Neurology, Harvard Medical School, 6Howard Hughes Medical Institute

JoVE 59911

 Neuroscience

The Endoscope-Assisted Minimally Invasive Retro-Sigmoid Approach (EAMIRSA): A Combination of Techniques for Improving Middle Skull Base Surgery

1Permanent Temporal Bone Dissection Laboratory, University of Perugia, 2Otolaryngology Department, Meyer Children Hospital, 3Highland Instruments, 4Otolaryngology Department, Cochlear Implant Unit, Santobono Children Hospital, 5Otolaryngology Department, Ospedale Civile of Mantua

Video Coming Soon

JoVE 58522

 JoVE In-Press

In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears

1Department of Radiology, University Hospital, LMU Munich, 2Department of Otorhinolaryngology - Head and Neck Surgery, SLK-Kliniken Heilbronn GmbH, 3Department of Otorhinolaryngology Head and Neck Surgery, Ludwig-Maximilians-University Hospital Munich, German Centre for Vertigo and Balance Disorder

JoVE 57091

 Medicine

Metabolic Support of Excised, Living Brain Tissues During Magnetic Resonance Microscopy Acquisition

1Department of Neuroscience, University of Florida, 2McKnight Brain Institute, University of Florida, 3Department of Biomedical Engineering, University of Florida, 4Center for Functionally Integrative Neuroscience, Aarhus University, 5Department of Radiology, University of Florida, 6National High Magnetic Field Laboratory, Florida State University

JoVE 56282

 Bioengineering

Simultaneous Detection of c-Fos Activation from Mesolimbic and Mesocortical Dopamine Reward Sites Following Naive Sugar and Fat Ingestion in Rats

1Behavioral and Cognitive Neuroscience Cluster, Psychology Doctoral Program, The Graduate Center, CUNY, New York, NY, 2Department of Psychology, Queens College, CUNY, Flushing, NY, 3Behavioral and Cognitive Neuroscience Cluster, Psychology Doctoral Program, The Graduate Center, CUNY, Flushing, NY

JoVE 53897

 Neuroscience

Complete Spinal Cord Injury and Brain Dissection Protocol for Subsequent Wholemount In Situ Hybridization in Larval Sea Lamprey

1Centre for Neuroregeneration, School of Biomedical Sciences, University of Edinburgh, 2Shriners Hospitals Pediatric Research Center (Center for Neural Repair and Rehabilitation), Temple University School of Medicine, 3Department of Neurology, Temple University School of Medicine

JoVE 51494

 Neuroscience

Coordinate Mapping of Hyolaryngeal Mechanics in Swallowing

1Medical College of Georgia, Georgia Regents University, 2Department of Communicative Sciences and Disorders, New York University, 3Department of Cellular Biology & Anatomy, Georgia Regents University, 4Department of Otolaryngology, Georgia Regents University

JoVE 51476

 Medicine
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