Download Duus' Topical Diagnosis in Neurology: Anatomy, Physiology, by Mathias Baehr, Michael Frotscher PDF

By Mathias Baehr, Michael Frotscher

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Extra resources for Duus' Topical Diagnosis in Neurology: Anatomy, Physiology, Signs, Symptoms, 4th Edition

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C 2–C3 Transverse cervical n. C 2 – C3 V3 Fig. 8 Innervation of the skin by peripheral nerves. a Anterior view. b Posterior view. c The areas innervated by the three divisions of the trigeminal nerve and by the cervical cutaneous nerves. Baehr, Duus' Topical Diagnosis in Neurology © 2005 Thieme All rights reserved. Usage subject to terms and conditions of license. 2 2 30 · 2 Somatosensory System Peripheral Regulatory Circuits In the next section after this one, we will trace the ascending fiber pathways responsible for pain and temperature sensation, and for sensory modalities such as touch and pressure, as they travel up the spinal cord and into the brain.

17). , above the level of the intermediolateral cell column) travel in the fasciculus cuneatus to make a synapse onto their corresponding second neurons in the accessory cuneate nucleus of the medulla (Fig. 17), whose output fibers ascend to the cerebellum. Anterior spinocerebellar tract. Other afferent Ia fibers entering the spinal cord form synapses with funicular neurons in the posterior horns and in the central portion of the spinal gray matter (Figs. 17). These second neurons, which are found as low as the lower lumbar segments, are the cells of origin of the anterior spinocerebellar tract, which ascends the spinal cord both ipsilaterally and contralaterally to terminate in the cerebellum.

5 and p. 100 ff. ) The redistributed afferent fibers then enter the spinal cord at multiple levels and ascend a variable distance in the spinal cord before making synaptic contact with the second sensory neuron, which may be at or near the level of the entering afferent fibers or, in some cases, as high as the brainstem. Thus, in general, a peripheral nerve is composed of fibers from multiple radicular segments; this is true of both afferent and efferent fibers. Digression: Anatomy of the spinal roots and nerves.

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