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An understanding of sensory disorders depends upon a knowledge of functional anatomy. It is necessary to be familiar with the sensory receptors in the skin and deeper structures, the distribution of the peripheral nerves and roots, and the pathways by which sensory impulses are conveyed from the periphery and through the spinal cord and brainstem to the thalamus and cerebral cortex. These aspects of sensory anatomy and physiology have already been touched upon in Chap. 8, in relation to the perception of pain, and are elaborated here to include all forms of somatic sensation. Charts showing

injure branches of the upper plexus (ilioinguinal, iliohypogastric, and genitofemoral nerves), with severe pain and slight sensory loss in the distribution of one of these nerves The pain may last for months or a year or more The lumbar plexus may be compressed by an aortic atherosclerotic aneurysm Usually there is pain that radiates to the hip, the anterior thigh, and occasionally the ank Slight weakness in hip exion and altered sensation over the anterior thigh are found on examination Plexus involvement with tumors is commonplace and at times presents special dif culties in diagnosis Carcinoma of either the cervix or prostate may seed itself along the perineurial lymphatics and cause pain in the groin, thigh, knee, or back without much in the way of sensory, motor, or re ex loss The pain is more often unilateral than bilateral The CSF and spinal canal (by MRI) are normal.

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Testicular, uterine, ovarian, and colonic tumors or retroperitoneal lymphomas, by extending along the paravertebral gutter, implicate various parts of the lumbosacral plexus Instances of endometriosis that involve the plexus have also been reported The neurologic symptoms are projected at a distance in the leg and may or may not be con ned to the territory of any one nerve Pelvic and rectal examinations may be negative, and CT scanning and MRI may be necessary to show such lesions If all these examinations are negative, exploratory laparotomy may have to be undertaken In cancer patients, it is sometimes dif cult to distinguish the effects of radiation on the lumbosacral plexus from those of metastatic tumor, as is the case in relation to the brachial plexus.

Again, the earliest symptom in metastatic lumbosacral plexopathy is usually pain, whereas in radiation plexopathy it is weakness (Thomas et al); the same as pertains in the brachial plexus Plexopathy from metastatic tumor is usually unilateral and detectable by CT scanning; radiation plexopathy was usually bilateral and not evident in.

Windows Server 2003 offers a lot more functionality in this area, especially with the Volume Shadow Copy service. But, 2 even though data backups are a lot easier to do with WS03, you should still take the time to make sure they have been performed properly. To do so, you need to view the backup 2 log on each file server.

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Use of the GPS Doppler measurements requires knowledge of the velocity of the satellite. That issue is addressed in this section.

brought into resonance to prevent overload. Verify that C18 is properly peaked while monitoring a known on-air signal. 3. With an outside antenna connected, peak C18 for maximum atmospheric noise in the headphones or speaker. Verify that C18 is properly peaked while monitoring a known on-air signal.

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