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The axis cylin- der, or nerve fibre, of this central tract splits up along various levels of the brain and spinal cord into its terminal fibrils, which surround the den- drones of the ganglion cells of the peripheral motor neuron, located in the various ganglionic enlarge- ments of the spinal cord. The elimination half life effexor xr nerve processes of the peripheral cells emerge as nerve roots from is there a generic form of effexor xr the brain and anterior horn of effexor xr 75mg cap the spinal cord of the same side, and are continued as motor fibres to the muscle, where they finally break up into their ter- minal fibrils among the individual muscle fibres effexor xr 150 mg half life (end is there a generic version of effexor xr organs). The central motor neuron, there- fore, undergoes decussation, while the peripheral does not. The impulses %\hich originate in the cells of the cortex are transmitted to the there generic effexor xr 75mg muscle through the pathway formed by these two neurons, and from the decussation of the central neurons it follows that the cortex of each hemisphere controls the mus- cles of the opposite side of the body. In apoplexy the lesion . occurs upon one side of the cerebral hemisphere, while the muscular paralysis, owing to the decussation of buy cheap effexor online the central motor fibres, presents itself upon the effexor xr 37.5 mg generic opposite side of the body. On the other hand, in generic effexor pill identifier poliomyelitis, the multipolar cell in the anterior horn of the spinal cord is involved. It is at this point that the central neuron ends, while the peripheral begins. Since the peripheral motor neuron does not decussate, it follows that the mus- cle paralysis must occur upon the same side as the lesion in the spinal cord. In cerebral apoplexy the blood clot presses upon some portion of the motor cortical zone or upon some of the axis cylinders in the capsule, hence the will or the desire for muscular contraction cannot be transmitted to the multipolar there generic effexor xr yet cells in the cord. This lack of impulse transmission causes the paralysis. Since the aflected muscles are in anatomical and physiological contact with their trophic centre there is not only no wasting nor atrophy, but there may be a spastic paralysis in generic effexor xr vs brand effexor xr ad- dition, instead of a flaccid paralysis. In poliomyeli- tis the axis cylinder, the end plates, and the muscles are separated from their trophic centre; hence there is complete flaccid paralysis, as well as early atro- phy. The atrophy in cerebral hemorrhage is grad- ual, the result of nonuse ; the atrophy in poliomye- litis is due to the loss of the nerve or centre of nutri- tional control does effexor xr have a generic — secondarily to the nonuse. •Every neuron cell exercises a effexor xr 37.5 mg capsule wye trophic influence on its processes, including effexor generic weight gain the long axis cylinder proc- ess, the end organs, and the tissues which it sup- plies. If this influ'ence is destroyed, the correspond- ing nerve fibre undergoes degeneration, and the ganglion cell itself suffers degenerative changes if the continuity of the neuron is for a long time in- terrupted. THE SENSORY PATHWAY. The function of the sensory pathway is to con- duct sensory impressions from the periphery to the centre. The peripheral sensory neuron complex of the extremities and trunk is contained in the sensory fibres of the peripheral nerves. From its various distributions to the skin and other parts, it continues its course to the spine through the fibres of the vari- ous plexuses, and ends in the cells of the spinal ganglia, without directly entering the spinal cord. (Fii.4.) The cells in the spinal ganglia differ from other cells in that they possess two axones, giving the ap- pearance of the fibre entering at one end of the cell and leaving at the other venlafaxine(effexor xr)er cap 75mg ; these fibres, by which the nerve leaves the cell in the spinal ganglia, collective- ly form the posterior root, and, as such, the sensory peripheral neuron finally reaches the spinal marrow, the posterior roots entering in two separate parts 624

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