
fox-chavney-merrie syndrome

fox-chavney-merrie syndrome (eff. see. emm. ess.), jyala bilateral oppercular syndrome asehi mhanatat, haah eka neuropathological vikar aahe jyache vaishishtya mhanje chehnyacha, jibhecha, ghasa aanee tondachya mastatory snayuncha ardhangvayu jeey chaghalanyas madat karate. haah vikar pramukhyane thrombotic aanee embolic strokemule hoto, jyamule mendumadhye oxygenchi kamatarata nirman hote. parinami, frontal lobe aanee temporal lobe, parital lobe aanee cortical lobe kinwa menduchya subcourtical pradeshatil junctionmadhye dwaipakshik jakhama houu shakatat. aanuvanshik kinwa gair-aanuvanshik asoo shakananya janmachya velee astitvat asalelya doshanmulehi eff. see. emm. udbhavu shakatat. eff. see. emm. chee lakshane konatyahi vayogatatil vyaktimadhye asoo shakatat aanee svayanchalit-swayamsevi pruthakkaran moolyankan, manobhashiy chachani, neurocycological chachani aanee mendu scanning vaparoon tyache nidan kele jaate. eff. see. emm. sathiche upchar heey suruvatichya, tasech lakshananche gambhirya yavar avalambun asatat aanee tyat bahushakhiy drushtikonacha samavesh asato.
vargikaran.
eff. see. emm. chey done prakar aahet (jyanna "vargikaran" asehi mhanatat); dwaipakshik aanee ektarfi. dwaipakshik swaroop sarvat samanya aahe (jyala 'shastriy swaroop' asehi mhanatat) aanee heey operculumchya purv kinwa pashch bhagachya donhi bajunna jakhama tayar jhalyamule hote. yaulat, ektarfi swaroop durmil aahe aanee operculumchya agra kinwa pashch bhagachya eka bajula jakhama tayar jhalyamule hote. operculumchya agrabhagat asalelya jakhama, bolanyachi kinwa bhasha tayar karanyachi kshamata purnapane nasane, yaa motorchya kamatarateshi aanee sandhivatashi sambandhit asatat. operculumchya mageel bhagat asalelya jakhama parital opercular karyanshi sambandhit asatat. menduvar parinam karnari jakham, stroke aanee aaghat yanchya sthanavar aadharit eff. see. emm. chey done vargikaran sthapit kele gele. keval jakhmanvar aadharit eff. see. emm. chey vargikaran kelyane eff. see. emm. chey paach vishisht upprakar midatat jeey sadhya dwaipakshik aanee ektarfi shreninmadhye yetatah
dwaipakshik.
eff. see. emm. ess. chey dwaipakshik swaroop (jyala facio-labio-farringo-glosso-laringo-brachial paralysis asehi mhanatat) heey dwaipakshik corticobulbar sahbhagachya abhijat sadarikaranashi susangat aahe. heey changlya prakare sanrakshit svayanchalit aanee prativart halchalindware darshavile jaate. heey pudhil, tatpuratya aanee parital lobchya gyrie-fox-chawani-tayar karananya insulachya sabhovatalachya agravarti oppercular kshetrachya cortical kinwa subcourtical pradeshatil jakhmanmule hote.
ektarfi.
ektarfi operculum syndrome haah ektarfi jakhamanchya nirmitimule honara eff. see. emm. chaa eka atishay durmil prakar aahe. eff. see. emm. chya yaa swarupat, menducha aprabhavit golardh ektarfi jakhamechi bharpai karato. samanyatah, jevha prabhavit naan jhalela pradesh haah vyakticha pramukh golardh asato tevha heey ghadate.
lakshane.
eff. see. emm. neey prabhavit jhalelya vyaktila chehnyavaril, bhashik, grasni aanee mastatory snayuncha vapar karoon aichchhik halchalinshi sambandhit apangatva vikasit hote. tathapi, yaa snayu gatanchi prativartak aanee swayatt karye sahasa abadhit asatat. samanya lakshananmadhye galane, sharirala varr uchalanyat aanee dabnyat asamarthata, chaghalanyas tras hone, jeebh baher kadhanyas asamarthata, gilane aanee bolanyat kamatarata yancha samavesh hoto.
vikarache vargikaran heey tayar jhalelya jakhamanchya sthananusar olakhale jaate, jyamule kahee lakshane upasthit hotat kinwa vadhatat. dwaipakshik jakhamanchya nirmitimule honanya eff. see. emm. mule chehnyavaril, bhashik, grasni aanee mastatory snayunna ardhangvayu hoto. eff. see. emm. chya yaa prakarat aichchhik-swayatt pruthakkaran aanee bhashan tayar karnyat asamarthata samavisht aahe. pashch operculumparyant maryadit asalelya dwaipakshik jakhamanchya nirmitimadhye shabd bahirepanache, bhasha samajoon ghenyat asamarthata yache eka vegale lakshan asate.
