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Анатомия центральной нервной системы

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Представлены в виде таблиц обобщенные и систематизированные данные о строении и проводящих путях центральной нервной системы. Пособие содержит большое количество схем и рисунков. Издание предназначено для обучающихся по основным профессиональным образовательным программам высшего образования — программам специалитета области образования «Здравоохранение» и «Медицинские науки», направления подготовки 31.05.01 «Лечебное дело», 31.05.03 «Стоматология». Presented in the form of tables, summary and systematic data on the structure and-conducting pathways of the central nervous system. The book contains a large number of diagrams and drawings. The manual is intended for students in basic professional educa¬tional programs of higher education — programs Specialty education «Health» and «Medical sciences».
Калмин, О. В. Анатомия центральной нервной системы : учеб. пособие / О.В. Калмин, О.А. Калмина. — Москва : ИНФРА-М, 2019. — 113 с. - ISBN 978-5-16-107893-8. - Текст : электронный. - URL: https://znanium.com/catalog/product/1033353 (дата обращения: 25.11.2024). – Режим доступа: по подписке.
Фрагмент текстового слоя документа размещен для индексирующих роботов
О.В. КАЛМИН
О.А. КАЛМИНА





АНАТОМИЯ
ЦЕНТРАЛЬНОЙ НЕРВНОЙ СИСТЕМЫ


Учебное пособие










Москва ИНФРА-М 2019

УДК 611.81(075.8)
ББК 28.706я73

            ФЗ № Издание не подлежит маркировке 436-ФЗ  в соответствии с п. 1 ч. 2 ст. 1

        К17


Рекомендовано к изданию методической комиссией Медицинского института Пензенского государственного университета (протокол № 7 от 10.03.2016)

    Рецензенты:
         Н.А. Плотникова — доктор медицинских наук, профессор, заведующий кафедрой нормальной и патологической анатомии с курсом судебной медицины Мордовского государственного университета имени Н. П. Огарева;
         Е.А. Анисимова — доктор медицинских наук, доцент, профессор кафедры анатомии человека Саратовского государственного медицинского университета имени В.И. Разумовского Минздрава России

         Калмин О. В.
К17           Анатомия центральной нервной системы : учеб. пособие /

          О.В. Калмин, О.А. Калмина. — М. : ИНФРА-М, 2019. — 113 с.

     ISBN 978-5-16-107893-8 (online)

            Представлены в виде таблиц обобщенные и систематизированные данные о строении и проводящих путях центральной нервной системы. Пособие содержит большое количество схем и рисунков.
            Издание предназначено для обучающихся по основным профессиональным образовательным программам высшего образования — программам специалитета области образования «Здравоохранение» и «Медицинские науки», направления подготовки 31.05.01 «Лечебное дело», 31.05.03 «Стоматология».

            Presented in the form of tables, summary and systematic data on the structure and-conducting pathways of the central nervous system. The book contains a large number of diagrams and drawings.
            The manual is intended for students in basic professional educational programs of higher education — programs Specialty education «Health» and «Medical sciences».



УДК 611.81(075.8)
ББК 28.706я73

ISBN 978-5-16-107893-8 (online)

© Калмин О.В., Калмина О.А., 2019

                CONTENT





Spinal cord ....................................................... 4
Medulla oblongata................................................. 13
Pons ............................................................. 22
Cerebellum ....................................................... 33
Mesencephalon..................................................... 41
Diencephalon...................................................... 49
Telencephalon .................................................... 65
Pathways of the central nervous system ........................... 82
References ...................................................... 113

                SPINAL CORD




            Grey matter


         Name                  Localization                   Function          
Fascicular cells,      Diffusely dispersed in the    Connect the segments       
cellulae disseminatae  grey matter of spinal cord    of spinal cord between     
                                                     each other (part of the    
                                                     segmental apparatus)       
Reticular formation,   On the level of cervical      Activates or inhibits      
formatio reticularis   segments - between the        an activity of spinal cord,
                       anterior and posterior horns, connects the spinal cord   
                       at the level of upper thorac- with brain                 
                       ic segments - between the                                
                       lateral and posterior horns,                             
                       it’s adjacent to the grey                                
                       matter                                                   
                               Anterior column                                   
Posterolateral         Behind the anterolateral      Agglomeration of motor     
nucleus, nucleus       nucleus in C5 - Th1           neurons                    
posterolateralis       and L2 - S2 segments                                     
Posteromedial          Beside the white commis-      Agglomeration of motor     
nucleus, nucleus       sure in Th1 - S2 segments     neurons                    
posteromedialis                                                                 
Retroposterior         Behind the posterolateral     Agglomeration of motor     
lateral nucleus,       nucleus in C8 - Th1           neurons                    
nucleus retroposterol- and S1 - S3 segments                                     
ateralis                                                                        
Anterolateral          Anterolateral branch          Agglomeration of motor     
nucleus, nucleus       of C4 - C8 and L2 - S1        neurons.                   
anterolateralis        segments                                                 
Anteromedial           Anteromedial part             Agglomeration of motor     
nucleus, nucleus                                     neurons                    
anteromedialis                                                                  
Lumbodorsal            In L3 - S1 segments           Agglomeration of motor     
nucleus, nucleus                                     neurons                    
lumbodorsalis                                                                   
Central nucleus,       In Th1 - L3, S1 - S5          Agglomeration of motor     
nucleus centralis      segments                      neurons                    

