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GLOSSARY

Note to the Learner: This glossary contains neuronatom- Anopia A defect in the visual field (e.g., hemianopia —
ical terms, as well as terms commonly used clinically to loss of one-half of visual field; quadrantanopia — loss
describe neurological symptoms and physical findings of of one-quarter of visual field)
a neurological examination; few clinical syndromes are Antagonist A muscle that opposes or resists the action
included. of another muscle, which is called the agonist
Antidromic Relating to the propagation of an impulse
Abducens nerve 6th cranial nerve (CN VI); to lateral along an axon in a direction that is the reverse of the
rectus muscle for abduction of the eye normal or usual direction
Accessory nerve 11th cranial nerve (CN XI) — see spi- Aphasia An acquired disruption or disorder of language,
nal accessory nerve specifically a deficit of expression using speech or of
Afferent Conduction toward the central nervous system; comprehending spoken or written language; global apha-
usually means sensory sia is a severe form affecting all language areas
Agnosia Loss of ability to recognize the significance of Apopotosis Programmed cell death, either genetically
sensory stimuli (tactile, auditory, visual), even though determined or following an insult or injury to the cell
the primary sensory systems are intact Apraxia Loss of ability to carry out purposeful or skilled
Agonist A muscle that performs a certain movement of movements despite the preservation of power, sensation,
the joint; the opposing muscle is called the antagonist and coordination
Agraphia Inability to write due to a lesion of higher brain Arachnoid The middle meningeal layer, forming the
centers, even though muscle strength and coordination outer boundary of the subarachnoid space
are preserved Areflexia Loss of reflex as tested using the myotatic,
Akinesia Absence or loss of motor function; lack of stretch, deep tendon reflex
spontaneous movement; difficulty in initiating move- Archicerebellum A phylogenetically old part of the cer-
ment (as in Parkinson’s disease) ebellum, functioning in the maintenance of equilibrium;
Alexia Loss of ability to grasp the meaning of written anatomically, the flocculonodular lobe
words; inability to read due to a central lesion; word Archicortex Three-layered cortex included in the limbic
blindness system; located mainly in the hippocampus proper and
Allocortex The phylogenetically older cerebral cortex, dentate gyrus of the temporal lobe
consisting of less than six layers; includes paleocortex Area postrema An area involved in vomiting; located in
(e.g., subicular region = three to five layers) and archicor- the caudal part of the floor of the fourth ventricle, with
tex (e.g., hippocampus proper and dentate = three layers) no blood-brain-barrier
Alpha motor neuron Another name for the anterior Ascending tract Central sensory pathway, e.g., from spi-
(ventral) horn cell, also called the lower motor neuron nal cord to brainstem, cerebellum, or thalamus
Ammon’s horn The hippocampus proper, which has an Association fibers Fibers connecting parts of the cere-
outline in cross-section suggestive of a ram’s horn; also bral hemisphere, on the same side
called the Cornu Ammonis (CA) Astereognosis Loss of ability to recognize the nature of
Amygdala Amygdaloid nucleus or body in the temporal objects or to appreciate their shape by touching or feeling
lobe of the cerebral hemisphere; a nucleus of the limbic them
system Astrocyte A type of neuroglial cell with metabolic and
Angiogram Display of blood vessels for diagnostic pur- structural functions; reacts to injury of the CNS by form-
poses, using, x-rays, MRI or CT, usually by using con- ing a gliotic “scar”
trast medium injected into the vascular system Asynergy Disturbance of the proper sequencing in the
contraction of muscles, at the proper moment, and of the

