| Section 1 BASIC PRINCIPLES |
|
1 | (22) |
|
Introduction to the Nervous System |
|
|
1 | (14) |
|
Nerve Cells and Nerve Fibers |
|
|
1 | (2) |
|
Organization of Cells and Fibers in the Nervous System |
|
|
3 | (1) |
|
Functionally Defined Fiber Groups in the Peripheral Nerves |
|
|
3 | (1) |
|
Overview of the Gross Anatomy of the Nervous System |
|
|
4 | (5) |
|
Internal Anatomy of the Spinal Cord |
|
|
9 | (2) |
|
Development of the Nervous System |
|
|
11 | (4) |
|
Physiology of Nerve Cells |
|
|
15 | (8) |
|
Resting Membrane Potential |
|
|
15 | (1) |
|
Ion Channels Control Membrane Potential |
|
|
16 | (1) |
|
|
|
16 | (2) |
|
|
|
18 | (1) |
|
Afterpotentials and Refractory Periods Follow the Action Potential |
|
|
18 | (1) |
|
|
|
19 | (2) |
|
|
|
21 | (2) |
| Section 2 PERIPHERAL NERVOUS SYSTEM |
|
23 | (18) |
|
Fibers of the Spinal Nerves |
|
|
23 | (4) |
|
Functional Classification |
|
|
23 | (2) |
|
Physiologic Classification |
|
|
25 | (2) |
|
Spinal Reflexes and Muscle Tone |
|
|
27 | (6) |
|
|
|
27 | (1) |
|
|
|
27 | (2) |
|
Alpha, Beta, and Gamma Motoneurons of the Spinal Cord |
|
|
29 | (1) |
|
|
|
30 | (1) |
|
Golgi Tendon Organs and Their Reflexes |
|
|
30 | (1) |
|
|
|
31 | (1) |
|
Reflexes of Cutaneous Origin |
|
|
31 | (2) |
|
|
|
33 | (8) |
|
The Autonomic Nervous System Has Two Divisions |
|
|
33 | (1) |
|
Sympathetic Nervous System |
|
|
34 | (2) |
|
Parasympathetic Nervous System |
|
|
36 | (1) |
|
Autonomic Innervation of the Genitourinary System |
|
|
36 | (2) |
|
Autonomic Reflexes of Other Pelvic Viscera |
|
|
38 | (3) |
| Section 3 ASCENDING AND DESCENDING PATHWAYS |
|
41 | (36) |
|
|
|
41 | (10) |
|
|
|
41 | (1) |
|
Overview of the Pathways for Pain, Thermal Sense, and Touch |
|
|
42 | (1) |
|
Dorsal Roots of the Spinal Nerves Supply Dermatomes |
|
|
42 | (1) |
|
Adjacent Spinal Nerves Form Peripheral Nerves |
|
|
42 | (1) |
|
Pain-Temperature Pathways |
|
|
42 | (5) |
|
|
|
47 | (1) |
|
|
|
47 | (1) |
|
Visceral Pain Pathways and Referred Pain |
|
|
47 | (1) |
|
Effect of Cutting the Spinothalamic Tract |
|
|
48 | (1) |
|
Sensory Effects of Dorsal Root Irritation |
|
|
48 | (1) |
|
|
|
49 | (1) |
|
Central Pain (Thalamic Syndrome) |
|
|
49 | (2) |
|
Proprioception, Touch, and Tactile Discrimination |
|
|
51 | (9) |
|
Central Nervous System Pathways |
|
|
51 | (6) |
|
Physiologic Aspects of Tactile Discrimination |
|
|
57 | (1) |
|
Effect of Spinal Cord Lesions on Touch Sensation |
|
|
58 | (2) |
|
|
|
60 | (8) |
|
Motor Areas of the Cerebral Cortex |
|
|
60 | (1) |
|
Descending Fibers from the Cerebral Cortex and Brain Stem Influence Motor Activity |
|
|
61 | (5) |
|
Role of Lateral, Medial, and Propriospinal Pathways in Spinal Cord Function |
|
|
66 | (2) |
|
Lesions of the Peripheral Nerves, Spinal Nerve Roots, and Spinal Cord |
|
|
68 | (9) |
|
