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Since the discovery of the two BER pathways, there has been a debate about how a cell chooses one pathway over the other and the factors determining this selection. Numerous in vitro experiments have pointed out multiple determinants for the sub-pathway selection. These are:
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The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
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Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves. While the first six innervate the head and neck, the latter six nerves innervate the head and neck, as well as organs and tissues in the thoracic and abdominal cavities. They facilitate communication, expression, and autonomic control within the human body.
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The cranial part of the parasympathetic division plays a crucial role in regulating the visceral functions of the head and specific structures in the neck, thoracic, and abdominopelvic cavities. Preganglionic fibers of the parasympathetic division exit the brain through cranial nerves III (oculomotor), VII (facial), IX (glossopharyngeal), and X (vagus), delivering parasympathetic output to the respective visceral structures.
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Many fundamental cell functions such as muscle contraction and nerve transmission rely on the electrical signals produced by the movement of positively and negatively charged ions across the cell membrane. One competent method to record current flowing across the whole cell or single ion channel is the patch-clamp technique.
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Updated: Feb 12, 2026

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Diphtheria Presenting With Cranial Neuropathy: The Patch Unseen.

Sonali Ghosh1, Shamsul Hoque2, Soumodip Saha2

  • 1Emergency Medicine and Critical Care, Institute of Post-Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, IND.

Cureus
|February 11, 2026
PubMed
Summary

Diphtheria can cause rare but serious neurological issues like cranial neuropathies. Early diagnosis and vaccination are crucial for preventing and managing this vaccine-preventable disease.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Public Health

Background:

  • Diphtheria remains endemic in developing nations, posing risks beyond respiratory illness.
Keywords:
antitoxindiphtherianeuromuscular disorderspolyneuropathyvaccination

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  • Neurological complications, such as polyneuropathy, are rare but severe sequelae of diphtheria.
  • These complications can mimic other neuromuscular disorders, delaying accurate diagnosis and treatment.