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246 Atlas of Functional Neutoanatomy

proper degree, so that an action is not executed smoothly Central nervous system (CNS) Brain (cerebral hemi-
or accurately spheres), including diencephalon, cerebellum, brain-
Ataxia A loss of coordination of voluntary movements; stem, and spinal cord
often associated with cerebellar dysfunction Cerebellar peduncles Inferior, middle, and superior;
Athetosis Slow writhing movements of the limbs, espe- fiber tracts linking the cerebellum and brainstem
cially of the hands, not under voluntary control, caused Cerebellum The little brain; an older part of the brain
by degenerative changes in the striatum with motor functions, dorsal to the brainstem, situated
Autonomic Autonomic nervous system; usually taken to in the posterior cranial fossa
mean the efferent or motor innervation of viscera Cerebral aqueduct (of Sylvius) Aqueduct of the mid-
(smooth muscle and glands) brain; passageway carrying CSF through the midbrain,
Autonomic nervous system (ANS) Visceral innerva- as part of the ventricular system
tion; sympathetic and parasympathetic divisions system Cerebral peduncle Descending cortical fibers in the
Axon Efferent process of a neuron, conducting impulses “basal” (ventral) portion of the midbrain, sometimes
to other neurons or to muscle fibers (striated and smooth) includes the substantia nigra (located immediately
and gland cells behind)
Babinski response Babinski reflex is not correct; strok- Cerebrospinal fluid (CSF) Fluid in the ventricles, and
ing the outer border of the sole of the foot in an adult in the subarachnoid space and cisterns
normally results in a plantar (downgoing) of the toes; Cerebrum Includes the cerebral hemispheres and dien-
the Babinski response consists of an upgoing of the first cephalon but not the brainstem and cerebellum
toe and a fanning of the other toes, indicating a lesion Cervical Referring to the neck region; the part of the
of the pyramidal (cortico-spinal) tract spinal cord that supplies the structures of the neck;
Basal ganglia (nuclei) CNS nuclei involved in motor C1–C7 vertebral; C1–C8 spinal segments
control, the caudate, putamen and globus pallidus (the Chorda tympani Part of the 7th cranial nerve (CN VII)
lentiform nucleus); including, functionally, the subthal- (see facial nerve); carrying taste from anterior two-thirds
amus and the substantia nigra of tongue and parasympathetic innervation to glands
Basilar artery The major artery supplying the brainstem Chorea A motor disorder characterized by abnormal,
and cerebellum, formed by the two vertebral arteries irregular, spasmodic, jerky, uncontrollable movements
Brachium A large bundle of fibers connecting one part of the limbs or facial muscles, thought to be caused by
with another (e.g., brachium associated with the inferior degenerative changes in the basal ganglia
and superior colliculi of the midbrain) Choroid A delicate membrane; choroid plexuses are
Bradykinesia Abnormally slow initiation of voluntary found in the ventricles of the brain
movements (usually seen in Parkinson’s disease) Choroid plexus Vascular structure consisting of pia with
Brainstem Includes the medulla, pons, and midbrain blood vessels, with a surface layer of ependymal cells;
Brodmann areas Numerical subdivisions of the cerebral responsible for the production of CSF
cortex on the basis of histological differences between Cingulum A bundle of association fibers in the white
different functional areas (e.g. area 4 = motor cortex; matter under the cortex of the cingulate gyrus; part of
area 17 = primary visual area) Papez (limbic) circuit
Bulb Referred at one time to the medulla but in the con- Circle of Willis Anastomosis between internal carotid
text of “cortico-bulbar tract” refers to the whole brain- and basilar arteries, located at the base of the brain,
stem in which the motor nuclei of cranial nerves and surrounding the pituitary gland
other nuclei are located Cistern(a) Expanded portion of subarachnoid space con-
Carotid siphon Hairpin bend of the internal carotid taining CSF, e.g., cisterna magna (cerebello-medullary
artery within the skull cistern), lumbar cistern
CAT or CT scan Computerized (Axial) Tomography; a Claustrum A thin sheet of gray matter, of unknown func-
diagnostic imaging technique that uses x-rays and com- tion, situated between the lentiform nucleus and the
puter reconstruction of the brain insula
Cauda equina “Horse’s tail”; the lower lumbar, sacral, Clonus Abnormal sustained series of contractions and
and coccygeal spinal nerve roots within the subarachnoid relaxations following stretch of the muscle; usually elic-
space of the lumbar (CSF) cistern ited in the ankle joint; present following lesions of the
Caudal Toward the tail, or hindmost part of neuraxis descending motor pathways, and associated with spas-
Caudate nucleus Part of the neostriatum, consists of a ticity
head, body, and tail (which extends into the temporal Conjugate eye movement Coordinated movement of
lobe) both eyes together, so that the image falls on correspond-
ing points of both retinas
CNS Abbreviation for central nervous system

