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חוברת נוירולוגיה

חוברת נוירולוגיה

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03/18/2014

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היגולוריונ – יביטרגטניא
םיניינע ןכות
 
1היגולוריונל אובמ
 – סורג21.10.2007
1.1 םיבצעה תכרעמ הנבמ
.היגולויטאו (תונולת רוזיפ פ"ע) םוקימ – םיבצע 'עמב תונולתל הרושקה הבישח:תורדגה
.(השלוח) ינוניב-לק קותיש – סיזרפ
.םיילגרה יתשב קותיש – סיזרפ-הרפ
.טלחומ קותיש – היגלפ.םצעל רושקש גנינמ ,גנינמיכפ – רטמ הרודליכמ ידיאונכרא תת ללחCSF.Gyrus – םהיניב .חומה ילופיק – sulci. Fissuresתונוא ןיב הדרפה – 
.תילטנורפו תילרופמט תונוא ןיב – תילרטל הרוסיפרוזיא precentral.ירוטומ סולוקנומוה ,הרוסיפל ימדק – רוזיא post central.ירוסנס סולוקנומוה ,הרוסיפל ירוחא – 
תילטנורפו תילטאירפ תונוא ןיב – תיזכרמ הרוסיפ
תילטיפיסקואו תילטאירפ תונוא ןיב – תילטיפיסקוא הרוסיפ.תילרופמט הנוא לעמ – תילטאירפ הנוא.הפש זכרמ ,תילאמש בורל – תיטננימוד הריפסימהב םיביסCNS
הריפסימהה ךותב – םיביטאיצוסא
Comisural,םוזולק סופרוק .תוריפסימה ןיב םירבחמ – ant/post commisureםיקתונמ םא . – disconnected syndrome.
Projecting fibers.ךפהל וא הרדש טוחל חוממ – (הלעמל ןוויכל) הבוג פ"ע ,חומה עזג
הלודמ
סנופ
 
ןיירבדימ
o
הלודמ
.היצזוקד םישוע ,(םיילניפסוקיטרוק םיביס) תילדימריפ הליסמ – ימדק קלח
,הלודמב הבלצה .הקומע השוחת ,סוטאנוקו סיליצרג יניערג – ירוחא קלח.תילטאירפ הנואב ירוסנס סולוקנומוהלו סומלטל םיכלוה
RF reticular formationלכב טשופמ ,הרכה ,הניש ,תונריע לע יארחא – .חומה עזג
) המישנ ,בל – םיימונוטוא םיזכרמmedular rhythmic center .ד.ל תוסיו ,(
.העורג הזונגורפ שי הלודמב העיגפל
םיילאינרק םיבצע יניערג8-12םיילרטליספיא
8ירלוביטסו קלח – 
11ירוססקא – 
12.ןושל ,סוסולגופיה – 
o
(רשג) סנופ
.םיצרש םיביס
םיילאינרק םיבצע יניערג5-7.םיילרטליספיאהעיגפcrossed syndrome,(תוילרטלהרטנוק ןכלו) הבלצה ינפל תוירוטומ תוליסמ – (הבלצה ירחא) ילרטליספיא ןיערגבו6/7.ילרטליספיא םינפ בצע קותיש ,
.המישנ בצק לע יארחאש ןיערג
o
ןיירבדימ
םוטקט
םיבצע יניערג – םייניע תועונת3,4
ילוקילוק
Superior בצעמ םיביס – 2לLGN) סומלטבlateral geniculate nucleus.(
Inferior ל העימש יביס – MGN) סומלטבmedial geniculate.(
.סוקסינמל לאידמ ,סואלקונ דר ,הרגינ היצנטסבוס – סיסב יניערגיתשוחת דוביע - סומלט
LGNהייאר – 
MGNהעימש – 
VPN ventro-posterior nucleusתיללכ השוחת – סומלטופיה
.ישילש רדח תפצר
.סיזטסואמוה תוסיו ,תימונוטוא השוחת
,ןיצוטיסקוא – םינומרוהADH.ב רמגנ – הרדשה טוח2L) םירקוד ןכל ,LPל תחתמ הבוגב (3L) ילרטל קלח .intermediateהרדש טוחב ( .םיימונוטוא םיירוטומ םיניערג – ירבמולו ילקרוט.הילגנג – חומל ץוחמ םיאת .סואלקונ – חומב םיאתםיירוטומ םיביס
LMNדע ,הרדש טוח לש תירוטומ ןרק –  NMJ.(ללוכ)
o
) בצעב הלחמ – העיגפל תויגולויטאALSןאילי'ג) ןילאימב העיגפ ,(קסיד) ץחל ,(.(הרב
o
.םיסקלפרב הדירי – םינמיס
o
,םירחא םישרוש י"ע יוציפ ןכתיי – שרוש .רוזיאב םירירשה לכ – סוסקלפ – םוקימ.תמקוממ רתויי העיגפ – בצע .האלמ אל העיגפ2
 
