Atlas of the Nervous System, Including An Epitome of the Anatomy, Pathology, And Treatment

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Focal Diseases at the Base of the Brain. — They are characterized chiefly by simultaneous paralysis of sev- eral cranial nerves, either of the same or of both sides (oculomotor, abducens, facial, trigeminus, hypop-lossus,etc.).
A lesion may at the same time involve the crusta (hemiplegia of the opposite side), the optic tract, and the chiasm.
It follows that there may be a great variety of symp- toms, and their interpretation should not be difficult.
(For further details see under Peripheral Ne
...rves in this chapter.) The most frequent associations are the second and third, the sixth and seventh, and the tenth, twelfth, and eleventh (inferior, middle, and posterior fossse of the skull).
To review briefly, a typical cerebral paralysis consists of spastic hemiplegia and hemianesthesia of the opposite side.
In cortical lesions monoplegia predominates ; in lesions of the capsule, simple hemiplegia ; in lesions of the corpora quadrigemina and crusta, hemiplegia with crossed oculo- motor paralysis (hemiplegia alternans Superior).


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