,.

ENctFA LO

,
Hom is p/lcrium

<
Corpu, ~allol"m - , , -

r

i

\

--..,,- ;../-or

~\ e p-ce p

I

p>n ..lt

urnln. l~,m'n.!l1

Corpu. mlmililrc
Chi.lml opllcum

r

Iniundlbulum-

I,,!>u. onl",'or (Idenohypophy",j ....V elum medullue Inlerlu.

[lobu, pOS,tllOI tneurOhypop hy.I') ....... Pcduncul u'

/

J.thmus /
rhombenctphali

Medulla spinaUs l

I

/

729. EllcejaJo del hombre adulto ; hemisfeJ·jo derecllO: cara media l (1/4) '

~

los ntrvios espinates con el complejo de ganglios. asi como

particularidades en 13 dislribuci6n de las portiones perifiricas

I", plu(ls nin';,,!O! (pll'.lus ntn'oJi).
Ademb. se dCSlaca cl .lislenra nen-;oso (wronomQ (1'l'8etmil'o}
1S.\-slCnra ntnDS llm UI/lonomicmn ). que. siendo parle inlegrnnle

{formad6n de plcxos. presencia de ganglio! y celu]a.'> ncrviosas
en el Iraye<:to de los nervios y en las paredes de los organos).

les

del sistema nervioso. ticne dcterminadas localizlIcioncs de sus
porciones c('ntraies en el enccfalo y 13 mcdula espinal, y lambicn

EI sistema aUl6nomo, basindonos en las parlicularidades
fUll cional-morfoI6gica s, se subdivide en porciol! simpGticl1 (pllr,t
symplil/ticli l y porcion pltrasimplitica (pars pllrlls)'mpall!ica ).

t-II:.DULA ESPI NA L

-

B

II

I' 'Medull,
1 ,,

oblongata

Ikcus",uo
p}'ramidum

I

I

nlUmcS{en!!~

C

"

cNYlcalis

- Fissura medJanJ
( anlerlOT)

, I-S"'~", laler,l!s
posterior

Inhunesccrllia
lumlla!1s

onus

·Fllum

A

m~dullarjs

Th'""--I ~__ I"'~'~~~~!"""

LlI- -1'_c,"", medullar!s

lwnJnal ~

II

B

730. M i duJa espinaJ (medulla spinalis ) F/I) .
A - aspecto anterior: 8 - aspec to posterior.
(Todas las meninges de la meduia espinal
y las rakes han sido eliminadas.)

MED ULA ESPINAL

pln.ol<

~"""".",,'

1'"10,,,",.1 •••

,

Nil, lhorodd

3

.... ~"'< .... "1I0

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'"

,
,
,
,

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< "" 1.....1,1

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,
,

B

-N '0«1~1II

73 13, b. Medula espinal (medulla spinalis) con las raices espinales (ra dices) y los nerv;os
espinales (nn. spinales); aspecto posterior (is)·
(La duramadre espinal est' abiena; en los limites de la cola de caballo (cauda equina)

est!n eliminadas las raices es pinales del lado Izquierdo.]

MEDULA ESP[NAL

",~ ,,"'I,

eo form" de coma

;1'11<1

.1"' g"dlll

(po>!trlml
:;-:r:~~'~~:;:FF~sciculo
medl.n~c"al
d~] f unic"I"

~
TrllClu$

poSlc rlO'

rLl~ru.pln.Il'

]lO$I.rrc,

T ..<:Iu, splnotl!<lalls

~",' ",.,,,",,, "1

" ,;;;;;";,;~;;;;',;;;;.", -/F ?----'

IIlle,medi. <"nltali,

Tra.,m ""I~ulo.pln.II'_

Fill radl<ul~'I .
,.dlels ,to .....!!. _.~;:._ , " '''
Inlerlo'

I?di .

~II.

).

- - T' "tlu. <orllw'pln. II ,
(pyramidalis) IOlt, I,,!
.~""

~--

"c.:~ ,eo,,,

.",

.. dle"I"I.

,.d lels

v,,,I.. lIs

O'''lI"lIon .p ln.l~

"':,i'-,·,,",,",", ], Itroll,

T'I<I"' v..lIbulo.plnolll

FI"U" mcdl on, 1"lerror

732. Midula espina/; aspecto anterior y un poco lateral (semiesquemat ica).
(Dos segmcnlOs de [a medula espinnl; en el [ado dcrecho eSla sei'ialada In lopografln
de In substantia blanca; en e[ lado iz.quierdo. despues de eliminar [a substantia b[anc~
se ve [a forma de In Sllbstancin gris.)

posterior en dos fascicu[os. Uno. mas de[gado. sitllado pOT dentTO.
med ial. el asi Ha mado /asdculv gracil (jasciclIJlls gracilis); y el
Oi ro. OlaS potente. l:lIt'r nl. el /,ucicllio cunei/orllle (jascicuJII$
cimeawsi. Estos fU nl cul05 se co ntinuan tnmbien cn [:I porci6n

inicial del ('ncefa[o - Ia medula ob[ongada (figs. 732. 733. 769-771).
En las porciones inferiores de la meduln espinal estos funiclilos
se fusion an y 00 se nOlan dcsdc el lado de la cara extern a de la
meduln espinal.

illler. Las Ires caras mencionadas de cada hcrnisferio. 1'1 lim.llu 734.X3 a Ja inferior.1II 0 medilll del ct"rebro (jaci~s IIll'diulis cerl'brlJ. sie ndo mas notnble aquel que tonsliluy/. al con- linuars/' una en 13 Olra. que pasa ent re ambos hemisferios del cerebro.) } las paries posteriorI'S. aquel que 51' ('n(Uenlra en el paso de la cara conl'(. forman bordes.• JO ENCEFALO Pol". """'pll. Cerebro (cerebrum): aspecto superior (j/6) ' (Las meninges e51'n climinadas. en la lienda del ce rebelo: la ca.. di rigida a Iii fi~ur:l longitudinal del cerebra.. y menos notable.te de paso de 13 cara conve)(u a In carn plana medial. En cada hemisferio SI' distinguen unos lugares mas salienles: .

i6blllo temporal (loblls temporal/s) y la i"slIla (ilisi/llI) (pflfte del lronco 0 el lobulillo cubicrto). IObl/lo parietal /loblls Pl/rit/{ltis). . eI polo occipi/ol (polus oCt:ipitalis): y lateral mente. situada en la profunidad de la {OS{I Imer{ll del cerebro (/oss(J Imer{l/is C/:rebri) y que separa eI 16bulo frontal del temporal. cada uno de los cuales limim con los huesos correspondientcs del craneo cerebral: i6blllo {rotl/o/ (lobus {rontolis). por delante.ENCEFALO JI 735 . el polo {rontal (polus {nl/twlis}. el polo /emporal (poilu I l'mpora/is). /Obl/lo occipital (lobus oecipillllis).rebralrs (lobi "rebri). Cerebra: as pec lO supe rio r (semiesque mat ica). 1::1 hemisferio se divide en cU(IIro gnmdes i6bulo$ c. por detrb.

Elicefalo (encephalon): aspeclo laleral (~/5).ara medi al del hem isferio.olol.."_.. pasa a su cara supero· bter~~ en la que $e silua un poco oblieuamenlc. eI slI rco Cl'lItm/ (sulcus ct' lJIralis} (ciSllril d e Rolalldo}._ p .. Por dc:la nle 10 rodea eI ju rco prt'ctlltrai (sulcus pUCI. . ' lI b} _e"""'''"'' ":t ''.". de alras hada tJclante..'. II po4lulor ..ENC EFALQ .. I'(>r 10 comun.. (Las meninges enccf{ilica) eSI... ~.ln el im inadas.. 7371. ... llS ~ .<flelal por el profundo Sllrco Cl'lItral {sulcus ctlJlralis!.l1nl.. lel " ' " .II spln. eSlc no lIega hasla cJ borde medial del hem isferio.) SURCOS Y GIROS DE LA CA RA SUPEROLATERAL DE LOS HEMISFERIOS CEREBRALES Et luhulo l rolltal (/obUJ fro nla lis} eSIB separado del 16bulo j'... por delnls. Casi paralelamenle al surco cenlral 5e sinJa el g iro pfI!ctnlr lll (gyrus pfl!cclltmlis }: sin embargo.'lIlra lisl. E5le se If\i~I" en la . no lIega hasta el surco lateral del ce re bro Ifl g.". N •• 736..

aspecto lateral (sem iesq uem atica). nt'r (~)'rus franta/is in/trior). el giro /ronlal . L05 jll reos fron/all'S Slll"rior t inferior (sulci /ron/a/ts. EI giro fron tal inferior.. situado miis :!rri b:! del su reo front:!1 superi or . ". situado entre el surco frontal inferior ) cI surco lateral del cerebro.ENCEFALO JJ 737.i. parietal. el giro ""111111 ml!dio (g)'flls frOll/alis IIIedlusl. limitodo por los surcos !·"ntales superior e inferior: en sus porciones anteriores se dI_tlllguen las partes superior c inferior : )' en fin. como se did mas :ldelante. EI sureo lalt'rlil (sulcus laura/b) (ciSllra de Sill·io) es uno de los surcos mas profundos del eneUnlo. se divide mediante las ramas del surco lateral del eerebro en una scrie de porciones. eu)'o fondo 10 . 5e aloja en 13 eara superolmeT3! de e~da hemisfe rio de arriba ablljo y haeia adelante. El1cefalo.rior el inferior! se dirigen del surco precentral haci:! adelante: e-:C'~ di'iden el 16bulo fronHiI en cI giro /rolltal superior (gyms i"'I1I1I/iS superior)... que ~c clItiende por 13 eara medial del hemisferio. En In profundidad de este surco se eneuenlra una depresi6n-la /osa /ateral del ctrebro (jOSSII /att'fa/is ctrebri!. separa cI 16bulo temporal de los 16bulos frontal).

) poslerior .!n dos 0 Ires '-'re\ es lliros Il'mpora/l'$ r<ln~l"f"rSOJ (gyri II'II..10.lci~ el surco Inle ral... Oyt. La hase de I.j!I .el..IN SULA Oy"" Suku.lITl ide uinngul nr euyo vcrticc-el polo insular-hili dirigido .:raJ del eerebro. el 10'-'1110 lemporal estfl separudo de los 16'-'ulos fronlal y. Ili suia (iflsula) dereclla: aspecto lateral y un poco inferi or (. S>llc . Oy.u. Entre estos sureos se aloj.!reciendo pOl:O n poco ~cre<l de la .upc..m. . La insul~ e~tli rodeada por los 16bulos frontal.IOr_ ~_ ' . longuo 'cmporoll. enlre I. )bulu.. que La caTd de la insuld esta reo. " . (Las meninges eneeralica~ )' los bordes de 1:1 fisllni lateral del cerebro eSlan eitminad. hreves SIIreOJ tl'IIII'O. '~lla y euyas carns e~ l ernas eSllin dirigidas hacia el surco lalCril1 kl . Slireo eirClI/or iIlSII/II' (sl/lcus circl/lt.Jdo en cl limlle cun I.J)'or. .. h. insula eSla rodcada por Ire< de ~u~ lados por el \:1 desap. En e<le lug<lr ha) un pequeno engtOS~lmiento-ellillwlI til' /(1 (/ls"II' fli me/r il/sull."P'. IlIIroPorl •.pora/!'J lransl'!'rJ. 738.':1" delanle y arue"l. 1:1 fisura lalefal del cere'-'ro e.) que eSllin unidos con lo~ h" del 16bulo temporal y 13 insula. Represerlla una .wlilr/.llS.enle lin giro br('I'C( inJ"II..<'1 trllnSI·crS(JS (sl/lci temporn/es 'rO/lSl·usil.:ml/ dl'l ctrtbro (Iossa /altrtllis cucbri!. " -. .... •• l:>il"rtJ ilmplwmenle.. in~ula y la sunSlaneia perforada IInlerior.! inferior de! cerebro.. " " ..) Il\SULA La /rIsulll (iI/HI/III Cfig. silU..ar. se eneuenlran eorwdas por 10 .menor.1 posterior es (reeuenlc que pre.).! . i/ISlllllr IlIrgo /gyms IO/lgus illsu/ael.h.I'/.. parietal )' emporaJ que p:mieipan en la formaeion de las paredes del sureo :. La porei6n unlerior tiene \-ario~ giros illsJ/IJlrc~ bTHI'S (gyri 1.:erebro. inferior de In in)ula.f.ecada por eI sureu ee nlral pro--(undo que I..IIo..738) s<c aloj. . Iron1l1i..la. di\ide en las pordones anterior .ris ill. '\quellas parte) del161:>ulo temporal siluadas por delTas de hi ../. p<trietrll.! en el fondo de la loso .ar:.

lornlei..corp". Cerebra (cerebrum). mlll.ho .rl'erml . Este...6 .kul . pasando mediante el eSlre. repi tiendo sus contornO$.lmpal.:alloso por el surco del cUl.).e el cuerpo calloso. La porci6n an terior del giro dcl cingulo rodea 13 radii/a dl'l cuerpo callosa (geml corporis cal/osi).. en 1:1 que los I(miles entre algunos lohulos no se man ifiestan muy c1ar3mcnte como en la c<lra superolateral. Este 5e inicia con las porciones anteriores en la regi6n del area ~ubcallosa: con las posleriores pasa al surco del hipocampo.) SURCOS Y GIROS DE LA CARA MEDIAL DE LOS HEMISFERIOS En la Cllra IIJ('d.. Art.u. istmo del giro del dngulo y giro parahipoc. ': . .. m.. C~I"mn. IIII. que V(l arquc(ldamenlc."'nt..ll.. del giro lingual siluado por delras. hemisferio derecho (hemispheriwn dextrum).mln> l . .. Co'!'u. La porci6n poste rior del gi ro del cingulo rodea e! f5plrJlio del cuerpo callosa (spleniuIII corporis callos. ."!...mln .'ollosa (s/llcus corporis cal/osi) va Jrqueadamente sob. cstando separado del cuerpo . . (nmmiS'u.al del cerebro /jacies m(dia/is cerehril(figs... p.IO."mM Inl..forman eJ giro del f6mix (16blllo limbieo) (gYflls fomic(!/IIS).""rpo calloso. lI.. " Gyr .. m• ... 10fnl<1S Sonda en lu. Gyrus . . tn:'ol . c ara med ial els). .stmo del giro del ctllg/llo (isthmus gyri Ci .ENCEFALO . el cerebelo y una parte de In substancia del talamo op\ico estan climin~dos..~).. se distinguen los surcos y gims siguicntes. EI SHrco calcarillO (sulclls calcurillllS) separa cl giro del clnsulo.... 740. Into. . (EI tronco cerebral.o . junto can el area subcallosa. Por arrib(l el cuerpo calloso limila con el giro del cingll/o (gyrus cingillil.. EI SllfCO del cue.. : L. 739. Gy. 764).III.po . Los Ires giros indicados-giro del cingulo. 739. MntatllS FIscl.. "'..lgllli) III giro parai!ipocampal (gyms paraMppocan!flali."belll_ . en el lugar de paso al iSlmo.

dirigido abajo y IIdela nle. y la porcion posterior que.. EI apiee del cuneo. el limite anterior es eI sureo parielooccipital. . Cerebro. Miis dorsalmente ill precuneo 5e aloja un lobulillo Iriangular -el ('Iineo (CI/nfus). por delante de este se encuentra la cara medial del giro frontal superior. forma la region circular que es parte del rinel/cefa/o (rhillence· p lra/OIr) (fig.) SllUada por delante del mismo. Su exlremidad exterior eSlli por detras de la ulremidad superior del surco central. que junto con la poreion subfrontal ll mita el lobulillo paruunfful (lobulus paratenlrulisl. Por delTas del slirco del cingulo hay un pequeno lohu lillo cundrillitero-el precl.llo (preCllIIlll$). EI limite posteroinferior del cuneo est! conslituido por un sureo profundo. el surro c/llcarillQ (sulcus calcarinus). . convexa. del SUTeO longitudinal del hemisferio. ~l guiendo a 10 largo del giro del cingulo y sin llegar a su porcion posterior. el limile inferior es el 5lIrco SlIbpariew/ (S I'/CIIS . Arriba. medial. 807). Un poco mb adelante el sureo del cingulo emite hacia arriba un pequeno surco paracentral. silUado por dClrlis.Jllbparielalij). (EI f6tnix del cerebro y el fasciculo mamilotah'imico est6-n preparados. que !lega hast3 el inicio del surco del cingulo. Par delanle del cuneo se alojs eI precuneo: abajo se encuenlra el giro occipitotemporal medial. el giro del cingulo esul limilado por el Slireo de/ cmgllio (srllells einguli).:onve xa en direcci6n del polo fronlnl. alctlnza el borde superior.'rna.ENCEFALQ J7 740. y el g(tncho. En este 5e dislinguen la porci6n anterior. Su !fmite posterior 10 constituye el profundo sureQ plrritlooccipilai (.JIlIeUS parietooecipila/is). partieipa en la formacion del polo occipital. lIega cllsi hasta la pordon poslerior del giro del cingulo. hemisferio derecho : cara media l (se miesquematica). que separn la regi6n del precuneo de la porci6n posterior del giro del cingulo. que por su cara e:w.

