Skip to main content
SpringerLink
Log in

Multifocal Ischemic Brain-Stem Lesions

  • Conference paper
Brain-Stem Localization and Function

Abstract

The clinical symptoms and signs of brain-stem ischemia are far less well defined than in ischemia due to carotid or middle cerebral artery disease. They consist of many different syndromes, and it is often difficult to correlate the clinical findings with a single functional or morphological lesion within the brain-stem.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Berardelli A, Accornero N, Cruccu G, Fabiano F, Guerrisi V, Manfredi M (1983) The orbicularis oculi response after hemispheral damage. J Neurol Neurosurg Psy- chiat 46:837–843

    Article  CAS  Google Scholar 

  2. Bogousslavsky J, Fox AJ, Barnett HJM, Hachinski VC, Vinitski S, Carey LS (1986) Clinico-topographic correlation of small vertebrobasilar infarct using magnetic resonance imaging. Stroke 17:929–938

    Article  PubMed  CAS  Google Scholar 

  3. Bogousslavsky J, Meienberg O (1987) Eye-movement disorders in brainstem and cerebellar stroke. Arch Neurol 44:141–148

    Article  PubMed  CAS  Google Scholar 

  4. Büdinger HJ, Staudacher T (1987) Die Identifizierung der Arteria basilaris mit der transkraniellen Dopplersonographie. Ultraschall 8:95–101

    Article  Google Scholar 

  5. Chiappa KH, Harrison JL, Brooks EB, Young RR (1980) Brainstem auditory evoked responses in 200 patients with multiple sclerosis. Ann Neurol 7:135–143

    Article  PubMed  CAS  Google Scholar 

  6. Curio G, Oppel F (1988) Intraparenchymateous ponto-mesencephalic field distribution of brain stem auditory evoked potentials in man. Electroencephalogr Clin Neurophysiol 69:259–265

    Article  PubMed  CAS  Google Scholar 

  7. Ferbert A, Buchner H (1991) Evozierte Potentiale in der Diagnostik ischämischer Hirnstammläsionen. Nervenarzt 62:460–466

    PubMed  CAS  Google Scholar 

  8. Hacke W, Schaff C, Zeumer H (1983) Der Orbicularis-oculi-Reflex bei computer- tomographisch verifizierten Läsionen der hinteren Schädelgrube. Fortschr Neurol Psychiatr 51:313–324

    Article  PubMed  CAS  Google Scholar 

  9. Hashimoto I, Ishiyama Y, Yoshimoto S, Nemoto S (1981) Brainstem auditory evoked responses recorded directly from human brainstem and thalamus. Brain 104:841–859

    Article  PubMed  CAS  Google Scholar 

  10. Henn V, Büttner-Ennever JA, Hepp K (1982) The primate oculomotor system: I. Motoneurons II. Premotor system: a synthesis of anatomical, physiological, and clinical data. Hum Neurobiol 1:77–95

    PubMed  CAS  Google Scholar 

  11. Hennerici M, Rautenberg W, Schwarz A (1987) Transcranial doppler ultrasound for the assessment of intracranial flow velovity, part 2. Surg Neurol 27:523–532

    Article  PubMed  CAS  Google Scholar 

  12. Hopf HC (1985) Die Generatoren der AEP-Wellen II-III. Aktuel Neurol 12:58–61

    Article  Google Scholar 

  13. Hopf HC (1987) Vertigo and masseter paresis. A new local brainstem syndrome probably of vascular origin. J Neurol 235:42–45

    Article  PubMed  CAS  Google Scholar 

  14. Hopf HC, Gutmann L (1990) Diabetic 3rd nerve palsy: evidence for a mesencephalic lesion. Neurology 40:1041–1045

    PubMed  CAS  Google Scholar 

  15. Hopf HC (1993) Topodiagnositic value of brain stem reflexes. Muscle & Nerve (in press)

    Google Scholar 

  16. Kayamori R, Dickins QS, Yamada T, Kimura J (1984) Brainstem auditory evoked potential and blink reflex in multiple sclerosis. Neurology 34:1318–1323

    PubMed  CAS  Google Scholar 

  17. Kimura J (1975) Electrically elicited blink reflex in diagnosis of multiple sclerosis. Review of 260 patients over a seven year period. Brain 98:413–426

    Article  PubMed  CAS  Google Scholar 

  18. Kimura J, Wilkinson JT, Damasio H, Adams HR Jr, Shivapour E, Yamada T (1985) Blink reflex in patients with hemispheric vascular accident (CVA). J Neurol Sci 67:15–28

    Article  PubMed  CAS  Google Scholar 

  19. Koshbin S, Hallett M (1981) Multimodality evoked potentials and blink reflex in multiple sclerosis. Neurology 31:138–144

