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Procerus Sign
The procerus sign (vertical wrinkling of the forehead) is a medical sign consisting of vertical forehead wrinkling around the bridge of the nose and the glabella. This can be seen in neurodegenerative diseases such as progressive supranuclear palsy. Definition The procerus sign is defined as wrinkling around the bridge of the nose and the glabella. Differential The procerus sign can be seen in neurodegenerative diseases such as progressive supranuclear palsy (PSP). It is highly specific to PSP compared to other disorders involving Parkinsonism. Mechanism Dystonia of the procerus muscle or the corrugator supercilii muscle leads to abnormal muscle contraction. It is present both when the eyes are open and when they are closed, including during blinking. History The procerus sign may also be known as "vertical wrinkling of the forehead" because it often does not just involve the procerus muscle The procerus muscle (or pyramidalis nasi) is a small pyramidal muscle in th ...
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Progressive Supranuclear Palsy
Progressive supranuclear palsy (PSP) is a late-onset neurodegenerative disease involving the gradual deterioration and death of specific volumes of the brain, linked to 4-repeat tau pathology. The condition leads to symptoms including Balance disorder, loss of balance, Hypokinesia, slowing of movement, Ophthalmoparesis, difficulty moving the eyes, and cognitive impairment. PSP may be mistaken for other types of neurodegeneration such as Parkinson's disease, frontotemporal dementia and Alzheimer's disease. It is the second most common tauopathy behind Alzheimer's disease. The cause of the condition is uncertain, but involves the accumulation of tau protein within the brain. Medications such as L-DOPA, levodopa and amantadine may be useful in some cases. PSP was first officially described by Richardson, Steele, and Olszewski in 1963 as a form of progressive parkinsonism. However, the earliest known case presenting clinical features consistent with PSP, along with pathological co ...
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ScienceDirect
ScienceDirect is a searchable web-based bibliographic database, which provides access to full texts of scientific and medical publications of the Dutch publisher Elsevier as well of several small academic publishers. It hosts over 18 million publications from more than 4,000 academic journals and 30,000 e-books. The access to the full-text requires subscription, while the bibliographic metadata are free to read. ScienceDirect was launched by Elsevier in March 1997. Usage The journals are grouped into four main sections: *''Physical Sciences and Engineering'' *''Life Sciences'' *''Health Sciences'' *''Social Sciences and Humanities''. Article abstracts are freely available, and access to their full texts (in PDF and, for newer publications, also HTML) generally requires a subscription or pay-per-view purchase unless the content is freely available in open access. Papers published under several open access licenses are available on ScienceDirect without cost. Access to t ...
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Blinking
Blinking is a bodily function; it is a semi-autonomic rapid closing of the eyelid. A single blink is determined by the forceful closing of the eyelid or inactivation of the levator palpebrae superioris and the activation of the palpebral portion of the orbicularis oculi, not the full open and close. It is an essential function of the eye that helps spread tears across and remove irritants from the surface of the cornea and conjunctiva. Blinking may have other functions since it occurs more often than necessary just to keep the eye lubricated. Researchers think blinking may help with disengagement of attention; following blink onset, cortical activity decreases in the dorsal network and increases in the default-mode network, associated with internal processing. Blink speed can be affected by elements such as fatigue, eye injury, medication, and disease. The blinking rate is determined by the "blinking center", but it can also be affected by external stimulus. Some animals, ...
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Muscle Contraction
Muscle contraction is the activation of Tension (physics), tension-generating sites within muscle cells. In physiology, muscle contraction does not necessarily mean muscle shortening because muscle tension can be produced without changes in muscle length, such as when holding something heavy in the same position. The termination of muscle contraction is followed by muscle relaxation, which is a return of the muscle fibers to their low tension-generating state. For the contractions to happen, the muscle cells must rely on the change in action of two types of Myofilament, filaments: thin and thick filaments. The major constituent of thin filaments is a chain formed by helical coiling of two strands of actin, and thick filaments dominantly consist of chains of the Motor protein, motor-protein myosin. Together, these two filaments form myofibrils - the basic functional organelles in the skeletal muscle system. In vertebrates, Muscle cell#Muscle contraction in striated muscle, skele ...
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Corrugator Supercilii Muscle
The corrugator supercilii muscle is a small, narrow, pyramidal muscle of the face. It arises from the medial end of the superciliary arch; it inserts into the deep surface of the skin of the eyebrow. It draws the eyebrow downward and medially, producing the vertical "frowning" wrinkles of the forehead. It may be thought as the principal muscle in the facial expression of suffering. It also shields the eyes from strong sunlight. Structure The corrugator supercilii muscle is located at the medial end of the eyebrow. Its fibers pass laterally and somewhat superiorly from its origin to its insertion. Origin It arises from bone at the medial extremity of the superciliary arch. Insertion It inserts between the palpebral and orbital portions of the orbicularis oculi muscle. It inserts into the deep surface of the skin of the eyebrow, above the middle of the orbital arch. Innervation Motor innervation is provided by the temporal branches of facial nerve (CN VII). Vasculatu ...