. el cerebelo.. ~" TtI"u.' . el1raclo 0lf3l0rio izquierdo eSlan eliminlldos. " " " \ 741.. :::::\~. (Los ~urcos )' los giros de la base del cercbro... Cerebra (cerebrum): as pee to inferior (j h). asi como la parle inferior de la hip6fisis y.'..c ror. .brl A. Slrll..' .dl. parcialmenle.. "".n.) '"perln."""" T~b<t ".."""'.ENCEFALO Cltlnml IIcIlb .'. .l.. bt1 ..~"~'''''' CmpuJ. 'Co. ".~ .m"". .. el [ronCO cerebral).

ENCE FALO 742 . (Cara inferior.) . Cerebra: as pecto inferi or (se mi esq uemati ca).

•.10.803). . que se estrc cha hac. . '. y. Ence/a/o (encephalon ).sto desde la base del cerebro. . JI'1I<"' "" .a nbajo. Por detras ~1 puente esta la midll/o oblongado (mtdllllo oblongata). .CA RA INFE RI OR DE LOS HEM IS FERIOS CERE IJRALES oUKI"."... aspecto inferi or ('/6). EI puente.h.. cuyas porciones ]aleralcs pasan ados fasciculos blancos-Ios .1 743. . por el su rco ml'dial del pie del pedlinculo cerebral (suicus medialis crl/ris cenbri).luado el cerebelo (ct'rt!belll/m) (f. Dorsalmenle al pucnte y n In medula oblongada estli S. (Cara inferior.el pl/ttl/t (pO"s)..ene el aspeCIO de una formaci6n un poco conyt.la y alargada n3n5Vtrsalmente. t.g. Por detrb de los pedunculos cerebrales se encuentra In parle mas engro5ada dellronco cerebral .co Tul~ """"'.) earn inlcrna..

.eo e(l/c(lrilIQ (su/cus C(llell'. . } los ventriculos de! cerebro.tal "I fondo del sureo parielooccipilal.'I'nmel//o la/I'm/ (coml/ in/trillS . represenwdos como si fueran Iransparentcs. "pOl'll. I' 1.I."..'.". EI n"~rllo .II.~ L"h.."nl. dirigida arqueadnmenle hacia abajo... represenl.n/trio. terminando ciegamente. (l. Ventdclilos del cerebro (ventriculi cerebri): aspecto lateral (esquematica).. I do..""'. ". curre~pond. eI cuerno poSlerior esui limlt.\do por la substancia del lobulo occipital. """'or Vtnltl<ulu. (Correillcioncs esp"cinles enlre los hemisfcrio~ cerebrales.) de fi!'>r.. adel3nle )' 3dentro. siempre !'>ien m.•• .. " 746.. por laS fibras del cuerpo calloso. En las parle~ 1<lleraJ } superior III cavidad del euerno posterior est:! rodead.cnte.. lIamado I'spoldn (elllea. . que pc:nelra profundamenle en la pared dt'l cuerno posterior. del cerebelo } 1.~~'~~~~ R.·is). mayor. alojando~e en el e~pewr del 16bulo temporal.VENTRicULOS DEL CEREBRQ V..' lUll I. cerea de ~u periferia medial.nlne. corresponde al Sll..'1 IrOIlCO del ccrebro..'..mifie~lo..l\ que van del cuerpo calloso h:icia el lobulo occip. Elloro inferior. Las paries :mreriorc~ de la eavidad.lul laI. Por delris.1'1' lrielili 11II1"(1/isl. entrando en la composiciJn del forceps mayor del cuerpo cal1oso. dl'l .J una ca

Related Interests

idad dt' un!» ] 0 4 em de longitud.

1'<"###BOT_TEXT###quot;'.... Ve"tdculos del cerebro: aspec lo superior (se mi esque matica).VENTR iCULOS DEL CEREBRO ("'"t .. (Correlaciones esp3ciales entre los hcmisferios cerebrales.:~:~:. )' los venl riculos del cerebro.. reprcsenludos como si (uer3n transp3renles... ".UI'" 748.lt. " • <ntrall$ ~. . ""bt! R« .l1 Co.. It"lrk"h I._ t 10.. clu'tu.) . 101<..' l~w ...1>_::. "nttl<u!! qu.\q ..1 ."I...

pH p...F6 RN I X "... } las COI/lIl1IIl1 S dl'1 [6r1liot (co llll'lIIlI e [o m itis)... y despues con la eara inferior del cuerpo calloso.! /.758.I> 750. poslerior e inferior y la porci6n cenlral de los Ilenl rku los laterales eSlan abiertos...llu. eSla situado debajo del cuerpo calloso.. con su parle media ma s gruesa.. En . .'dl .. ... 764 ) representa un fa sciculo ..". los pi/llres del [6miot (crura jomici...'<"' """.·"'' ' ' m "pi . EI cllerpo del jorniot (corpus j ornicis).. il'l '"pi Th. casi en su IOl alidad constitui do por fibras lo ngiludinales. 754. "II r"'old.I.m _<::::. -- " '" -----: _. Su cara superior se fusiona con el bordc inferior del septo pe!licido.:______ "' .Iargado e inlcnsamente cncorvado.". En un co rte fron tal del cerebro presenta la fo rm a de un prisma triangular. ) F6RNIX El [/Jrnh I[o rnix) (figs.II"C idl ><PII p. Ventriculos lat erales (ventriculi laterafes) : aspecto superior (4/S)' (EI Ironco del cuerpo calloso eSla estirpado: los cuernos anterior. En este se dislinguen el CIU'rpO dl'1 j6rniot (corplls [omici! ). upt l..

. d .... . .) .. del f6rnix )' cl lecho de! J[] \cnlriculo (compkloJ eSllln eliminados. . " T«tum ctkll'l . . t.. Tercer l'elllriCIi/o (ventri culus tertiu s): aspecto superior (La m:l~or parle del cuerpo calloso...l ./ j / r (~/l).t ( " I Ij. " 758..\C1f" TERCER VENTRicULO 7 L 1 f'j' l i If /....

".oti!. pertenecientes al metat§lamo del dicncCfalo.I.. El brazo inferior de los colicllios se dirige hacia abajo del cuerpo geni- . van unos loros blancos.' Sul.rtl . hYf>Oth.. ' ''''' ... ../ . (Corte sagital-median o del encHalo. ~<'''''''' ""'" '"~"'" comml':.. y en parte continuandose con 13 raiz lateral del lTacto 6ptico..~...1 .~"'"'' I i ...." ....". siguiendo entre el pulvinar y 1'1 cuerpo geniculado medial. lIega hasta la regi6n del cuerpo geniclllado lateral.. en direcci6n lateral../ m<d"lIlI~ v•• ml.I ._..". '''"''''.:~~~ Lamln.. ohlon~.<rch..""... Corr'" ". pasando parcialmente al talamo. Column.) BRAZOS DE LOS COLiCULOS De eada coJicu]o.ENCEFALO 66 lorn I. .Uuli.lh Roo .. silUado mas lateralmenle.i 764 . Ambos se encuentran debajo del el fasciculo que parte del coliculo inferior es mas grueso..'I.h.. 769. mitad derecha..ull 'I".ulO inferior recibe el nombre dc bm:o del wHclilo inferior (bmchillm coWcl/li infl'rioris) (figs.. .y.mlll.:~:. . El brazo del coHculo superior. .. cara medial (~/s).li ..1 )"". EI loro del coliculo superior se denomina bmzo del coUmlo superior (brachium col/icu /i superioris): e! 10ro de! !. EI mapo genicldado Imemf (corpus gel1icli/alllm la/emIt) est§ pulvinar dellalamo 6ptico y estfin separados del mismo yenlre 5i por un surco... 774)..". """::.":'~'~~':'~.u.. III : I HYP"Phplo'. Ambos brazos lIegan hasta los cucrpos geniculados.. Ence/alo.. i'cdu".nlrl.

mica sobre la pared laleral de l III ve nlriculo.- I Nuclei corporis m..m.optlcIIS--- Chl.' N oxulomotoriu~ 765. (Proyecci6n de los micleos de la region subtahl. SuIcIlS hypoth. I .l.. oplieum I I .) .upr.mleu.".ri.REGI ON SUBTALAMICA 67 . .sm. Region subtaMmica (regio subthalamica) (semiesquematica). \ \ \ \ I I / / I / ""eltlli .

/-1. r ':.11'·./ T. as pecto superior. . ____ _ Lemnltc:us 1. algo anterior (semiesquematica).) basllarl. lone-Uudln.--.'" / y~ PflluJ1Cuius crrebrUarls Inferio .s medius ~ ' --- rlolx 1". medialis T'KIIIS p). "-"- . --. l ..lfr. (Corte horizontal a nivel de los coliculos supe ri ores del lec ho del mesenceralo. T.N. TtI("tul rubrOSplnal!. Tronco del cerebro (truncus cerebri)...--:~S'""". "dla molOl'I.lfs I't'<lunc:ulus urebtllaris wperior .liIX. mldalis( fibrae CO.•ccusotlu~ 767..TRONCO DEL CEREBRO 69 .... /! (> N abductns -. / Ol(vi / l'eI'its ( N Inlc'lI'edlus- " '... nUdUTM) Pedun~ulus ct rebrl P~dUJ1Ctl lus ctrelJtolltr.lis medllli~ .. Klculu..lkosJ)lnalt<S CI (o.nsorl.-1 mlltu..

.•••...·ersae).m cullicuU Inferlort.FI...".___ "•• ... superioris ~ ~ ~ - )l .. entre los fasclculos piramidale! van las fibras /ronn"us/IS del puenle (fibrae pontis Irans. sUpf! .. En la porci6n vent ral del puente.7l METENCEFA 10 Fr~nul ..'... aspectos superior y posterior PI.."".r.." crr~helll PedUl.d"". el plcxo coroideo del IV ven!riculo eSIA leftido de color violcta.>er lor --.... dirigidas a las porciones pos!eriores del pedunculo cercbelar medio: elias cons!i!uyen eJ fasclculo inferior del puente.lu s ___ ':\."".. (El cerebelo ha sido eliminado por complelo: 10$ pedunculos cerebelares medi os han sido quilados parcialmente.I".C""'. Br.18:!:). N . Cllnc.chium collie .jor iC'I"'"'"' Inferior .ell m.) mienlras que en esta ultima hay mAs acumulos de cclulas nerviosas.llaris -- "....Kilis " Sulcus 1&IC'llis -Sulcus Intermedius posterior 1'"'''''''''1-/ / . cuarto velltrfcuJo (ventriculus quartlls) y tela coroidea de/IV velltriculo (tela chorioidea ventriculi quarti).i (uncali qua/II ·-.d.b. En conjunto form an los estratos de fi bras .m nudel g. se haJJan la! fibras transversas del puente que en conjunto constilu yen el fa sciculo superi or del puente.. l.P..nedl../ • Fa:Klcul .. crr~belll Pedunculus

Related Interests

enlriculul Tuberculum lIucl.----c:l:1k _V"..."s ~ / / .edi ...'rsos del pueme (fibroe pontis /rons"ersae) (rig.nus (J)O'lerlor) 769. ~--. por delan!e de los rasclc ulos piramidales longitudinales..culus «t~II"is sUj. Tanto las fi bras su perficiales como las profundas pertenecen al sistema de fibros lrans".. m. MAs dorsal mente.""..m metJull~H' ~U I"...s gracilis Sulcu li ."".". ctr."n" .) .. . .

ren'io accesoria (nue/ells spilwlis n. hypog/osi) se alojan en las porciones dorsales de la medula espinal. ~Slfta lermlnalis -~~ / . en la rosa romboidea se proyectan en la regibn dellrigono del nervio hipogloso.l. EI nuc1eo ce rebral es ambiguo. sino lambien en la medula espinaJ. semlluurll sUpf:.:rhc" -.. esta en la medula oblongada.~ ·-·COb". ha sido eliminado. que perlenece a las porciones medias y lalerales del techo del metencefalo {figs. 723-729). exceplo la lamina del lecoo y las porciones poSleriores de los llilamos o plit os.'''... / / ~.. '~""Ii. y el nrkleo espinal del ... CE REBELO £1 em'belo (eerebel/lmrl (figs.J). las partes laterales forman los Ittmisferios certbtlaffs (hemi. EJ ce rebtlo lIena casi loda In fosa posterior dtl crtllll'O (fossa crallii posterior).ior Culmen Declive __ horlZOtlt..-"" "'~.. (EI cerebro.mus / /' .J (l'tmri.".lIIclti n. que une u umbos hem id erios.. Los nue/ros del nen'io ocetsaria (nuclei n.11'...CEREBELO I Corpus Ilu~ Ttc\u. Los nlicleos del nen 'io hipogloso (.io• Fissura<! " ." mt. OCCtsJorii} se alojan no wlo en el Ironco del cerebro.""""""" In. Foli8 ".).". Cerebelo (cerebellum): aspecto superi or y posterior ('/.Jphtrili ctre- belli).oo"" IU~ljor :-.. EI diamel ro del cerebdo (9-IO cmJ es mas grande que su dimtnsi6n antero posterior (cerca de ..lls semllun..$<!tr<:ephll! Tenl~ chorlotdu terhUS /Th..773-782) se desarrolla de III lamina cerebelar. '~A+ . Inlerlor 773. y 13 parle media es el rerm.) rosa romboidea se proyetla por ruera del trigono del nervio lIago y es tti mtis dorsalmenle al nucleo IImbiguo.._C"I1"".. ". accrsJorii) eS11i silUado en la substancia gris de III medula es pinal.. a 10 largo de 5 6 6 ~gmentos cerllkales su perion:s.". en la porcion dorsal de los cuernos anleriores.~"'C """-''''' ..

... EI cerebelo consta de dos Ilemis/erios rerebelMl's. al igual que el cerebro. en el borde an terior. denominada "ermis (rtrmisJ._ ' oplltum Pedunculul cerebr' ~-. derec ho (1/ 1).. Cerebelo (cerebellum) y trOll co del cerebro (t run cus cerebriJ: as pecto lat.. dereclto t i~qllitrdo (/ll'IIrispiltril/ rtrl'belli. .. )' los segmentos mas marcados 1~lerales forman lo~ angulos Inlerales.N ..""".Co'P'" gulculatDm la. 3t'm). nit Ibulo«>dole..1I1 774.""/ /<"""" Ipln. En el vrrmis se liene una cara 0 ... genlcublum ". con vexa. .. en el borde posterior. La cara inferior del ec re belo limila con la mcdula oblongadll de lal modo que esta empuja el cerebelo form ando la l'llllit:ulo C"ert'lu/or /###BOT_TEXT###quot;al/teu/(I Cl'rtbtlli). y la inci~ura cerebel ar pOSlerior.' Lobulul ".. dtxlnun tl sinis/rum).le I / ' O~~" Collleul"" ""pe.. csta cubicrlo con meninges: :II quilarlas se dislingucn sus diferenlc~ partes y gran ctmtidad de surcos y giros situados en sus cants. Por ddante del cerebelo se situan el puente y la mcdulaoblongada. Cada incisura esn\ silU~da en el borde corre spondienle del cerebclo: la anterior.dgem'n"" 'Rtermed l•• I. / . en euyo fondo es ta el vermi~ inferior.CER EBELQ " . divide cada hemisferio cercbelar en dos caras: la {"Ilf{l Sllpuior (/Ilcies sllpl'riorJ_ relativamtnte uniforme y que baja oblicuamenle hacia los bordes. Lobulul . Enlre ambos hemisferios de! cerebelo csla siluada Sli porci6n media.. que va de los pcdunculos del puente a la incisura poste rior del ce rebelo. "".:. EI cerebelo esta separado del cerebra por la pro/linda fislI'" /wri:tJItW/ (jjSS II'" Itori~QI//(1lis/. La Jimrtl II/Jri~lm/IIJ (/i)'slIrtI IlOri~OIlI{llis).11 Finn.. en 1:1 C\lal se encuna la prolongad6n ue la duramadre denominau a liem/(I del rtrtbt/v (telliorillm {"('febcl/i). EI cerebelo.". Los )egmc:n!os mas marcados de los borde ~ anterior y pos1erior forman los correspondienles angu los anlerior y poste rior.. y In carll ill/I'rior (/{tries ill/erior/.dllie I ..IO\ . . N..~L!~~ir~~~~~~~m':m~":":". \ Collieulul tnferlor. Corpu. 796).. mas plana...lS: I~ incisu ra eereb<!lar anterior. III pos1erior. mh profunda. ~.".yngcu. la cual se hal In como con ada por eSlrechos gi ros paralelos.h."" • glonoph. Endma del ce rebelo se alojan los 16bulos occi pitalcs del cerebro. rJivididos por dos incisur.. extendida sobre la rosa posterior del cranco (fig. Opl~"' .cl. EI peso del cerebelo en el adulto oscila enlre 120 y \S{)g.