Degeneration and Regeneration of Nerve Cells and Fibers after Injury |
|
|
68 | (1) |
|
Clinical Consequences of Peripheral Nerve Lesions |
|
|
69 | (1) |
|
Lower Motoneuron Lesions: Hypotonic Paralysis of Muscles |
|
|
69 | (1) |
|
|
|
69 | (1) |
|
Upper Motoneuron Lesions: Spastic Paralysis of Muscles |
|
|
70 | (2) |
|
Abnormal Reflexes Associated with Lesions of the Motor Pathway |
|
|
72 | (1) |
|
Transection of the Spinal Cord |
|
|
73 | (1) |
|
Hemisection of the Spinal Cord (Brown-Sequard Syndrome) |
|
|
73 | (2) |
|
Lesions of the Central Gray Matter of the Spinal Cord |
|
|
75 | (1) |
|
Lesions Involving the Ventral Horns and the Corticospinal Tracts |
|
|
75 | (1) |
|
Lesions Involving Dorsal and Lateral Funiculi |
|
|
75 | (1) |
|
Thrombosis of the Anterior Spinal Artery |
|
|
75 | (1) |
|
Tumors of the Spinal Cord |
|
|
76 | (1) |
| Section 4 BRAIN STEM AND CEREBELLUM |
|
77 | (70) |
|
Organization of the Brain Stem and Cranial Nerves |
|
|
77 | (20) |
|
Surface Anatomy of the Brain Stem |
|
|
77 | (5) |
|
Internal Structures at the Transition from Spinal Cord to Brain Stem |
|
|
82 | (1) |
|
Classification of Cranial Nerve Nuclei and Fibers according to their Functions |
|
|
83 | (1) |
|
Functionally Distinct Cranial Nerve Cell Columns |
|
|
84 | (2) |
|
|
|
86 | (2) |
|
Atlas of the Brain Stem: Transverse Sections |
|
|
88 | (7) |
|
Blood Supply to the Brain Stem and Cerebellum |
|
|
95 | (2) |
|
Cranial Nerves of the Medulla |
|
|
97 | (7) |
|
|
|
97 | (1) |
|
|
|
97 | (1) |
|
Vagal System: Nervus Intermedius (VII), Glossopharyngeal (IX), Vagus (X) and Cranial Accessory (XI) Nerves |
|
|
98 | (6) |
|
Cranial Nerves of the Pons and Midbrain |
|
|
104 | (7) |
|
|
|
104 | (1) |
|
|
|
105 | (1) |
|
|
|
105 | (1) |
|
|
|
106 | (1) |
|
|
|
107 | (4) |
|
Lesions of the Brain Stem |
|
|
111 | (8) |
|
Principles of Localization |
|
|
111 | (1) |
|
|
|
112 | (2) |
|
|
|
114 | (2) |
|
|
|
116 | (2) |
|
Brain Stem Lesions Causing Coma and ``Locked-in'' Syndrome |
|
|
118 | (1) |
|
|
|
119 | (8) |
|
|
|
119 | (3) |
|
Central Auditory Pathways |
|
|
122 | (2) |
|
Diagnosing Hearing Deficits from Nerve Damage and from Conductive Defects |
|
|
124 | (1) |
|
|
|
125 | (2) |
|
|
|
127 | (8) |
|
Vestibular Portion of the Inner Ear |
|
|
127 | (2) |
|
Vestibular Nerve and Its Central Connections |
|
|
129 | (1) |
|
Vestibulocerebellar Connections |
|
|
130 | (1) |
|
|
|
130 | (1) |
|
|
|
131 | (2) |
|
Vestibulothalamocortical Pathway |
|
|
133 | (1) |
|
Sensory Aspects of Vestibular Stimulation |
|
|
133 | (2) |
|
|
|
135 | (12) |
|
Overview of Cerebellar Function |
|
|
135 | (1) |
|
|
|
135 | (4) |
|
|
|
139 | (2) |
|
|
|
141 | (2) |
|
Integration of the Cerebellum and Cerebral Cortex in Movement and Cognition |
|
|
143 | (1) |
|
Clinical Signs of Cerebellar Dysfunction |
|
|
144 | (1) |
