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The Nervous System
山东大学医学院 解剖教研室李振华
Organizations
Central nervous system (CNS) 中枢神经系统
Peripheral nervous system (PNS) 周围神经系统
Major Division of the Central Nervous System (CNS)
Brain 脑 Telencephalon 端脑 Diencephalon 间脑 Cerebellum 小脑 Brain stem 脑干
Midbrain 中脑 Pons 脑桥 Medulla oblongata 延髓
Spinal cord 脊髓
Major Division of the Peripheral Nervous System (PNS)
Cranial nerves (12 pairs) 脑神经
Spinal nerves (31 pairs) 脊神经
Visceral nerves 内脏神经 Visceral sensory nerve
Visceral motor nerve
Sympathetic part 交感神经 Parasympathetic part 副交感神经
Cellular Organization
Neuron 神经元 Cell body 胞体 Axon 轴突 Dendrites 树突
Neuroglia - glial cel
l 胶质细胞
Classification of Neurons
Structural classification Bipolar neuron 双极神经元
has an axon and a dendrite Pseudounipolar neuron
假单极神经元 has a central branch and a peripher
al branch Multipolar neuron 多极神经元
has an axon and two or more dendrites
Classification of Neurons
Functional classification Sensory (afferent) neuron
感觉神经元 Motor (efferent) neuron
运动神经元 Association neuron
联络神经元
Reflex: a reaction of the organism by the nervous system in response to a stimulus
Reflex arc: has 5 basic components Receptor ↓ Sensory neurons ↓ CNS ↓ Motor neurons ↓ Effector
Reflex and Reflex Arc
Reflex and Reflex Arc
Basic Terminology in Nervous System
In the CNS Gray matter 灰质 : collection of nerv
e cell bodies and their dendrites, gray color during fresh condition
Cortex 皮质 : the outermost layer of gray matter in cerebrum and cerebellum
White matter 白质 : collection of nerve fibers, white color during fresh condition
Medulla 髓质 : a central core of white matter beneath cortex of cerebrum and cerebellum
Basic Terminology in Nervous System
In the CNS Nucleus 神经核 :
a collection ( group ) of cell bodies which have the same shape and function
Fasciculus ( tract ) 纤维束 : a bundle of nerve fibers which have the same origin, termination, pathway and function
Reticular formation 网状结构 : an admixture of cross-crossing fibers with larger or smaller groups of nerve cells occupying the meshes
Basic Terminology in Nervous System
In the PNS Ganglion 神经节 : a collec
tion of neuronal cell bodies outside the CNS
Nerve 神经 : a bundle of nerve fibers held together by connective tissue sheath
The Spinal Cord 脊髓
学习方法看断面,想立体,上下串联。
Position of the Spinal Cord
Lies in vertebral canal Continuous above with medulla
oblongata at level of foramen magnum
Ends below at the lower border of L1 in the adult; at birth the cord ends at level of L3
A long cylindrical structure and slightly flattened anteroposteriorly
Two enlargements Cervical enlargement 颈膨大 corre
sponds to the C4 to the T1 segments Lumbosacral enlargement 腰骶膨大 corre
sponds to the L2 to the S3 segments
Conus medullaris 脊髓圆锥 Filum terminale 终丝 Cauda equina 马尾
External Features of Spinal Cord
External Features of Spinal Cord
Fissure and sulci Anterior median fissure 前正中裂 Posterior median sulcus 后正中沟
Posterior median septum 后正中隔 Anterolateral sulcus 前外侧沟
- anterior (motor) roots emerge serially
Posterolateral sulcus 后外侧沟 - posterior (sensory) roots enter spinal cord, each bear a spinal ganglion which constitutes the first cell-station of the sensory nerves
Segments of Spinal Cord
A portion of the cord that gives rise to a pair of spinal nerve constitutes a segment.