Los dos surcos longitudinales que van a ambos lados vermis (en la cara anterior. I. pasa a traves del ultimo y se dirige al pedunculo cerebe!ar medio: corresponde a Is lill8ula del vermis...TISI.is (culmen ) y el der/{I'e (dedil·e).>4r I «1'80111 Ht"'. . as pee to superior (1/1). Lobulillo cuodrrlltgular (lobulus quodrll/Igllinris). derecho e izquierdo. extendidos del cerebelo h:ma la medula oblongada Las caras de los hemisferios y del vermis del cerebelo se dividen mediante /iSUrtlS cerebt!lans (jiSJllrae cuebelli) mh 0 menos profundas en [os folios certbe/ares (jolia cerebtl/i) de dife relll ~ tamaiio. es un pequeno segmento del hemisferio del cerebelo. l<>b ull ""'""".I techo del mesencHalo. situtindose ~n el estrato superficial.et vermis inferior. Estos enlaces son 10$ pedlinculos mpcriores (pedrlTlculi cerebellares superiores). A la cara superi or pcrtenece un lobulillo mb. esta separado del 10bulillo cuadrangular por el sureo posterosu· perior. de ambos hemis! erios lescorresponde un determinado lobulillo del vennis. y los ptdlinculos inferiores (pedllTlc/l1i cerebellart! inftriore$). EI giro anlerosuperior divide el lobulillo cuadrangular ~n las partes anterior y posterior.'phn'ium . que 5e eXlienden del cerebelo hasta el puente.) parte superior . Ala dellobulillo central (ala lobuli cenlra/is). n6-m).. el eual pasa a Irav~s del vermis de un hemisferio a olro. y que ~ utienden del cerebelo I!. Lobulillo semilunar superior (lobulus semi/unoris sl/perior). corresponde al folio del ~'ermis (jolil/m l·ermisJ.11 . el cl4erpo medlliar del cerebelo (corp us medill/are cenbelli). posteri~ e inferior. m . limitados uno del olro mediante sureos conSlantes constituidos por las fisuras cerebelares. a los dos lobulillos hom6nimos. tiene la forma de un cuadriltilero irregular con giros que van de atrb adelante y lateralmenle. . Los lobuli!los hom6nimos de ambos hemisferios eSltin limitados por un mismo surco.78 1. forma [a CUrfew del cerebelo (COrfex cerebelli}: y el acumulo de substantia gris en ta profundidad del cerebelo forma su nucleo central. Los gropos de giros forman lobulillos cerebelares. (Las meninges cerebetares han sido eliminadas. y una cara 0 parle inferior . El c~rebelo consta de substancia gris y de blanca (figs. Unos lobulillos se unen y forman 16bulos. 3. cOlTespondientes al eulmtn del I'em. Cerebelo. ~ aloja en su espesor y mediante [res pares de pedunculos une la substancia gris del cere bela con el encHalo y la medula espinal. los fHdunculos medios (fHdunculi cerebel/o. que !II unir la lingula del vermis con el pedunculo cerebelar superior.d vermi$ superior. 782). Lobulillo semillln(Jr inferior (lobI/IllS semilllJlaris inferior). es la secci6n lateral del lobulillo cenlral del I'ermis (lobuills centralis) en la cual hay varios giros pequenos y conos. > . La cora inferior (jocies inferior) del hemisferio del cerebelo tiene los lobulillos siguientes (figs. esos 16bulos son tres: superior. La cora superior del hemisferio cerebela r (jacies superior) tiene 105 lobulillos siguienles (figs. Vinculo de 10 /{'Igula (I'inculum lingulae) (BNA).cbtlll (r"" "'po" Htmi<pll<rtwn If.CEREBELO . Los tres lobulillos indicados pertenecen al 10bulillo superior del cerebelo. 2. La substantia gris. como resullado de eso.btlll upm" 715. 4. La substantia blanca. con aspecto de numerosas hojas encorvadas en arco. I . tos surcos son mas pequenos: en la posterior son mb profundos) sepaTan los vermis superior e inf~rior de los hemisferi05 del cer~be lo. descritos arriba. en su mayoria situadas casi paralelamenle una a la otra.".res medii).

a del cerebelo (cortex ce1l'beIliJ. S. Tonsilo urebt:lor (tonsil/a arebelli).CEREBELO " 776. la pord6n medial anterior tlene sus pros largos yen mayor numero se dirigen de delante alras. la cual cubre las paredes media y posterior de la cara superior del velo medular superior. haeia auas la lingula se une con el lobulillo central. el flOcu lo forman el lobulillo cerebelar inrerior. 4. EJ lobulillo dig:l. La tonsila eorresponde a la Ih'ula dcl ~'c'lIIis (uI'ulo I'C'm.. cst:!.Ii. EI )·tnnis (~·trmiJ) representa la parte cstrecha del cerebelo. en el espesor del vermis se encuenlra el cuerpo lIIedll/ar blanco (corpus mrdullart) (figs. 3. que representa la conn.tllber "crmis) y junto con c:llobuliUo semilunar superiOl" forman e! I6bulo cerebeJar posterior. I. es el lobulillo mas anterior.J (ccrtbcl/i) (BNA)}. n9. Tado ellobuJilio corresponde a la piramide del)'erlllis (pyramis )·ermis).in mas engrosadas que las laterales. Montfcldo (monticulus) (BNA). C"U separado dellobulillo semilunar superiorpor el sun:o horizon:. ademb. tS la porei6n mas grande . EI vermis se divide en dos porciones: el vermis superior y eI vermis inferiar. eSI:!.s . cubriendo en parle la lingula. Floculo (jIocculus): es el lobulillo mas pequeiio del hemisferia cerebclar. EI vermis del cerebe!o mediante fisuras Iransversalcs se divide en varios giros breves que forman lobl/lillos (lobu li). Lobulillo digastrico (lobulus bil"enrer). se une can el velo medular inferior. sus porciones mediales en la incisura cerebelar ~~luior est. 2. 2. EI fl6culo corresponde al nOdulo. aspec to superior (semiesq uematica).J .. esta separado del Iobuhllo semilunar inferior por el surco :mteroinferior. Lobulillo gradl. al igual que los hemisferios del cerebelo. alojada mb medialmente al 10buliUo digastrico en una pequeiia depresi6n denominada nido dc OI'C {nidus IH'. mediante las alas del lobl/lillo central (alae lobuli cel/tralis) pasa a los giros anteriores de 101 cara superior de los tlemis· ferios del cerebclo. Lobuli/lo central (lobulus centralis). 3.la lonsita). EI "ermis superior liene los 10buliJIos siguientes. sus giros son muy cUTvilineos en directi6n latc:ral y por 4tU1i. A 101 cara inferior penenecen los lobuJiJlos Slguientes. eSta siwado en el plano mediano y une a ambos hemisferios. Ambos lobulillos cOI"responden aJ tubirculo dt:l )'cnn. consta de 4 6 S giros esuechos transversales que forman la I'm ina. alojandose detras I del pedunculo del puente y del peduncula cerebclar inferior. cuyos lobulillos corresponden a determinados lobulillos de los hemisferios del cerehelo. esta situado en la regi6n de 13 incisura cerebelar anterior. 5e encuentra suspendido sobre el fi no ped"nClflo del fl6culo (pedu llculUJ flocculi): ute ultimo.s). EI vermis.strico. situado cerea del vela cerebelat inferior. Littgulo cerebelar (lingula ctrebelli). en la carOl medial de la ton5ila. 780). est! limitado por c:I surco posleroinferior Ikl lobuliUo anterior. cubierto perirericamente con substantia gris. Por ~u direcci6n los giros de este lobulillo puedcn ser divididos en dos porcioncs: la porci6n lateral posterior eu)'os giros son bre\ es y dirigidos lateral mente. sus giros breves van de delan te all·as. Cerebelo. Por detris el (IOculo esta limitado por la jiJ11rl1 pOJtrrolortrol (fissura posterolateral). En eI pedunculo cerebelar media 5e situa con frecuencia un reducido grupo de pequeiios giros que recibe el nombre de fl6culo secundario.

Cerebelo. aspec to infe rior y anterior (III). cutbrllar i$ inlerior Flss urB r igil:~~~~" 'd'''''''' Inltrlo< ' II I ce rebelll 777."""". as pecto anterior (se miesquematica).) 778 .. Iloccull . CEREBELO terebelll Ptduntulus cerebtll. is suptrlor Velum m.. Cerebelo. (EJ cerebelo eSl' separado del cerebro mediaflte cones a traves de los pedunculos cerebeJares sUpe ri()f"es )' medios )' del vel0 medul ar superior...

Cerebefo: (" /')' (Corte mediallo-sagilal a Ira\~s del ~ermis cerebelar.CEREBELO 87 779 .) 780. Cerebelo (semiesquem atica). (Corle mediallo-sagilal a Ira~~s del vermis cerebclar.) .

area temporal superior ..rea frontul media 44 .area temporal basal polar 2 1/38 .sub:!. • • 39. .:!'rea temporal media lJ 400.:!.sub:!. "" "" " .sub:!. .thea temporal basal .5ub:!.\--> ' -. .rell frontopolar 10 .rea opercular . 1 4 J 2 "'.rea orbital . - 39 39. / --7?-.area temporal media polar 22/38 .) 37at .. 40p 7..area temporoparielooccipitai inferior ]1.subArea orbital 47' . .area temporoparietooccipital poSTerior ]1' .:!'rea temporoparietooccipital superior 37ab .rea angular sub:!'rea angular poste rior area preoccipital area occipital (Instill.rea temporoparietooccipital central ]1. .. . ~ " t .area frontal agranular 6 .rea angular superior sublirea supramarginal posterior subarea parietooccipital subarea su pramarginal infe rior :!.l!o del Cerebro de Moscu.subarea supramarginal ope rcular 20. '" 39.:!..:!'rea triangular .rea temporoparietooccipital anterior 22 . .rea anterior 6.:!. . / .CORTEZA CEREBRAL 6. J9 J8 - area postcentral intermedia :!'rea aigantopiramidal :!'rea postcentral oral :!.rea opercular _ Area frontal intermedia 8 .bea postcentral subcentral 4l 20/38 .area temporal superior polar 47' .rea triangular . .:!.subarea posterior ".:!. " I ~~ ___ _ os 3ib 21 371' 2~ 784..o.rea postcentral caudal subArea supramarginal :!'rea supramarainal 5ub:!. " / / ~--- ~--- . Campos citoarquitectonicos de la corteza de los hemisferios cerebrates. Cara dorsolateral.

23/24c _ subarea tenue granular dorsal 23/24a _ subarea tenue granular ventral .area temporallimitante 20i 20tc . .area Ilmbica limitante anterior .area gigantopiramidal 4 _ iirca postcenlral ) 8 32/8 '" " .area limbicoiimilanle media .area temporal tenue corpuscular . .subarea subpatelar inferior 2Si _ area temporal limitante 20i .subarea frontopolar limbica 24/32 . \--~f " - /' 785.area frontopolar 10 32/ 10 .area frontal agranuiar 6 31/32 . aspec to medial.subarea agranular media _ subarea agranula r dorsal .subarea anterior . I 5 ]] 7 27. - 19 IS 17 area postcentral intermedia area postcentral caudal area gigantopiramidal area limbica limilante posterior area parietal su perior subiirea parielOQCcipital subarea lalopropegranular y propegranular dorsal area preocci pital area occipital area estriada subarea Jimbica limi tante posterior area limbica li mitante superior area temporoparietooccipital inferior (ln5[ i[u[0 del Cerebro de 1'.subarea agranular ventral 24b .CORT EZA CEREBRA L 93 5. loscu.area prefrontal 12 32/12 _ suMrea prefrontal Hmbicll .area lernporopariet()()cclpJllll 37d limitanle inferior .r Hmbica _ area (rontal inlermedia .subarea frontal granula.subarea posterior 6.) . 2). .area del giro recto II . Campos citoarquitectonicos de la cortez a de los hemisferios cerebra/es.7 t.area frontal granular 9 32/9 .subarea frontal intermedia Ifmbica 24. _ - 31/7 _ - ]] - 37. / " / .

". metro< I lon i:'IU dln..) capsula in/ema (crus an/erills capsulae ill/emae). ~ u • • plnotort bl:lllt1O " Trirlul ollvO' PI"II. la rodilla (genu) y el braw posterior de la eapsllia intema (crus posterillS capsulae internal). que unen la rl'gi6n motorn de In COf(eza con los nucleos de los nervios craneales (fig..".' -Flu urt modian... . . 789). 789).. ( .'ls tnlerlot T'acl •• eor tleo'pINOli< (pyramidal i. En In composici6n del brazo posterior de la cdpsula illlmlll (crus posteriu. " .. que unen la regi6n motora de la corteza con las ce)ulas moloras de los cuernos anteriortS: los !asdel/lo:. (poIICt lor) \ te. (Corte transversal...."". III m ~dla nu. que relaciona la corteza del 16bulo frontal con los nucleos del puente y entra en la composici6n del tracto corticopontino. EI brazo atlterior de la capsula interna (crus Ulilerills capsulae in/ernae) esta formado por el tracto frontopontino (fig.. 792). -' . .. .--- P'~prtl -.. Mtdula espinal (medulla spinalis) (esquematica). F_!Culi . T.mlnall .. "'"' <":1_ ----. FIICicuH Trlrl •• V~SIlb"lospln.!Ida.f corticospillales (fibrae corticospinales). que unen los cenl ros subcorticales acuslicos y 6pticos con la cort eza cerebral.. entre el talamo 6ptico y la corleza. Por la rodilla de la capsllia interna (gen u capsiliae intemae) pasan las /ibras cQrticQnuciean'S (fibrae cortieonuclearis).s capsiliae intermle) entran los tractos siguientes: las /ibra.. en cuya composici6n entran: el IraclO occipilopol1tin o (t ra ctlls occipitopontinlls) y el lracto temporopontino (tractus temporoponlinus) (fig. que unen In corte za de los 16bulos occipi tal y temporal con los nucleos del puente. y en la porci6n mas posterior enlran los traclOS acustico central y 6ptico.MEDULA ESPINAL Fasdculo o~al del rasckulo posle .) T'I<:I".li t modll ill 786. distribuci6n de las substancias blanca I gris.calt's (jaseiculi tlwlomocorticalu). spiNOU. lalamocort.. . el /roc/() eorticopontino (tractllS conicopo nlinl/s).

form an 1115 ra. ~I enlrar en la medula espinal. m~s mielini7.lamoencefalo (lercera neuronal..U':OULA ESPI NAL Y DEL ENC EFALO --..t:a cerebral a lraves de la Clipsula inlerna en la composici6n del faseleulo lalamocortical. cara superolateral del hemisferio derecho (semiesquematica). conductoras de lodos los IlPOS de sensibilidad. TRA CTOS ASC ENDENTES (AF'ER ENTES) Q UE SE INICIAN EN LA MEOULA ESPINAL Los cuerpos de las primeras neuronas.\ ones de las celulas de los ganglios espinales ) los nervios crane.cts dorsa Its (posterio"'Sl /rudicts dor. Tra ctos de asociaci6n .... de donde los tractos sensitivos se dirigen a la corte:. { --- ------_ _ ~ulcus ccntflhs . Las fibras de las rakes dorsales.e im. que consta de fi bras gruesas. (Pro~ecci6n dc las fibras sobre la superficie del hemisferio.. 786.. Los axones de las celulas de los ganglios espinales.. formado par fibras finas. uncln.lles (primera neuronal terminan en las celulas de la mMu la esplnal 0 en las celulas de los nucleos del tronco cerebral (segundO! neuronal. se dividen en dos grupos: el medial.. en su paso haciO! la midula espinal..obu$ occlpUalis ___ \ Cerebelltlm __ F..) TRACTOS ASCENDENTES (AFERENTES) DE LA MED ULA ESPINAL Y DEL ENCEFALO Lo~ (r'tcms ascendenles de la mMula espinal y del encHalo -.lu5 lobus temporall' oblonga ta 787 . se dirigen a !a medula espiual y se Hloj:m en los gallg/ios rSJlilwles (g(mglin spillalin).. .9(3).t:adas.VfAS DE CONDUCC I6N DE LA ".. Los 31{ones de las celulas de In segunda neu rona conducen los impulsos hacia el cerebelo y el 1. EI grupo medial de las fibras de la raiz posterior se dirige at !lIn(cli/o posterior (jrtniclilus pas/trior) de la substantia blanca.:ian en los niicleos de los ncrvios espinales y craneales. menos mielini:.adas.wltsl (figs. Los O!.I ) I. y el lateral.