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Glossary 247

Colliculus A small elevation; superior and inferior colli- memory, and loss of intellectual ability, such as the abil-
culi comprising the tectum of the midbrain; also facial ity to learn, reason, make judgments, and communicate,
colliculus in the floor of the fourth ventricle and finally, inability to carry out normal activities of
Commissure A group of nerve fibers in the CNS con- daily living; usually affects people with advancing age
necting structures on one side to the other across the Dendrite Receptive process of a neuron; usually several
midline (e.g., corpus callosum of the cerebral hemi- processes emerge from the cell body, each of which
spheres; anterior commissure) branches in a characteristic pattern
Consensual reflex Light reflex; refers to the bilateral Dendritic spine Cytoplasmic excrescence of a dendrite
response of the pupil after shining a light in one eye and the site of an excitatory synapse
Contralateral On the opposite side (e.g., contralateral to Dentate (toothed or notched) Dentate nucleus of the cer-
a lesion) ebellum (intracerebellar nucleus); dentate gyrus of the
Corona radiata Fibers radiating from the internal cap- hippocampal formation
sule to various parts of the cerebral cortex — a term Dermatone A patch of skin innervated by a single spinal
often used by neuroradiologists cord segment (e.g., T1 supplies the skin of the inner
Corpus callosum The main (largest) neocortical com- aspect of the upper arm; T10 supplies umbilical region)
missure of the cerebral hemispheres Descending tract Central motor pathway (e.g., from cor-
Corpus striatum Caudate, putamen, and globus palli- tex to brainstem or spinal cord)
dus, nuclei inside cerebral hemisphere, with motor func- Diencephalon Consisting of the thalamus, epithalamus
tion; the basal ganglia (pineal), subthalamus, and hypothalamus
Cortex Layers of gray matter (neurons and neuropil) on Diplopia Double vision; a single object is seen as two
the surface of the cerebral hemispheres (mostly six lay- objects
ers) and cerebellum (three layers) Dominant hemisphere The hemisphere responsible for
Cortico-bulbar Descending fibers connecting motor cor- language; this is the left hemisphere in about 85 to 90%
tex with motor cranial nerve nuclei and other nuclei of of people (including left-handed individuals)
brainstem (including reticular formation) Dorsal column Fasciculus gracilis and fasciculus cunea-
Corticofugal fibers Axons carrying impulses away from tus of the spinal cord, pathways (tracts) for discrimina-
the cerebral cortex tive touch, conscious proprioception and vibration