There are 31 segments 8 cervical 12 thoracic 5 lumbar 5 sacral 1 coccygeal
Relationship of spinal Cord Segments to Vertebral Numbers
Spinal segments Vertebral levels (spines)
Upper cervical region (C1~C4) Lie opposite the corresponding vertebrae
Lower cervical and upper thoracic region (C5~T4)
One lower in number than corresponding vertebrae
Middle thoracic region (T5~T8) Two lower in number than corresponding vertebrae
Lower thoracic region (T9~T12) Three lower in number than corresponding vertebrae
Lumber segments T10~T12
Sacral and coccygeal segments L1
Relationship of spinal Cord Segments to Vertebral Numbers
Spinal segments Vertebral levels (spines)
Upper cervical region (C1~C4) = C1 ~ C4
Lower cervical and upper thoracic region (C5~T4)
- 1 = C4 ~ T3
Middle thoracic region (T5~T8) - 2 = T3 ~ T6
Lower thoracic region (T9~T12) - 3 = T6 ~ T9
Lumber segments = T10 ~ T12
Sacral and coccygeal segments = L1
Structure of Spinal Cord
Gray matter 灰质 White matter 白质 Central canal 中央管
Gray Matter of Spinal Cord Anterior horn (column) 前角(柱) Posterior horn (column) 后角(柱) Lateral horn (column) 侧角(柱)
is present in the thoracic and upper lumber segments of the cord (T1-L3)
Intermediate zone 中间带 Anterior gray commissures
灰质前连合 Posterior gray commissures
灰质后连合
Gray Matter of Spinal CordPosterior horn (column): Marginal layer 缘层 (后角边缘核) Substantia gelatinosa 胶状质
Situated at the apex of posterior horn throughout the length of spinal cord
Concerns the sensations of pain and temperature
Nucleus proprius 后角固有核 Situated anterior to the substantia gel
ationnosa throughout the length of spinal cord
Receives fibers that are associated with the senses
Nucleus thoracicus 胸核 Situated at the base of posterior horn
and extending from segments C8~L3 Associated with proprioceptive endin
gs
Gray Matter of Spinal Cord
Intermediate zone Intermediaolateral nucleus
中间外侧核 (lateral horn) Extents from segments T1~L3, Containing sympathetic preganglioni
c neurons Sacral parasympathetic nucleus
骶副交感核 Extents from segments S2~S4, Containing parasympathetic pregan
glionic neurons Intermediomedial nucleus
中间内侧核 Throughout the length of spinal cord Associated with receiving viscera aff
erent information
Gray Matter of Spinal Cord Anterior horn (column): Two kinds of motor neurons
α-motor neuron: large multipolar neuron, innervates skeletal muscles, producing contraction of muscles
γ-motor neuron: smaller multipolar neuron, innervates intrafusal muscle fibers of neuromuscular spindles, regulating muscular tonus
Interneuron —Renshaw’s cell: negative feedback mechanism
Two groups of nuclei Medial nuclear group: present in mo
st segments of spinal cord, innervating axial muscles
Lateral nuclear group: present only in cervical and lumbosacral enlargements, innervating limb muscles
Rexed’s lamina 板层 Posterior horn is formed b
y lamina to Ⅰ Ⅵ ; Intermediate zone corres
ponding to lamina Ⅶ ; Anterior horn is compose
d laminae and Ⅷ Ⅸ ; lamina is the gray mattⅩ
er surrounding the central canal.
Important Subdivision of Spinal Cord Gray Matter
Region Lamina Nucleus
Posterior horn Ⅰ Marginal layer
Ⅱ Substantia gelatinosa
Ⅲ, Ⅳ Nucleus proprius
Intermediate zone
Ⅶ Nucleus thoracicus (C8~L3)
Ⅶ Intermediolateral nucleus (T1~L3)
Ⅶ Sacral parasympathetic nucleus (S2~S4)
Ⅶ Intermediomedial nucleus
Anterior horn Ⅸ Motor neuron
White Matter of Spinal Cord White matter contains three kinds of fibers: ascending, d
escending, and fasciculus proprius
Anterior funiculus 前索
Lateral funiculus外侧索
Posterior funiculus 后索
Anterior white commissure白质前连合
Ascending Tracts
Fasciculus gracilis (薄束)Fasciculus cuneatus (楔束)
Posterior spinocerebellar tract(脊髓小脑后束)
Anterior spinocerebellar tract(脊髓小脑前束)
Spinothalamic tract(脊髓丘脑束)
Fasciculus gracilis
Fasciculus cuneatus
Spinothalamic tract
Ascending tracts
Tract Site of origin Funiculus Termination Function
Fasciculus gracilis
Spinal ganglia below segment T5
Posterior Gracile nucleus
Conscious proprioceptive (vibratory sense, and muscle joint sense) and fine touch sensation of trunk and limbsFasciculus cu
neatusSpinal ganglia above segment T4
Cuneate nucleus
Posterior spinocerebellar
Homolateral nucleus thoracicus
Lateral Cerebellum Unconscious proprioception from lower limb and lower portion of trunk
Anterior spinocerebellar
Contralateral Laminae Ⅴ~Ⅶ
Spinothalamic Laminae , ~Ⅰ Ⅳ Ⅶ
Lateral and anterior
Dorsal thalamus
Pain, temperature and crude touch sensation of trunk and limbs
Descending Tracts
Lateral corticospinal tract(皮质脊髓侧束)
Anterior corticospinal tract (皮质脊髓前束)
Rubrospinal tract (红核脊髓束)
Vestibulospinal tract (前庭脊髓束)
Reticulospinal tract(网状脊髓束)
Medial longitudinal fasciculus (内侧纵束)
Tectospinal tract (顶盖脊髓束)
Fasciculus proprius (固有束)
Descending tractsTract Site of origin Funiculus Termination Function
Lateral corticospinal
Cerebral cortex Lateral Laminae Ⅳ~Ⅸanterior horn
Voluntary movement
Anterior corticospinal
Cerebral cortex Anterior
Rubrospinal Red nucleus Lateral Laminae Ⅴ~Ⅶ
Facilitates activity of flexor muscles
Vestibulospinal Homolateral vestibular nuclei
Anterior Laminae Ⅶ~Ⅷ
Facilitates activity of extensor muscles
Reticulospinal Reticular formation
Anterior and lateral
Laminae Ⅶ~Ⅷ
Voluntary movement
Medial longitudinal fasciculus
Vestibular nuclei Anterior Laminae Ⅶ~Ⅷ
Coordinate neck with eye movement
Tectospinal Superior colliculus
Anterior Laminae Ⅵ~Ⅷ
Fasciculus proprius
Spinal cord Anterior, lateral and posterior
Spinal cord Intrinsic reflex mechanism of spinal cord
Main functions of spinal cord
Conduction of excitations Reflex activity