1991
DOI: 10.1001/archneur.1991.00530230098031
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Selective Paralysis of Voluntary but Not Limbically Influenced Automatic Respiration

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Cited by 61 publications
(25 citation statements)
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“…Corresponding to the presence of hemiparesis and abnormalities of the corticorespiratory projections in our patients, the lesions demonstrated by MRI have been located along the pyramidal tract [38,43] in the corona radiata, internal capsule, and the base of the pons. Our findings explain the observation of complete loss of voluntary respiration in patients with bilateral infarction in the base of the pons [41] and might contribute to the understanding why in a retrospective study including 71 patients with hemiparesis due to ischemia and unilateral pneumonia the incidence of pneumonia on the hemiparetic side was much higher than on the contralateral side (55 patients vs. 16 patients) [29].…”
Section: Discussionsupporting
confidence: 76%
“…Corresponding to the presence of hemiparesis and abnormalities of the corticorespiratory projections in our patients, the lesions demonstrated by MRI have been located along the pyramidal tract [38,43] in the corona radiata, internal capsule, and the base of the pons. Our findings explain the observation of complete loss of voluntary respiration in patients with bilateral infarction in the base of the pons [41] and might contribute to the understanding why in a retrospective study including 71 patients with hemiparesis due to ischemia and unilateral pneumonia the incidence of pneumonia on the hemiparetic side was much higher than on the contralateral side (55 patients vs. 16 patients) [29].…”
Section: Discussionsupporting
confidence: 76%
“…Interestingly, loss of voluntary respiration with intact automatic breathing was previously reported in a patient with discrete infarction of the ventral basis pontis. 5 These support that there are at least 2 separate neural pathways controlling respiration.…”
mentioning
confidence: 85%
“…The neural basis of the behavioural system of control therefore, includes corticospinal and/or corticobulbar pathways which permit voluntary modification of breathing, but also probably involve additional pathways from other suprapontine areas such as the limbic system. Recent clinical evidence indicates that emotions can affect breathing when volitional respiratory control is lost, following a lesion of the corticospinal tract (Munschauer, Mador, Ahuja & Jacob, 1991).…”
mentioning
confidence: 99%