ektarfi jakhama tayar jhalyamule honanya eff. see. emm. mule bolanyatil badal aanee varchya motor neuron cranial majjatantu paraces, snayu kamkuvat hotat. pashch operculumparyant maryadit asalelya ektarfi jakhamanchya nirmitimadhye vishisht lakshane asatat jyat jakhamechya sthanas viruddha haat aanee chehnyatil sanvedanatmak hanicha samavesh hoto.
karane.
fox-chavney-merrie syndrome pramukhyane anek stroke aanee jakhmanmule hoto. tathapi, eff. see. emm. ess. syndromedhye parinami honanya operculummadhye jakham houu shakananya qamee samanya karananmadhye khaleel goshtincha samavesh hoto; tumour, aaghat, encephalitis, neurodegenerative rog aanee vasculitis. nageen aanee etch. aay. vhee. sarkhya vishanujanya sansarganmulehi eff. see. emm. houu shakatat. shivay, corticobulbar marganvar parinam karananya cortical kinwa sub-cortical pradeshatil konatyahi jakhamemule eff. see. emm. tayar hotil.
cerebrovascular rog.
stroke heey fox-chavney-merrie syndromechya sarvat samanya karananpaiki eka aahe. yaa lakshansamuchchayasandarbhat strokechya prakaranmadhye embolic aanee thrombotic strokecha samavesh hoto. madhya cerebral dhamnivar parinam karnare stroke aanee operculummadhun kinwa tyachya jawalun jaananya fandya heey eff. see. emm. chey vaishishtya aahet.
madhyavarti majjasansthecha sansarg.
visheshtah etch. aay. vhee. aanee herpes simplex encephalitis yaa sansargachya lakshananmule eff. see. emm. houu shakatat. etch. aay. vhee. sansargamule asankhya jakhama houu shakatat, jyamule bahudha eff. see. emm. vikasit hotat.
apasmaracha tras.
murchhachi lakshane, jase qee moorchha, eff. see. emm. laa karanibhoot asalelya sravancha prasar karoo shakatat. yaa karanamule eff. see. emm. chaa ekmev ulat karata yenyajoga vikas hoto kaaran upchar kelyavar bolanyatil adachani, gilanyatil adachani aanee mastication adchaninpasun purn barey honyas heey ekmev kaaran aahe. heey kaaran samanyatah eff. see. emm. asalelya mulanmadhye disun yete.
yantrana.
eff. see. emm. heey pramukhyane khalchya pudhil gairas aanee purv madhya gairaschya khalchya bhagatil nukasanatoon udbhavate. sharirikdrushtya, operculum yaa shabdachi vyakhya, madhyabhagala vyapanare aachchadan mhanoon kelee jaate, jyamadhye purv aanee madhya-pashch, nimn-agrabhag, atimarji, koneey nimn parshvbhag aanee uchch laukik aakunchan yancha samavesh hoto. menduche bhag jase qee heshalcha gairas, broadmancha bhag, brokacha bhag, varnikecha bhag heey operculummadhye sarvat sambandhit aahet. hii kshetre bhasha aanee bhashanachya shravanvishayak karyansathi jababdar aahet.
eff. see. emm., jyala kadhikadhi cortical seudobullbar palsie mhanatat, heey operculumchya donhi bajunna jhalelya jakhmandware darshavile jaate. yaa jakhama samanyatah kapalatil majjatantunna haanee pohochavtat jyamule motor aanee sanvedanatmak kamatarata donhi hotat. kapalichya majjatantu jyaa bighadalelya asatat tyamadhye khaleel goshtincha samavesh hoto; kapali majjatantu (see. aine.) vhee. (trikoniya majjatantu), see. aine. vhee. aay. (chehnyavaril majjatantu), see. aine. aay. ess. (glosopharyngeal majjatantu), see. aine. ex. (vegus majjatantu) aanee see. aine. ex. aay. (hypoglosal majjatantu). cerebral vikrutee, mhanje perisilvian bhagat samamitiyapane virodhabhasi polymicrogyriachya sahkaryane ektarfi skizensephaly heey eff. see. emm. chey aanakhi eka dnyat vaishishtya aahe. yavyatirikt, eff. see. emm. madhye aadhalanaya aanakhi eka vikrutimadhye 32 vya aathvadyat garbhachya mendut aadhalanaya operculachya agrabhagachya avikasitatemule jhalelya opercularization apayashacha samavesh hoto.
neuropathology.
svayanchalit aichchhik pruthakkaranasathicha sharirik aadhar-foix-chawani-khalilpramane darshavila jaato. mukh, swarayantra, bhashik aanee mastatory snayunchya aichchhik halchalinsathi operculum prakalpat shejaril neurons kapal kendrakanshi supernuclear fiber karatat. yaa snayunchi bhavnik halchal paryayi margandware niyantrit kelee jaate jee amigdala aanee parshva hypothalamuspasoon madhya agra mastishk bundle aanee prushthiy anudairdhya faciculusdware menduparyant jaate.