FascIculus longttudlnalls Inferior \ coHateralls Gyrus parahippocampalis 788 .1 Y cllllei/ofllle (/asriculi gfllcilis 1'1 Cllncllfl/s) de la medu]a espinal. lumbar6 y loracicos inferiores) de la medula espinal. situado Inleralmenle. y en parte pas. perten«en: 1. Tra ctos de asociaci6f1: cara medial del hemi sferio derecho (semiesquematica). TractQ tspinocerebe/ar pOSltriOf (tmc/us spinfJCtftbelaris (JQsttriOf).~. Los cuerpos de la~ . donde ent ra en conl:lcto con las celulas fa~ciculares.:::::-. Las rdmas nscendenles. Las ramas descendentes de las fibras van hacia abajo yenlran en contaclo con las celui:u de la subst3t'1ci:1 gris de las columoas posleriores. y con las cclulas del cuerno posterior.ViAS DE CONDUCCION DE LA ME DULA ESPINAL Y DEL ENCEFALO ..l. enOl parte de estas (ibras forma : en las poreiones toraeica y cervical de la medula espinal un fasciculo que en 101 '>Ccci6n transversal de 101 medula liene la form:l de una coma} esta s1!uado enlre el faseiculo gracil y el euneiforme: en la porci6n lumbar tietle forma de un haz medial: en la porci6n sact:l su forma es la de un fasciculo oval del funiculo po$lerior. (Pro~ecci6n d( las fibras sobre In $uperf icie del hemisferio.m en Iii composicion de In comisura blanca allado opueslo de la medula espmal y lambien van hacia arriba en el funiculo laleral. } e1 faseiculo euneiforme. vi~ cerebclar recta que conduce los Impulsos de los receplores de los ml'lsculos y lendanes hileill el cerebe!o. 786.1 en el ganglio CSPIIWI. formnndo los/lJscfculos grllc.~"". yendo hacia arriba.Lobus pn!e t ~1t.Cuneus Polus frontaUs __ . EI faKiculo gnkil. Las fibras que parlen de las cc:lulas de los nucleos de 13 medula espinal se dirigen parcialmenle hacia arriba por e1 funiculo laleral de su lado..Pollls occipitalis ~. en la t'l\tensi6n de los seis 0 siele segmenlos situados mas abajo.s) y luego a la columna posterior de la subSlancia gris.'IIII. EI grupo Imeral de las fibras de 13 rail dor~al se di rige a la =0/10 lerminal (=01111 II'f/ll../ Fibr~ arcual~ " certbrt "" Sulcus cingull /// . Ln primera neurona eSI.'~~. A los lractos aKenUenles ((igs. 790) que se inieian en la medula espinal. conliene las fibras de los segmenlos superiores (tonkicos superiores y cervicales). en el (uniculo lateral de la mMula es pinal pasa lambien una serie de Iractos descendenles. Corpus callosum Gyrus cinguU _ Sul(us parietoocciplUlis .ituudas en eMa.. . siluado medialmenle..Polus Sulcus calcarinus . conliene las fibras de los segmenlos infe riOl"es (sacros. colindanle con In cara medial del fasdculo grik.) donde cada una de ella~ se divide en forma de T en las ramas ascendenles y descendentes. enlran en ~onlacto con las ~elulas de I" subSlancia gris de la medula espin:1I en la subslancia gelatinosa y en el mkleo posterior dorsal: parte de 13 misma Ilega hasta la m~dula oOlongada. Adcm:\s de los Italos ascendentes.

-l '"".".co lerl ius Tr/Ktu5 occipitopon tinus et lempor(lponl inU5 . los nucleos sensitivo.[Sl:lcUlos ..~~~~.c1eos... Illosofll ringco y

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3go (Sian reunidos en el ml."""".. enlnln en el tmcta bulbotalamico y en su l:omposicion . de los ncr vios inlermedio.bras de corp us ca ll osu m Tractus in t~rna I ~xte rn a _-1.::~~~..: " '-.sl.. en la composici6n del !llS rleli/a " ' /11 ' mocorrielll (!lI5eieulu$ r/lII/l1moeQrriClllis).[r de los nervios craneales (vease Via de conducci6nne rvio vestibuloc(>clear). " .lelO es pinal del nervio trigemino. 3.'_ Globus paliidus Nudtus lenlk lllaTls i Trnclo [[rust.. Le/Unisc() Iml'ral (/!'mlriSClu IMfrnlis) (f ig.(o c~nlral }' Opt. OCcipitoponlinus el le mporopoolin us Thalamus Corpus pineale Radialia . Ven t rlcult.""..m".. cu}o~ axones. Lt'lIlIIis("(J medial !lemniscus medialisl: es un conjunto de fibras ilscendentes que sc inician en los 111Jcleos de los f. en $11 composicion entran las fibras ascenuentes entrecTillildas de l V](l p.~ ac(. 'r"". Capsulas y paso de los (metos a traves de /a ecipsll/a illfema (semiesque matica)...". ..:. lateTalls Crus anlenus .I<.-"il----. Las fibras que [ienen su origen en dichos nucleos pasan al lado opuesto (parte de las fibras ~iguen en su lado). sensilivo y el nucko de l tr...::l::. Las celulas nerviosas de l talamo o plico son los cuerpos de las tcrccras neuronas de los lnlctos a'l:cndcntes de los nervios craneales.=\-=~.....c" '''"".v.:: pu tamen) ..ViAS DE COND UCC I6 N DE LA MEDULA ESPINAL Y DEL ENCEFALO F..c!eo del Irae lO solitario. 826 ). 2. fron tcpo nlln us Genii Crus Lobus corpor is ca li osl ''''"'''''''''"''''_ >~ Capsu la Cipsula " .-- I 1 corporis callosl Fibras de corpus callosum Lobus occipitalis 789. lcrminando en sus ruJ.'.r eorllco nuclearis :.[Icanzan cl talamo optima.:. a traves de la capsula inlema se dirigC'n II la cortelf1 cerebral (giro postcentral). .

. Toclum • m~''':~..raJi. ) pedunculos cercbclares silperiores.I LObu. i.". VIas ascendentes de la medula espillal y del encejalo..p'IlOIhalamiCI. Aqu[ las fibras de eSle Ir<lCW pasan a Iraves del nucleo ...1 '"""".. . en la regi6n del mesenctfalo cruza al lado OpUCSIO. parltl. lor / I .~ \ ~t-:. -'M..f fili '\ Corpu.' I TrOClU' opin<>lhal'mi<i.liooum I / / '/ \ I \ 1/ \ I / I I Lobu.lls 790. \ \ \ .mocor'. c.."""'...c.duncul._". une el nucleo denlado con el rajo dcllado opueslo.pln.!<uli Ihol..::::::":::~ .-5 .dulla .. IrOniall. .. ' pinocer-btilin.. True/(J cerebeio/ll/(imic() (/rae/us cerebeIlOlilll/flmicus): se inicia en el nuclco denlado. ior tl 1'I.. anl . InfUlor FI!<iruln.lf.tltll .Id.tior.. (Proyecci6n de las (ibras sobre la cara del hemisferio. hemisferio derecho (se miesquematic a). onl ....1 M. 4..ViAS DE COND UCC16 N DE LA MED ULA ESPINAL Y DEL ENCEFALO 101 F. Ped""". P. va en la composici6n del pedunculo cerebcl~r superior.I. p.k1) / T''''''u..ul . Inl.~" T'o<l .".cllls .

. _Tractus cortlcosplnalis (pyramidaUs) laseralls 791.dlallo Fasciculi Ihalam o~ort kales / II ~~ -_-:::.. corte frontal (sem iesquematica).. \ \ \ '\ .--Frb.. {Proyeccion de las fibra~ ~ob re la su perfic.Trac ll1s . \ -V. de II -. de: la COT1u.._ CJpsula Inlunl _ _ _ _ _ _ . / / .. \ \ \ ~ "e cort icoSp inalu~ 1 II . --- ' udeus lenlifo""ls----=--==-~=- I \ \ ~~>#1f2:.srJ. ' 103 :.corUtospinalls¢!yramldaUs) anlertor . FibnJ comisu raln de (o'pus c~ lI osum \---. oblongatl .. Fibril. Vias descelldentes de la medu/a espinal y del ence!a/o... fibno._A...:::. ' Fasciculi corUcolhDbnllca~ I r ..c cereb ra l......-- / I "" 1/"._ - Thalamus .a hacia nucleus cauda tus I~ 1$/ I / / \ II " -1)~-'." ..'suspy ramidalis) \ \ Nucleus caudlsus .--~ -- --TrtClus rubrosplnatls Medull.! I~ Co rlez~ h"".ViAS DE CONDUCCJ6N DE LA MED ULA ESPINAL Y DEL EN CEFALO \ Corpus ca llosum \ \ Claustrum _ __ ..·u corticonuc]earts- Uraclus pyumi dal b) _Nucleus ruber- • • ( -- ~...::::::_~ ---_ ___ _ f {OrflcosegmenlalisWNN .. \.~ · 7 Trac lus -_ Pyramis - Ihalalnl nucleus lentlformls 1/ _ I--Cl-.....

. rul><r rlud>!u.. (Pro yecci6" de las fibras sabre la superficie del hemisferio... «Itlkor".e::::~J ( lto""U... cara superolateral (semiesquemali ca). tl ###BOT_TEXT###quot; !emporopon'.bi'.'..N spln._ N'...TrKI'" 1.lbm ""~'M"'" ct'obtl fib .. nloponU'. . con 11101."".naJ y del enci/alo.ltu.....) .. J • ~on ".II. r"C]"... 'pln. "-:~--.. Flbr". I I I ~~f:::~r~~~)·"'~~_)..ViAS DE CONDUCCI6N DE LA MEOULA ESPINAL Y DEL EN CEFALO 105 Fibras qU( un(n a"cI..." • •ube.cdplllhi f'. ruIK..1 'nloria. cO<!lc06plnlles (I'-CI ... Vias descendentes de Ja miduJa esp... IrldUi p. T'to(\ul occlpUopornl n.pil\llh .. que U"~n "lOCI ..] ~ cotlka'pln....d_l.m.. ~On "".as que Unen nud."" Co . Fib.J" "'. p)'T.. "'.midoUlj 10<1"'1'11111 . Itn!lformlS F. To..". .lIs 792.nmldlli.In./pyromldoli..ll' .<I". .

------ 793. ) . M eniflges de la medula espillal: as pecto posterio r P/l)' (Los an. yo"".. nannt"u.MENINGES DE LA ME DULA ESPINAL _ _ _ .lor Ar.ehnOld .l.~"'" - 107 _ _ Co.ltb •• lIs InINn".a)mcnlc) 1 A'Khnoldfl (chm.r-'r -j' - Modulla . po..pu. (poo l.rlo.os y proccsos espinosos de dos utrtebras estan climinados.nada p~r<:.e.lo. v.".) . 'plull. - +iil:-r" Dull mil •• '.nada par<:ialmcnlc) A. vtrltb..lIeuta. ""(>f...u DUll mllf' (dim. Pin". PrOCt" .

(communlc.'''". denom inados Sl'nos dl'la dllramadri' (si"lIs dllrat millris).ilvul<ls. cubie rt a con Wl endoldio.H. g'.MENINGES DE LA MEDULA ESPINAL 109 L '>'.nt ) 1I.d' \ u. sepanindolas.'u Modutll >"''''''' '~ Radix vffllnll . senos. Inl.eu$ I \ \ \ \ \ \ Glngllon I.""'"' 'plno.. u! Our" m"lt r poSl~r l or Arcus "trtebrK Subsl. En la cavidad de una serie de senos 5e abren emisarias venosas. los ojos. Meninges de la medula espinai (meninges medullae spinalis): aspeclo superior (2/ 1). rlor 794. La du rama· dre del encefalo forma procesos que se 5ituan entre las partes del cerebro. al cortarlas no 5e pJiegan yen el10s no hay vf. constituyendo los coleelOrcs en los cuaies la sangre de las "enas del encefalo. la d uramad re y los huesos del craneo se reune y paS<l al sistema de las venas yugularcs internas.ntl .I. Por las lineas de insercion de los procesos de la duramadredel encefalo 5e {orman unos espacios que al corte transversal son prismfiticos 0 triangulare5.uncl \ . Es lisa y brillanle. R. 'pln. (Corte IranSllersal a [raVes del cartilago intenertebraL I cerebro.". que comunican a travts de cunales en los hue50s con las venas de los tegumenlos de la cabez3. . ES!DS espacios. lienen sus paredes muy lensas.

.-t .IJ ..11 0. Mtduli..I ----- __ "pl~nlum <"'pOtls <.."II~..o<porl. . .""""'.n. u."" '""'"'''''-'77''' Comml"ufI posttrlo. dullir" lh11l.. f~h. . Duramadre del encefalo P/..brI T.MENINGES DEL ENCEFALO F.b.nll " '''"'''' -. __ . . c.~." .J/ «.. ......"d.ptum Pflluc dum _ Gy..u ..)..\ ".~ s. lCorte sagilat lin poco a la izquierda del plano mediano.... ' ~:llL . "m.um ".. se ve el falce (hoz) del cerebro con relaci6n at cuerpo calloso.... rum tnr"". (Mop....llo>l ..'orporll 113 . Corpu. ~nl L. 'PH...t~g~lI _ --- ~u . Gonu ..J ..huhnr.. 797.

."'""" ..U.( ( A. tom"".r« . aspecto inferi or (s/6). si tu(tda debajo de eSllI. POS'''..t_b.11 4 MEN INGES DEL ENCE FALO Bulbul ""'.!!. " 798. "'''''''''' . La mayor parte de los ramos nerviosos de la mCl"lil"lgc sigue el paso de los 'laws de la meninge..... COrotlJ I . excluyendo cl techo del .. (Cara inferior del encHalo: en la regi6n del 16bulo tempo ral esti eliminado un pequeno sector de la aracnoides.. Araelloides del enee/alo (ara chnoidea en eephali)... _eph'l< (cl. :.".... " •• . nrebrl """•• .) fluencia corresponde en el hueso occipital a la eminenda cruciforme. .u • .Ii. brl Inf_rlOf hypogloo. La duramadre del encHalo se se pam de In aracnoidcs. por los nerv ios simpi. de la arteria ve rtebral y tambi~n del plexo cavernoso): por los ramos del "ervio petroso mayor su~ r ficial y del gangl io 6lico: aveces en el espesor de algunos nenios hay celuJas nerviosas int ra· Ironcales...m!ll._ Int<rptdun<ularlO N A..mlnada I I «)mm""I< .icos de los ple ~ os pe riafl eriales (de la arteria media de la me ninge....... por el espacio que representa unas fi su ras capilares ocupadas por una pequefia cantidad de IIquido cerebrospinal... . m. . La duramadre del cncHalo se inen'a por los ramos mCl"lingcos de los nervios trigemino y vago.I. Cistern.

... -'"'''''' tor.b. C!$t... lce del cerebro.. e! ncrvio maxilar y el nervio mandibular emiten eJ ramo meningeo medio pilra la duramadre de la regi6n de la rosa media del cnineo.crta ".."""". EI nervio vago emite un ramo meningeo fino para la duramadre del encHa!o en 13 regi6n de la fosa posterior del cnineo.1'1' COn I~ "..d..""..m. . ad -"'.nada Icub. participan en 13 inervaci6n de Ia duramadre .. emite unos tronquitos para la duramadre del encHalo en la regi6n de la rosa anterior del craneo.~ liS (':rrcj~lmenle ) v.... la lienda del cerebcJo y el f ...."". EI primer ramo del nervio trigemino-el nerv io oftalmico.rn. " .. y a la tienda del cerebclo (ramo de la ticn da).. ."" t. a las porciones anterior y posterior de la b6veda del craneo..._''''''''nr.- to.llomfdull.. en uno u otro grado. donde a diferencia de Olros sectores de la duramadre del encHalo hay pocos V3S0S y donde Ia mayor parte de los nlmos nerviosos sigue independientemente de los vasos...'". . has/a cI techo del cerebelo y para las paredes de los senos transverso y occipital.llarhlreseca<!8) "... Aracnoides y piamadre del encejalo (ara chnoidea e/ pia mater enceph ali): cara medial (2/)). . ."""".ris 799.) cerebelo. alc3n:1:ando eJ seno sagital inferior.H Aditu..!le."""". Ademas.) !..MENINGES DEL ENC EFALO \ «t<hrl .". Li m. qUlrtu."".. .brl lronov. Los segundo y tercer ramos del nervio trigemino."pWm pt'lIu'I~"m Gftur ""pori' "I)". •• . Estos ramos se distribuyen tambien por las paredes de los senos venosos vecinos.) .. (cI. (Corte sagital·mediano: el sector de la aracnoides en la regi6n de la cara medi31 est<i elimin3do.."cno. accesorio e hipogloso. A.dun.los nervios troc1car.bri ~". glosofaringeo. y tambien al falcc del cerebro..~brl magna I 1.""'. b.

s t ..809) representa un nervio de sensibilidad especial." . cereb.. Aqui. donde se une con las [ibras de la parle l:l1eral de! nervio 6ptico de eSie lado y form a junlo con las mismas el lrac/Q 6plko (Irae/ IiS oplkIlS). AI pasar a Iraves del espesor del cue rpd adiposo de In orbita.~. 803.. La parte medial pasa nl lado opueslo.. Las fibras del nervio oplico se inician en las celulas gan· glionares de la retina del ojo y perforando Ia. La parte lateral de las fibras de eada nervio optico se dirige mas adelante por su lado... H}!>Ophysis_ lulum.ala anlCflo. Nervios opticos y (ra etos optieos: cara inferior del cerebra P/6)' (La mayor parte de los lobulos \emporales y de! puente eSla eliminada.raneo (te rcenl porri6n). _ N optlcus Sulcus lal eral. -- • .1 NERVIO OPTICO EI.. el nervio 6plico se dirige a traves del :lnillo tendinoso comun aJ c. _ _ -N.analoptico (segunda porcion) y sale de 1:1 6rbita entrando en la cavidad del .. . opljcus) (II par) (figs.e.. .hI< cer~b ri ~r 808.NERVIO 6PTICO '29 _Bul ~us oliaclorlus . el quiasma 6ptico.Pedunculu.len'jo oP/jCQ (n.. h.' -C'''i~ Suhstlntla oosterlof - Oplicus oculomolO. \ " Sub<lantia perlo..lu~ . en In regi6n del surco quiasmalico del esfenoidcs.'t....~ .808.\que luclu I' .. .804. .. . Corpus mBmlllare .! p~rforala F05'8 Inl e rpet1unc\Jlar!~ _ SubSlantfa nlgra '- To:cluoll """. el cruce parcin! (semicruce) de las fibras de los nervios 6plicos. tiene luga.~ la~ forman la po[ci6n intraocull1T del nervio 6plico.llbu lum _ _ _ Tllehl$ _ Tubet clne..