Corticopetal fibers Axons carrying impulses toward the Dorsal root Afferent sensory component of a spinal
cerebral cortex nerve, located in the subarachnoid (CSF) space
Cortico-spinal tract Descending tract, from motor cor- Dorsal root ganglion (DRG) A group of peripheral neu-
tex to anterior (ventral) horn cells of the spinal cord rons along the dorsal root, whose axons carry afferent
(sometimes direct); also called pyramidal tract information from the periphery; their central process
Cranial nerve nuclei Collections of cells in brainstem enters the spinal cord
giving rise to or receiving fibers from cranial nerves (CN Dura Dura mater, the thick external layer of the meninges
III–XII); may be sensory, motor, or autonomic (brain and spinal cord)
Cranial nerves Twelve pairs of nerves arising from the Dural venous sinuses Large venous channels for drain-
brain and innervating structures of the head and neck ing blood from the brain; located within dura of the
(CN I is actually a CNS tract) meninges
CSF Cerebrospinal fluid, in ventricles and subarachnoid Dysarthria Difficulty with the articulation of words
space (and cisterns) Dyskinesia Purposeless movements of the limbs or trunk,
Cuneatus (cuneate) Sensory tract (fasciculus cuneatus) usually due to a lesion of the basal ganglia; also difficulty
of the dorsal column of spinal cord, from the upper limbs in performing voluntary movements
and body; cuneate nucleus of medulla Dysmetria Disturbance of the ability to control the range
Decerebrate posturing (rigidity) C h a r a c t e r i z e d b y of movement in muscular action, causing under- or over-
extension of the upper and lower limbs; lesion at the shooting of the target (usually associated with cerebellar
brainstem level between the vestibular nuclei and the red lesions)
nucleus Dysphagia Difficulty with swallowing
Decorticate posturing (rigidity) C h a r a c t e r i z e d b y Dyspraxia Impaired ability to perform a voluntary act
extension of the lower limbs and flexion of the upper; previously well performed, with intact movement, coor-
lesion is located above the level of the red nucleus dination, and sensation
Decussation The point of crossing of CNS tracts, e.g., Efferent Away from the central nervous system; usually
decussations of the pyramidal (cortico-spinal) tract, means motor to muscles
medial lemnisci, and superior cerebellar peduncles Emboliform Emboliform nucleus of the cerebellum, one
Dementia Progressive brain disorder that gradually of the intracerebellar (deep cerebellar) nuclei; with glo-
destroys a person’s memory, starting with short-term bose nucleus forms the interposed nucleus