insulachya sabhovatalacha oppercular cortex done sharirik ghatkandware vegala keela jaatoh parshvik sulcuscha chadhata ramee aanee pashch ramee operculumchya teen vegvegalya vibhaganmadhye.
nidan.
nikash.
eff. see. emm. madhye khaleel vikaranchi samaan vaishishtye aaheth catatonia, ekayanetik mutism, orobakal aproxia, brokaj afacia, seudobullbar palsie, mysthenia gravischya duyyam bulber palsie, gillion-barrey syndrome aanee brainstem stroke.
catatonia, ekayanetik mutism aanee eff. see. emm. ess. darmyanche nidan nishchit karnyasathi, ekhadya vyaktine avayavanche aichchhik karya karanyachi tyanchi kshamata darshavili pahije. catatonia kinwa ekayanetik mutism asalele rugna hatapayancha vapar samavisht asalelya aichchhik aadeshanchi amalbajavani karoo shakat naheet, tarr eff. see. emm. asalelya rugnanmadhye ajunahi hatapayancha aichchhik vapar asato. jarr ekhadi vyakti hatapayancha aichchhik vapar karanyachi kshamata darshavu shakat asel, tarr catatonia aanee ekayanetik mutism heey nidanatoon bahudha nakarle jaatat.
brokachya afacia aanee eff. see. emm. madheel nidan nishchit karnyasathi, ekhadya vyaktine kapal snayunchya aichchhik halchalimadhye tyanchi kshamata darshavili pahije. brokachya afacia asalelya lokanmadhye chehnyavaril snayu, swarayantra snayu, swarayantra snayu, brachial snayu, jibheche snayu aanee chaghalanyas madat karnare tondache snayu yanchi aichchhik halchal purnapane qamee hott nahee. hii aichchhik karye ajunahi vegvegalya pramanat astitvat asoo shakatat. eff. see. emm. asalelya lokanmadhye hii kshamata nasate. eff. see. emm. asalelya lokansathi, kapal snayunchi aichchhik halchal purnapane anupasthit asate.
seudobullbar palsimadhil nidan nishchit karnyasathi, ekhadya vyaktine muteness aahe qee nahee heey darshavine aavashyak aahe, tasech chehnyavaril, bakkal, bhashik aanee grasni snayu halavanyachi kshamata darshavine aavashyak aahe. seudobullbar pakshaghat asalele lock vegvegalya pramanat yaa karyanmadhye kshamata darshavtat, tarr eff. see. emm. asalele rugna darshavat naheet.
tantra.
eff. see. emm. chey nidan tharvatana doctorankadun vaparlya jaananya chachanyanche teen samanya varg aaheth (1) svayanchalit-swayamsevi pruthakkaran moolyankan, (2) manobhashatmak chachani aanee (3) neurocycological chachani. yavyatirikt, anganganchya operculum pradeshat ischemic vikrutee kinwa jakhama aahet qee nahee heey pahanyasathi mendu scanning tantracha vapar keela jaato.
svayanchalit-swayamsevi pruthakkaran moolyankan.
eff. see. emm. heey mukhyatve chehnyavaril, bhashik, grasni aanee mastatory snayunmadhil aichchhik halchalinchya ardhangvayudvare darshavile jaate, tarr yaa chaar snayu gatanchi svayanchalit, anaichhik karye shillak rahatat. paletal, swarayantra, zagamgat aanee gagg reflex yasarkhya anaichhik prativartanadvare svayanchalit karye kelee jaatat. chachani kelelya itar anaichhik karyanmadhye utsfurt smitahasya, hasya aanee jambhai yancha samavesh hoto. yaa vikarane grast asalele rugna svayanchalit, anaichhik pratikshep antargat hii karye karnyas saksham asatat. hii karye swechhene paar padnyachya vyaktichya kshamatechi chachani doctoranchya aadeshanchya malikedware kelee jaate. samanyatah, vikar asalelya vyakti aadeshanusar yapaiki konatihi karye karoo shakat naheet. svayanchalit aanee aichchhik pruthakkaran yanchyatil pruthakkaran heey anaichhik, svayanchalit karye karanyachi vyaktichi kshamata aanee samaan krutee aichchhikpane karanyachi tyanchi asamarthata yavarun soochit hote.
manasshastriy chachani.
