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dilation of the third and both lateral ventricles In the hereditary cases reported by Bickers and Adams, the transmission was in three generations of males If the obstruction was in the fourth ventricle, the dilation included the aqueduct Other sites of obstruction of the CSF in the ventricular pathways are at the foramina of Luschka and Magendie (eg, congenital failure of opening of the foramina Dandy-Walker syndrome) More common is a blockage to ow of CSF in the subarachnoid space around the brainstem due to in ammatory or hemorrhagic brosing meningitis The latter forms of obstruction result in enlargement of the entire ventricular system, including the fourth ventricle A still useful adage, attributed to Ayer, is that the ventricle closest to the obstruction enlarges the most; meaning, for example, that occlusion of the basal CSF pathways causes a disproportionate enlargement of the fourth ventricle, and a mass within the fourth ventricle leads to a greater dilatation of the third than of the lateral ventricles Another potential obstruction site is in the subarachnoid spaces over the cerebral convexities A matter of considerable practical as well as theoretical interest is whether a meningeal obstruction over the convexities of the cerebral hemispheres, at the site of the arachnoidal villi, or a blockage of the venous sinuses into which the CSF is absorbed, can result in hydrocephalus Russell, in her extensive neuropathologic material and her review of the world s literature, could not nd a single well-documented example of either of these suggested etiologies, and the same is true of the pathologic material collected by our colleague RD Adams Moreover, experiments in animals in which all the draining veins had been occluded, a tension hydrocephalus with enlarging lateral ventricles was produced in only a few cases Yet Gilles and Davidson have stated that tension hydrocephalus in children may be due to a congenital absence or de cient number of arachnoidal villi, and Rosman and Shands have reported an instance that they attributed to increased intracranial venous pressure Our hesitation in accepting such examples stems from the dif culty that the pathologist has in judging the patency of the basilar subarachnoid space This is much more reliably visualized by radiologic than by neuropathologic means Theoretically, as mentioned earlier, if the obstruction is high, near (or in) the superior sagittal sinus, the CSF should accumulate under pressure outside as well as inside the brain, and the ventricles should not enlarge at all or only slightly, and only after a prolonged period The rarely encountered radiologic picture of enlarged subarachnoid spaces over and between the cerebral hemispheres coupled with modest enlargement of the lateral ventricles has been referred to as an external hydrocephalus Although such a condition does exist, many of the cases so designated have proved to be examples of sporadic or familial subdural hygromas or arachnoid cysts Processes such as subarachnoid hemorrhage and cerebral hemorrhage or brain abscess that rupture into the ventricles and rapidly expand the volume of CSF produce the most dramatic forms of acute hydrocephalus The obstruction of the CSF pathways will usually be found within the ventricular system or at the basal meninges The corresponding clinical syndrome of acute hydrocephalus is described below An increase in the rate of formation or decrease in the rate of absorption would be expected to cause an accumulation of CSF and increased ICP The only reported examples of overproduction of CSF are papillomas of the choroid plexus, but even in this circumstance there is usually an associated ventricular obstruction, either of the third or fourth ventricle or of one lateral ventricle.

There are a great many components to the Windows OSes, including their system files, disk management tools, and configuration utilities This chapter focused on those that are most important to the system and the ones you are most likely to have to deal with as a computer technician However, even with all the differences between the Windows 9x and Windows NT/2000, and XP platforms, they have a great many file and disk-related components in common For example, Windows 9x and Windows NT, 2000, and XP rely on the system Registry for most configuration and other system values Both environments support Plug and Play (with the exception of Windows NT 4), contain Registry editors, use virtual memory, and can execute DOS prompt commands The interface of the two platforms is also similar They use a desktop concept that contains icons, a Start menu, a taskbar, and shortcut menus There are, however, a great number of differences between Windows 9x and NT/2000/XP Because Windows 9x is aimed at home users, it supports backward compatibility with older applications and therefore includes many legacy system files, such as SYSTEMINI, WININI, and memory management files (HIMEMSYS and EMM386EXE) Because Windows NT/2000/XP is intended for business networks, it supports more sophisticated file systems, networking components, security, compression, and configuration utilities

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As an anatomic entity, the basal ganglia have no precise de nition Principally they include the caudate nucleus and the lentiform nucleus with its two subdivisions, the putamen and globus pallidus Insofar as the caudate nucleus and putamen are really a continuous structure (separated only incompletely by bers of the internal capsule) and are cytologically and functionally distinct from the pallidum, it is more meaningful to divide these nuclear masses into the striatum (or neostriatum), comprising the caudate nucleus and putamen, and the paleostriatum or pallidum, which has a medial (internal) and a lateral (external) portion The putamen and pallidum lie on the lateral aspect of the internal capsule, which separates them from the caudate nucleus, thalamus, subthalamic nucleus, and substantia nigra on its medial side (Figs 4-1 and 4-2) By virtue Table 4-1 Clinical differences between corticospinal and extrapyramidal syndromes

Clasp-knife effect (spasticity)

There has always been overhead associated with managing storage for an Oracle database, such as determining which blocks have free space ASM takes care of all of these issues, removing them from the DBA workload In fact, ASM manages much more than these basic tasks The striping and mirroring discussed in the previous sections is done automatically within a disk group You can also dynamically resize a disk group by adding more disks to the group, or take disks out of a disk group Both of these operations can be performed without any downtime If you add new disks to a disk group, ASM will rebalance data across the new disks ASM does an intelligent rebalance, only moving the amount of data necessary to ensure an even balance across the new set of disks, and rebalancing is done, by default,

Plastic, equal throughout passive movement (rigidity), or intermittent (cogwheel rigidity) Generalized but predominates in exors of limbs and of trunk Presence of tremor, chorea, athetosis, dystonia Normal or slightly increased Absent Absent or slight

Operating System Functions and the Windows Family Some functions of an OS is to provide an interface between the user and the

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