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248 Atlas of Functional Neutoanatomy

Entorhinal Associated with olfaction (smell); the ganglion; also inappropriately used for certain regions
entorhinal area is the anterior part of the parahippocam- of gray matter in the brain (i.e., basal ganglia)
pal gyrus, adjacent to the uncus Geniculate bodies Specific relay nuclei of thalamus —
Ependyma Epithelium lining of ventricles of the brain medial (auditory) and lateral (visual)
and central canal of spinal cord; specialized tight junc- Genu Knee or bend; middle portion of internal capsule;
tions at the site of the choroid plexus genu of facial nerve
Extrapyramidal system An older clinically used term, Glial cell Also called neuroglial cell; supporting cells in
usually intended to include the basal ganglia portion of the central nervous system — astrocyte, oligodendro-
the motor systems and not the pyramidal (cortico-spinal) cyte, and ependymal — also microglia
motor system Globus pallidus Efferent part of basal ganglia; part of
Facial nerve 7th cranial nerve (CN VII); motor to mus- the lentiform nucleus with the putamen; located medially
cles of facial expression; carries taste from anterior two- Glossopharyngeal nerve 9th cranial nerve (CN IX);
thirds of tongue; also parasympathetic to two salivary motor to muscles of swallowing and carries taste from
glands, lacrimal and nasal glands (see also chorda tym- posterior one-third of tongue; nerve for the gag reflex
pani) Gracilis (gracile) Sensory tract (fasciculus gracilis) of
Falx Dural partition in the midline of the cranial cavity; the dorsal column of spinal cord; nucleus gracilis of
the large falx cerebri between the cerebral hemispheres, medulla
and the small falx cerebelli Gray matter Nervous tissue, mainly nerve cell bodies
Fascicle A small bundle of nerve fibers and adjacent neuropil; looks “grayish” after fixation in
Fasciculus A large tract or bundle of nerve fibers formalin
Fasciculus cuneatus Part of dorsal column of spinal Gyrus (plural gyri) A convolution or fold of the cerebral
cord; ascending tract for discriminative touch, conscious hemisphere; includes cortex and white matter
proprioception and vibration from upper body and upper Habenula A nucleus of the limbic system, adjacent to
limb the posterior end of the roof of the 3rd ventricle (part of
Fasciculus gracilis Part of dorsal column of spinal cord; the epithalamus)
ascending tract for discriminative touch, conscious prop- Hemiballismus Violent jerking or flinging movements of
rioception and vibration from lower body and lower limb one limb, not under voluntary control, due to a lesion of
Fastigial nucleus One of the deep cerebellar (intracere- subthalamic nucleus
bellar) nuclei Hemiparesis Muscular weakness affecting one side of
Fiber Synonymous with an axon (either peripheral or the body
central) Hemiplegia Paralysis of one side of the body
Flaccid paralysis Muscle paralysis with hypotonia due Herniation Bulging or expansion of the tissue beyond its
to a lower motor neuron lesion normal boundary
Flocculus Lateral part of flocculonodular lobe of cerebel- Heteronymous hemianopia Loss of different halves of
lum (vestibulocerebellum) the visual field of both eyes, as defined by projection to
Folium (plural folia) A flat leaf-like fold of the cerebellar the visual cortex of both sides; bitemporal for the tem-
cortex poral halves and binasal for the nasal halves
Foramen An opening, aperture, between spaces contain- Hindbrain Posterior division of the embryonic brain;
ing CSF (e.g., Monro, between lateral ventricles and includes pons, medulla, and cerebellum (located in the
third ventricle; Magendie, between fourth ventricle and posterior cranial fossa)
cisterna magna; Luschka, lateral foramen of fourth ven- Hippocampus or hippocampus “proper” Part of lim-
tricle) bic system; a cortical area “buried” within the medial
Forebrain Anterior division of embryonic brain; cere- temporal lobe, consisting of phylogenetically old (three-
brum and diencephalon layered) cortex; protrudes into floor of inferior horn of
Fornix The efferent (noncortical) tract of the hippocam- lateral ventricle
pal formation, arching over the thalamus and terminating Homonymous hemianopia Loss of the same visual field
in the mammillary nucleus of the hypothalamus and in in both eyes (i.e., left or right) as defined by the projec-
the septal region tion to the visual cortex on one side — involving the
Fourth (4th) ventricle Cavity between brainstem and nasal half of the visual field in one eye and the temporal
cerebellum, containing CSF half in the other eye; also quadrantanopia
Funiculus A large aggregation of white matter in the Horner’s syndrome Miosis (constriction of the pupil),
spinal cord, may contain several tracts anhidrosis (dry skin with no sweat), and ptosis (drooping
Ganglion (plural ganglia) A collection of nerve cells in of the upper eyelid) due to a lesion of the sympathetic
the PNS — dorsal root ganglion (DRG) and sympathetic pathway to the head