|
|
|
145 | (2) |
| Section 5 FOREBRAIN |
|
147 | (74) |
|
|
|
147 | (11) |
|
|
|
147 | (2) |
|
|
|
149 | (1) |
|
Connections of the Dorsal Striatum and Pallidum with the Cerebral Cortex |
|
|
150 | (4) |
|
Connections of the Pallidum with the Brain Stem |
|
|
154 | (1) |
|
Ventral Striatum and Pallidum |
|
|
154 | (1) |
|
|
|
154 | (4) |
|
|
|
158 | (9) |
|
Overview of the Visual Pathways |
|
|
158 | (1) |
|
|
|
158 | (3) |
|
|
|
161 | (2) |
|
Information Processing in the Visual Pathways |
|
|
163 | (1) |
|
Effects of Lesions Interrupting the Visual Pathway |
|
|
164 | (3) |
|
Optic Reflexes and Eye Movements |
|
|
167 | (7) |
|
|
|
167 | (1) |
|
Reflexes Associated with the Near-Point Reaction |
|
|
168 | (1) |
|
Disorders of Pupillary Function |
|
|
168 | (1) |
|
|
|
169 | (5) |
|
Cerebral Cortex and Thalamocortical Connections |
|
|
174 | (19) |
|
|
|
174 | (1) |
|
Cortical Cell Layers: The Basis for Structure and Function Relationships within and between Cortical Areas |
|
|
174 | (3) |
|
Cortical Networks and Information Processing |
|
|
177 | (1) |
|
|
|
177 | (3) |
|
Thalamocortical Connections |
|
|
180 | (2) |
|
Functional Cortical Regions |
|
|
182 | (7) |
|
Disorders of Cortical Networks |
|
|
189 | (4) |
|
|
|
193 | (11) |
|
|
|
193 | (1) |
|
Telencephalic Limbic System |
|
|
193 | (4) |
|
|
|
197 | (3) |
|
|
|
200 | (2) |
|
|
|
202 | (2) |
|
|
|
204 | (3) |
|
|
|
204 | (1) |
|
Olfactory Bulbs and Their Projections |
|
|
204 | (2) |
|
|
|
206 | (1) |
|
Damage to Olfactory Structures |
|
|
206 | (1) |
|
|
|
207 | (14) |
|
Characteristics of Neurotransmitter Molecules |
|
|
207 | (1) |
|
Functional Characterization of Neurotransmitter Receptors |
|
|
207 | (1) |
|
|
|
208 | (1) |
|
|
|
209 | (5) |
|
|
|
214 | (4) |
|
|
|
218 | (3) |
| Section 6 CIRCULATION OF BLOOD AND CEREBROSPINAL FLUID |
|
221 | (12) |
|
Cerebral Arteries Supplying the Forebrain |
|
|
221 | (6) |
|
|
|
221 | (1) |
|
Internal Carotid Artery and Its Branches |
|
|
221 | (2) |
|
Posterior Cerebral Artery and Its Branches |
|
|
223 | (2) |
|
Formation of the Circle of Willis and Its Central Branches |
|
|
225 | (2) |
|
|
|
227 | (6) |
|
Formation and Circulation |
|
|
227 | (1) |
|
|
|
228 | (1) |
|
|
|
229 | (1) |
|
|
|
229 | (4) |
| Section 7 APPROACHES TO PATIENTS WITH NEUROLOGIC SYMPTOMS |
|
233 | (14) |
|
Clinical Evaluation of Neurologic Disorders |
|
|
233 | (8) |
|
|
|
234 | (2) |
|
|
|
236 | (1) |
|
|
|
236 | (5) |
|
Neurologic Diagnostic Tests |
|
|
241 | (6) |
|
Cerebrospinal Fluid Analysis |
|
|
241 | (1) |
|
Electroencephalography and Evoked-Potential Studies |
|
|
242 | (1) |
|
Nerve Conduction Studies, Electromyography, and Muscle and Nerve Biopsy |
|
|
243 | (1) |
|
|
|
244 | (1) |
|
Physiologic Imaging Studies |
|
|
245 | (2) |
| Suggested Readings |
|
247 | (2) |
| Index |
|
249 | |