The WikiDoc Living Textbook of Neurology
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Click Here For A Complete Listing Of All Chapters In The Living Textbook Of Neurology In Alphabetical Order
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Anatomy and Physiology
Nerves: spinal nerves | |
|---|---|
| Cervical (8) | anterior (Cervical plexus, Brachial plexus) - posterior (Posterior branches of cervical nerves, Suboccipital, Greater occipital, Third occipital) |
| Thoracic (12) | anterior (Intercostal, Intercostobrachial - T2, Thoraco-abdominal nerves - T7-T11, Subcostal - T12) - posterior (Posterior branches of thoracic nerves) |
| Lumbar (5) | anterior (Lumbar plexus, Lumbosacral trunk) - posterior (Posterior branches of the lumbar nerves, Superior cluneal L1-L3) |
| Sacral (5) | anterior (Sacral plexus) - posterior (Posterior branches of sacral nerves, Medial cluneal nerves) |
| Coccygeal (1) | anterior (Coccygeal plexus) - posterior (Posterior branch of coccygeal nerve) |
Nerves of head and neck: the cervical plexus (C1-C4) | |
|---|---|
| superficial | C2-C3: Lesser occipital • Greater auricular • Transverse cervical C3-C4: Supraclavicular |
| deep | C1-C3: Ansa cervicalis (superior root, inferior root) C3-C5: Phrenic |
Nerves of upper limbs (primarily): the brachial plexus (C5-T1) | |
|---|---|
| Supraclavicular | root (dorsal scapular, long thoracic) - upper trunk (suprascapular, to the subclavius) |
| Infraclavicular: lateral cord | lateral pectoral
musculocutaneous (lateral cutaneous of forearm) median/lateral root: anterior interosseous - palmar - recurrent - common palmar digital (proper palmar digital) |
| Infraclavicular: medial cord | medial pectoral
cutaneous: medial cutaneous of forearm • medial cutaneous of arm ulnar: muscular - palmar - dorsal (dorsal digital nerves) - superficial (common palmar digital, proper palmar digital) - deep median/medial root: see above |
| Infraclavicular: posterior cord | subscapular (upper, lower) • thoracodorsal
axillary (superior lateral cutaneous of arm) radial: muscular - cutaneous (posterior of arm, inferior lateral of arm, posterior of forearm) - superficial (dorsal digital nerves) - deep (posterior interosseous) |
| Other | cutaneous innervation of the upper limbs |
Nerves - autonomic nervous system (sympathetic nervous system/ganglion/trunks and parasympathetic nervous system/ganglion) | |
|---|---|
| Head/cranial | Ciliary ganglion: roots (Sensory, Parasympathetic, Sympathetic) - Short ciliary
Pterygopalatine ganglion: deep petrosal - nerve of pterygoid canal |
| Neck/cervical | paravertebral ganglia: Cervical ganglia (Superior, Middle, Inferior) - Stellate ganglion prevertebral plexus: Cavernous plexus - Internal carotid |
| Chest/thorax | paravertebral ganglia: Thoracic ganglia
prevertebral plexus: Cardiac plexus - Esophageal plexus - Pulmonary plexus - Thoracic aortic plexus splanchnic nerves: cardiopulmonary - thoracic cardiac nerves: Superior - Middle - Inferior |
| Abdomen/Lumbar | paravertebral ganglia: Lumbar ganglia