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Glossary 249

Hydrocephalus Enlargement of the ventricles, usually Locus ceruleus A small nucleus located in the uppermost
due to excessive accumulation of cerebrospinal fluid pons on each side of the fourth ventricle; contains mel-
within the ventricles (e.g., obstruction) anin-like pigment, visible as a dark-bluish area in freshly
Hypoglossal nerve 12th cranial nerve (CN XII); motor sectioned brain
to muscles of the tongue Lower motor neuron Anterior horn cell of spinal cord
Hypo/hyper reflexia Decrease (hypo) or increase and its axon; also the cells in the motor cranial nerve
(hyper) of the stretch (deep tendon) reflex nuclei of the brainstem; called the alpha motor neuron;
Hypo/hyper tonia Decrease or increase of the tone of its loss leads to atrophy of the muscle and weakness,
muscles, manifested by decreased or increased resistance with hypotonia and hyporeflexia; also fascicluations are
to passive movements to be noted
Hypokinesia Markedly diminished movements (sponta- Mammillary Mammillary bodies; nuclei of the hypothal-
neous) amus that are seen as small swellings on the ventral
Hypothalamus A region of the diencephalon that serves surface of diencephalon (also spelled mamillary)
as the main controlling center of the autonomic nervous Massa intermedia A bridge of gray matter connecting
system and is involved in several limbic circuits; also the thalami of the two sides across third ventricle; present
regulates the pituitary gland in 70% of human brains (also called the inter-thalamic
Infarction Local death of an area of tissue due to loss of adhesion)
its blood supply Medial lemniscus Brainstem portion of sensory pathway
Infundibulum (funnel) Infundibular stem of the poste- for discriminative touch, conscious proprioception and
rior pituitary (neurohypophysis) vibration, formed after synapse (relay) in nucleus gracilis
Innervation Nerve supply, sensory and/or motor and nucleus cuneatus
Insula (island) Cerebral cortical area not visible from Medial longitudinal fasciculus (MLF) A tract through-
outside view and situated at the bottom of the lateral out the brainstem and upper cervical spinal cord that
fissure (also called the island of Reil) interconnects visual and vestibular input with other
Internal capsule White matter between lentiform nuclei controlling movements of the eyes and the head
nucleus and head of caudate nucleus, and thalamus; con- and neck
sists of anterior limb, genu and posterior limb Medulla Caudal portion of the brainstem; may also refer
Ipsilateral On the same side of the body (e.g., ipsilateral to the spinal cord as in a lesion within (intramedullary)
to a lesion) or outside (extramedullary) the cord
Ischemia A condition in which an area is not receiving Meninges Covering layers of the central nervous system
an adequate blood supply (dura, arachnoid, and pia)
Ischemic penumbra A region adjacent to or surrounding Mesencephalon The midbrain (upper part of the brain-
an area of infarcted brain tissue that is not receiving stem)
sufficient blood; the neurons may still be viable Microglia The “scavenger” cells of the CNS, i.e., mac-
Kinesthesia The conscious sense of position and move- rophages; considered by some as one of the neuroglia
ment Midbrain Part of the brainstem; also known as mesen-
Lacune A pathological small “hole” remaining after an cephalon (the middle division of the embryonic brain)
infarct in the internal capsule; also irregularly-shaped Motor Associated with movement or response
venous “lakes” or channels draining into the superior Motor unit A lower motor neuron, its axon, and the mus-
sagittal sinus cle fibers that it innervates
Lateral ventricle CSF cavity in each cerebral hemi- MRI/NMR Magnetic Resonance Imaging (nuclear mag-
sphere; consists of anterior horn, body, atrium (or trig- netic resonance), a diagnostic imaging technique that
one), posterior horn, and inferior (temporal) horn uses an extremely strong magnet, not x-rays
Lemniscus A specific pathway in CNS (medial lemnis- Muscle spindle Specialized receptor within voluntary
cus for discriminative touch, conscious proprioception, muscles that detects muscle length; necessary for the
and vibration; lateral lemniscus for audition) stretch/myotatic reflex (DTR); contains muscle fibers
Lentiform Lens-shaped; lentiform nucleus, a part of the within itself capable of adjusting the sensitivity of the
corpus striatum; also called lenticular nucleus; com- receptor
posed of putamen (laterally) and globus pallidus Myelin Proteolipid layers surrounding nerve fibers,
Leptomeninges Arachnoid and pia mater, part of formed in segments, which is important for rapid (salta-
meninges tory) nerve conduction
Lesion Any injury or damage to tissue (e.g., vascular, Myelin sheath Covering of nerve fiber, formed and
traumatic) maintained by oligodendrocyte in CNS and Schwann
Limbic system Part of brain associated with emotional cell in PNS; interrupted by nodes of Ranvier
behavior

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250 Atlas of Functional Neutoanatomy

