2010 Alphabet Update. In 2010, a number of changes occurred to the Spanish alphabet, according to the Real Academia EspaÃ±ola. Prior to 2010, the Spanish alphabet had 29 letters. The Real Academia EspaÃ±ola had included ch and ll, as officially recognized letters. They do have distinct pronunciations, much like ch does in English.
The trigeminocardiac reflex (TCR) is a well-established brain stem reflex. Since it was first described by Schaller in 1999, the TCR has gone from being considered an episodic occurrence to becoming known as one of the most important phenomena ever seen in a number of different neurosurgical procedures, especially skull-base surgery. 1.; 2.; 3.; 4.
Brain Stem. The brain stem is part of the hindbrain and connects the brain to the spinal cord. It controls various vital functions such as blood pressure, breathing and heart rate. Nerve impulses to and from the cerebellum and the cerebrum must travel through the brain stem.