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.
Alternative Title: brain stem Brainstem, area at the base of the brain that lies between the deep structures of the cerebral hemispheres and the cervical spinal cord. The brainstem is divided into three sections in humans: the midbrain (mesencephalon), the pons (metencephalon), and the medulla oblongata (myelencephalon). The brainstem is a sort of automatic control centre for several important involuntary actions of the body, such as heartbeat, breathing, blood pressure, and many reflexes.