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Procerus Muscle
The procerus muscle (or pyramidalis nasi) is a small pyramidal muscle in the glabella. It is involved in facial expressions such as frowning and those associated with attentional control, and it indirectly helps shield the eyes from bright light. Because it contributes to wrinkle formation on the nasal bridge, it is often targeted in non-surgical facial rejuvenation treatments, such as botulinum toxin injections. ''Procerus'' is Latin, meaning tall or extended. Structure The procerus muscle arises by tendinous fibers from the fascia covering the lower part of the nasal bone and upper part of the lateral nasal cartilage. It is inserted into the skin over the lower part of the forehead between the two eyebrows on either side of the midline, its fibers merging with those of the frontalis muscle. Nerve supply The procerus muscle is supplied by the temporal branch of the facial nerve (VII). It may also be supplied by other branches of the facial nerve, which can be varied, i ...
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Dystonia
Dystonia is a neurology, neurological Hyperkinesia, hyperkinetic Movement disorders, movement disorder in which sustained or repetitive muscle contractions occur involuntarily, resulting in twisting and repetitive movements or abnormal fixed postures. The movements may resemble a tremor. Dystonia is often intensified or exacerbated by physical activity, and symptoms may progress into adjacent muscles. The disorder may be Heredity, hereditary or caused by other factors such as birth trauma (physical), birth-related or other Injury, physical trauma, infection, poisoning (e.g., lead poisoning) or reaction to Medication, pharmaceutical drugs, particularly Antipsychotic, neuroleptics, or stress. Treatment must be highly customized to the needs of the individual and may include oral medications, chemodenervation Botulinum toxin, botulinum neurotoxin injections, physical therapy, or other supportive therapies, and surgical procedures such as deep brain stimulation. Classification The ...
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Parkinsonism
Parkinsonism is a clinical syndrome characterized by tremor, bradykinesia (slowed movements), Rigidity (neurology), rigidity, and balance disorder, postural instability. Both hypokinetic features (bradykinesia and akinesia) and hyperkinetic features (cogwheel rigidity and tremors at rest) are displayed in parkinsonism. These are the four Parkinson's disease#Motor, motor signs that are found in Parkinson's disease (PD)after which Parkinsonism is namedand in dementia with Lewy bodies (DLB), Parkinson's disease dementia (PDD), and many other conditions. This set of signs occurs in a wide range of conditions and may have many causes, including neurodegenerative conditions, drugs, toxins, metabolic diseases, and neurological conditions other than Parkinson's disease. Signs and symptoms Parkinsonism is a clinical syndrome characterized by the four Parkinson's disease#Motor, motor signs that are found in Parkinson's disease: tremor, bradykinesia (slowed movements), Rigidity (neur ...
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Journal Of The Neurological Sciences
''Journal of the Neurological Sciences'' is a peer-reviewed medical journal covering the field of neurology. It is also the official journal of the World Federation of Neurology. According to the ''Journal Citation Reports'', it received an impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a type of journal ranking. Journals with higher impact factor values are considered more prestigious or important within their field. The Impact Factor of a journa ... of 4.453. Sources External links * Neurology journals Elsevier academic journals Academic journals established in 1964 Monthly journals {{neurology-journal-stub ...
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Parkinson's Disease
Parkinson's disease (PD), or simply Parkinson's, is a neurodegenerative disease primarily of the central nervous system, affecting both motor system, motor and non-motor systems. Symptoms typically develop gradually and non-motor issues become more prevalent as the disease progresses. The motor symptoms are collectively called parkinsonism and include tremors, bradykinesia, spasticity, rigidity as well as postural instability (i.e., difficulty maintaining balance). Non-motor symptoms develop later in the disease and include behavior change (individual), behavioral changes or mental disorder, neuropsychiatric problems such as sleep abnormalities, psychosis, anosmia, and mood swings. Most Parkinson's disease cases are idiopathic disease, idiopathic, though contributing factors have been identified. Pathophysiology involves progressive nerve cell death, degeneration of nerve cells in the substantia nigra, a midbrain region that provides dopamine to the basal ganglia, a system invo ...
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Neurodegenerative Diseases
A neurodegenerative disease is caused by the progressive loss of neurons, in the process known as neurodegeneration. Neuronal damage may also ultimately result in their death. Neurodegenerative diseases include amyotrophic lateral sclerosis, multiple sclerosis, Parkinson's disease, Alzheimer's disease, Huntington's disease, multiple system atrophy, tauopathies, and prion diseases. Neurodegeneration can be found in the brain at many different levels of neuronal circuitry, ranging from molecular to systemic. Because there is no known way to reverse the progressive degeneration of neurons, these diseases are considered to be incurable; however research has shown that the two major contributing factors to neurodegeneration are oxidative stress and inflammation. Biomedical research has revealed many similarities between these diseases at the subcellular level, including atypical protein assemblies (like proteinopathy) and induced cell death. These similarities suggest that thera ...
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Glabella
The glabella, in humans, is the area of skin between the eyebrows and above the nose. The term also refers to the underlying bone that is slightly depressed, and joins the two brow ridges. It is a cephalometric landmark that is just superior to the nasion. Etymology The term for the area is derived from the Latin Latin ( or ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally spoken by the Latins (Italic tribe), Latins in Latium (now known as Lazio), the lower Tiber area aroun ... , "smooth", feminine of ''glabellus'', "hairless". Function The glabella is a key anatomical landmark used in craniofacial measurements, including interglabellar distance, which helps assess facial proportions in aesthetics and surgery. It also contributes to facial expressions through the action of muscles like the frontalis and orbicularis oculi. In medical science The skin of the glabella may be used to measure ...
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