    Google Scholar 

  20. Krämer G, Lowitzsch K, Besser R, Hopf HC (1986) Isolierte R1–Veränderungen des Blinkreflexes. In: Lowitzsch K (ed) Hirnstammreflexe. Thieme, Stuttgart, pp 124–131

    Google Scholar 

  21. Kubota K, Narita N, Ohkubo K, Hosaka K, Nagae K, Lee MS, Kawamoto T, Kubota M, Odagiri N (1988) Central projection of proprioceptive afferents arising from maxillo-facial regions in some animals by HRP-labeling technique. Anat Anz 165:229–251

    PubMed  CAS  Google Scholar 

  22. Legatt AD, Arezzo JC, Vaughan HG Jr (1986) Short-latency auditory evoked potentials in the monkey: II. Intracranial generators. Electroencephalogr Clin Neuro physiol 64:53–73

    Article  CAS  Google Scholar 

  23. Markand ON, Farlow MR, Stevens JC, Edwards MK (1989) Brain-stem auditory evoked potential abnormalities with unilateral brain-stem lesions demonstrated by magnetic resonance imaging. Arch Neurol 46:295–299

    Article  PubMed  CAS  Google Scholar 

  24. Moller AR, Janetta PJ (1983) Interpretation of brainstem auditory evoked potentials: results from intracranial recordings in humans. Scand Audiol 12:125–133

    Article  PubMed  CAS  Google Scholar 

  25. Nomura S, Mizuno N (1985) Differential distribution of cell bodies and central axons of mesencephalic trigeminal nucleus neurons supplying the jaw-closing muscles and periodontal tissue. Brain Res 359:311–319

    Article  PubMed  CAS  Google Scholar 

  26. Ongerboer de Visser BW, Goor C (1976) Jaw reflexes and masseter electromyograms in mesencephalic and pontine lesions: an electrodiagnostic study. J Neurol Neurosurg Psychiatry 39:90–92

    Article  Google Scholar 

  27. Ongerboer de Visser BW, Kuypers HGJM (1978) Late blink reflex changes in lateral medullary lesions. Brain 101:285–294

    Article  Google Scholar 

  28. Ongerboer de Visser BW (1983) Comparative study of corneal and blink reflex latencies in patients with segmental or with cerebral lesions. In: Desmedt JE (ed) Motor control mechanisms in health and disease. New York, Raven Press, pp 757–772

    Google Scholar 

  29. Ringelstein EB, Zeumer H, Poek K (1985) Non-invasive diagnosis of intracranial lesions in the vertebrobasilar system. A comparison of doppler sonographic and angiographic findings. Stroke 16:848–855

    Article  PubMed  CAS  Google Scholar 

  30. Sanders EACM, Ongerboer de Visser BW, Barendswaard EC, Arts RJHM (1985) Jaw, blink, and corneal reflex latencies in multiple sclerosis. J Neurol Neurosurg Psychiat 48:1284–1289

    Article  PubMed  CAS  Google Scholar 

  31. Spector RH, Troost BT (1981) The ocular motor system. Ann Neurol 9:517–525

    Article  PubMed  CAS  Google Scholar 

  32. Tettenborn B, Caplan LR, Krämer G, Hopf HC (1992) Electrophysiology in ischemic brain stem disease. In: Berguer R, Caplan LR (eds) Vertebrobasilar arterial disease. Quality Medical Publishing, St.Louis, pp 124–129

    Google Scholar 

  33. Yates SK, Brown WF (1981) The human jaw jerk: electrophysiologic methods to measure the latency, normal values, and changes in multiple sclerosis. Neurology 31:632–634

    PubMed  CAS  Google Scholar 

  34. York DH (1985) Correlation between a unilateral midbrain-pontine lesion and abnormalities of brain-stem auditory evoked potential. Electroencephalogr Clin Neuro- physiol 65:282–288

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Neurologische Klinik, Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Germany

    B. Tettenborn

Authors
  1. B. Tettenborn
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Neurology New England Medical Center, Tufts University, 750 Washington Street, Boston, MA, 02111, USA

    Louis R. Caplan

  2. Neurologische Klinik, Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Germany

    Hanns Christian Hopf

Rights and permissions

Reprints and permissions

Copyright information

© 1993 Springer-Verlag Berlin · Heidelberg

About this paper

Cite this paper

Tettenborn, B. (1993). Multifocal Ischemic Brain-Stem Lesions. In: Caplan, L.R., Hopf, H.C. (eds) Brain-Stem Localization and Function. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78172-8_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-78172-8_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78174-2

  • Online ISBN: 978-3-642-78172-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation