Table of Contents

 

 

 

 

Preface

iii

 

Acknowledgments

iv

 

Color Atlas of Brain

xi

Chapter 1

Introduction and Organization of the Nervous System

1

 

Chapter Objectives

2

 

Central and Peripheral Nervous Systems

2

 

Major Divisions of the Central Nervous System

2

 

Major Divisions of the Peripheral Nervous System

10

 

Early Development of the Nervous System

14

 

Clinical Notes

17

 

Clinical Problem Solving

28

 

Answers and Explanations to Clinical Problem Solving

29

 

Review Questions

30

 

Answers and Explanations to Review Questions

31

 

Additional Reading

32

Chapter 2

The Neurobiology of the Neuron and the Neuroglia

33

 

Chapter Objectives

34

 

Definition of a Neuron

34

 

Varieties of Neurons

34

 

Structure of the Neuron

34

 

Definition of Neuroglia

53

 

Astrocytes

53

 

Oligodendrocytes

54

 

Microglia

57

 

Ependyma

58

 

Extracellular Space

59

 

Clinical Notes

61

 

Clinical Problem Solving

63

 

Answers and Explanations to Clinical Problem Solving

64

 

Review Questions

65

 

Answers and Explanations to Review Questions

67

 

Additional Reading

69

Chapter 3

Nerve Fibers, Peripheral Nerves, Receptor and Effector Endings, Dermatomes, and Muscle Activity

70

 

Chapter Objectives

71

 

Nerve Fibers

71

 

Peripheral Nerves

80

 

Conduction in Peripheral Nerves

84

 

Receptor Endings

86

 

Effector Endings

95

 

Segmental Innervation of Skin

100

 

Segmental Innervation of Muscles

100

 

Muscle Tone and Muscle Action

101

 

Summation of Motor Units

103

 

Muscle Fatigue

104

 

Posture

104

 

Clinical Notes

107

 

Clinical Problem Solving

120

 

Answers and Explanations to Clinical Problem Solving

123

 

Review Questions

126

 

Answers and Explanations to Review Questions

129

 

Additional Reading

131

Chapter 4

The Spinal Cord and the Ascending and Descending Tracts

132

 

Chapter Objectives

133

 

A Brief Review of the Vertebral Column

133

 

Gross Appearance of the Spinal Cord

137

 

Structure of the Spinal Cord

138

 

The Ascending Tracts of the Spinal Cord

143

 

Anatomical Organization

143

 

Functions of the Ascending Tracts

144

 

The Descending Tracts of the Spinal Cord

153

 

Anatomical Organization

153

 

Functions of the Descending Tracts

154

 

Corticospinal Tracts

155

 

Reticulospinal Tracts

157

 

Tectospinal Tract

158

 

Rubrospinal Tract

159

 

Vestibulospinal Tract

159

 

Olivospinal Tract

160

 

Descending Autonomic Fibers

160

 

Intersegmental Tracts

161

 

Reflex Arc

162

 

Influence of Higher Neuronal Centers on the Activities of Spinal Reflexes

164

 

Renshaw Cells and Lower Motor Neuron Inhibition

164

 

Clinical Notes

165

 

Clinical Problem Solving

177

 

Answers and Explanations to Clinical Problem Solving

178

 

Review Questions

181

 

Answers and Explanations to Review Questions

183

 

Additional Reading

185

Chapter 5

The Brainstem

186

 

Chapter Objectives

187

 

A Brief Review of the Skull

187

 

The Cranial Cavity

192

 

Introduction to the Brainstem

196

 

Gross Appearance of the Medulla Oblongata

197

 

Internal Structure

198

 

Gross Appearance of the Pons

206

 

Internal Structure of the Pons

208

 

Gross Appearance of the Midbrain

210

 

Internal Structure of the Midbrain

210

 

Clinical Notes

217

 

Clinical Problem Solving

221

 

Answers and Explanations to Clinical Problem Solving

222

 

Review Questions

224

 

Answers and Explanations to Review Questions

227

 

Additional Reading

229

Chapter 6

The Cerebellum and Its Connections

230

 

Chapter Objective

231

 

Gross Appearance of the Cerebellum

231

 