\ N opllcus _ ---~-. £1 Iwdto $tll/iro S/l~rior del lIen-io lrigl'mino /nue/tus scnsorius $IIprrior n. Ilu lonon1l""1 nul< ..netcorp".' Axont.. 2.0 opt.. . .. trigl'minO se :1!Oj3 en eJ techo de! puen te.1 I I PUMnl' .. .ut"••)mk~)1 que "M tn la compMoco6n dd I n oc: ulomOlori .Lobu.. y conSlan de celul3s en las cualcs lerminan las fib ras ascendcntes de la .. nudt us ~'u. as<.actu! OpUtU! ' I I \ / /111. . lnlr / Cenllo 6p!ico .ofhcal . ubcortical tn .lon. .II .ular . Nucleos sc:nsitivos: I.. n!.N ER VIO TRI GE MI NO Pul ..~~. pot delanle del nucleo del nervio abdUClOr... ESlRS ribms constituytn ~l ImelO espinal del nervio trigemino..I " I 809.. f . 804... £1 miclro del mlCIO 1'5pillll/ del IItn'.inOOo parcialmenrc. pa so de las jribras y conexiones del 1Ien.. Centro 6prico .:. eJ "Iou\ ":Ct " rlu. Cap./ ( /' .! truClIIS spillalis II. superior . occlpU ali s j Uulbu. Radlallo optlCl J .do lriglmino (nucll'ul 1II0lOriul II. 8!0·822) es mixlO por su cankter.ulom I " (cn d!""~O.. 001001(111 !'. £1 llIlc1tQ dtl "aclO ruestnct/ll/iro dtl IIl'n·jo lrigcmillo . /Proyeccion de las fibras sobre !a superficie del hemi~rcno. En las cilulas que 10 forman terminan las fibras descendentcs de 13 raiz sensitiv". I ! I I I! I / 1 G1olllton ~ 1II1. en la region de la ma ncha ce rulca. lrigl'mini l es alargado. millO (gallgliOIl lrigtminaltl. lrigtmini).ai: Jellsilim del IIl'n'io lrigllllino (radix sensoria II.. esta situado en las portiones dorsales de Iii mt!duta oblongada. lrigemini) cst' situado en eltecho del puente. provenientes del gilltg/io fltl/len'io l rigl· . que unen el . I \ L Mtdun.ub Inltm.- 1 r .6n del '.flh I 1 Thalamustrcs«ado l T. 3. :_~...o lrigtmino (n llefell.bra .co (se miesquem atica)..'I 1 fomll (.tl I T. 'U PI' II'lt ". 772).~1 I I I ' u...l. en la eminencia medial..ut-<. orult . Se d istinguen los nucleos motor y sensitivo de! nervio trigt!mino (figs. ~ Art . Centro optico sUbcortical en coilleulu. del nervio trigemlno.. hte se pro)eCla por dentro de la mallcha unilM /lOCI IS arulelu). Lobus tempori lis Nude . s allj'.ngllon ci1l. lrigtmilli)..tllum .!ll>::~""""~ Cilula< lal\ilionaru \ ~ tn ta uinica . 803.. I /' I:tn lcubtu m btt •• l.acl ill If:{iO>p irul . nucf(Q mO/l)' dtT IIt. lrigtmilllll) (V par) (figs.ell../ I I _ __ . {.. .. I I I I I I I I N Otu lOlllotOrlu.:l~ ..olheul .. Por eI lado de la rosa romboide3. I I analizador oplico en la cortna) -C. hatill afuera yair's del nuclea mOlor.' I ~"Ui r PM.J NERVIO TRIGEMINO EI nen ·jl) "jglmjno (II. l1eg3ndo hasla los segmentos cervicales supc:riore$ de la meduta espinal..rd. strlat. Los procesos de las ct!tulas de este nucleo van en direcciOn descendente y forman la rllll mOlOra dtillen'io lrigimino (radix mOloria n. en ellugar de la substancia gt1l1lln05a del cuerno posterior.:.. I /~Sult"'CaIUrinll> I I 1 . Itntlcullrls 131 \ \ \ \ I Claustrum T. !lu tonom'Clli' n . " " I ' I / I I I I I.. ---r. ..

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732. Midula espina/; aspecto anterior y un poco lateral (semiesquemat ica).
(Dos segmcnlOs de [a medula espinnl; en el [ado dcrecho eSla sei'ialada In lopografln
de In substantia blanca; en e[ lado iz.quierdo. despues de eliminar [a substantia b[anc~
se ve [a forma de In Sllbstancin gris.)

posterior en dos fascicu[os. Uno. mas de[gado. sitllado pOT dentTO.
med ial. el asi Ha mado /asdculv gracil (jasciclIJlls gracilis); y el
Oi ro. OlaS potente. l:lIt'r nl. el /,ucicllio cunei/orllle (jascicuJII$
cimeawsi. Estos fU nl cul05 se co ntinuan tnmbien cn [:I porci6n

inicial del ('ncefa[o - Ia medula ob[ongada (figs. 732. 733. 769-771).
En las porciones inferiores de la meduln espinal estos funiclilos
se fusion an y 00 se nOlan dcsdc el lado de la cara extern a de la
meduln espinal.

illler. Las Ires caras mencionadas de cada hcrnisferio. 1'1 lim.llu 734.X3 a Ja inferior.1II 0 medilll del ct"rebro (jaci~s IIll'diulis cerl'brlJ. sie ndo mas notnble aquel que tonsliluy/. al con- linuars/' una en 13 Olra. que pasa ent re ambos hemisferios del cerebro.) } las paries posteriorI'S. aquel que 51' ('n(Uenlra en el paso de la cara conl'(. forman bordes.• JO ENCEFALO Pol". """'pll. Cerebro (cerebrum): aspecto superior (j/6) ' (Las meninges e51'n climinadas. en la lienda del ce rebelo: la ca.. di rigida a Iii fi~ur:l longitudinal del cerebra.. y menos notable.te de paso de 13 cara conve)(u a In carn plana medial. En cada hemisferio SI' distinguen unos lugares mas salienles: .

i6blllo temporal (loblls temporal/s) y la i"slIla (ilisi/llI) (pflfte del lronco 0 el lobulillo cubicrto). IObl/lo parietal /loblls Pl/rit/{ltis). . eI polo occipi/ol (polus oCt:ipitalis): y lateral mente. situada en la profunidad de la {OS{I Imer{ll del cerebro (/oss(J Imer{l/is C/:rebri) y que separa eI 16bulo frontal del temporal. cada uno de los cuales limim con los huesos correspondientcs del craneo cerebral: i6blllo {rotl/o/ (lobus {rontolis). por delante.ENCEFALO JI 735 . el polo {rontal (polus {nl/twlis}. el polo /emporal (poilu I l'mpora/is). /Obl/lo occipital (lobus oecipillllis).rebralrs (lobi "rebri). Cerebra: as pec lO supe rio r (semiesque mat ica). 1::1 hemisferio se divide en cU(IIro gnmdes i6bulo$ c. por detrb.

Elicefalo (encephalon): aspeclo laleral (~/5).ara medi al del hem isferio.olol.."_.. pasa a su cara supero· bter~~ en la que $e silua un poco oblieuamenlc. eI slI rco Cl'lItm/ (sulcus ct' lJIralis} (ciSllril d e Rolalldo}._ p .. Por dc:la nle 10 rodea eI ju rco prt'ctlltrai (sulcus pUCI. . ' lI b} _e"""'''"'' ":t ''.". de alras hada tJclante..'. II po4lulor ..ENC EFALQ .. I'(>r 10 comun.. (Las meninges enccf{ilica) eSI... ~.ln el im inadas.. 7371. ... llS ~ .<flelal por el profundo Sllrco Cl'lItral {sulcus ctlJlralis!.l1nl.. lel " ' " .II spln. eSlc no lIega hasla cJ borde medial del hem isferio.) SURCOS Y GIROS DE LA CA RA SUPEROLATERAL DE LOS HEMISFERIOS CEREBRALES Et luhulo l rolltal (/obUJ fro nla lis} eSIB separado del 16bulo j'... por delnls. Casi paralelamenle al surco cenlral 5e sinJa el g iro pfI!ctnlr lll (gyrus pfl!cclltmlis }: sin embargo.'lIlra lisl. E5le se If\i~I" en la . no lIega hasta el surco lateral del ce re bro Ifl g.". N •• 736..

aspecto lateral (sem iesq uem atica). nt'r (~)'rus franta/is in/trior). el giro /ronlal . L05 jll reos fron/all'S Slll"rior t inferior (sulci /ron/a/ts. EI giro fron tal inferior.. situado miis :!rri b:! del su reo front:!1 superi or . ". situado entre el surco frontal inferior ) cI surco lateral del cerebro.ENCEFALO JJ 737.i. parietal. el giro ""111111 ml!dio (g)'flls frOll/alis IIIedlusl. limitodo por los surcos !·"ntales superior e inferior: en sus porciones anteriores se dI_tlllguen las partes superior c inferior : )' en fin. como se did mas :ldelante. EI sureo lalt'rlil (sulcus laura/b) (ciSllra de Sill·io) es uno de los surcos mas profundos del eneUnlo. se divide mediante las ramas del surco lateral del eerebro en una scrie de porciones. eu)'o fondo 10 . 5e aloja en 13 eara superolmeT3! de e~da hemisfe rio de arriba ablljo y haeia adelante. El1cefalo.rior el inferior! se dirigen del surco precentral haci:! adelante: e-:C'~ di'iden el 16bulo fronHiI en cI giro /rolltal superior (gyms i"'I1I1I/iS superior)... que ~c clItiende por 13 eara medial del hemisferio. En In profundidad de este surco se eneuenlra una depresi6n-la /osa /ateral del ctrebro (jOSSII /att'fa/is ctrebri!. separa cI 16bulo temporal de los 16bulos frontal).

) poslerior .!n dos 0 Ires '-'re\ es lliros Il'mpora/l'$ r<ln~l"f"rSOJ (gyri II'II..10.lci~ el surco Inle ral... Oyt. La hase de I.j!I .el..IN SULA Oy"" Suku.lITl ide uinngul nr euyo vcrticc-el polo insular-hili dirigido .:raJ del eerebro. el 10'-'1110 lemporal estfl separudo de los 16'-'ulos fronlal y. Ili suia (iflsula) dereclla: aspecto lateral y un poco inferi or (. S>llc . Oy.u. Entre estos sureos se aloj.!reciendo pOl:O n poco ~cre<l de la .upc..m. . La insul~ e~tli rodeada por los 16bulos frontal.IOr_ ~_ ' . longuo 'cmporoll. enlre I. )bulu.. que La caTd de la insuld esta reo. " . (Las meninges eneeralica~ )' los bordes de 1:1 fisllni lateral del cerebro eSlan eitminad. hreves SIIreOJ tl'IIII'O. '~lla y euyas carns e~ l ernas eSllin dirigidas hacia el surco lalCril1 kl . Slireo eirClI/or iIlSII/II' (sl/lcus circl/lt.Jdo en cl limlle cun I.J)'or. .. h. insula eSla rodcada por Ire< de ~u~ lados por el \:1 desap. En e<le lug<lr ha) un pequeno engtOS~lmiento-ellillwlI til' /(1 (/ls"II' fli me/r il/sull."P'. IlIIroPorl •.pora/!'J lransl'!'rJ. 738.':1" delanle y arue"l. 1:1 fisura lalefal del cere'-'ro e.) que eSllin unidos con lo~ h" del 16bulo temporal y 13 insula. Represerlla una .wlilr/.llS.enle lin giro br('I'C( inJ"II..<'1 trllnSI·crS(JS (sl/lci temporn/es 'rO/lSl·usil.:ml/ dl'l ctrtbro (Iossa /altrtllis cucbri!. " -. .... •• l:>il"rtJ ilmplwmenle.. in~ula y la sunSlaneia perforada IInlerior.! inferior de! cerebro.. " " ..) Il\SULA La /rIsulll (iI/HI/III Cfig. silU..ar. se eneuenlran eorwdas por 10 .menor.1 posterior es (reeuenlc que pre.).! . i/ISlllllr IlIrgo /gyms IO/lgus illsu/ael.h.I'/.. parietal )' emporaJ que p:mieipan en la formaeion de las paredes del sureo :. La porei6n unlerior tiene \-ario~ giros illsJ/IJlrc~ bTHI'S (gyri 1.:erebro. inferior de In in)ula.f.ecada por eI sureu ee nlral pro--(undo que I..IIo..738) s<c aloj. . Iron1l1i..la. di\ide en las pordones anterior .ris ill. '\quellas parte) del161:>ulo temporal siluadas por delTas de hi ../. p<trietrll.! en el fondo de la loso .ar:.

lornlei..corp". Cerebra (cerebrum). mlll.ho .rl'erml . Este...6 .kul . pasando mediante el eSlre. repi tiendo sus contornO$.lmpal.:alloso por el surco del cUl.).e el cuerpo calloso. La porci6n an terior del giro dcl cingulo rodea 13 radii/a dl'l cuerpo callosa (geml corporis cal/osi).. en 1:1 que los I(miles entre algunos lohulos no se man ifiestan muy c1ar3mcnte como en la c<lra superolateral. Este 5e inicia con las porciones anteriores en la regi6n del area ~ubcallosa: con las posleriores pasa al surco del hipocampo.) SURCOS Y GIROS DE LA CARA MEDIAL DE LOS HEMISFERIOS En la Cllra IIJ('d.. Art.u. istmo del giro del dngulo y giro parahipoc. ': . .. m.. C~I"mn. IIII. que V(l arquc(ldamenlc."'nt..ll.. del giro lingual siluado por delras. hemisferio derecho (hemispheriwn dextrum).mln> l . .. Co'!'u. La porci6n poste rior del gi ro del cingulo rodea e! f5plrJlio del cuerpo callosa (spleniuIII corporis callos. ."!...mln .'ollosa (s/llcus corporis cal/osi) va Jrqueadamente sob. cstando separado del cuerpo . . (nmmiS'u.al del cerebro /jacies m(dia/is cerehril(figs... p.IO."mM Inl..forman eJ giro del f6mix (16blllo limbieo) (gYflls fomic(!/IIS).""rpo calloso. lI.. " Gyr .. m• ... 10fnl<1S Sonda en lu. Gyrus . . tn:'ol . c ara med ial els). .stmo del giro del ctllg/llo (isthmus gyri Ci .ENCEFALO . el cerebelo y una parte de In substancia del talamo op\ico estan climin~dos..~).. se distinguen los surcos y gims siguicntes. EI SHrco calcarillO (sulclls calcurillllS) separa cl giro del clnsulo.... 740. Into. . (EI tronco cerebral.o . junto can el area subcallosa. Por arrib(l el cuerpo calloso limila con el giro del cingll/o (gyrus cingillil.. EI SllfCO del cue.. : L. 739. Gy. 764).III.po . Los Ires giros indicados-giro del cingulo. 739. MntatllS FIscl.. "'..lgllli) III giro parai!ipocampal (gyms paraMppocan!flali."belll_ . en el lugar de paso al iSlmo.

dirigido abajo y IIdela nle. y la porcion posterior que.. EI apiee del cuneo. el limite anterior es eI sureo parielooccipital. . Cerebro. Miis dorsalmente ill precuneo 5e aloja un lobulillo Iriangular -el ('Iineo (CI/nfus). por delante de este se encuentra la cara medial del giro frontal superior. forma la region circular que es parte del rinel/cefa/o (rhillence· p lra/OIr) (fig.) SllUada por delante del mismo. Su exlremidad exterior eSlli por detras de la ulremidad superior del surco central. que junto con la poreion subfrontal ll mita el lobulillo paruunfful (lobulus paratenlrulisl. Por delTas del slirco del cingulo hay un pequeno lohu lillo cundrillitero-el precl.llo (preCllIIlll$). EI limite posteroinferior del cuneo est! conslituido por un sureo profundo. el surro c/llcarillQ (sulcus calcarinus). . convexa. del SUTeO longitudinal del hemisferio. ~l guiendo a 10 largo del giro del cingulo y sin llegar a su porcion posterior. el limile inferior es el 5lIrco SlIbpariew/ (S I'/CIIS . Arriba. medial. 807). Un poco mb adelante el sureo del cingulo emite hacia arriba un pequeno surco paracentral. silUado por dClrlis.Jllbparielalij). (EI f6tnix del cerebro y el fasciculo mamilotah'imico est6-n preparados. que !lega hast3 el inicio del surco del cingulo. Par delanle del cuneo se alojs eI precuneo: abajo se encuenlra el giro occipitotemporal medial. el giro del cingulo esul limilado por el Slireo de/ cmgllio (srllells einguli).:onve xa en direcci6n del polo fronlnl. alctlnza el borde superior.'rna.ENCEFALQ J7 740. y el g(tncho. En este 5e dislinguen la porci6n anterior. Su !fmite posterior 10 constituye el profundo sureQ plrritlooccipilai (.JIlIeUS parietooecipila/is). partieipa en la formacion del polo occipital. lIega cllsi hasta la pordon poslerior del giro del cingulo. hemisferio derecho : cara media l (se miesquematica). que separn la regi6n del precuneo de la porci6n posterior del giro del cingulo. que por su cara e:w.

