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If regenerating bers originally connected with the orbicularis oculi become connected with the orbicularis oris, closure of the lids may cause a retraction of the corner of the mouth; or if visceromotor bers originally innervating the salivary glands later come to innervate the lacrimal gland, anomalous tearing (crocodile tears) occurs whenever the patient salivates A similar mechanism explains gustatory sweating of the cheek and upper lip Hemifacial Spasm The facial muscles on one side may be involved in painless irregular clonic contractions of varying degree (hemifacial spasm) This condition develops in the fth and sixth decades, affects women more than men, and it usually proves to be due to a compressive lesion of the facial nerve, most often by a tortuous branch of the basilar artery that lies on the ventral surface of the pons and forms a loop under the proximal nerve.

Less often the cause of compression is a basilar artery aneurysm, or an acoustic nerve tumor or meningioma The spasm usually begins in the orbicularis oculi muscle and gradually spreads to other muscles on that side of the face, including the platysma The paroxysm may be induced or aggravated by voluntary and re exive movements of the face There was for a time controversy concerning the pathogenesis of hemifacial spasm Jannetta attributed all cases to a compression of the root of the facial nerve by an aberrant looped blood vessel Microsurgical decompression of the root with the interposition of a pledget between the vessel and the root has relieved the facial spasm in most of his cases These results have been corroborated by Barker and associates in a series of 705 patients followed postoperatively for an average period of 8 years; 84 percent achieved an excellent result.

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An even higher rate of bene t was obtained in a prospective series by Illingworth and colleagues (cure of 81 of 83 patients) The pathophysiology of the spasm is believed to be focal demyelination nerve root compression The demyelinated axon is theorized to activating adjacent nerve bers by ephaptic transmission ( arti cial synapse of Granit et al) Another possible source of the.

It may help increase your success rate on option positions. Avoiding volatility risk and time value mistakes with shortterm high-volatility options will improve your percentage of winning option trades. Everyone has losing option trades; it is the nature of the beast, but identifying volatility is the key to success. Paying close attention to the positioning of high-volatility options will key you into the movement of money in a particular underlying asset. If you begin to see the volatility curve dip down on the put side of the equation and increase on the call option side, there is a likelihood that large-scale investors are buying protection on short positions in out-ofthe-money calls or there is speculative interest in the long side of the market. Evaluating option implied volatility will help you with your technical charting. If an option has a particularly large open interest, there may be an attempt brewing to pin the market to a particular strike price. Look at that strike price on your underlying chart and draw a line to it. Where does that take the market Up, down, sideways Better than drawing a trend line to the strike price, look at your most recent bell curve. Where does the curve hit the strike price That strike price may end up as a feature of the bell curve. Are there any major support or resistance points around the strike price gaps, or other technical features that would explain the open interest Another key to success in using any option strategy is to analyze the option movement and implied volatility in the

Selling options with short periods to expiration tends to boost the success probabilities of the trade. By limiting naked option positions to shorter time periods, you decrease the time for the underlying asset to make a substantial move that would place your short option in the money. As you look at options chains with Greeks, you will notice that theta increases as the number of days to expiration decreases. What you want is this accelerated theta in your corner. With shorter-term options the fundamentals of the underlying asset are somewhat clearer. You have at least some general idea of the upcoming dividends, earnings, Federal Open Market Committee (FOMC) meetings, and so on when you are trading within say 100 days of expiration. Ideally we are looking for something less than

Acute Sensory Neuronopathy (Sensory Ganglionopathy)

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