prevertebral ganglia: Celiac ganglia (Aorticorenal) - Superior mesenteric ganglion - Inferior mesenteric ganglion prevertebral plexus: Celiac plexus - (Hepatic, Splenic, Pancreatic) - aorticorenal (Abdominal aortic plexus, Renal/Suprarenal) - Superior mesenteric (Gastric) - Inferior mesenteric (Spermatic, Ovarian) - Superior hypogastric (hypogastric nerve, Superior rectal) - Inferior hypogastric (Vesical, Prostatic/Cavernous nerves of penis, Uterovaginal, Middle rectal) splanchnic nerves: Lumbar splanchnic nerves enteric nervous system: Meissner's plexus • Auerbach's plexus |
| Pelvis/sacral | paravertebral ganglia: Sacral ganglia - Ganglion impar splanchnic nerves: Pelvic splanchnic nerves - Sacral splanchnic nerves |
| All | Rami communicans (White, Gray) - Preganglionic fibers - Postganglionic fibers |
White matter fibers | |
|---|---|
| Association fibers | Uncinate fasciculus - Cingulum - Superior longitudinal fasciculus/Arcuate fasciculus - Inferior longitudinal fasciculus - Inferior occipitofrontal fasciculus - Fornix (Columns of fornix, Crus of fornix) |
| Commissural fibers | Corpus callosum (Genu, Splenium, Tapetum, Rostrum) - Anterior commissure - Posterior commissure - Commissure of fornix |
| Projection fibers | (none named) |
Nerves of lower limbs and lower torso: the lumbosacral plexus (L1-Co) | |||||
|---|---|---|---|---|---|
| lumbar plexus (L1-L4) | iliohypogastric: lateral cutaneous branch - anterior cutaneous branch
ilioinguinal: anterior scrotal ♂/labial ♀ genitofemoral: femoral branch/lumboinguinal - genital branch lateral cutaneous of thigh: patellar obturator: anterior (cutaneous) - posterior - accessory femoral: anterior cutaneous branches - saphenous (infrapatellar, medial crural cutaneous) | ||||
| sacral plexus (L4-S4) |
| ||||
| coccygeal plexus (S4-Co) | pudendal: inferior anal - perineal (deep, posterior scrotal ♂/labial ♀) - dorsal of the penis ♂/clitoris ♀ anococcygeal | ||||
| cutaneous innervation of the lower limbs | |||||
Nerves - autonomic nervous system (sympathetic nervous system/ganglion/trunks and parasympathetic nervous system/ganglion) | |
|---|---|
| Head/cranial | Ciliary ganglion: roots (Sensory, Parasympathetic, Sympathetic) - Short ciliary
Pterygopalatine ganglion: deep petrosal - nerve of pterygoid canal |
| Neck/cervical | paravertebral ganglia: Cervical ganglia (Superior, Middle, Inferior) - Stellate ganglion prevertebral plexus: Cavernous plexus - Internal carotid |
| Chest/thorax | paravertebral ganglia: Thoracic ganglia
prevertebral plexus: Cardiac plexus - Esophageal plexus - Pulmonary plexus - Thoracic aortic plexus splanchnic nerves: cardiopulmonary - thoracic cardiac nerves: Superior - Middle - Inferior |
| Abdomen/Lumbar | paravertebral ganglia: Lumbar ganglia
prevertebral ganglia: Celiac ganglia (Aorticorenal) - Superior mesenteric ganglion - Inferior mesenteric ganglion prevertebral plexus: Celiac plexus - (Hepatic, Splenic, Pancreatic) - aorticorenal (Abdominal aortic plexus, Renal/Suprarenal) - Superior mesenteric (Gastric) - Inferior mesenteric (Spermatic, Ovarian) - Superior hypogastric (hypogastric nerve, Superior rectal) - Inferior hypogastric (Vesical, Prostatic/Cavernous nerves of penis, Uterovaginal, Middle rectal) splanchnic nerves: Lumbar splanchnic nerves enteric nervous system: Meissner's plexus • Auerbach's plexus |
| Pelvis/sacral | paravertebral ganglia: Sacral ganglia - Ganglion impar splanchnic nerves: Pelvic splanchnic nerves - Sacral splanchnic nerves |
| All | Rami communicans (White, Gray) - Preganglionic fibers - Postganglionic fibers |
Histology: nervous tissue | |
|---|---|