. el cerebelo.. ~" TtI"u.' . el1raclo 0lf3l0rio izquierdo eSlan eliminlldos. " " " \ 741.. :::::\~. (Los ~urcos )' los giros de la base del cercbro... Cerebra (cerebrum): as pee to inferior (j h). asi como la parle inferior de la hip6fisis y.'..c ror. .brl A. Slrll..' .dl. parcialmenle.. "".n.) '"perln."""" T~b<t ".."""'.ENCEFALO Cltlnml IIcIlb .'. .l.. bt1 ..~"~'''''' CmpuJ. 'Co. ".~ .m"". .. el [ronCO cerebral).

ENCE FALO 742 . (Cara inferior.) . Cerebra: as pecto inferi or (se mi esq uemati ca).

•.10.803). . que se estrc cha hac. . '. y. Ence/a/o (encephalon ).sto desde la base del cerebro. . JI'1I<"' "" .a nbajo. Por detras ~1 puente esta la midll/o oblongado (mtdllllo oblongata). .CA RA INFE RI OR DE LOS HEM IS FERIOS CERE IJRALES oUKI"."... aspecto inferi or ('/6). EI puente.h.. cuyas porciones ]aleralcs pasan ados fasciculos blancos-Ios .1 743. . por el su rco ml'dial del pie del pedlinculo cerebral (suicus medialis crl/ris cenbri).luado el cerebelo (ct'rt!belll/m) (f. Dorsalmenle al pucnte y n In medula oblongada estli S. (Cara inferior.el pl/ttl/t (pO"s)..ene el aspeCIO de una formaci6n un poco conyt.la y alargada n3n5Vtrsalmente. t.g. Por detrb de los pedunculos cerebrales se encuentra In parle mas engro5ada dellronco cerebral .co Tul~ """"'.) earn inlcrna..

.eo e(l/c(lrilIQ (su/cus C(llell'. . } los ventriculos de! cerebro.tal "I fondo del sureo parielooccipilal.'I'nmel//o la/I'm/ (coml/ in/trillS . represenwdos como si fueran Iransparentcs. "pOl'll. I' 1.I."..'.". EI n"~rllo .II.~ L"h.."nl. dirigida arqueadnmenle hacia abajo... represenl.n/trio. terminando ciegamente. (l. Ventdclilos del cerebro (ventriculi cerebri): aspecto lateral (esquematica).. I do..""'. ". curre~pond. eI cuerno poSlerior esui limlt.\do por la substancia del lobulo occipital. """'or Vtnltl<ulu. (Correillcioncs esp"cinles enlre los hemisfcrio~ cerebrales.) de fi!'>r.. adel3nle )' 3dentro. siempre !'>ien m.•• .. " 746.. por laS fibras del cuerpo calloso. En las parle~ 1<lleraJ } superior III cavidad del euerno posterior est:! rodead.cnte.. lIamado I'spoldn (elllea. . que pc:nelra profundamenle en la pared dt'l cuerno posterior. del cerebelo } 1.~~'~~~~ R.·is). mayor. alojando~e en el e~pewr del 16bulo temporal.VENTRicULOS DEL CEREBRQ V..' lUll I. cerea de ~u periferia medial.nlne. corresponde al Sll..'1 IrOIlCO del ccrebro..'..mifie~lo..l\ que van del cuerpo calloso h:icia el lobulo occip. Elloro inferior. Las paries :mreriorc~ de la eavidad.lul laI. Por delris.1'1' lrielili 11II1"(1/isl. entrando en la composiciJn del forceps mayor del cuerpo cal1oso. dl'l .J una 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/-1. r ':.11'·./ T. as pecto superior. . ____ _ Lemnltc:us 1. algo anterior (semiesquematica).) basllarl. lone-Uudln.--.'" / y~ PflluJ1Cuius crrebrUarls Inferio .s medius ~ ' --- rlolx 1". medialis T'KIIIS p). "-"- . --. l ..lfr. (Corte horizontal a nivel de los coliculos supe ri ores del lec ho del mesenceralo. T.N. TtI("tul rubrOSplnal!. Tronco del cerebro (truncus cerebri)...--:~S'""". "dla molOl'I.lfs I't'<lunc:ulus urebtllaris wperior .liIX. mldalis( fibrae CO.•ccusotlu~ 767..TRONCO DEL CEREBRO 69 .... /! (> N abductns -. / Ol(vi / l'eI'its ( N Inlc'lI'edlus- " '... nUdUTM) Pedun~ulus ct rebrl P~dUJ1Ctl lus ctrelJtolltr.lis medllli~ .. Klculu..lkosJ)lnalt<S CI (o.nsorl.-1 mlltu..

.•••...·ersae).m cullicuU Inferlort.FI...".___ "•• ... superioris ~ ~ ~ - )l .. entre los fasclculos piramidale! van las fibras /ronn"us/IS del puenle (fibrae pontis Irans. sUpf! .. En la porci6n vent ral del puente.7l METENCEFA 10 Fr~nul ..'... aspectos superior y posterior PI.."".r.." crr~helll PedUl.d"". el plcxo coroideo del IV ven!riculo eSIA leftido de color violcta.>er lor --.... dirigidas a las porciones pos!eriores del pedunculo cercbelar medio: elias cons!i!uyen eJ fasclculo inferior del puente.lu s ___ ':\."".. (El cerebelo ha sido eliminado por complelo: 10$ pedunculos cerebelares medi os han sido quilados parcialmente.I".C""'. Br.18:!:). N . Cllnc.chium collie .jor iC'I"'"'"' Inferior .ell m.) mienlras que en esta ultima hay mAs acumulos de cclulas nerviosas.llaris -- "....Kilis " Sulcus 1&IC'llis -Sulcus Intermedius posterior 1'"'''''''''1-/ / . cuarto velltrfcuJo (ventriculus quartlls) y tela coroidea de/IV velltriculo (tela chorioidea ventriculi quarti).i (uncali qua/II ·-.d.b. En conjunto form an los estratos de fi bras .m nudel g. se haJJan la! fibras transversas del puente que en conjunto constilu yen el fa sciculo superi or del puente.. l.P..nedl../ • Fa:Klcul .. crr~belll Pedunculus 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enlriculul Tuberculum lIucl.----c:l:1k _V"..."s ~ / / .edi ...'rsos del pueme (fibroe pontis /rons"ersae) (rig.nus (J)O'lerlor) 769. ~--. por delan!e de los rasclc ulos piramidales longitudinales..culus «t~II"is sUj. Tanto las fi bras su perficiales como las profundas pertenecen al sistema de fibros lrans".. m. MAs dorsal mente.""..m metJull~H' ~U I"...s gracilis Sulcu li ."".". ctr."n" .) .. . .

ren'io accesoria (nue/ells spilwlis n. hypog/osi) se alojan en las porciones dorsales de la medula espinal. ~Slfta lermlnalis -~~ / . en la rosa romboidea se proyectan en la regibn dellrigono del nervio hipogloso.l. EI nuc1eo ce rebral es ambiguo. sino lambien en la medula espinaJ. semlluurll sUpf:.:rhc" -.. esta en la medula oblongada.~ ·-·COb". ha sido eliminado. que perlenece a las porciones medias y lalerales del techo del metencefalo {figs. 723-729). exceplo la lamina del lecoo y las porciones poSleriores de los llilamos o plit os.'''... / / ~.. '~""Ii. y el nrkleo espinal del ... CE REBELO £1 em'belo (eerebel/lmrl (figs.J). las partes laterales forman los Ittmisferios certbtlaffs (hemi. EJ ce rebtlo lIena casi loda In fosa posterior dtl crtllll'O (fossa crallii posterior).ior Culmen Declive __ horlZOtlt..-"" "'~.. (EI cerebro.mus / /' .J (l'tmri.".lIIclti n. que une u umbos hem id erios.. Los nue/ros del nen'io ocetsaria (nuclei n.11'...CEREBELO I Corpus Ilu~ Ttc\u. Los nlicleos del nen 'io hipogloso (.io• Fissura<! " ." mt. OCCtsJorii} se alojan no wlo en el Ironco del cerebro.""""""" In. Foli8 ".).". Cerebelo (cerebellum): aspecto superi or y posterior ('/.Jphtrili ctre- belli).oo"" IU~ljor :-.. EI diamel ro del cerebdo (9-IO cmJ es mas grande que su dimtnsi6n antero posterior (cerca de ..lls semllun..$<!tr<:ephll! Tenl~ chorlotdu terhUS /Th..773-782) se desarrolla de III lamina cerebelar. '~A+ . Inlerlor 773. y 13 parle media es el rerm.) rosa romboidea se proyetla por ruera del trigono del nervio lIago y es tti mtis dorsalmenle al nucleo IImbiguo.._C"I1"".. ". accrsJorii) eS11i silUado en la substancia gris de III medula es pinal.. a 10 largo de 5 6 6 ~gmentos cerllkales su perion:s.". en la porcion dorsal de los cuernos anleriores.~"'C """-''''' ..

... EI cerebelo consta de dos Ilemis/erios rerebelMl's. al igual que el cerebro. en el borde an terior. denominada "ermis (rtrmisJ._ ' oplltum Pedunculul cerebr' ~-. derec ho (1/ 1).. Cerebelo (cerebellum) y trOll co del cerebro (t run cus cerebriJ: as pecto lat.. dereclto t i~qllitrdo (/ll'IIrispiltril/ rtrl'belli. .. )' los segmentos mas marcados 1~lerales forman lo~ angulos Inlerales.N ..""".Co'P'" gulculatDm la. 3t'm). nit Ibulo«>dole..1I1 774.""/ /<"""" Ipln. En el vrrmis se liene una cara 0 ... genlcublum ". con vexa. .. en el borde posterior. La cara inferior del ec re belo limila con la mcdula oblongadll de lal modo que esta empuja el cerebelo form ando la l'llllit:ulo C"ert'lu/or /###BOT_TEXT###quot;al/teu/(I Cl'rtbtlli). y la inci~ura cerebel ar pOSlerior.' Lobulul ".. dtxlnun tl sinis/rum).le I / ' O~~" Collleul"" ""pe.. csta cubicrlo con meninges: :II quilarlas se dislingucn sus diferenlc~ partes y gran ctmtidad de surcos y giros situados en sus cants. Por ddante del cerebelo se situan el puente y la mcdulaoblongada. Cada incisura esn\ silU~da en el borde corre spondienle del cerebclo: la anterior.dgem'n"" 'Rtermed l•• I. / . en euyo fondo es ta el vermi~ inferior.CER EBELQ " . divide cada hemisferio cercbelar en dos caras: la {"Ilf{l Sllpuior (/Ilcies sllpl'riorJ_ relativamtnte uniforme y que baja oblicuamenle hacia los bordes. Lobulul . Enlre ambos hemisferios de! cerebelo csla siluada Sli porci6n media.. que va de los pcdunculos del puente a la incisura poste rior del ce rebelo. "".:. EI cerebelo esta separado del cerebra por la pro/linda fislI'" /wri:tJItW/ (jjSS II'" Itori~QI//(1lis/. La Jimrtl II/Jri~lm/IIJ (/i)'slIrtI IlOri~OIlI{llis).11 Finn.. en 1:1 C\lal se encuna la prolongad6n ue la duramadre denominau a liem/(I del rtrtbt/v (telliorillm {"('febcl/i). EI cerebelo.". Los )egmc:n!os mas marcados de los borde ~ anterior y pos1erior forman los correspondienles angu los anlerior y poste rior.. y In carll ill/I'rior (/{tries ill/erior/.dllie I ..IO\ . . N..~L!~~ir~~~~~~~m':m~":":". \ Collieulul tnferlor. Corpu. 796).. mas plana...lS: I~ incisu ra eereb<!lar anterior. III pos1erior. mh profunda. ~.".yngcu. la cual se hal In como con ada por eSlrechos gi ros paralelos.h."" • glonoph. Endma del ce rebelo se alojan los 16bulos occi pitalcs del cerebro. rJivididos por dos incisur.. extendida sobre la rosa posterior del cranco (fig. Opl~"' .cl. EI peso del cerebelo en el adulto oscila enlre 120 y \S{)g.

Los dos surcos longitudinales que van a ambos lados vermis (en la cara anterior. I. pasa a traves del ultimo y se dirige al pedunculo cerebe!ar medio: corresponde a Is lill8ula del vermis...TISI.is (culmen ) y el der/{I'e (dedil·e).>4r I «1'80111 Ht"'. . as pee to superior (1/1). Lobulillo cuodrrlltgular (lobulus quodrll/Igllinris). derecho e izquierdo. extendidos del cerebelo h:ma la medula oblongada Las caras de los hemisferios y del vermis del cerebelo se dividen mediante /iSUrtlS cerebt!lans (jiSJllrae cuebelli) mh 0 menos profundas en [os folios certbe/ares (jolia cerebtl/i) de dife relll ~ tamaiio. es un pequeno segmento del hemisferio del cerebelo. l<>b ull ""'""".I techo del mesencHalo. situtindose ~n el estrato superficial.et vermis inferior. Estos enlaces son 10$ pedlinculos mpcriores (pedrlTlculi cerebellares superiores). A la cara superi or pcrtenece un lobulillo mb. esta separado del 10bulillo cuadrangular por el sureo posterosu· perior. de ambos hemis! erios lescorresponde un determinado lobulillo del vennis. y los ptdlinculos inferiores (pedllTlc/l1i cerebellart! inftriore$). EI giro anlerosuperior divide el lobulillo cuadrangular ~n las partes anterior y posterior.'phn'ium . que 5e eXlienden del cerebelo hasta el puente.) parte superior . Ala dellobulillo central (ala lobuli cenlra/is). n6-m).. el eual pasa a Irav~s del vermis de un hemisferio a olro. y que ~ utienden del cerebelo I!. Lobulillo semilunar superior (lobulus semi/unoris sl/perior). corresponde al folio del ~'ermis (jolil/m l·ermisJ.11 . el cl4erpo medlliar del cerebelo (corp us medill/are cenbelli). posteri~ e inferior. m . limitados uno del olro mediante sureos conSlantes constituidos por las fisuras cerebelares. a los dos lobulillos hom6nimos. tiene la forma de un cuadriltilero irregular con giros que van de atrb adelante y lateralmenle. . Los lobuli!los hom6nimos de ambos hemisferios eSltin limitados por un mismo surco.78 1. forma [a CUrfew del cerebelo (COrfex cerebelli}: y el acumulo de substantia gris en ta profundidad del cerebelo forma su nucleo central. Los gropos de giros forman lobulillos cerebelares. (Las meninges cerebetares han sido eliminadas. y una cara 0 parle inferior . El c~rebelo consta de substancia gris y de blanca (figs. Unos lobulillos se unen y forman 16bulos. 3. cOlTespondientes al eulmtn del I'em. Cerebelo. ~ aloja en su espesor y mediante [res pares de pedunculos une la substancia gris del cere bela con el encHalo y la medula espinal. los fHdunculos medios (fHdunculi cerebel/o. que !II unir la lingula del vermis con el pedunculo cerebelar superior.d vermi$ superior. 782). Lobulillo semillln(Jr inferior (lobI/IllS semilllJlaris inferior). es la secci6n lateral del lobulillo cenlral del I'ermis (lobuills centralis) en la cual hay varios giros pequenos y conos. > . La cora inferior (jocies inferior) del hemisferio del cerebelo tiene los lobulillos siguientes (figs. esos 16bulos son tres: superior. La cora superior del hemisferio cerebela r (jacies superior) tiene 105 lobulillos siguienles (figs. Vinculo de 10 /{'Igula (I'inculum lingulae) (BNA).cbtlll (r"" "'po" Htmi<pll<rtwn If.CEREBELO . Los tres lobulillos indicados pertenecen al 10bulillo superior del cerebelo. 2. La substantia gris. como resullado de eso.btlll upm" 715. 4. La substantia blanca. con aspecto de numerosas hojas encorvadas en arco. I . tos surcos son mas pequenos: en la posterior son mb profundos) sepaTan los vermis superior e inf~rior de los hemisferi05 del cer~be lo. descritos arriba. en su mayoria situadas casi paralelamenle una a la otra.".res medii).

