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cases, if there is no collateral ow from the carotid system via the circle of Willis, occlusion of the one functional vertebral artery is equivalent to occlusion of the basilar artery (see below) The posteroinferior cerebellar artery (PICA) is usually a branch of the vertebral artery but can have a common origin with the anteroinferior cerebellar artery (AICA) from the basilar artery It is necessary to keep these anatomic variations in mind in considering the effects of vertebral artery occlusion The vertebral arteries are most often occluded by atherothrombosis in their intracranial portion Since the vertebral arteries have a long extracranial course and pass through the transverse processes of C6 to C1 vertebrae before entering the cranial cavity, one might expect them to be subject to trauma, spondylotic compression, and a variety of other vertebral diseases With the exception of arterial dissection, in our experience this happens only infrequently We have not seen convincing examples of spondylotic occlusion but several have been reported Extreme extension of the neck, as experienced by women who are having their hair washed in beauty salons, may give rise to transient symptoms in the territory of the vertebral artery Dissection of the vertebral artery is well described; it declares itself by cervico-occipital pain and de cits of brainstem function, usually bilateral It may be precipitated by vigorous and protracted bouts of coughing or by trauma to the neck or head Dissection of the extracranial vessels is discussed under Dissection of the Cervical and Intracranial Vessels, further on Examples of posterior circulation stroke in children have been reported in association with odontoid hypoplasia and other atlantoaxial dislocations, causing the vertebral arteries to be stretched or kinked in their course through the transverse processes of C1-C2 (see Phillips et al) The results of vertebral artery occlusion are quite variable When there are two good-sized arteries, occlusion of one PICA may cause no recognizable symptoms and signs If the occlusion of the vertebral artery is so situated as to block the branch supplying the lateral medulla and inferior cerebellum (PICA), a characteristic syndrome results with vertigo being a prominent symptom (see. download pdf in mvc Create A PDF File And Download Using ASP . NET MVC - C# Corner
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Detail: I am working on a project that converting my views(ASP MVC 4.5 ) to Pdf using Evo Pdf, in my view, I have used Kendo UI controls, so I reference the ... Lateral Medullary Syndrome below) If the subclavian artery is blocked proximal to the origin of the left vertebral artery, exercise of the arm on that side may draw blood from the right vertebral and basilar arteries, down the left vertebral and into the distal left subclavian artery sometimes resulting in the symptoms of basilar insuf ciency This phenomenon, described in 1961 by Reivich and colleagues, was referred to by Fisher as the subclavian steal Its most notable features are vertigo and sometimes other brainstem signs coupled with transient weakness on exercise of the left arm There may also be headache and claudication or pain of the arm Less often, occlusion of the vertebral artery or one of its medial branches produces an infarct that involves the medullary pyramid, the medial lemniscus, and the emergent hypoglossal bers; the resultant syndrome consists of a contralateral paralysis of arm and leg (with sparing of the face), contralateral loss of position and vibration sense, and ipsilateral paralysis and later atrophy of the tongue This is the medial medullary syndrome (Fig 34-13) A more limited lesion, from occlusion of one spinal artery arising from the vertebral artery, gives rise to a contralateral hemiplegia (rarely a quadriplegia) that spares the face When the vertebral branch to the anterior spinal artery is blocked, ow from the other (corresponding) branch is usually suf cient to prevent infarction of the cervical cord, but we and others have described pyramidal infarction with hemiplegia that spares the face Occlusion of a vertebral artery low in the neck is usually compensated by anastomotic ow to the upper part of the artery via the thyrocervical, deep cervical, and occipital arteries or re ux from the circle of Willis Lateral Medullary Syndrome Known also as the Wallenberg syndrome (who described a case in 1895), this common stroke is produced by infarction of a wedge of lateral medulla lying posterior to the inferior olivary nucleus (Fig 34-13) The complete syndrome, as outlined by Fisher and colleagues (1961), comprises involvement of the vestibular nuclei (vertigo, nystagmus, oscillopsia, vomiting); spinothalamic tract (contralateral or, less often, ipsilateral impairment of pain and thermal sense over half the body); descending sympathetic tract (ipsilateral Horner syndrome mio-. and the elementd12woSeliminatedby using the factor -019 f, : 7J0333 : -00271100 Options for DB_RECNO Databases (continued) Medial longitudinal fasciculus 12th N nucleus Medial lemniscus Tractus solitarius with nucleus Vestibular nucleus Restiform body Cerebellum F I G U R E7 1 3 1 jn lllusirotion Simpsons cnd 3/Brules beopplied tondem hondle of how 1/3 con 1o muriple For example, to set the record length in a fixed-length database: Nucleus ambiguus motor 9 + 10 Descending nucleus and tract-5th N Descending sympathetic tract Dorsal spinocerebellar tract 10th N Lateral medullary syndrome Ventral spinocerebellar tract Pyramid Medial medullary syndrome 12th N Spinothalamic tract Inferior olive $options = new DB_File::BRECNOINFO; $options->{'reclen'} = 1024; tie @db, 'DB_File', "filedb", O_RDWR, 0644, $options; (Fig ll 13)In thisway,wecouldobtain estimate third-order three an with accuracy across theentire interval Figure 34-13 Transverse section through the upper medulla (Continued on the facing page) If you want, you can use the array as a stack Versions of Perl newer than 5004_57 can use the normal pop, push, shift, and unshift functions directly with the tied array asp.net mvc 4 generate pdf Display (Show) PDF file embedded in View in ASP.Net MVC Razor
4 Jan 2017 ... Net MVC Razor. This article will explain how to view PDF files within browser without downloading them in ASP.Net MVC Razor. TAGs: ASP. devexpress asp.net mvc pdf viewer [PDF] ASP.NET MVC 6 Documentation - Read the Docs
Mar 2, 2016 · 2.1 Building your first MVC 6 application. 2.1.1 Getting started with ASP.NET MVC 6. By Rick Anderson. This tutorial will teach you the basics of ...
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