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confirmation of ALS after a 52 year old female complained about challenges…

- - - - ventilation support
  - - - insertion of feeding tube into stomach
  - - - edaravone
      - riluzole
  - - - computer-base synthesizers
- - - - bundle of motor neurons
    - - contains cell bodies of interneurons
    - - contains CSF
    - - motor neurons
    - - column of myelinated axons
    - - sensory neurons
    - - slightly wider groove anteriorly
    - - autonomic motor neurons
    - - sensory neuron
    - - narrow groove posteriorly
  - - - transmits sensory impulses to CNS
    - - processes sensory impulses
      - predicts correct motor response
    - - dendrites of sensory neurons
      - detects temperature, pain etc.
    - - transmit motor impulses from CNS to effector
  - - - general sensory function
    - - process visual information and stores them
    - - motor functions
    - - sense of hearing and smell
    - - interpretation of taste
    - - regulates sensory functions
    - - regulates motor functions
    - - separates sensory from motor function area
    - - separates right from left cerebral hemisphere
  - - - upper motor neuron
        
        voluntary movement
        
        in the brain or brainstem
      - lower motor neuron
        
        synapses with the muscle
        
        final link between CNS and skeletal muscle
    - - 2nd order neuron
        
        interneuron
        
        dorsal horn of the spinal cord
      - 3rd order neuron
        
        neuron in the thalamus
        
        connects with the cerebral cortex
      - 1st order neuron
        
        brings the information to the spinal cord
        
        has receptors
- - - - bottom back part of the cortex
    - - beneath the lateral fissure
    - - right behind frontal bone
    - - directly behind forehead
    - - deep within lateral sulcus
    - - separates frontal lobe from parietal lobe
    - - prominent on posterior frontal lobe
    - - immediately posterior to the central sulcus
    - - separates the 2 hemispheres of cerebrum
  - - - upper motor neuron
      - lower motor neuron
    - - 2nd order neuron
      - 3rd order neuron
      - 1st order neuron