a del cerebelo (cortex ce1l'beIliJ. S. Tonsilo urebt:lor (tonsil/a arebelli).CEREBELO " 776. la pord6n medial anterior tlene sus pros largos yen mayor numero se dirigen de delante alras. la cual cubre las paredes media y posterior de la cara superior del velo medular superior. haeia auas la lingula se une con el lobulillo central. el flOcu lo forman el lobulillo cerebelar inrerior. 4. EJ lobulillo dig:l. La tonsila eorresponde a la Ih'ula dcl ~'c'lIIis (uI'ulo I'C'm.. cst:!.Ii. EI )·tnnis (~·trmiJ) representa la parte cstrecha del cerebelo. en el espesor del vermis se encuenlra el cuerpo lIIedll/ar blanco (corpus mrdullart) (figs. 3. que representa la conn.tllber "crmis) y junto con c:llobuliUo semilunar superiOl" forman e! I6bulo cerebeJar posterior. I. es el lobulillo mas anterior.J (ccrtbcl/i) (BNA)}. n9. Tado ellobuJilio corresponde a la piramide del)'erlllis (pyramis )·ermis).in mas engrosadas que las laterales. Montfcldo (monticulus) (BNA). C"U separado dellobulillo semilunar superiorpor el sun:o horizon:. ademb. tS la porei6n mas grande . EI vermis se divide en dos porciones: el vermis superior y eI vermis inferiar. eSI:!.s . cubriendo en parle la lingula. Floculo (jIocculus): es el lobulillo mas pequeiio del hemisferia cerebclar. EI vermis del cerebe!o mediante fisuras Iransversalcs se divide en varios giros breves que forman lobl/lillos (lobu li). Lobulillo digastrico (lobulus bil"enrer). se une can el velo medular inferior. sus porciones mediales en la incisura cerebelar ~~luior est. 2. 2. EI fl6culo corresponde al nOdulo. aspec to superior (semiesq uematica).J .. esta separado del Iobuhllo semilunar inferior por el surco :mteroinferior. Lobulillo gradl. al igual que los hemisferios del cerebelo. alojada mb medialmente al 10buliUo digastrico en una pequeiia depresi6n denominada nido dc OI'C {nidus IH'. mediante las alas del lobl/lillo central (alae lobuli cel/tralis) pasa a los giros anteriores de 101 cara superior de los tlemis· ferios del cerebclo. Lobuli/lo central (lobulus centralis). 3.la lonsita). EI "ermis superior liene los 10buliJIos siguientes. sus giros son muy cUTvilineos en directi6n latc:ral y por 4tU1i. A 101 cara inferior penenecen los lobuJiJlos Slguientes. eSta siwado en el plano mediano y une a ambos hemisferios. Ambos lobulillos cOI"responden aJ tubirculo dt:l )'cnn. consta de 4 6 S giros esuechos transversales que forman la I'm ina. alojandose detras I del pedunculo del puente y del peduncula cerebclar inferior. cuyos lobulillos corresponden a determinados lobulillos de los hemisferios del cerehelo. esta situado en la regi6n de 13 incisura cerebelar anterior. 5e encuentra suspendido sobre el fi no ped"nClflo del fl6culo (pedu llculUJ flocculi): ute ultimo.s). EI vermis.strico. situado cerea del vela cerebelat inferior. Littgulo cerebelar (lingula ctrebelli). en la carOl medial de la ton5ila. 780). est! limitado por c:I surco posleroinferior Ikl lobuliUo anterior. cubierto perirericamente con substantia gris. Por ~u direcci6n los giros de este lobulillo puedcn ser divididos en dos porcioncs: la porci6n lateral posterior eu)'os giros son bre\ es y dirigidos lateral mente. sus giros breves van de delan te all·as. Cerebelo. Por detris el (IOculo esta limitado por la jiJ11rl1 pOJtrrolortrol (fissura posterolateral). En eI pedunculo cerebelar media 5e situa con frecuencia un reducido grupo de pequeiios giros que recibe el nombre de fl6culo secundario.

Cerebelo. aspec to infe rior y anterior (III). cutbrllar i$ inlerior Flss urB r igil:~~~~" 'd'''''''' Inltrlo< ' II I ce rebelll 777."""". as pecto anterior (se miesquematica).) 778 .. Iloccull . CEREBELO terebelll Ptduntulus cerebtll. is suptrlor Velum m.. Cerebelo. (EJ cerebelo eSl' separado del cerebro mediaflte cones a traves de los pedunculos cerebeJares sUpe ri()f"es )' medios )' del vel0 medul ar superior...

Cerebefo: (" /')' (Corte mediallo-sagilal a Ira\~s del ~ermis cerebelar.CEREBELO 87 779 .) 780. Cerebelo (semiesquem atica). (Corle mediallo-sagilal a Ira~~s del vermis cerebclar.) .

area temporal superior ..rea frontul media 44 .area temporal basal polar 2 1/38 .sub:!. • • 39. .:!'rea temporal media lJ 400.:!.sub:!. "" "" " .sub:!. .thea temporal basal .5ub:!.\--> ' -. .rell frontopolar 10 .rea opercular . 1 4 J 2 "'.rea orbital . - 39 39. / --7?-.area temporal media polar 22/38 .) 37at .. 40p 7..area temporoparielooccipitai inferior ]1.subArea orbital 47' . .area temporoparietooccipital poSTerior ]1' .:!'rea temporoparietooccipital superior 37ab .rea angular sub:!'rea angular poste rior area preoccipital area occipital (Instill.rea temporoparietooccipital central ]1. .. . ~ " t .area frontal agranular 6 .rea angular superior sublirea supramarginal posterior subarea parietooccipital subarea su pramarginal infe rior :!.l!o del Cerebro de Moscu.subarea supramarginal ope rcular 20. '" 39.:!..:!'rea triangular .rea temporoparietooccipital anterior 22 . .rea anterior 6.:!. . / .CORTEZA CEREBRAL 6. J9 J8 - area postcentral intermedia :!'rea aigantopiramidal :!'rea postcentral oral :!.rea opercular _ Area frontal intermedia 8 .bea postcentral subcentral 4l 20/38 .area temporal superior polar 47' .rea triangular . .:!.subarea posterior ".:!. " I ~~ ___ _ os 3ib 21 371' 2~ 784..o.rea postcentral caudal subArea supramarginal :!'rea supramarainal 5ub:!. " / / ~--- ~--- . Campos citoarquitectonicos de la corteza de los hemisferios cerebrates. Cara dorsolateral.

23/24c _ subarea tenue granular dorsal 23/24a _ subarea tenue granular ventral .area temporallimitante 20i 20tc . .area Ilmbica limitante anterior .area gigantopiramidal 4 _ iirca postcenlral ) 8 32/8 '" " .area limbicoiimilanle media .area temporal tenue corpuscular . .subarea subpatelar inferior 2Si _ area temporal limitante 20i .subarea frontopolar limbica 24/32 . \--~f " - /' 785.area frontopolar 10 32/ 10 .area frontal agranuiar 6 31/32 . aspec to medial.subarea agranular media _ subarea agranula r dorsal .subarea anterior . I 5 ]] 7 27. - 19 IS 17 area postcentral intermedia area postcentral caudal area gigantopiramidal area limbica limilante posterior area parietal su perior subiirea parielOQCcipital subarea lalopropegranular y propegranular dorsal area preocci pital area occipital area estriada subarea Jimbica limi tante posterior area limbica li mitante superior area temporoparietooccipital inferior (ln5[ i[u[0 del Cerebro de 1'.subarea agranular ventral 24b .CORT EZA CEREBRA L 93 5. loscu.area prefrontal 12 32/12 _ suMrea prefrontal Hmbicll .area lernporopariet()()cclpJllll 37d limitanle inferior .r Hmbica _ area (rontal inlermedia .subarea frontal granula.subarea posterior 6.) . 2). .area del giro recto II . Campos citoarquitectonicos de la cortez a de los hemisferios cerebra/es.7 t.area frontal granular 9 32/9 .subarea frontal intermedia Ifmbica 24. _ - 31/7 _ - ]] - 37. / " / .

". metro< I lon i:'IU dln..) capsula in/ema (crus an/erills capsulae ill/emae). ~ u • • plnotort bl:lllt1O " Trirlul ollvO' PI"II. la rodilla (genu) y el braw posterior de la eapsllia intema (crus posterillS capsulae internal). que unen la rl'gi6n motorn de In COf(eza con los nucleos de los nervios craneales (fig..".' -Flu urt modian... . . 789). 789).. ( .'ls tnlerlot T'acl •• eor tleo'pINOli< (pyramidal i. En In composici6n del brazo posterior de la cdpsula illlmlll (crus posteriu. " .. que unen la regi6n motora de la corteza con las ce)ulas moloras de los cuernos anteriortS: los !asdel/lo:. (poIICt lor) \ te. (Corte transversal...."". III m ~dla nu. que relaciona la corteza del 16bulo frontal con los nucleos del puente y entra en la composici6n del tracto corticopontino. EI brazo atlterior de la capsula interna (crus Ulilerills capsulae in/ernae) esta formado por el tracto frontopontino (fig.. 792). -' . .. .--- P'~prtl -.. Mtdula espinal (medulla spinalis) (esquematica). F_!Culi . T.mlnall .. "'"' <":1_ ----. FIICicuH Trlrl •• V~SIlb"lospln.!Ida.f corticospillales (fibrae corticospinales). que unen los cenl ros subcorticales acuslicos y 6pticos con la cort eza cerebral.. entre el talamo 6ptico y la corleza. Por la rodilla de la capsllia interna (gen u capsiliae intemae) pasan las /ibras cQrticQnuciean'S (fibrae cortieonuclearis).s capsiliae intermle) entran los tractos siguientes: las /ibra.. en cuya composici6n entran: el IraclO occipilopol1tin o (t ra ctlls occipitopontinlls) y el lracto temporopontino (tractus temporoponlinus) (fig. que unen In corte za de los 16bulos occipi tal y temporal con los nucleos del puente. y en la porci6n mas posterior enlran los traclOS acustico central y 6ptico.MEDULA ESPINAL Fasdculo o~al del rasckulo posle .) T'I<:I".li t modll ill 786. distribuci6n de las substancias blanca I gris.calt's (jaseiculi tlwlomocorticalu). spiNOU. lalamocort.. . el /roc/() eorticopontino (tractllS conicopo nlinl/s).

form an 1115 ra. ~I enlrar en la medula espinal. m~s mielini7.lamoencefalo (lercera neuronal..U':OULA ESPI NAL Y DEL ENC EFALO --..t:a cerebral a lraves de la Clipsula inlerna en la composici6n del faseleulo lalamocortical. cara superolateral del hemisferio derecho (semiesquematica). conductoras de lodos los IlPOS de sensibilidad. TRA CTOS ASC ENDENTES (AF'ER ENTES) Q UE SE INICIAN EN LA MEOULA ESPINAL Los cuerpos de las primeras neuronas.\ ones de las celulas de los ganglios espinales ) los nervios crane.cts dorsa Its (posterio"'Sl /rudicts dor. Tra ctos de asociaci6n .... de donde los tractos sensitivos se dirigen a la corte:. { --- ------_ _ ~ulcus ccntflhs . Las fibras de las rakes dorsales.e im. que consta de fi bras gruesas. (Pro~ecci6n dc las fibras sobre la superficie del hemisferio.. 786.. Los axones de las celulas de los ganglios espinales.. formado par fibras finas. uncln.lles (primera neuronal terminan en las celulas de la mMu la esplnal 0 en las celulas de los nucleos del tronco cerebral (segundO! neuronal. se dividen en dos grupos: el medial.. en su paso haciO! la midula espinal..obu$ occlpUalis ___ \ Cerebelltlm __ F..) TRACTOS ASCENDENTES (AFERENTES) DE LA MED ULA ESPINAL Y DEL ENCEFALO Lo~ (r'tcms ascendenles de la mMula espinal y del encHalo -.lu5 lobus temporall' oblonga ta 787 . se dirigen a !a medula espiual y se Hloj:m en los gallg/ios rSJlilwles (g(mglin spillalin).. .9(3).t:adas.VfAS DE CONDUCC I6N DE LA ".. Los 31{ones de las celulas de In segunda neu rona conducen los impulsos hacia el cerebelo y el 1. EI grupo medial de las fibras de la raiz posterior se dirige at !lIn(cli/o posterior (jrtniclilus pas/trior) de la substantia blanca.:ian en los niicleos de los ncrvios espinales y craneales. menos mielini:.adas.wltsl (figs. Los O!.I ) I. y el lateral.

FascIculus longttudlnalls Inferior \ coHateralls Gyrus parahippocampalis 788 .1 Y cllllei/ofllle (/asriculi gfllcilis 1'1 Cllncllfl/s) de la medu]a espinal. lumbar6 y loracicos inferiores) de la medula espinal. situado Inleralmenle. y en parte pas. perten«en: 1. Tra ctos de asociaci6f1: cara medial del hemi sferio derecho (semiesquematica). TractQ tspinocerebe/ar pOSltriOf (tmc/us spinfJCtftbelaris (JQsttriOf).~. Los cuerpos de la~ . donde ent ra en conl:lcto con las celulas fa~ciculares.:::::-. Las rdmas nscendenles. Las ramas descendentes de las fibras van hacia abajo yenlran en contaclo con las celui:u de la subst3t'1ci:1 gris de las columoas posleriores. y con las cclulas del cuerno posterior.ViAS DE CONDUCCION DE LA ME DULA ESPINAL Y DEL ENCEFALO ..l. enOl parte de estas (ibras forma : en las poreiones toraeica y cervical de la medula espinal un fasciculo que en 101 '>Ccci6n transversal de 101 medula liene la form:l de una coma} esta s1!uado enlre el faseiculo gracil y el euneiforme: en la porci6n lumbar tietle forma de un haz medial: en la porci6n sact:l su forma es la de un fasciculo oval del funiculo po$lerior. (Pro~ecci6n d( las fibras sobre In $uperf icie del hemisferio.m en Iii composicion de In comisura blanca allado opueslo de la medula espmal y lambien van hacia arriba en el funiculo laleral. } e1 faseiculo euneiforme. vi~ cerebclar recta que conduce los Impulsos de los receplores de los ml'lsculos y lendanes hileill el cerebe!o. 786.1 en el ganglio CSPIIWI. formnndo los/lJscfculos grllc.~"". yendo hacia arriba.Lobus pn!e t ~1t.Cuneus Polus frontaUs __ . EI faKiculo gnkil. Las fibras que parlen de las cc:lulas de los nucleos de 13 medula espinal se dirigen parcialmenle hacia arriba por e1 funiculo laleral de su lado..Pollls occipitalis ~. en la t'l\tensi6n de los seis 0 siele segmenlos situados mas abajo.s) y luego a la columna posterior de la subSlancia gris.'IIII. EI grupo Imeral de las fibras de 13 rail dor~al se di rige a la =0/10 lerminal (=01111 II'f/ll../ Fibr~ arcual~ " certbrt "" Sulcus cingull /// . Ln primera neurona eSI.'~~. A los lractos aKenUenles ((igs. 790) que se inieian en la medula espinal. conliene las fibras de los segmenlos superiores (tonkicos superiores y cervicales). en el (uniculo lateral de la mMula es pinal pasa lambien una serie de Iractos descendenles. Corpus callosum Gyrus cinguU _ Sul(us parietoocciplUlis .ituudas en eMa.. . siluado medialmenle..Polus Sulcus calcarinus . conliene las fibras de los segmenlos infe riOl"es (sacros. colindanle con In cara medial del fasdculo grik.) donde cada una de ella~ se divide en forma de T en las ramas ascendenles y descendentes. enlran en ~onlacto con las ~elulas de I" subSlancia gris de la medula espin:1I en la subslancia gelatinosa y en el mkleo posterior dorsal: parte de 13 misma Ilega hasta la m~dula oOlongada. Adcm:\s de los Italos ascendentes.

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Illosofll ringco y 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3go (Sian reunidos en el ml."""".. enlnln en el tmcta bulbotalamico y en su l:omposicion . de los ncr vios inlermedio.bras de corp us ca ll osu m Tractus in t~rna I ~xte rn a _-1.::~~~..: " '-.sl.. en la composici6n del !llS rleli/a " ' /11 ' mocorrielll (!lI5eieulu$ r/lII/l1moeQrriClllis).[r de los nervios craneales (vease Via de conducci6nne rvio vestibuloc(>clear). " .lelO es pinal del nervio trigemino. 3.'_ Globus paliidus Nudtus lenlk lllaTls i Trnclo [[rust.. Le/Unisc() Iml'ral (/!'mlriSClu IMfrnlis) (f ig.(o c~nlral }' Opt. OCcipitoponlinus el le mporopoolin us Thalamus Corpus pineale Radialia . Ven t rlcult.""..m".. cu}o~ axones. Lt'lIlIIis("(J medial !lemniscus medialisl: es un conjunto de fibras ilscendentes que sc inician en los 111Jcleos de los f. en $11 composicion entran las fibras ascenuentes entrecTillildas de l V](l p.~ ac(. 'r"". Capsulas y paso de los (metos a traves de /a ecipsll/a illfema (semiesque matica)...". ..:. lateTalls Crus anlenus .I<.-"il----. Las fibras que [ienen su origen en dichos nucleos pasan al lado opuesto (parte de las fibras ~iguen en su lado). sensilivo y el nucko de l tr...::l::. Las celulas nerviosas de l talamo o plico son los cuerpos de las tcrccras neuronas de los lnlctos a'l:cndcntes de los nervios craneales.=\-=~.....c" '''"".v.:: pu tamen) ..ViAS DE COND UCC I6 N DE LA MEDULA ESPINAL Y DEL ENCEFALO F..c!eo del Irae lO solitario. 826 ). 2. fron tcpo nlln us Genii Crus Lobus corpor is ca li osl ''''"'''''''''"''''_ >~ Capsu la Cipsula " .-- I 1 corporis callosl Fibras de corpus callosum Lobus occipitalis 789. lcrminando en sus ruJ.'.r eorllco nuclearis :.[Icanzan cl talamo optima.:. a traves de la capsula inlema se dirigC'n II la cortelf1 cerebral (giro postcentral). .

