parinodes syndrome

dorsal midbrain parikkukal soochippikkunna neurological adayaalangalude oru koottamaanu parinodes syndrome. kooduthal vyakthamaayi paranjaal, medial longityoodinal faasikkulasinte (rimluff) rostral interstishyal nucleusil lambamaya nottam kendratthinte compression.
franch nethrashaasthrathinte pithavaayi kanakkaakkappedunna henry parinad (1844-1905) enna peril ariyappedunna ithu kanninte chalanatthinteyum puple disfungshionteyum asaadhaaranathakalude oru koottamaanu.
adayaalangalum lakshanangalum.
kanninte chalanatthinteyum puple functionteyum asaadhaaranathakalude oru koottamaanu parinodes syndrome, ithinte savisheshathakal
ithu saadhaaranayaayi ubhaykakshi papilledemayumaayi bandhappettirikkunnu. thirashcheena saakkedukalil kanduvarunna kanninekkaal mukalilekku nokkaan shramikkumbol undaakunna aswasthatha, seudoabducence palsy (thalamic esotropia ennum ariyappedunnu) allengil thattikkondupokunna kanninte mandagathiyilulla chalanagal, zee-zoo nistaagmas, scue deviation, okkulomottar naadi palsy, troclear naadi palsy, internuclear ofthalmoplegia ennivayulppedeyulla anubandha okkular motility kammi ennivayumaayi ithu saadhaaranayaayi bandhappettirikkunnil.
kaaranagal.
neritto compress cheytho dorsal midbrainilekkulla parikk moolamaanu parinodes syndrome undaakunnath. prathyekichum, aduthulla suuppar colliculus okkulomottar (craniel naadi III-yude uthbhavam), edincher-westphaal nucleus enniva ulppede messensephalic tektathinte compression allengil ischemic kedupaadukal, kanninte motor pravarthanatthinu pravarthanarahithathayundaaknu.
classicalaayi, ithu moonnu pradhana grouppukalumaayi bandhappettirikkunnu
ennirunnaalum, eee pradeshathe mattethenkilum compression, ischemia allengil kedupaadukal enniva eee prathibhasangal srishtikkum hydrocephalus, midbrain hemarej, cerebral arteriovanus vaikalyam, aaghaatham, brainstem toxoplasmosis anubadha. pinbhaagathe fosayude neoplaasangalum bheeman anyoorisangalum midbrain syndromyumaayi bandhappettirikkunnu.
neeman-pick rogam, vilsons rogam, kernicterous, barbiturate amita alavu thudangiya upapachayam sambandhamaaya vaikalyangalumayi lambamaya suuppar nuclear ofthalmoplagia bandhappettirikkunnu.
roganirnayam.
shaareerika parisodhana, prathyekichu prasakthamaaya thalayotiyile njarambukalude kurravukal ennivayude samyojanathiloode roganirnayam nadatthaam. sidi scan allengil emri polulla imaging vazhi sthireekaranam nadatthaam.
chikitsa.
chikitsa praadhamikamaayi dorsal midbrain syndrominte ettiyolajiyilekku nayikkappedunnu. shareeraghadanayile kshathangalo eee syndrominte mattu kaaranangalo thallikkalayaan neuro imaging ulppedeyulla samagramaya oru vyayaamakramam anivaaryamaan. kaazhchayil kaaryamaaya apgas palsy ubhaykakshi thaazhnna rectus maandyathiloode ozhivakkaam. eee prakriyayiloode retraction nistagmas kanverjans moovmentum saadhaaranayaayi mechappeduthunnu.
pravachanam.
parinads syndrominte kannu kandethalukal saadhaaranayaayi masangalkkullil saavadhaanam mechappedunnu, prathyekichu kaaranaghadakatthinte resolutionodoppam; thudakkam muthal aadyathe 3 muthal 6 maasangalkk sheshamulla thudarchayaaya resolution asaadhaaranamaanu. ennirunnaalum, oru ventriculoperitonial shund sthaapichathinethudarnna intracranial marddam saadhaarana nilayilaakkiyathin sheshamulla druthagathiyilulla pariharam report cheyyappettittund.

