Chapter 298: Nystagmus

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Kraft urgently retrieved information about the damage in his brain, but the brain did not give any information that would explain the current situation.

The consequences of central nervous system injury are varied, and changes in the eye are certainly one of them. From vision to movement, it includes abnormal pupil size, blurred visual field, abnormal eye movement, etc.

In general, there is a good chance that a patient will be selected for one or more of them, depending on the location and severity of the lesion.

Anatomically backwards, the source of nystagmus may be localized in several different functional areas. the vestibular system that perceives postural position, in both inner ears; oculomotor nuclei, in the brainstem midbrain; The cerebellum, which is responsible for coordinating movements, is located behind and below the skull.

So, what kind of trauma can hit several functional areas so precisely that results in a consistent vertical upward nystagmus in other cases with different symptoms?

It is better to believe in this kind of thing, than to believe that the high-altitude falling object happened to loosen the old blood clot and necrotic area in the pedestrian's brain for many years, and once it was perfused and then communicated - the person who believed should also go to it.

There should be some other cause, a simpler and more direct cause, and it is most likely through the normal route, not pathological cause. After all, it would be outrageous to say that different injuries happen to cause specific pathological manifestations of the same pathology, but it makes sense to say that some unknown condition is caused by the normal innate reflexes of the person.

Just like in a dark bedroom, everyone's morning alarm suddenly rings, the most suspicious thing is not that everyone has set the alarm clock in the middle of the night for different reasons, but whether it is a rainy day or the curtains are not opened.

The logical process is a bit complicated, but it's only a matter of moments in the mind. Kraft temporarily dismisses the seemingly most plausible explanation for intracranial injury, turning the tip of the gun to think about the normal situation.

This relates to what the physiological significance of nystagmus is.

In order to adapt to the acceleration of movement, the visual system spontaneously adjusts to try to counteract the effects of the movement.

Reflected on the eyeball, it is a high-frequency turn to track the flashing scene.

Imagine sitting on a moving train, your eyes tracking each street tree that has been thrown behind and turning back, causing it to look like it is trembling, and the direction of the steering tremor is exactly the opposite of the direction of the body's movement.

If interpreted from this perspective, the consistent vertical upward nystagmus of patients in deep coma actually reflects their perception of the change in their position.

[The body is falling]

The clues pointed in a very bad direction, like triumphantly following the clues found through the fog during the hunt, and what appeared in front of me was not an elk or a wild boar, but a strange thing roaming in the woods.

"How is that possible?" Kraft heard his own grunt, and no one answered his self-talk, "It doesn't make sense." ”

Combined with an unusual earthquake, the deep effects can be linked almost immediately. But none of the patients here have a clear history of contact, so why did they progress to a sense of decline so quickly?

In that slight nystagmus, he seemed to catch a glimpse of some uncanny approach, and although it had not yet arrived, the aftermath of its march had penetrated the spatial barrier, stirring his consciousness in the spiritual world that had fallen into a deep coma.

This kind of media-free influence will only happen if the two are close enough.

"What the hell."

It's better to guess in the wrong direction. He can only comfort himself like this, a non-neurological doctor, with some textbook knowledge, is subjective and arbitrary after all.

The task now is not to continue dwelling on this issue, but to continue dealing with the patient and asking them later if they remember what they sensed when they were on the verge of death – if ever later.

The monks of the church were also busy, and they followed the advice not to mess with the sick person, so they just whispered a prayer and tapped the sick person's forehead.

In terms of effect, this kind of action is very good to calm most of the patients who are still conscious, and make them calm down a lot.

And Kraft began to deal with the heavier parts that were currently in a position to be processed.

He inspected the effect of Coop's puncture and the closure of the puncture point, expressed his approval of his technique, and beckoned the assistant to move the selected patients to a more dense place.

Coop watched in amazement as Kraft navigated the crowded gap between the patients, as if he had suddenly become dexterous.

It's not that the professor is usually clumsy, but that his activities are suddenly guided beyond the limits of his perspective, and he can accurately avoid the patient's clothes and moving hands and feet, even without looking at his feet.

Kraft briskly crouched down beside the dislocated patient and inhaled a small amount of ether that was in his toolbox to relax his consciousness and muscles. Then hold the sides of the patient's head with both hands and pull steadily and vigorously upwards slowly.

Coop has learned from his long studies that the complexity of the neck can be caused by a small amount of force that can cause a change in the position of several vertebrae that look similar but are actually of different shapes, and that such a change in position can cause effects ranging from pathogenic to lethal with just a small change.

He has also seen the usual manual reduction, which needs to infer the situation from the position of those bony landmarks on the body surface, and then carefully implicate, and there is a possibility that the reduction will fail.

However, the purpose of the hands was very clear, and they did not adjust back and forth, and after the pulling, they turned a decisive angle, and then released, pushed and reset.

The neck was straightened, the expression on the patient's face was soothed during the sleep, and the sides and front and back of the neck were fixed with cotton pads and slats made of thick bark.

"It's not a standard operation, it's just a compromise for a limited amount of time." Kraft still has time to point out that his behavior is not worth learning, "I usually have to honestly look for the location of bony landmarks and then try carefully." ”

But he immediately reduced several cases of fractures with obvious deformities in the same way, bandaged and fixed the label, and asked for a re-examination in the future.

The speed and effect were faster than anything Coop knew, and even more perfect than the usual Kraft himself.

Even the onlookers of the church gave layman praise, and when Brother Wattin learned that Kraft had rescued a colleague who had been wounded in the head and was not yet from the Faculty of Medicine at Tunlin University, he expressed a rare recognition.

As a student and assistant, you should feel proud of your mentor's skills. But Coop felt only an incomprehensible emotion cast onto his mind like an elongated shadow in the night, and it took him a moment to discern that it was a twisted fear.

This fear does not come from the unknown, but from the known. It is precisely because of understanding that it feels incomprehensible.

Kraft began to remove the hair of the comatose patient, drawing circles on the head with a pen, either on the same side of the extracutaneous injury or on the opposite side.

A long-lost sense of isolation hovered overhead, the room was full of people, watching the same scene, but none of them could empathize with what he had discovered, invisible barriers that separated him from the crowd, alone with the incomprehensible. Even when rationally knows that they are safe, the fear that comes from biological instinct still grows.

Once he realized this, he began to feel that something was moving around him, a breezy and illusory part of it swaying past his face, inside his body, floating unrestrained, constantly touching and tracing things, like an impossibly large sea anemone, unconsciously perceiving the world around him with its blooming tendrils.

It stretches out in the tide that belongs to it, and its posture is comfortable and free.

"What are you doing there? Come and help me! Kraft turned his back to him and shouted, "We need to move this patient back to the clinic, we can't handle it here." ”

"Okay, okay." Koop shuddered, feeling a little chilled, "Are you free later, I have something I want to talk to you about." ”

"Of course, when you're done."

A group friend recommended "You Don't Even Want to Call Me a Priest", I opened it and took a look, I thought it was quite interesting, and I took a look at .jpg again

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