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The ability of the nervous system to maintain normal
function is the stuff of legend. This is well exemplified by the
"Giraffe Neck"
syndrome. There are, however, a number of other clinical syndromes which serve
to illustrate the effects of diminished neuronal reserve. Some
examples are:
"Sundowner's" Syndrome
In older individuals who have experienced multiple small strokes to
the brain they may appear to be neurologically intact when they arise in
the morning refreshed from sleep and neurologically impaired at night
after a tiring day. "Sundowner's" Syndrome has been the
bane of young interns and residents who have admitted neurologically
impaired patients to the hospital at night only to find them
neurologically intact in the morning when presenting their case to their
attending physician.
"Post-Polio" Syndrome
The neurologic sequela of poliomyelitis were devastating to many
individuals in the mid-part of the 20th century. For those who were
lucky enough to experience sensible
rehabilitation good recoveries were possible. The
"post-polio" syndrome refers to the onset, in recovered polio
patients, of progressive weakness of the lower extremities in their fourth
through sixth decades of life. Because these individuals had lost
their neuronal reserve in childhood they were becoming progressively
impaired because of the neuronal population decrease from the process of
aging alone. |