Structure of the Cerebellum

231

 

Cerebellar Cortical Mechanisms

236

 

Cerebellar Afferent Fibers

237

 

Cerebellar Efferent Fibers

240

 

Functions of the Cerebellum

242

 

Clinical Notes

243

 

Clinical Problem Solving

245

 

Answers and Explanations to Clinical Problem Solving

246

 

Review Questions

247

 

Answers and Explanations to Review Questions

249

 

Additional Reading

250

Chapter 7

The Cerebrum

251

 

Chapter Objectives

252

 

Subdivisions of the Cerebrum

252

 

Diencephalon

252

 

General Appearance of the Cerebral Hemispheres

257

 

Main Sulci

258

 

Lobes of the Cerebral Hemisphere

260

 

Internal Structure of the Cerebral Hemispheres

262

 

Clinical Notes

271

 

Clinical Problem Solving

277

 

Answers and Explanations to Clinical Problem Solving

278

 

Review Questions

279

 

Answers and Explanations to Review Questions

281

 

Additional Reading

283

Chapter 8

The Structure and Functional Localization of the Cerebral Cortex

284

 

Chapter Objective

285

 

Structure of the Cerebral Cortex

285

 

Mechanisms of the Cerebral Cortex

287

 

Cortical Areas

288

 

Cerebral Dominance

295

 

Clinical Notes

296

 

Clinical Problem Solving

298

 

Answers and Explanations to Clinical Problem Solving

299

 

Review Questions

300

 

Answers and Explanations to Review Questions

302

 

Additional Reading

303

Chapter 9

The Reticular Formation and the Limbic System

304

 

Chapter Objective

305

 

Reticular Formation

305

 

Limbic System

307

 

Clinical Notes

312

 

Clinical Problem Solving

312

 

Answers and Explanations to Clinical Problem Solving

313

 

Review Questions

313

 

Answers and Explanations to Review Questions

314

 

Additional Reading

315

Chapter 10

The Basal Nuclei (Basal Ganglia) and their Connections

316

 

Chapter Objective

317

 

Terminology

317

 

Corpus Striatum

317

 

Amygdaloid Nucleus

319

 

Substantia Nigra and Subthalamic Nuclei

319

 

Claustrum

319

 

Connections of the Corpus Striatum and Globus Pallidus

319

 

Connections of the Corpus Striatum

319

 

Connections of the Globus Pallidus

319

 

Functions of the Basal Nuclei

320

 

Clinical Notes

322

 

Clinical Problem Solving

327

 

Answers and Explanations to Clinical Problem Solving

327

 

Review Questions

327

 

Answers and Explanations to Review Questions

329

 

Additional Reading

329

Chapter 11

The Cranial Nerve Nuclei and their Central Connections and Distribution

331

 

Chapter Objective

332

 

The 12 Cranial Nerves

332

 

Organization of the Cranial Nerves

332

 

Olfactory Nerves (Cranial Nerve I)

335

 

Optic Nerve (Cranial Nerve II)

336

 

Oculomotor Nerve (Cranial Nerve III)

340

 

Trochlear Nerve (Cranial Nerve IV)

340

 

Trigeminal Nerve (Cranial Nerve V)

341

 

Abducent Nerve (Cranial Nerve VI)

344

 

Facial Nerve (Cranial Nerve VII)

346

 

Vestibulocochlear Nerve (Cranial Nerve VIII)

348

 

Glossopharyngeal Nerve (Cranial Nerve IX)

350

 

Vagus Nerve (Cranial Nerve X)

352

 

Accessory Nerve (Cranial Nerve XI)

354

 

Hypoglossal Nerve (Cranial Nerve XII)

356

 

Clinical Notes

358

 

Clinical Problem Solving

363

 

Answers and Explanations to Clinical Problem Solving

364

 

Review Questions

365

 

Answers and Explanations to Review Questions

368

 

Additional Reading

369

Chapter 12

The Thalamus and Its Connections

371

 

Chapter Objective

372

 

General Appearances of the Thalamus

372

 

Subdivisions of the Thalamus

372

 

Connections of the Thalamus

375

 

Function of the Thalamus

375

 