manasshastriy aanee majjatantushastriy ghatkanshi manasshastriy bhashashastra sambandhit aahe jeey manavanna bhasha prapt karnyas, vaparnyas, samajoon ghenyas aanee tayar karnyas anumati detat. manobhashiy chachanisathi samanyatah vaparlya jaanarya chachanyanmadhye dutch aavrutti, vakyarachana aaklan chachani aanee sanketik chachani yancha samavesh hoto. manobhashavidnyanamule doctoranna rugnache nidan kartana eff. see. emm. sarkhech asoo shakanare itar vikar qamee karata yetat aanee teey nakarta yetat.
neurocycological chachani.
neurocycology haah neurobiology aanee manasshastracha abhyas aahe. sandnyanatmak karya, tark aanee aathvaninmadhye vyaktichya kshamatanche nirikshan karnyachya uddeshane neurocycological chachanyancha vapar keela jaato. neurocycological chachanisathi samanyatah vaparlya jaanarya chachanyanmadhye vis-3, stroop chachani, borden viersma chachani aanee reey-osterith complexes figure chachani yancha samavesh hoto. yaa chachanya doctoranna operculummadhil dwaipakshik jakhmanvar kitee pramanat parinam jhaala aahe yache moolyankan karnyas aanee yogya upchar nishchit karnyas anumati detat.
pratima.
scanning tantranmadhye eae. eae. jee., spect, emm. aar. aay. aanee seaty brain scanning yancha samavesh hoto. hii atirikt tantre rugnala konatya prakarchi jakham aahe heey tharvanyasathi upayukt aahet aanee doctoranna rugnavar upchar karnyasathi adhik prabhavi marg tharvanyas anumati detat. 
chumbakeey anunad imaging.
emm. aar. aay. heey eka sarvottam tantra aahe jeey eff. see. emm. chya mendutil jakhama shodhu shakate jyaa kahee vela keval sanganak-tomography scancha vapar karoon chukatat. tasech, yaa prakarchya imajingmule agravarti operculum, premoter kshetra aanee sanlagn kshetracha samavesh asalelya ujavya pudhil bhagachya khandanche aaghat prakat houu shakatat.
seaty scan.
heey sanganak-tomography prakarche imaging heey konatyahi vaidyakeey vatavaranat sarvadhik vaparale jaanare eka aahe aanee jaree teey stroke kinwa aaghatane prabhavit jhalelya menduchya kahee bhaganna shodhu shakate, taree teey chumbakeey anunad imajingsarkhe tikshnata pradan karat nahee. see. tii. scandware, lakshansamuchchay asalelya rugnanmadhye, bahya bahya bhagasah prushthbhagachya pudhil bhagat asalele dwaipakshik bahya bahyangiy mukhdwar dekhil ughad houu shakatat.
drushya.
menduchi ekal photon utsarjan sanganit tomography ujavya pudhil bhagat grahan kshetra darshavu shakate aanee samanya grahan davya golardhat aahe. yaa prakarchi pratima menduchya vishisht bhagache adhik tapshilvar drushya deu shakate.
itar tantra.
eff. see. emm. asalelya rugnanmadhye electroencephagraphy (eae. eae. jee.) dekhil vaparali jaate aanee tee davya samorun-tatpuratya pradeshanmadhun phokal sloing aanee epileptic discharge ughad karoo shakate.
vyavasthapan.
fox-chavney-merrie syndromeche upchar heey lakshananvar avalambun asatat aanee tyat bahushakhiy drushtikonacha samavesh asato. eff. see. emm. chya etiological vargikarananusar, majjasansthetil punarpraptisathi aushadhancha vapar keela jaato. apasmarachya aajaramule honare eff. see. emm., visheshtah menduchya dwipakshi aanee up-bahya bhaganmadhye jakhama vikasit honyamule, apasmarachya aajaravar upchar karnyasathi aanee sampoorn majjasansthechi punarprapti karnyasathi apasmarachya rogvirodhi aushadhancha vapar keela jaau shakato. yavyatirikt, majjasansthetil kamatarata door karnyasathi aanee zatkyanvar niyantran thevanyasathi ardhgolak-vichhedan kele jaau shakate. yaa prakriyemule apasmarachya zatkyanpasun sampoorn punarprapti houu shakate. sharirik upcharpaddhaticha vapar lakshane vyavasthapit karnyasathi aanee jivanacha darja sudharanyasathi dekhil keela jaato. ekhadya vyaktichi bolanyachi aanee gilanyachi kshamata qamee honyat parinami shastriy eff. see. emm. varr majjatantu vidyut uttejana aanee paramparik dysphagea upcharpaddhati vaparoon upchar kele jaau shakatat. dyspagiala aanakhi lakshya karnari speach therapy sudharit aahar tantre aanee mudra vaparoon tondache snayu majboot karoo shakate. upcharatmak aaharamadhye barfachya chipa vaparoon tondi aanee bhashik halchalincha sarav karane samavisht aahe. yavyatirikt, kahee lakshane qamee karnyasathi neurosurgeondware vegvegalya prakriya kelya jaau shakatat.