Asymmetry Of The Node Of Ranvier

1968 ◽  
Vol 3 (3) ◽  
pp. 341-356
Author(s):  
P. L. WILLIAMS ◽  
R. KASHEF

The nodal constrictions of Ranvier in normal limb nerves of mammals are bounded by asymmetric paranodal bulbs, the proximal bulb (nearer the cell body) being larger in all dimensions. This investigation was undertaken to determine whether the asymmetry results from partial damming of proximo-distally flowing axoplasm at the nodal constriction, or whether other features of local growth patterns are more relevant. The degree of asymmetry was estimated on teased, osmicated fibres from normal immature and mature limb nerves to skin and muscle and on ventral nerve roots. Estimates were also made on the central processes of dorsal root ganglionic cells with their contrasting direction of flow, after alteration of growth patterns in regenerates of crushed immature and mature nerves, and in the recurrent laryngeal nerve which pursues an exceptional course in relation to surrounding tissues. A polarization of asymmetry with larger proximal bulbs was found in uncomplicated limb nerves and after simultaneous regeneration and limb growth following crushing of immature nerves. Mixed populations (that is, with no preferred direction of asymmetry and often symmetrical bulbs) were found in dorsal and ventral nerve roots and the apical recurved segment of the recurrent laryngeal, whilst the mature regenerates closely approached the symmetrical condition. The descending and ascending limbs of the recurrent laryngeal nerve showed a reversal of polarization with respect to the cell body, but similar with respect to the cephalo-caudal body axis. It was concluded that damming of directionally flowing axoplasm was not causally related to the formation of asymmetric bulbs. The overall interstitial growth pattern of limb nerve elongation as revealed by internodal distance studies contrasts with the differential growth and maturation gradients shown by the various limb segments through which the nerve passes. These differences result in a relative movement between the myelinating and elongating Schwann cell and the surrounding limb tissues. The movements are considerable and unidirectional throughout most of the limb, the Schwann cells becoming relatively further removed from the limb apex, whilst the movements minimize at the limb root and apex. It is suggested that the altered mechanical conditions operating at the ‘advancing’ and ‘trailing’ ends of the cell are related to the dimensional differences of the paranodal apparatus comprising the bulb at each end of the cell, and secondarily result in asymmetric nodes of Ranvier.

1892 ◽  
Vol 51 (308-314) ◽  
pp. 102-112 ◽  

While engaged in certain experimental investigations in connexion with the cervical nerve roots of the dog (‘Roy. Soc. Proc.,’ 1892), the ease with which I found one could separate, in a nerve root, the different bundles of nerve fibres which are concerned with one function from those concerned with another, or even a bundle of nerve fibres destined for the supply of one muscle from one destined for the supply of another, led me to suppose that by exercising sufficient care, it might be possible to separate, in the same way, the abductor from the adductor fibres in the recurrent laryngeal nerve. It is a matter of clinical and pathological experience (Semon, Rosenbach) that in organic and progressive affections of this nerve the abductor fibres are prone to succumb before the adductors; but why this should be so is not at all clear.


1980 ◽  
Vol 45 (3) ◽  
Author(s):  
Frank B. Wilson ◽  
D. J. Oldring ◽  
Kathleen Mueller

On page 112 of the report by Wilson, Oldring, and Mueller ("Recurrent Laryngeal Nerve Dissection: A Case Report Involving Return of Spastic Dysphonia after Initial Surgery," pp. 112-118), the paraphrase from Cooper (1971), "if the patients are carefully selected and are willing to remain in therapy for a long period of time," was inadvertantly put in quotation marks.


1998 ◽  
Vol 23 (4) ◽  
pp. 377-377 ◽  
Author(s):  
Brok ◽  
Stroeve ◽  
Copper ◽  
B.W. Ongerboer De Visser ◽  
Schouwenburg

Swiss Surgery ◽  
2001 ◽  
Vol 7 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Robert ◽  
Mariéthoz ◽  
Pache ◽  
Bertin ◽  
Caulfield ◽  
...  

Objective: Approximately one out of five patients with Graves' disease (GD) undergoes a thyroidectomy after a mean period of 18 months of medical treatment. This retrospective and non-randomized study from a teaching hospital compares short- and long-term results of total (TT) and subtotal thyroidectomies (ST) for this disease. Methods: From 1987 to 1997, 94 patients were operated for GD. Thirty-three patients underwent a TT (mostly since 1993) and 61 a ST (keeping 4 to 8 grams of thyroid tissue - mean 6 g). All patients had received propylthiouracil and/or neo-mercazole and were in a euthyroid state at the time of surgery; they also took potassium iodide (lugol) for ten days before surgery. Results: There were no deaths. Transient hypocalcemia (< 3 months) occurred in 32 patients (15 TT and 17 ST) and persistent hypocalcemia in 8 having had TT. Two patients developed transient recurrent laryngeal nerve palsy after ST (< 3 months). After a median follow-up period of seven years (1-15) with five patients lost to follow-up, 41 patients having had a ST are in a hypothyroid state (73%), thirteen are euthyroid (23%), and two suffered recurrent hyperthyroidism, requiring completion of thyroidectomy. All 33 patients having had TT - with follow-ups averaging two years (0.5-8) - are receiving thyroxin substitution. Conclusions: There were no instances of persistent recurrent laryngeal nerve palsy in either group, but persistent hypoparathyroidism occurred more frequently after TT. Long after ST, hypothyroidism developed in nearly three of four cases, whereas euthyroidy was maintained in only one-fourth; recurrent hyperthyroidy was rare.


2018 ◽  
Author(s):  
Radan Dzodic ◽  
Ivan Markovic ◽  
Nada Santrac ◽  
Marko Buta ◽  
Silvana Lukic

2002 ◽  
Vol 53 (2) ◽  
pp. 107-112 ◽  
Author(s):  
Eiji Yumoto ◽  
Koji Nakano ◽  
Tetsuya Nakamoto ◽  
Takahiko Yamagata

Sign in / Sign up

Export Citation Format

Share Document