Clinical Notes

378

 

Clinical Problem Solving

378

 

Answers and Explanations to Clinical Problem Solving

378

 

Review Questions

379

 

Answers and Explanations to Review Questions

380

 

Additional Reading

381

Chapter 13

The Hypothalamus and Its Connections

382

 

Chapter Objectives

383

 

The Hypothalamus

383

 

Hypothalamic Nuclei

383

 

Afferent Nervous Connections of the Hypothalamus

385

 

Efferent Nervous Connections of the Hypothalamus

387

 

Connections of the Hypothalamus with the Hypophysis Cerebri

388

 

Functions of the Hypothalamus

389

 

Clinical Notes

392

 

Clinical Problem Solving

392

 

Answers and Explanations to Clinical Problem Solving

393

 

Review Questions

393

 

Answers and Explanations to Review Questions

394

 

Additional Reading

395

Chapter 14

The Autonomic Nervous System

396

 

Chapter Objective

397

 

Organization of the Autonomic Nervous System

397

 

The Large Autonomic Plexuses

400

 

Autonomic Ganglia

400

 

Preganglionic Transmitters

400

 

Fast, Slow, and Inhibitory Synaptic Potentials

401

 

Ganglion-Stimulating Agents

402

 

Ganglion-Blocking Agents

402

 

Postganglionic Nerve Endings

402

 

Postganglionic Transmitters

402

 

Other Postganglionic Transmitters

403

 

Blocking of Cholinergic Receptors

403

 

Blocking of Adrenergic Receptors

403

 

Higher Control of the Autonomic Nervous System

404

 

The “Enteric Nervous System”

404

 

Functions of the Autonomic Nervous System

404

 

Important Anatomical, Physiologic, and Pharmacologic Differences Between the Sympathetic and Parasympathetic Parts of the Autonomic Nervous System

405

 

Some Important Autonomic Innervations

407

 

Some Important Physiological Reflexes Involving the Autonomic Nervous System

415

 

Clinical Notes

417

 

Clinical Problem Solving

420

 

Answers and Explanations to Clinical Problem Solving

421

 

Review Questions

422

 

Answers and Explanations to Review Questions

425

 

Additional Reading

426

Chapter 15

The Meninges of the Brain and Spinal Cord

427

 

Chapter Objectives

428

 

Meninges of the Brain

428

 

Meninges of the Spinal Cord

436

 

Clinical Notes

438

 

Clinical Problem Solving

441

 

Answers and Explanations to Clinical Problem Solving

442

 

Review Questions

443

 

Answers and Explanations to Review Questions

444

 

Additional Reading

444

Chapter 16

The Ventricular System, the Cerebrospinal Fluid, and the Blood-Brain and Blood-Cerebrospinal Fluid Barriers

445

 

Chapter Objectives

446

 

Ventricular System

446

 

Subarachnoid Space

457

 

Cerebrospinal Fluid

458

 

Blood-Brain and Blood–Cerebrospinal Fluid Barriers

462

 

Clinical Notes

466

 

Clinical Problem Solving

467

 

Answers and Explanations to Clinical Problem Solving

468

 

Review Questions

469

 

Answers and Explanations to Review Questions

472

 

Additional Reading

473

Chapter 17

The Blood Supply of the Brain and Spinal Cord

474

 

Chapter Objectives

475

 

Blood Supply of the Brain

475

 

Brain Capillaries

481

 

Cerebral Circulation

481

 

Blood Supply of the Spinal Cord

481

 

Clinical Notes

483

 

Clinical Problem Solving

493

 

Answers and Explanations to Clinical Problem Solving

495

 

Review Questions

497

 

Answers and Explanations to Review Questions

499

 

Additional Reading

500

Chapter 18

The Development of the Nervous System

501

 

Chapter Objectives

502

 

Spinal Cord

502

 

Brain

504

 

Clinical Notes

512

 

Clinical Problem Solving

516

 

Answers and Explanations to Clinical Problem Solving

516

 

Review Questions

516

 

Answers and Explanations to Review Questions

518

 

Additional Reading

519

Appendix

Important Neuroanatomical Data of Clinical Significance

521

 

Index

529