Добавил:
Upload Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз: Предмет: Файл:
Netter_39_s_Atlas_of_Neurology.pdf
Скачиваний:
271
Добавлен:
09.02.2015
Размер:
13.42 Mб
Скачать

NEUROPHYSIOLOGY

 

Vestibular System: Vestibulospinal Tracts

 

 

 

 

 

 

Excitatory

 

 

 

 

 

 

endings

 

 

 

Superior

 

 

Inhibitory

 

 

 

Medial

 

 

endings

 

 

 

Vestibular nuclei

 

 

 

 

Lateral

 

 

 

 

 

 

 

Ascending fibers in medial

 

 

Inferior

Rostral

 

 

 

longitudinal fasciculi

 

 

 

 

Upper

Trunk

 

 

 

 

limb

 

 

 

 

 

 

 

 

 

 

Ventral

Dorsal

 

 

 

 

To

 

Lower

 

 

 

 

cerebellum

 

 

 

 

limb

 

 

 

 

 

 

 

 

 

 

 

Caudal

 

 

 

 

 

 

Somatotopical

 

 

 

 

 

pattern in lateral

 

 

 

 

 

vestibular nucleus

 

 

 

 

 

Vestibular

 

 

 

 

 

 

ganglion

 

 

 

 

 

 

and

 

Motor neuron

 

 

 

 

nerve

 

 

 

 

 

 

 

(controlling

 

 

 

 

 

 

neck muscles)

 

 

 

 

 

 

Medial vestibulo-

 

 

 

Lateral

Fibers from cristae

spinal fibers in medial

 

 

(rotational stimuli)

 

 

vestibulospinal

longitudinal fasciculi

 

 

 

 

 

 

 

 

tract

 

 

 

 

 

 

 

 

Excitatory

 

 

 

Excitatory

 

 

endings

 

 

 

interneuron

 

 

to back

 

 

 

Inhibitory

 

 

muscles

 

?

 

 

 

?

 

interneuron

Fibers from maculae

 

 

 

 

 

 

 

(gravitational stimuli)

Lower

 

 

 

 

 

 

part of

 

 

 

To flexor muscles

 

cervical

 

 

 

To extensor muscles

 

spinal cord

 

 

 

 

 

 

?

 

 

?

Inhibitory ending

 

 

 

 

 

 

 

To axial

 

 

 

To axial muscles

 

Inhibitory

 

 

 

 

 

muscles

 

 

Excitatory ending

 

 

ending

 

 

 

 

 

 

 

Lateral vestibulospinal tract

 

Lumbar part of

 

 

 

 

spinal cord

 

 

 

 

 

 

 

 

 

 

Inhibitory interneuron

 

 

 

 

 

Excitatory synapse

 

 

 

 

 

To flexor muscles

 

 

 

 

 

To extensor muscles

©

FIGURE 2.37 VESTIBULOSPINAL TRACTS

Sensory input from the vestibular apparatus is used to maintain stability of the head and to maintain balance and posture. Axons convey vestibular information to the vestibular nuclei in the pons, and then secondary axons distribute this information to five sites: spinal

cord (muscle control), cerebellum (vermis), reticular formation (vomiting center), extraocular muscles, and cortex (conscious perception). This figure shows only the spinal cord pathways.

88

Gustatory (Taste) System: Receptors

NEUROPHYSIOLOGY

A. Tongue

B. Section

 

Foliate

through

vallate

papillae

papilla

 

 

Taste buds

 

Duct of

 

gustatory

 

(Ebner’s)

 

gland

 

 

C. Taste bud

 

 

Epithelium

Fungiform

Vallate papillae

Basement membrane

papillae

 

 

 

Nerve plexus

Microvilli

Nerve fibers

Taste pore emerging from taste buds

Taste cells

Desmosomes

Large nerve fiber

Basement membrane

Fibroblast

 

Epithelium

Granules

Small nerve fiber

Schwann cell

 

Microvilli

Intercellular space Large nerve fiber

Collagen

 

D. Detail of taste pore

E. Detail of base of receptor cells

©

FIGURE 2.38 TASTE RECEPTORS

Taste buds on the tongue respond to various chemical stimuli. Taste cells, like neurons, normally have a net negative charge internally and are depolarized by stimuli, thus releasing transmitters that depo-

larize neurons connected to the taste cells. A single taste bud can respond to more than one stimulus. The four traditional taste qualities that are sensed are sweet, salty, sour, and bitter.

89

NEUROPHYSIOLOGY

Gustatory (Taste) System: Pathways

Mesencephalic nucleus

and

Motor nucleus of trigeminal n.

Pons

Greater petrosal n.

Geniculate ganglion

Facial (VII) n. and

Nervus inermedius

Rostral part of nucleus of solitary tract

Glossopharyngeal (IX) n.

Lower part of medulla oblongata

Petrosal (inferior) ganglion of glossopharyngeal n.

Nodose (inferior) ganglion of vagus n.

Vagus (X) n.

FIGURE 2.39 TASTE PATHWAYS

Ventral posteromedial (VPM) nucleus of thalamus

Sensory cortex (just below face area)

Lateral hypothalamic area

Amygdala

Pontine taste area

Trigeminal (V) n.

Maxillary n.

Mandibular n.

Pterygopalatine ganglion

Otic

 

ganglion

Lingual n.

 

Chorda tympani

Fungiform papillae

Foliate papillae

Valiate papillae

Epiglottis

Larynx

Superior laryngeal n.

©

Depicted here are the afferent pathways leading from the taste receptors to the brainstem and, ultimately, to the sensory cortex in the postcentral gyrus.

90

Olfactory System: Receptors

NEUROPHYSIOLOGY

Olfactory

A. Distribution

bulb

of olfactory

 

epithelium

 

(blue area)

Lateral nasal wall

Cribriform plate of ethmoid bone

Septum

B. Schema of section through olfactory mucosa

Cribriform plate

Schwann cell

Olfactory gland

Unmyelinated olfactory axons

Basement membrane

Sustentacular cells

Endoplasmic reticulum

Nucleus

Olfactory cells

Dendrites

Terminal bars (desmosomes)

Olfactory rod (vesicle)

Villi

Cilia

Mucus

©

FIGURE 2.40 OLFACTORY RECEPTORS

The sensory cells that make up the olfactory epithelium respond to odorants by depolarizing. Like taste buds, an olfactory cell can respond to more than one odorant. There are six general odor

qualities that can be sensed: floral, ethereal (e.g., pears), musky, camphor (e.g., eucalyptus), putrid, and pungent (e.g., vinegar, peppermint).

91