| Neurons (gray matter) | soma - axon (axon hillock, axoplasm, axolemma, neurofibril/neurofilament)
dendrite (Nissl body, dendritic spine, apical dendrite, basal dendrite) types: bipolar - pseudounipolar - multipolar - pyramidal - Purkinje - granule |
| Afferent nerve/Sensory nerve/Sensory neuron | GSA - GVA - SSA - SVA - fibers (Ia, Ib or Golgi, II or Aβ, III or Aδ or fast pain, IV or C or slow pain) |
| Efferent nerve/Motor nerve/Motor neuron | GSE - GVE - SVE - Upper motor neuron - Lower motor neuron (α motorneuron, γ motorneuron) |
| Synapses | neuropil - synaptic vesicle - neuromuscular junction - electrical synapse - Interneuron (Renshaw) |
| Sensory receptors | Meissner's corpuscle - Merkel nerve ending - Pacinian corpuscle - Ruffini ending - Muscle spindle Olfactory receptor neuron - Photoreceptor cell - Hair cell - Taste bud |
| Glial cells | Astrocyte (Radial glia) - Oligodendrocyte - Ependymal cells (Tanycytes) - Microglia |
| Myelination (white matter) | CNS: Oligodendrocyte PNS: Schwann cell - Neurolemma - Nodes of Ranvier/Internode - Schmidt-Lanterman incisures |
| Related connective tissues | epineurium - perineurium - endoneurium - nerve fascicle - meninges |
Brain: rhombencephalon (hindbrain) | |
|---|---|
| Myelencephalon/medulla | anterior/ventral: Arcuate nucleus of medulla • Pyramid (Decussation) • Olivary body • Inferior olivary nucleus • Anterior median fissure • Ventral respiratory group posterior/dorsal: VII,IX,X: Solitary/tract • XII, X: Dorsal • IX,X,XI: Ambiguus • IX: Inferior salivatory nucleus • Gracile nucleus/Cuneate nucleus/Accessory cuneate nucleus • Area postrema • Posterior median sulcus • Dorsal respiratory group raphe/reticular: Sensory decussation • Reticular formation (Gigantocellular nucleus, Parvocellular reticular nucleus, Ventral reticular nucleus, Lateral reticular nucleus, Paramedian reticular nucleus) • Raphe nuclei (Obscurus, Magnus, Pallidus) tracts: Corticospinal tract (Lateral, Anterior) • Inferior cerebellar peduncle • Olivocerebellar tract • Spinocerebellar (Dorsal, Ventral) • Spinothalamic tract • PCML (Posterior external arcuate fibers, Internal arcuate fibers, Medial lemniscus) • Extrapyramidal (Rubrospinal tract, Vestibulospinal tract, Tectospinal tract) |
| Metencephalon/pons | anterior/ventral: Superior olivary nucleus • Basis pontis (Pontine nuclei, Middle cerebellar peduncles) posterior/dorsal: Pontine tegmentum (Trapezoid body, Superior medullary velum, Locus ceruleus, MLF, Vestibulocerebellar tract, V Principal Spinal & Motor, VI, VII, VII: Superior salivary nucleus) • VIII-c (Dorsal, Anterior)/VIII-v (Lateral, Superior, Medial, Inferior) raphe/reticular: Reticular formation (Caudal pontine reticular nucleus, Oral pontine reticular nucleus, Tegmental pontine reticular nucleus, Paramedian pontine reticular formation) • Median raphe nucleus |
| Metencephalon/cerebellum | Vermis • Flocculus • Arbor vitae • Cerebellar tonsil • Inferior medullary velum Molecular layer (Stellate cell, Basket cell, Parallel fiber) • Purkinje cell layer (Purkinje cell) • Granule cell layer (Golgi cell) • Mossy fibers • Climbing fiber |
| Fourth ventricle | apertures (Median, Lateral) • Rhomboid fossa (Vagal trigone, Hypoglossal trigone, Obex, Sulcus limitans, Facial colliculus, Medial eminence) • Lateral recess |
Brain: mesencephalon (midbrain) | |||||
