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Procerus
The procerus muscle (or pyramidalis nasi) is a small pyramidal slip of muscle deep to the superior orbital nerve, artery and vein. ''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. Function The procerus muscle helps to pull that part of the skin between the eyebrows downwards, which assists in flaring the nostrils. It can also contribute to an expression of anger. Procerus is supplied by temporal and lower zygomatic branches from the facial nerve. A supply from it ...
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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 slip of mus ...
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Human Nose
The human nose is the most protruding part of the face. It bears the nostrils and is the first organ of the respiratory system. It is also the principal organ in the olfactory system. The shape of the nose is determined by the nasal bones and the nasal cartilages, including the nasal septum which separates the nostrils and divides the nasal cavity into two. On average the nose of a male is larger than that of a female. The nose has an important function in breathing. The nasal mucosa lining the nasal cavity and the paranasal sinuses carries out the necessary conditioning of inhaled air by warming and moistening it. Nasal conchae, shell-like bones in the walls of the cavities, play a major part in this process. Filtering of the air by nasal hair in the nostrils prevents large particles from entering the lungs. Sneezing is a reflex to expel unwanted particles from the nose that irritate the mucosal lining. Sneezing can transmit infections, because aerosols are created in w ...
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Nasal Bone
The nasal bones are two small oblong bones, varying in size and form in different individuals; they are placed side by side at the middle and upper part of the face and by their junction, form the bridge of the upper one third of the nose. Each has two surfaces and four borders. Structure The two nasal bones are joined at the midline internasal suture and make up the bridge of the nose. Surfaces The ''outer surface'' is concavo-convex from above downward, convex from side to side; it is covered by the procerus and nasalis muscles, and perforated about its center by a foramen, for the transmission of a small vein. The ''inner surface'' is concave from side to side, and is traversed from above downward, by a groove for the passage of a branch of the nasociliary nerve. Articulations The nasal articulates with four bones: two of the cranium, the frontal and ethmoid, and two of the face, the opposite nasal and the maxilla. Other animals In primitive bony fish and tetrapod ...
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Forehead
In human anatomy, the forehead is an area of the head bounded by three features, two of the skull and one of the scalp. The top of the forehead is marked by the hairline, the edge of the area where hair on the scalp grows. The bottom of the forehead is marked by the supraorbital ridge, the bone feature of the skull above the eyes. The two sides of the forehead are marked by the temporal ridge, a bone feature that links the supraorbital ridge to the coronal suture line and beyond. However, the eyebrows do not form part of the forehead. In ''Terminologia Anatomica'', ''sinciput'' is given as the Latin equivalent to "forehead". (Etymology of ''sinciput'': from ''semi-'' "half" + ''caput'' "head".) Structure The bone of the forehead is the squamous part of the frontal bone. The overlying muscles are the occipitofrontalis, procerus, and corrugator supercilii muscles, all of which are controlled by the temporal branch of the facial nerve. The sensory nerves of the forehead connect ...
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Frown
A frown (also known as a scowl) is a facial expression in which the eyebrows are brought together, and the forehead is wrinkled, usually indicating displeasure, sadness or worry, or less often confusion or concentration. The appearance of a frown varies by culture. An alternative usage in North America is thought of as an expression of the mouth. In those cases when used iconically, as with an emoticon, it is entirely presented by the curve of the lips forming a down-open curve. The mouth expression is also commonly referred to in the colloquial English phrase, especially in the United States, to "turn that frown upside down" which indicates changing from sad to happy. Description Charles Darwin described the primary act of frowning as the furrowing of the brow which leads to a rise in the upper lip and a down-turning of the corners of the mouth. While the appearance of a frown varies from culture to culture, there appears to be some degree of universality to the recognition of t ...
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Frowning
A frown (also known as a scowl) is a facial expression in which the eyebrows are brought together, and the forehead is wrinkled, usually indicating displeasure, sadness or worry, or less often confusion or concentration. The appearance of a frown varies by culture. An alternative usage in North America is thought of as an expression of the mouth. In those cases when used iconically, as with an emoticon, it is entirely presented by the curve of the lips forming a down-open curve. The mouth expression is also commonly referred to in the colloquial English phrase, especially in the United States, to "turn that frown upside down" which indicates changing from sad to happy. Description Charles Darwin described the primary act of frowning as the furrowing of the brow which leads to a rise in the upper lip and a down-turning of the corners of the mouth. While the appearance of a frown varies from culture to culture, there appears to be some degree of universality to the recognition of t ...
