Cervical disc herniation presenting with neck pain and contralateral symptoms: a case report.

INTRODUCTION: Cervical disc herniation often results in neck and arm pain in patients as a result of direct impingement of nerve roots and associated inflammatory processes. The clinical presentation usually corresponds with the side of herniation and ipsilateral symptoms predominate the clinical picture. CASE PRESENTATION: A 35-year-old Caucasian man presented to our facility with neck pain and left-sided upper and lower extremity pain. A magnetic resonance imaging scan revealed a right paramedian herniated disc at the C5 to C6 level. All other cervical levels were normal without central canal stenosis or neural foraminal stenosis. Results from magnetic reasonance imaging scans of the brain and lumbar spine were negative. An anterior cervical discectomy was performed at the C5 to C6 level, and an inter-body graft and plate were placed. Our patient had complete resolution of his neck and left arm pain. CONCLUSIONS: Anterior discectomy and fusion of the cervical spine resulted in complete resolution of our patient's neck and left arm symptoms and improvement of his contralateral left leg pain. Cervical disc herniation may present with contralateral symptoms that are different from the current perception of this disease.

Brain collections at the National Museum of Health and Medicine.

Owing in large part to the foresight and efforts of Wally Welker, the National Museum of Health and Medicine has become a major repository for collections of brain specimens vital to the study of neurobehavioral evolution. From its origins in the Armed Forces Institute of Pathology, with the collection of largely pathological specimens assembled by Paul Yakovlev, the museum has added to its resources four additional extensive collections, largely consisting of specimens acquired specifically for comparative and evolutionary studies: Welker's collection from the University of Wisconsin-Madison, John I. Johnson's collection from Michigan State University, the Adolf Meyer Collection from the Johns Hopkins University, and the Elizabeth Crosby collections from the University of Michigan. We describe here the history and contents of each of these five collections, to inform the scientific field of the extent and details of these remarkable resources.

The C. U. Ariëns Kappers brain collection.

The C. U. Ariëns Kappers brain collection, at the Netherlands Institute for Neuroscience in Amsterdam, is one of the largest and oldest of the world's catalogued repositories of specimens that reveal the course of brain evolution and the resulting panoply of neural biodiversity. Established a century ago, it has served since then as the basis of the encyclopedic texts authored by its founder, as well as research publications into the current time. It consists of 726 specimens: these include 309 mammals, 134 birds, 81 reptiles, 21 amphibians, and 179 "pisces"--a grouping of bony fish, sharks, and cyclostomes. We present here accounts of the history and contents of this treasure trove of research materials.

Somatosensory nuclei of the manatee brainstem and thalamus.

Florida manatees have an extensive, well-developed system of vibrissae distributed over their entire bodies and especially concentrated on the face. Although behavioral and anatomical assessments support the manatee's reliance on somatosensation, a systematic analysis of the manatee thalamus and brainstem areas dedicated to tactile input has never been completed. Using histochemical and histological techniques (including stains for myelin, Nissl, cytochrome oxidase, and acetylcholinesterase), we characterized the relative size, extent, and specializations of somatosensory regions of the brainstem and thalamus. The principal somatosensory regions of the brainstem (trigeminal, cuneate, gracile, and Bischoff's nucleus) and the thalamus (ventroposterior nucleus) were disproportionately large relative to nuclei dedicated to other sensory modalities, providing neuroanatomical evidence that supports the manatee's reliance on somatosensation. In fact, areas of the thalamus related to somatosensation (the ventroposterior and posterior nuclei) and audition (the medial geniculate nucleus) appeared to displace the lateral geniculate nucleus dedicated to the subordinate visual modality. Furthermore, it is noteworthy that, although the manatee cortex contains Rindenkerne (barrel-like cortical nuclei located in layer VI), no corresponding cell clusters were located in the brainstem ("barrelettes") or thalamus ("barreloids").

Neuroanatomical structure of the spinner dolphin (Stenella longirostris orientalis) brain from magnetic resonance images.

High-resolution magnetic resonance (MR) images of the brain of an adult spinner dolphin (Stenella longirostris orientalis) were acquired in the coronal plane at 55 antero-posterior levels. From these scans a computer-generated set of resectioned virtual images in the two remaining orthogonal planes was constructed with the use of the VoxelView and VoxelMath (Vital Images, Inc.) programs. Neuroanatomical structures were labeled in all three planes, providing the first labeled anatomical description of the spinner dolphin brain.

Neuroanatomy of the harbor porpoise (Phocoena phocoena) from magnetic resonance images.

Cetacean (dolphin, whale, and porpoise) brains are among the least-studied mammalian brains because of the formidability of collecting and histologically preparing such relatively rare and large specimens. Among cetaceans, there exist relatively few studies of the brain of the harbor porpoise (Phocoena phocoena). Magnetic resonance imaging (MRI) offers a means of observing the internal structure of the brain when traditional histological procedures are not practical. Therefore, MRI has become a critical tool in the study of the brain of cetaceans and other large species. This article represents the first MRI-based anatomically labeled three-dimensional description of the harbor porpoise brain. Coronal plane sections of the brain of a young harbor porpoise were originally acquired and used to produce virtual digital scans in the other two orthogonal spatial planes. A sequential set of images in all three planes has been anatomically labeled and displays the proportions and positions of major neuroanatomical features. These images allow for the visualizing of the distinctive features of the harbor porpoise brain from various orientations by preserving the gross morphological structure of the specimen.

Neuroanatomy of the common dolphin (Delphinus delphis) as revealed by magnetic resonance imaging (MRI).

In this study, magnetic resonance (MR) images of the brain of an adult common dolphin (Delphinus delphis) were acquired in the coronal plane at 66 antero-posterior levels. From these scans a computer-generated set of resectioned virtual images in orthogonal planes was constructed using the programs VoxelView and VoxelMath (Vital Images, Inc., Michigan State Univ.). Sections in all three planes reveal major neuroanatomical structures. These structures in the adult common dolphin brain are compared with those from a fetal common dolphin brain from a previously published study as well as with MR images of adult brains of other odontocetes. This study, like previous ones, demonstrates the utility of MR imaging (MRI) for comparative neuroanatomical investigations of dolphin brains.