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ID:37005561
大小:1.16 MB
页数:82页
时间:2019-05-10
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1、NervousPathwayⅠ.TheSensory(Ascending)PathwaysⅠ)Thedeepsensory(ortheproprioceptive)pathways1.Theconsciousdeepsensorypathways1).ThedeepsensoryandfinetouchpathwaysoftrunkandlimbsThefirstneurons:spinalganglionThesecondneurons:gracileandcuneatenucleiThefirstneurons:ventroposteriorlateralnucleusDecussa
2、tionofmediallemniscusLesion:hemiplegiaReceptorsmusclestendonperiosteumandjointSpinalnerve(peripheralprocesses)SpinalgangliaThefirstneuronsDorsalroots(medialbundle)(Centralprocesses:fasciculuscuneatusandgracilis)GracileandcuneatenucleiThesecondneuronsthalamocorticaltractRunningthroughtheposteriorl
3、imboftheinternalcapsuleCortexofthecerebrumDecussationofmediallemniscusThethirdneuronsVentroposteriorlateralnucleusMediallemniscus,throughthemedullaoblongataponsandmidbrain2.TheunconsciousdeepsensorypathwayReceptorsmusclestendonperiosteumandjointSpinalnerve(peripheralprocesses)SpinalgangliaThefirs
4、tneuronsDorsalroots(Centralprocesses)ThoracicnucleusofC8-C12andlateralpartoflaminaⅤ-ⅦoflumbosacralenlargementThesecondneuronsTheanteriorandposteriorspinocerebellartractsBywayofthesuperiorandinferiorcerebellarpedunclesCortexofthecerebellumⅡ)Thesuperficialsensorypathways1.Thesuperficialsensorypathw
5、ayoftrunkandlimbs1).ThepathwayconcernedwithpainandthermalsensationsThefirstneurons:spinalganglionThesecondneurons:nucleuspropriusThefirstneurons:ventroposteriorlateralnucleusCrossthroughtheanteriorwhitecommissureReceptorsCutaneousexteroceptorofthetrunkandlimbsSpinalnerve(peripheralprocesses)Spina
6、lgangliaThefirstneuronsDorsalroots(lateralbundle)(Centralprocesses:dorsolateralfasciculus)NucleuspropriusThesecondneuronsthalamocorticaltractRunningthroughtheposteriorlimboftheinternalcapsuleCortexofthecerebrumCrossthroughtheanteriorwhitecommissureandformthelateralspinothalamicThethirdneuronsVent
7、roposteriorlateralnucleusRunupwardwithinoneortwosegments2).TherudetactileandpressuresensationpathwayTherouteisalmostsameasthepainandthermalpathwayexceptforalittledifference.2.ThesuperficialsensorypathwayofheadandfaceRe
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