4

        Name                 Localization                   Function          
Nucleus of phrenic    In the middle of anterior   Agglomeration of motor      
nerve, nucleus nervi  horn C4 - C7 segments       neurons                     
phrenici                                                                      
Nucleus of accessory  Close to the anterolateral  Motor spinal nucleus        
nerve, nucleus nervi  nucleus in C1 - C6          of accessory nerve          
accessorii            segments                                                
                              Posterior column                                 
Secondary visceral    Some dorsal of central      Agglomeration               
grey substance,       intermediate substance      of vegetative neurons       
substantia visceralis                                                         
secundaria                                                                    
Zona spongiosa,       On the periphery of dorsal  Connects the segments       
zona spongiosa        horn, dorsal of substance   of the spinal cord between  
                      gelatinosa                  each other (part of the     
                                                  segmental apparatus)        
Nucleus proprius      General mass of dorsal horn Agglomeration of interneu-  
of posterior horn,                                rons (2nd neuron of spino-  
nucleus proprius                                  thalamic tracts)            
cornu posterioris                                                             
Gelatinous            On the periphery of apex of Connects the segments       
substance, substantia dorsal horn                 of the spinal cord between  
gelalinosa                                        each other (part of the     
                                                  segmental apparatus)        
                            Intermediate column                                
Thoracic nucleus,     On the medial side in the   Agglomeration of inter      
Stilling-Clarke’s     base of dorsal horn         neurons (2nd neuron         
nucleus, nucleus      of C8 - L2 segments         of posterior spinocerebellar
thoracicus                                        tract)                      
Sacral parasympa-     In S2 - S4 segments         Agglomeration               
thetic nuclei, nuclei anterior to the lateral     of parasympathetic neurons  
parasympathici        intermediate substance                                  
sacrales                                                                      
Lateral intermediate  Laterally in C8 - L3        Cluster of autonomic        
substance, substantia segments                    sympathetic neurons         
intermedia lateralis                                                          
Central intermediate  Intermediate zona of spinal Agglomeration               
substance, substantia cord, near central canal    of interneurons             
intermedia centralis  Th1 - L3 segments           (2nd neuron of anterior     
                                                  spinocerebellar tract)      

5

            White matter


          Name                    Localization                    Function           
Zona terminalis, zona    At the region of the apex      Part of posterior root with- 
terminalis               of posterior horn              in the spinal cord           
                                Anterior funiculus                                    
Medial longitudinal      Between anterior cortico-      Connects the motor nuclei    
fasciculus, fasciculus   spinal tract anterior to ven-  of the III, IV, VI, IX and   
longitudinalis medialis  tral grey commissure behind    vestibular nuclei VIII cra-  
                                                        nial nerves with the motor   
                                                        neuron of the spinal cord,   
                                                        innervate the muscles of     
                                                        the neck, conducts impuls-   
                                                        es that coordinate complex   
                                                        turn of the head and eyes in 
                                                        response to auditory and     
                                                        visual stimuli               
Anterior fasciculi       On the peripheral of anteri-   Connects the segments        
proprii, fasciculi       or horn of spinal cord         of the spinal cord between   
proprii anteriores                                      each other (part of the      
                                                        segmental apparatus)         
Anterior corticospi-     Medial part of anterior        Part of pyramidal system,    
nal tract, tractus       funiculus                      conscious motor pathway      
corticospinalis                                                                      
anterior                                                                             
Anterior spinotha-       Anterior from reticulospinal   Conducts impulses            
lamic tract, tractus     tract                          of tactile sensitivity (sense
spinothalamicus                                         of touch and pressure)       
anterior                                                                             
Tectospinal tract,       Directly adjacent to anterior  Allows the unconscious       
tractus tectospinalis    median fissure of spinal       movements in response        
                         cord                           to the auditory and visual   
                                                        stimuli, part of extrapyram- 
                                                        idal system                  
Vestibulospinal tract,   On the border of anterior      Regulates the unconscious    
tractus                  funiculus with lateral one,    movements in response        
vestibulospinalis        near the anterolateral sulcus  to the change of body posi-  
                         of spinal cord                 tion, part of extrapyramidal 
                                                        system                       
Reticulospinal tract,    Central part of anterior       Conducts impulses active-    
tractus reticulospinalis funiculus, lateral of anterior ting and inhibitory reflex   
                         corticospinal tract            activity of the spinal cord  