. Toclum • m~''':~..raJi. ) pedunculos cercbclares silperiores.I LObu. i.". VIas ascendentes de la medula espillal y del encejalo..p'IlOIhalamiCI. Aqu[ las fibras de eSle Ir<lCW pasan a Iraves del nucleo ...1 '"""".. . en la regi6n del mesenctfalo cruza al lado OpUCSIO. parltl. lor / I .~ \ ~t-:. -'M..f fili '\ Corpu.' I TrOClU' opin<>lhal'mi<i.liooum I / / '/ \ I \ 1/ \ I / I I Lobu.lls 790. \ \ \ .mocor'. c.."""'...c.duncul._". une el nucleo denlado con el rajo dcllado opueslo.pln.!<uli Ihol..::::::":::~ .-5 .dulla .. IrOniall. .. ' pinocer-btilin.. True/(J cerebeio/ll/(imic() (/rae/us cerebeIlOlilll/flmicus): se inicia en el nuclco denlado. ior tl 1'I.. anl . InfUlor FI!<iruln.lf.tltll .Id.tior.. (Proyecci6n de las (ibras sobre la cara del hemisferio. hemisferio derecho (se miesquematic a). onl ....1 M. 4..ViAS DE COND UCC16 N DE LA MED ULA ESPINAL Y DEL ENCEFALO 101 F. Ped""". P. va en la composici6n del pedunculo cerebcl~r superior.I. p.k1) / T''''''u..ul . Inl.~" T'o<l .".cllls .

. _Tractus cortlcosplnalis (pyramidaUs) laseralls 791.dlallo Fasciculi Ihalam o~ort kales / II ~~ -_-:::.. corte frontal (sem iesquematica).. \ \ \ '\ .--Frb.. {Proyeccion de las fibra~ ~ob re la su perfic.Trac ll1s . \ -V. de II -. de: la COT1u.._ CJpsula Inlunl _ _ _ _ _ _ . / / .. \ \ \ ~ "e cort icoSp inalu~ 1 II . --- ' udeus lenlifo""ls----=--==-~=- I \ \ ~~>#1f2:.srJ. ' 103 :.corUtospinalls¢!yramldaUs) anlertor . FibnJ comisu raln de (o'pus c~ lI osum \---. oblongatl .. Fibril. Vias descelldentes de la medu/a espinal y del ence!a/o... fibno._A...:::. ' Fasciculi corUcolhDbnllca~ I r ..c cereb ra l......-- / I "" 1/"._ - Thalamus .a hacia nucleus cauda tus I~ 1$/ I / / \ II " -1)~-'." ..'suspy ramidalis) \ \ Nucleus caudlsus .--~ -- --TrtClus rubrosplnatls Medull.! I~ Co rlez~ h"".ViAS DE CONDUCCJ6N DE LA MED ULA ESPINAL Y DEL EN CEFALO \ Corpus ca llosum \ \ Claustrum _ __ ..·u corticonuc]earts- Uraclus pyumi dal b) _Nucleus ruber- • • ( -- ~...::::::_~ ---_ ___ _ f {OrflcosegmenlalisWNN .. \.~ · 7 Trac lus -_ Pyramis - Ihalalnl nucleus lentlformls 1/ _ I--Cl-.....

. rul><r rlud>!u.. (Pro yecci6" de las fibras sabre la superficie del hemisferio... «Itlkor".e::::~J ( lto""U... cara superolateral (semiesquemali ca). tl ###BOT_TEXT###quot; !emporopon'.bi'.'..N spln._ N'...TrKI'" 1.lbm ""~'M"'" ct'obtl fib .. nloponU'. . con 11101."".naJ y del enci/alo.ltu.....) .. J • ~on ".II. r"C]"... 'pln. "-:~--.. Flbr". I I I ~~f:::~r~~~)·"'~~_)..ViAS DE CONDUCCI6N DE LA MEOULA ESPINAL Y DEL EN CEFALO 105 Fibras qU( un(n a"cI..." • •ube.cdplllhi f'. ruIK..1 'nloria. cO<!lc06plnlles (I'-CI ... Vias descendentes de Ja miduJa esp... IrldUi p. T'to(\ul occlpUopornl n.pil\llh .. que U"~n "lOCI ..] ~ cotlka'pln....d_l.m.. ~On "".as que Unen nud."" Co . Fib.J" "'. p)'T.. "'.midoUlj 10<1"'1'11111 . Itn!lformlS F. To..". .lIs 792.nmldlli.In./pyromldoli..ll' .<I". .

------ 793. ) . M eniflges de la medula espillal: as pecto posterio r P/l)' (Los an. yo"".. nannt"u.MENINGES DE LA ME DULA ESPINAL _ _ _ .lor Ar.ehnOld .l.~"'" - 107 _ _ Co.ltb •• lIs InINn".a)mcnlc) 1 A'Khnoldfl (chm.r-'r -j' - Modulla . po..pu. (poo l.rlo.os y proccsos espinosos de dos utrtebras estan climinados.nada p~r<:.e.lo. v.".) . 'plull. - +iil:-r" Dull mil •• '.nada par<:ialmcnlc) A. vtrltb..lIeuta. ""(>f...u DUll mllf' (dim. Pin". PrOCt" .

(communlc.'''". denom inados Sl'nos dl'la dllramadri' (si"lIs dllrat millris).ilvul<ls. cubie rt a con Wl endoldio.H. g'.MENINGES DE LA MEDULA ESPINAL 109 L '>'.nt ) 1I.d' \ u. sepanindolas.'u Modutll >"''''''' '~ Radix vffllnll . senos. Inl.eu$ I \ \ \ \ \ \ Glngllon I.""'"' 'plno.. u! Our" m"lt r poSl~r l or Arcus "trtebrK Subsl. En la cavidad de una serie de senos 5e abren emisarias venosas. los ojos. Meninges de la medula espinai (meninges medullae spinalis): aspeclo superior (2/ 1). rlor 794. La du rama· dre del encefalo forma procesos que se 5ituan entre las partes del cerebro. al cortarlas no 5e pJiegan yen el10s no hay vf. constituyendo los coleelOrcs en los cuaies la sangre de las "enas del encefalo. la d uramad re y los huesos del craneo se reune y paS<l al sistema de las venas yugularcs internas.ntl .I. Por las lineas de insercion de los procesos de la duramadredel encefalo 5e {orman unos espacios que al corte transversal son prismfiticos 0 triangulare5.uncl \ . Es lisa y brillanle. R. 'pln. (Corte IranSllersal a [raVes del cartilago intenertebraL I cerebro.". que comunican a travts de cunales en los hue50s con las venas de los tegumenlos de la cabez3. . ES!DS espacios. lienen sus paredes muy lensas.

.-t .IJ ..11 0. Mtduli..I ----- __ "pl~nlum <"'pOtls <.."II~..o<porl. . .""""'.n. u."" '""'"'''''-'77''' Comml"ufI posttrlo. dullir" lh11l.. f~h. . Duramadre del encefalo P/..brI T.MENINGES DEL ENCEFALO F.b.nll " '''"'''' -. __ . . c.~." .J/ «.. ......"d.ptum Pflluc dum _ Gy..u ..)..\ ".~ s. lCorte sagilat lin poco a la izquierda del plano mediano.... ' ~:llL . "m.um ".. se ve el falce (hoz) del cerebro con relaci6n at cuerpo calloso.... rum tnr"". (Mop....llo>l ..'orporll 113 . Corpu. ~nl L. 'PH...t~g~lI _ --- ~u . Gonu ..J ..huhnr.. 797.

."'""" ..U.( ( A. tom"".r« . aspecto inferi or (s/6). si tu(tda debajo de eSllI. POS'''..t_b.11 4 MEN INGES DEL ENCE FALO Bulbul ""'.!!. " 798. "'''''''''' . La mayor parte de los ramos nerviosos de la mCl"lil"lgc sigue el paso de los 'laws de la meninge..... COrotlJ I . excluyendo cl techo del .. (Cara inferior del encHalo: en la regi6n del 16bulo tempo ral esti eliminado un pequeno sector de la aracnoides.. Araelloides del enee/alo (ara chnoidea en eephali)... _eph'l< (cl. :.".... " •• . nrebrl """•• .) fluencia corresponde en el hueso occipital a la eminenda cruciforme. .u • .Ii. brl Inf_rlOf hypogloo. La duramadre del encHalo se se pam de In aracnoidcs. por los nerv ios simpi. de la arteria ve rtebral y tambi~n del plexo cavernoso): por los ramos del "ervio petroso mayor su~ r ficial y del gangl io 6lico: aveces en el espesor de algunos nenios hay celuJas nerviosas int ra· Ironcales...m!ll._ Int<rptdun<ularlO N A..mlnada I I «)mm""I< .icos de los ple ~ os pe riafl eriales (de la arteria media de la me ninge....... por el espacio que representa unas fi su ras capilares ocupadas por una pequefia cantidad de IIquido cerebrospinal... . m. . La duramadre del cncHalo se inen'a por los ramos mCl"lingcos de los nervios trigemino y vago.I. Cistern.

... -'"'''''' tor.b. C!$t... lce del cerebro.. e! ncrvio maxilar y el nervio mandibular emiten eJ ramo meningeo medio pilra la duramadre de la regi6n de la rosa media del cnineo.crta ".."""". EI nervio vago emite un ramo meningeo fino para la duramadre del encHa!o en 13 regi6n de la fosa posterior del cnineo.1'1' COn I~ "..d..""..m. . ad -"'.nada Icub. participan en 13 inervaci6n de Ia duramadre .. emite unos tronquitos para la duramadre del encHalo en la regi6n de la rosa anterior del craneo.~ liS (':rrcj~lmenle ) v.... la lienda del cerebcJo y el f ...."". EI primer ramo del nervio trigemino-el nerv io oftalmico.rn. " .. y a la tienda del cerebclo (ramo de la ticn da).. ."" t. a las porciones anterior y posterior de la b6veda del craneo..._''''''''nr.- to.llomfdull.. en uno u otro grado. donde a diferencia de Olros sectores de la duramadre del encHalo hay pocos V3S0S y donde Ia mayor parte de los nlmos nerviosos sigue independientemente de los vasos...'". . has/a cI techo del cerebelo y para las paredes de los senos transverso y occipital.llarhlreseca<!8) "... Aracnoides y piamadre del encejalo (ara chnoidea e/ pia mater enceph ali): cara medial (2/)). . ."""".ris 799.) cerebelo. alc3n:1:ando eJ seno sagital inferior.H Aditu..!le."""". Ademas.) !..MENINGES DEL ENC EFALO \ «t<hrl .". Li m. qUlrtu."".. .brl lronov. Los segundo y tercer ramos del nervio trigemino."pWm pt'lIu'I~"m Gftur ""pori' "I)". •• . Estos ramos se distribuyen tambien por las paredes de los senos venosos vecinos.) .. (cI. (Corte sagital·mediano: el sector de la aracnoides en la regi6n de la cara medi31 est<i elimin3do.."cno. accesorio e hipogloso. A.dun.los nervios troc1car.bri ~". glosofaringeo. y tambien al falcc del cerebro..~brl magna I 1.""'. b.

s t ..809) representa un nervio de sensibilidad especial." . cereb.. Aqui. donde se une con las [ibras de la parle l:l1eral de! nervio 6ptico de eSie lado y form a junlo con las mismas el lrac/Q 6plko (Irae/ IiS oplkIlS). AI pasar a Iraves del espesor del cue rpd adiposo de In orbita.~. 803.. La parte medial pasa nl lado opueslo.. Las fibras del nervio oplico se inician en las celulas gan· glionares de la retina del ojo y perforando Ia. La parte lateral de las fibras de eada nervio optico se dirige mas adelante por su lado... H}!>Ophysis_ lulum.ala anlCflo. Nervios opticos y (ra etos optieos: cara inferior del cerebra P/6)' (La mayor parte de los lobulos \emporales y de! puente eSla eliminada.raneo (te rcenl porri6n). _ N optlcus Sulcus lal eral. -- • .1 NERVIO OPTICO EI.. el nervio 6plico se dirige a traves del :lnillo tendinoso comun aJ c. _ _ -N.analoptico (segunda porcion) y sale de 1:1 6rbita entrando en la cavidad del .. . opljcus) (II par) (figs.e.. .hI< cer~b ri ~r 808.NERVIO 6PTICO '29 _Bul ~us oliaclorlus . el quiasma 6ptico.Pedunculu.len'jo oP/jCQ (n.. h.' -C'''i~ Suhstlntla oosterlof - Oplicus oculomolO. \ " Sub<lantia perlo..lu~ . en In regi6n del surco quiasmalico del esfenoidcs.'t....~ .808.\que luclu I' .. .804. .. . Corpus mBmlllare .! p~rforala F05'8 Inl e rpet1unc\Jlar!~ _ SubSlantfa nlgra '- To:cluoll """. el cruce parcin! (semicruce) de las fibras de los nervios 6plicos. tiene luga.~ la~ forman la po[ci6n intraocull1T del nervio 6plico.llbu lum _ _ _ Tllehl$ _ Tubet clne..

\ N opllcus _ ---~-. £1 Iwdto $tll/iro S/l~rior del lIen-io lrigl'mino /nue/tus scnsorius $IIprrior n. Ilu lonon1l""1 nul< ..netcorp".' Axont.. 2.0 opt.. . .. trigl'minO se :1!Oj3 en eJ techo de! puen te.1 I I PUMnl' .. .ut"••)mk~)1 que "M tn la compMoco6n dd I n oc: ulomOlori .Lobu.. y conSlan de celul3s en las cualcs lerminan las fib ras ascendcntes de la .. nudt us ~'u. as<.actu! OpUtU! ' I I \ / /111. . lnlr / Cenllo 6p!ico .ofhcal . ubcortical tn .lon. .II .ular . Nucleos sc:nsitivos: I.. n!.N ER VIO TRI GE MI NO Pul ..~~. pot delanle del nucleo del nervio abdUClOr... ESlRS ribms constituytn ~l ImelO espinal del nervio trigemino..I " I 809.. f . 804... £1 miclro del mlCIO 1'5pillll/ del IItn'.inOOo parcialmenrc. pa so de las jribras y conexiones del 1Ien.. Centro 6prico .:. eJ "Iou\ ":Ct " rlu. Cap./ ( /' .! truClIIS spillalis II. superior . occlpU ali s j Uulbu. Radlallo optlCl J .do lriglmino (nucll'ul 1II0lOriul II. 8!0·822) es mixlO por su cankter.ulom I " (cn d!""~O.. 001001(111 !'. £1 llIlc1tQ dtl "aclO ruestnct/ll/iro dtl IIl'n·jo lrigcmillo . /Proyeccion de las fibras sobre !a superficie del hemi~rcno. En las cilulas que 10 forman terminan las fibras descendentcs de 13 raiz sensitiv". I ! I I I! I / 1 G1olllton ~ 1II1. en la region de la ma ncha ce rulca. lrigl'mini l es alargado. millO (gallgliOIl lrigtminaltl. lrigtmini).ai: Jellsilim del IIl'n'io lrigllllino (radix sensoria II.. esta situado en las portiones dorsales de Iii mt!duta oblongada. lrigemini) cst' situado en eltecho del puente. provenientes del gilltg/io fltl/len'io l rigl· . que unen el . I \ L Mtdun.ub Inltm.- 1 r .6n del '.flh I 1 Thalamustrcs«ado l T. 3. :_~...o lrigtmino (n llefell.bra .co (se miesquem atica)..'I 1 fomll (.tl I T. 'U PI' II'lt ". 772).~1 I I I ' u...l. en la eminencia medial..ut-<. orult . Se d istinguen los nucleos motor y sensitivo de! nervio trigt!mino (figs. ~ Art . Centro optico sUbcortical en coilleulu. del nervio trigemlno.. hte se pro)eCla por dentro de la mallcha unilM /lOCI IS arulelu). Lobus tempori lis Nude . s allj'.ngllon ci1l. lrigtmilli)..tllum .!ll>::~""""~ Cilula< lal\ilionaru \ ~ tn ta uinica . 803.. I /' I:tn lcubtu m btt •• l.acl ill If:{iO>p irul . nucf(Q mO/l)' dtT IIt. lrigtmilllll) (V par) (figs.ell../ I I _ __ . {.. .. I I I I I I I I N Otu lOlllotOrlu.:l~ ..olheul .. Por eI lado de la rosa romboide3. I I analizador oplico en la cortna) -C. hatill afuera yair's del nuclea mOlor.' I ~"Ui r PM.J NERVIO TRIGEMINO EI nen ·jl) "jglmjno (II. l1eg3ndo hasla los segmentos cervicales supc:riore$ de la meduta espinal..rd. strlat. Los procesos de las ct!tulas de este nucleo van en direcciOn descendente y forman la rllll mOlOra dtillen'io lrigimino (radix mOloria n. en ellugar de la substancia gt1l1lln05a del cuerno posterior.:.. I /~Sult"'CaIUrinll> I I 1 . Itntlcullrls 131 \ \ \ \ I Claustrum T. !lu tonom'Clli' n . " " I ' I / I I I I I.. ---r. ..

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