UMN – הרדש טוחל דע ,ילרטנס-הרפ רוזיאמ – lat. Corticospinal tract.
o
מ םד תקפסא) תילאידמ לגר – סולוקנומוהACAשאר ,די ,ףוג – ילרטל רתוי ראשה .(מ םד תקפסא – MCA.
o
.םיגולותפ וא/ו םירע םיסקלפר .(ידיגיר אל ,יטספס) רבגומ סונוט ,קותיש – םינמיסCrossed syndrome.
o
.יראווצ הרדש טוחב וא היצזוקדב העיגפ – סיזרפ-הרטט.יראווצ הבוגל תחתמ – םיידיב העיגפ ןיאהבוג לעמ – סיזרפ-הרפ2L.תוירוסנס – תולוע תוליסמ1.Ant. Spinothalamicהדיחי ,ץחלו עגמ –  הב העיגפ – הרדשה טוחל הסינכב הבלצה הב שיש.תיביטאיצוסאסיד תירוסנס העיגפ ןתת דבלב2.Lat. Spinothalamicןיא ,'פמטו באכ –  .הבלצה3.הקומע השוחת – סוטאנוקו סיליצרג סולוקיספטוחל הסינכב אל – הלודמב הבלצה .(חנמו העונת).ילאידמ ירוחא קלח !הרדש4.Post. Spinocerebellar ןיא ,ףוג חנמ –  .הבלצה.םיוסמ םוטמרד דע קר השוחת – יתשוחת סלפ.הרדשה טוחב תוילרטל יספיא ,תוירוטומ – תודרוי תוליסמ
Lat. Corticospinalב םירבוע םלוכ ,הלודמב בלצומ ,םיילדימריפ – internal capsule.
Ant. Corticospinal.הלודמב ובלצוה אלש םיילדימריפה םיביסה – .תונידע תועונת עוציב ,תילדימריפ-הרטסקא תכרעמ – סיסב יניערגםוטאירטס
טדואק
םרופיטנל
ןמטופ
סודילפ סובולגInternal capsule.םילועהו םיילדימריפה םיביסה לכ רבעמ – סיסב יניערגב העיגפ
.םיידי תועונת ןיא ,(היזניקידרב) תויטיא ,תויתעונת טעמ ,היזניקופיה – םיילילש םינמיס
תוינוצר יתלב תועונת – םייבויח םינמיס
o
(שחנ תועונת) הארוכ
o
דער
o
.הפג תקירז – סומזילבימה– ןילירזע25.10.2007
1.2 תיגולוריונ הקידב
- רורב אל הלוחב הפש ידוקפת תקידב
.הלועפ ףתשמ אל ,זז ,טקש אל – לבלובמ
והשמש םיניבמ ,ץחלבו םיטקש בורל םילוחה .הלוחה םע הלועפ ףותישל עיגהל ןתינ – היזפסיד.רדסב אל
1.
דקפתל רשפא יא .תורורב אל םילמ "ריית“ ,ףטוש רוביד .םג העמשה רוזיא ,הקינרוו – ירוסנס.המגדה/הביתכב תודוקפ תתל ןתינ .תוטושפ תודוקפל ביגמ זאו תיקלח העיגפ םא אלא ותיא3
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