6

          Name                    Localization                    Function          
                                Lateral funiculus                                    
Posterior spino-         Posterolateral part of lateral Conducts impulses           
cerebellar tract,        funiculus, near of posterol-   of proprioceptive sensi-    
Flechsig’s tract,        ateral sulcus of spinal cord   tivity                      
tractus spinocerebel-                                                               
laris posterior                                                                     
Rubrospinal tract,       Anterior to lateral cortico-   Conducts impulses           
tractus rubrospinalis    spinal tract                   of automatic unconscious    
                                                        control of movements and    
                                                        skeletal muscle tone,       
                                                        primary pathway of extrap-  
                                                        yramidal system             
Lateral fasciculi        On the periphery of lateral    Connects the segments       
proprii, fasciculi       horn of spinal cord            of the spinal cord between  
proprii laterales                                       each other (part of the     
                                                        segmental apparatus)        
Lateral corticospinal    Medially to posterior spino-   Part of pyramidal system,   
tract, tractus cortico-  cerebellar tract               conscious motor pathway     
spinalis lateralis                                                                  
Lateral spinothalam-     Anterior part of lateral       Conducts impulses           
ic tract, tractus spino- funiculus, medially            of temperature and pain     
thalamicus lateralis     to anterior spinocerebellar    sensitivity                 
                         tract                                                      
Olivospinal tract,       On the periphery of anterior   Conducts impulses of au-    
tractus olivospinalis    spinocerebellar tract, on the  tomatic unconscious con-    
                         border of anterior funiculus   trol of movements and       
                                                        skeletal muscle tone, part  
                                                        of extra-pyramidal system   
Anterior spino-          Anterolateral part of lateral  Conducts impulses           
cerebellar tract,        funiculus, near anterolateral  of proprioceptive           
Gowers’ tract, tractus   sulcus of spinal cord          sensitivity                 
spinocerebellaris                                                                   
anterior                                                                            
Spinotectal tract,       Anterior to lateral            Conducts impulses           
tractus spinotectalis    spinothalamic tract            of exteroceptive sensibility
Spino-olivary tract,     Near to anterior root          Contains information from   
tractus spinoolivaris    filaments of spinal nerves     the skin, muscle and tendon 
                         near of olivospinal tract      receptors                   
Spinoreticular tract,    Behind the spino-olivary       Forms the bilateral         
tractus                  tract                          projections on all branchs  
spinoreticularis                                        of brainstem reticular      
                                                        formation                   

7

        Name                Localization                 Function          
                           Posterior funiculus                              
Posterior fasciculi   Adjoins to posterior horn Connects the segments      
proprii, fasciculi    of spinal cord            of the spinal cord between 
proprii posteriores                             each other (part of the    
                                                segmental apparatus)       
Cuneate fasciculus,   In posterior funiculus    Conducts impulses          
Burdach’s fasciculus, laterally                 of conscious proprioceptive
fasciculus cuneatus                             sensitivity from 12 upper  
                                                segments of spinal cord    
Gracile fasciculus,   In posterior funiculus    Conducts impulses          
Goll’s fasciculus,    medially                  of conscious proprioceptive
fasciculus gracilis                             sensitivity from 19 lower  
                                                segments of spinal cord    


nucleus proprius cornu posterioris

cornu laterale

canalis centralis

funiculus lateralis

cornu posterius

funiculus posterior

funiculus anterior

Pic. 1. Internal structure of the spinal cord. Transverse section at the level of thoracic segments (Гайворонский И. В., 2007¹)

comu anterius

substantia gelatinosa zona spongiosa
zona terminalis

                                                                      nucleus thoracicus
                                                                     nucleus intermediolateralis nuclei proprii cornu anterioris






















nucleus intermediomedialis

      ¹      Гайворонский И. В. Нормальная анатомия человека : в 2 т. СПб. СпецЛит, 2007. Т. 2.

9

Pic. 2. Internal structure of the spinal cord, transverse section (Сапин М. Р., 1997²)

      Pathways (1-18) and nuclei of gray matter (19-28) in spinal cord.
      1        - fasciculus gracilis; 2 - fasciculus cuneatus; 3 - fasciculus proprius dorsalis (posterior); 4 - tractus spinocerebellaris dorsalis (posterior); 5 - tractus corticospi-nalis (pyramidalis) lateralis; 6 - fasciculus proprius lateralis; 7 - tractus rubrospi-nalis; 8 - tractus spinothalamicus lateralis; 9 - tractus vestibulospinalis dorsalis; 10 - tractus spinocerebellaris ventralis; 11 - tractus spinotectalis; 12 - tractus olivospinalis; 13 - tractus reticulospinalis anterior; 14 - tractus vestibulospinalis; 15 - tractus spinothalamicus ventralis; 16 - fasciculus proprius anterior; 17 - tractus corticospinalis (pyramidalis) anterior; 18 - tractus tectospinalis; 19 - nucleus ven-tromedialis; 20 - nucleus dorsomedialis; 21 - nucleus centralis; 22 - nucleus ven-trolateralis; 23 - nucleus dorsolateralis; 24 - substantia intermedia lateralis; 25 - nucleus intermediomedialis; 26 - canalis centralis; 27 - nucleus thoracicus; 28 - nucleus proprius cornu posterior; 29 - zona terminalis; 30 - substantia spongiosa; 31 - substantia gelatinosa






     ²      Анатомия человека : в 2 т. / под ред. М. Р. Сапина. М. : Медицина, 1997. Т. 2.

10

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