|---|---|---|---|---|---|
| Tectum (Dorsal) | Corpora quadrigemina: Inferior colliculi (Brachium of inferior colliculus), Superior colliculi (Brachium of superior colliculus) Subcommissural organ • Pretectum | ||||
| Peduncle (Ventral) |
| ||||
Brain: diencephalon | |
|---|---|
| Epithalamus | Pineal body • Habenula (Habenular nuclei) • Stria medullaris • Habenular trigone |
| Thalamus/nuclei | paired: AN • Ventral (VA/VL, VP/VPM/VPL) • Lateral (Pulvinar) • Metathalamus (MG, LG)
midline: MD • Intralaminar (Centromedian) • Midline nuclear group • Interthalamic adhesion • Medullary laminae surface: reticular tracts to thalamus: Mammillothalamic tract • Thalamic fasciculus • Lenticular fasciculus • Ansa lenticularis • Medial lemniscus • Trigeminal lemniscus • Spinothalamic tract • Lateral lemniscus |
| Hypothalamus | autonomic zones: Anterior (parasympathetic/heat loss) • Posterior (sympathetic/heat conservation)
endocrine - posterior pituitary: magnocellular/Paraventricular/Supraoptic (oxytocin/vasopressin) endocrine - other: parvocellular/Arcuate (dopamine/GHRH) • Preoptic (GnRH) • Suprachiasmatic (melatonin) emotion: Lateral (hunger) • Ventromedial (satiety) • Dorsomedial (rage) surface: Median eminence/Tuber cinereum • Mammillary body • Infundibulum tracts: Medial forebrain bundle Pituitary: (Posterior is diencephalon, but anterior is glandular) |
| Subthalamus | Subthalamic nucleus • Zona incerta |
Brain: telencephalon (cerebrum, cerebral cortex, cerebral hemispheres) | |
|---|---|
| Frontal lobe | Precentral gyrus (Primary motor cortex, 4)
Superior frontal gyrus/Frontal eye fields (6, 8, 9), Middle frontal gyrus (46), Inferior frontal gyrus/Broca's area (44-Pars opercularis, 45-Pars triangularis) Orbitofrontal cortex (10, 11, 12, 47) Precentral sulcus - Superior frontal sulcus - Inferior frontal sulcus - Olfactory sulcus |
| Parietal lobe | Somatosensory cortex (Primary (1, 2, 3, 43), Secondary (5)), Precuneus (7m)
Parietal lobules (Superior (7l), Inferior (40)), Angular gyrus (39) Intraparietal sulcus, Marginal sulcus |
| Occipital lobe | Primary visual cortex (17), (Cuneus, Lingual gyrus, Lateral occipital gyrus (18, 19)) Calcarine fissure |
| Temporal lobe | Primary auditory cortex (41, 42), Superior temporal gyrus (38, 22/Wernicke's area), Middle temporal gyrus (21), Inferior temporal gyrus (20) Fusiform gyrus (37) Medial temporal lobe (Amygdala, Parahippocampal gyrus (27, 28, 34, 35, 36) |
| Cingulate cortex/gyrus | Subgenual area (25), Anterior cingulate (24, 32, 33), Posterior cingulate (23, 31), Retrosplenial cortex (26, 29, 30) Callosal sulcus |
| Interlobar sulci/fissures | lateral: Central (frontal+parietal), Lateral (frontal+parietal+temporal), Parietoöccipital medial: Medial longitudinal, Cingulate (frontal+cingulate), Collateral (temporal+occipital) |
| White matter tracts | Commissural fibers - Association fibers
Internal capsule (Anterior limb, Genu, Posterior limb), Corona radiata, External capsule, Lamina terminalis, Extreme capsule, Semioval center Olfactory tract, Terminal stria |
| Other | Insular cortex gray: Olfactory bulb, Anterior olfactory nucleus, Basal optic nucleus of Meynert, Substantia innominata, Anterior perforated substance Corpus striatum - Limbic lobe |
| Some categorizations are approximations, and some Brodmann areas span gyri. | |