七科联考统解剖学解剖脑干.ppt

★ 2.Non-cranial nerve nuclei In reaching midbrain some of fibers of lateral lemniscus end in inferior colliculus, others traverse brachium of inferior colliculus to reach nucleus of medial geniculate body. Spiral organ ( Corti‘s organ bipolar cells) in internal ear → Cochlear ganglion 1st neurons → Cochlear n. Cochlear nuclei in pons 2nd neurons both side fibers( decussed undecussed fibers ) → trapezoid body → lateral lemniscus → terminate directly or indirectly to medial geniculate body3rd neurons ⑶ 脊髓丘系 Spinal lemniscus is composed of anterior and posterior spinothalamic tracts. As it ascends through upper part of medulla oblongata dorsolateral to medial lemniscus, it is closed to medial lemniscus in pons and midbrain. Most of fibers terminate in ventral posterolateral nucleus of thalamus. This tract conducts impulses of pain, thermal and tactile sensations from opposite side of body. Spinal lemniscus ★ ⑶脊髓丘系 Spinal lemniscus → Superficial sensory pathways of trunk and limbs Spinal ganglia 1st neuronsdorsal roots ? Lissauers fasciculus? asend 1~2 segments in spinal cord Nucleus proprius (lamina I. IV. V.) 2nd neurons Cross to opposite side in anterior white commissure ? lateral anterior spinothalamic tract  ? lateral funiculus runs up to brain stem  Ventroposterior lateral nucleus In thalamus 3rd neurons ★ Lesion and Appearance of Spinal lemniscus (1) Interruption of pathways by lesions at anterior white commissure to causes Symmetrical hypesthesia (2) Interruption of pathways by lesions in lateral funiculus of spinal cord → Brown-Sequard Syndrome (3) Interruption of pathways by lesions in internal capsule to causes Hemihypesthesia (1) (2) (3) ⑴ Symmetrical Hypesthesia ⑵ Brown-Sequard Syndrome ⑷ 三叉丘系 Trigeminal lemniscus Axons of spinal and pontine nucleus of trigeminal n. successively cross median plane to form trigeminal lemniscus, which conducts tactile, pressure, pain and thermal impulses from head and face,