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Temporal Branches Of The Facial Nerve
The temporal branches of the facial nerve (frontal branch of the facial nerve) crosses the zygomatic arch to the temporal region, supplying the auriculares anterior and superior, and joining with the zygomaticotemporal branch of the maxillary nerve, and with the auriculotemporal branch of the mandibular nerve. The more anterior branches supply the frontalis, the orbicularis oculi, and corrugator supercilii, and join the supraorbital and lacrimal branches of the ophthalmic. The temporal branch acts as the efferent limb of the corneal reflex The corneal reflex, also known as the blink reflex or eyelid reflex, is an involuntary blinking of the eyelids elicited by stimulation of the cornea (such as by touching or by a foreign body), though it could result from any peripheral stimulus. S .... Testing the temporal branches of the facial nerve To test the function of the temporal branches of the facial nerve, a patient is asked to frown and wrinkle their forehead. Additional ima ...
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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 , meaning 'smooth, hairless'. In medical science The skin of the glabella may be used to measure skin turgor in suspected cases of dehydration by gently pinching and lifting it. When released, the glabella of a dehydrated patient tends to remain extended ("tented"), rather than returning to its normal shape. See also * Glabellar reflex The glabellar reflex, also known as the "glabellar tap sign", is a primitive reflex elicited by repetitive tapping of the the smooth part of the forehead above the nose and between the eyebrows. Subjects respond to the first several taps by blink ... References Bones of the head and neck {{musculoskeletal-stub ...
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Denervation
Denervation is any loss of nerve supply regardless of the cause. If the nerves lost to denervation are part of the neuronal communication to a specific function in the body then altered or a loss of physiological functioning can occur. Denervation can be caused by injury or be a symptom of a disorder like ALS, post-polio syndrome, or POTS. Additionally, it can be a useful surgical technique to alleviate major negative symptoms, such as in renal denervation. Denervation can have many harmful side effects such as increased risk of infection and tissue dysfunction. Causes The loss of nerve supply can be caused by injury, disorders, or result from a surgical procedure. Injuries Denervation may be the result of nerve injury. The three main types of nerve injury are neurapraxia, axonotmesis and neurotmesis. These three types distinguish between the severity of the nerve damage and the potential for recovery after the damage. After an injury in which some nerves are damaged, the bra ...
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ScienceDirect
ScienceDirect is a website which provides access to a large bibliographic database of scientific and medical publications of the Dutch publisher Elsevier. It hosts over 18 million pieces of content from more than 4,000 academic journals and 30,000 e-books of this publisher. The access to the full-text requires subscription, while the bibliographic metadata is free to read. ScienceDirect is operated by Elsevier. It was launched in March 1997. Usage The journals are grouped into four main sections: ''Physical Sciences and Engineering'', ''Life Sciences'', ''Health Sciences'', and ''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. Subscriptions to the overall offering hosted on ScienceDirect, rather than to specific titles it carries, are usually acquired through a ...
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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 scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a given journal, as i ... of 4.453. Sources External links * Neurology journals Elsevier academic journals Publications established in 1964 Monthly journals {{neurology-journal-stub ...
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Progressive Supranuclear Palsy
Progressive supranuclear palsy (PSP) is a late-onset degenerative disease involving the gradual deterioration and death of specific volumes of the brain. The condition leads to symptoms including loss of balance, slowing of movement, difficulty moving the eyes, and cognitive impairment. PSP may be mistaken for other neurodegenerative diseases such as Parkinson's, frontotemporal dementia and Alzheimer's. The cause of the condition is uncertain, but involves accumulation of tau protein within the brain. Medications such as levodopa and amantadine may be useful in some cases. PSP affects about six people per 100,000. The first symptoms typically occur at 60–70 years of age. Males are slightly more likely to be affected than females. No association has been found between PSP and any particular race, location, or occupation. Signs and symptoms The initial symptoms in two-thirds of cases are loss of balance, lunging forward when mobilizing, fast walking, bumping into objects o ...
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