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By Kenneth F. Swaiman, Stephen Ashwal, Donna M. Ferriero

This foremost in medical baby neurology provides the total distinctiveness within the so much accomplished, authoritative, and obviously written style. Its medical concentration, in addition to suitable technological know-how, all through is directed at either the skilled clinician and the health professional in training.New editor, Dr. Ferriero brings services in neonatal neurology to the Fourth Edition.New chapters:Pathophysiology of Hypoxic Ischemic Encephalopathy, Congenital problems of Glycosylation, Pediatric Neurotransmitter ailments, Neurophysiology of Epilepsy, Genetics of Epilepsy, Pediatric Neurorehabilitation drugs, Neuropsychopharmacology, ache and Palliative Care administration, moral concerns in baby Neurology

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Cardiofacial syndrome is a congenital weakness that causes failure of depression of the angle of the mouth and is unrelated to facial nerve palsy. FIGURE 2-4. Right facial paralysis of the peripheral type. ) Ophth. C2 C2,3 Max. Mand. C2,3 FIGURE 2-3. Facial sensation supplied by the trigeminal nerve. ) FIGURE 2-5. The Möbius syndrome is manifested by bilateral palsy of cranial nerves VI and VII. Taste sensation in the anterior two thirds of the tongue is in part provided by the chorda tympani nerve, which traverses the path of the facial nerve for a short distance.

Weakness of the sternocleidomastoid muscle results in an inability to rotate the head to the contralateral side. Muscle bulk of the sternocleidomastoid muscle is readily palpable and is readily visible in the presence of moderate-to-severe atrophy. Congenital or acquired lesions in the area of the foramen magnum most commonly cause difficulties of cranial nerve XI. Hypoglossal Nerve: Cranial Nerve XII The tongue muscle is the primary responsibility of cranial nerve XII. Atrophy and fasciculation of the tongue occur when the ipsilateral hypoglossal nucleus or hypoglossal nerve is involved.

Evaluation of taste requires that the patient extend the tongue and that the examiner hold the tip of the tongue with a piece of gauze and place salty, sweet, acidic, and sour and bitter materials, usually represented by salt, sugar, vinegar, and quinine, on the anterior portion of the tongue. The patient’s tongue must remain outside of the mouth 24 Clinical Evaluation / 2 until the test is completed. An older patient should be able to identify each substance. Auditory Nerve: Cranial Nerve VIII Function and evaluation of cranial nerve VIII are discussed in detail in Chapters 7 and 8.

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