Myelopathy Generic term for disease affecting the spinal Oligodendrocyte A neuroglial cell, forms and maintains
cord the myelin sheath in the CNS; each cell is responsible
Myopathy Generic term for muscle disease for several internodes on different axons
Myotatic reflex Stretch reflex, also called deep tendon Optic chiasm(a) Partial crossing of optic nerves — nasal
reflex (DTR); elicited by stretching the muscle; causes half of retina representing the temporal visual fields —
a reflex contraction of the same muscle; monosynaptic after which the optic tracts are formed
(also spelled myotactic reflex) Optic disc Area of the retina where the optic nerve exits;
Myotome Muscle groups innervated by a single spinal also the site for the central retinal artery and vein; devoid
cord segment; in fact, usually two adjacent segments are of receptors, hence the blind spot
involved (e.g., biceps, C5 and C6) Optic nerve 2nd cranial nerve (CN II); special sense of
Neocerebellum Phylogenetically newest part of the cer- vision; actually a tract of the CNS, from the ganglion
ebellum, present in mammals and especially well devel- cells of the retina until the optic chiasm
oped in humans; involved in coordinating precise volun- Paleocortex Phylogenetically older cerebral cortex con-
tary movements and also in motor planning sisting of three to five layers
Neocortex Phylogenetically newest part of the cerebral Papilledema Edema of the optic disc, visualized with an
cortex, consisting of six layers (and sublayers) charac- ophthalmoscope (also called a choked disc); usually a
teristic of mammals and constituting most of the cerebral sign of abnormal increased intracranial pressure
cortex in humans Paralysis Complete loss of muscular action
Neostriatum The phylogenetically newer part of the Paraplegia Paralysis of both legs and lower part of trunk
basal ganglia consisting of the caudate nucleus and puta- Paresis Muscle weakness or partial paralysis
men; also called the striatum Paresthesia Spontaneous abnormal sensation (e.g., tin-
Nerve fiber Axonal cell process, plus myelin sheath, if gling; pins and needles)
present Pathway A chain of functionally related neurons (nuclei)
Neuralgia Pain — severe, shooting, “electrical,” along and their axons, making a connection between one
the distribution of a peripheral nerve (spinal or cranial) region of CNS and another; a tract (e.g., visual pathway,
Neuraxis The straight longitudinal axis of the embryonic dorsal column-medial lemniscus sensory pathway)
or primitive neural tube, bent in later evolution and Peduncle A thick stalk or stem; a bundle of nerve fibers
development (cerebral peduncle of the midbrain; also three cerebellar
Neuroglia Accessory or interstitial cells of the central peduncles — superior, middle, and inferior)
nervous system; includes astrocytes, oligodendrocytes, Perikaryon The cytoplasm surrounding the nucleus of a
ependymal cells, and microglial cells cell; sometimes refers to the cell body of a neuron
Neuron The basic structural unit of the nervous system, Peripheral nervous system (PNS) Nerve roots, periph-
consisting of the nerve cell body and its processes — eral nerves and ganglia outside the CNS (motor, sensory,
dendrites and axon and autonomic)
Neuropathy Disorder of one or more peripheral nerves PET Positron Emission Tomography; a technique used
Neuropil An area between nerve cells consisting of a to visualize areas of the living brain that become “acti-
complex arrangement of nerve cell processes, including vated” under certain task conditions; uses very short-
axon terminals, dendrites, and synapses acting biologically active radioactive compounds
Nociception Refers to an injurious stimulus causing a Pia (mater) The thin innermost layer of the meninges,
neuronal response; may or may not be associated with attached to the surface of the brain and spinal cord; forms
the sensation of pain the inner boundary of the subarachnoid space
Node of Ranvier Gap in myelin sheath between two suc- Plexus An interweaving arrangement of vessels or nerves
cessive internodes; necessary for saltatory (rapid) con- Pons (bridge) The middle section of the brainstem that
duction lies between the medulla and the midbrain; appears to
Nucleus (plural nuclei) An aggregation of neurons within constitute a bridge between the two hemispheres of the
the CNS; in histology, the nucleus of a cell cerebellum
Nystagmus An involuntary oscillation of the eye(s), slow Projection fibers Bidirectional fibers connecting the
in one direction and rapid in the other; named for the cerebral cortex with structures below, including basal
direction of the quick movement ganglia, thalamus, brainstem, and spinal cord
Oculomotor nerve 3rd cranial nerve (CN III); motor to Proprioception The sense of body position (conscious
most muscles of the eye or unconscious)
Olfactory nerve 1st cranial nerve (CN I); special sense Proprioceptor One of the specialized sensory endings in
of smell muscles, tendons, and joints; provides information con-
cerning movement and position of body parts (proprio-
ception)

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Glossary 251

Prosody Vocal tone, inflection, and melody accompany- Secretomotor Parasympathetic motor nerve supply to a
ing speech gland
Ptosis Drooping of the upper eyelid Sensory Afferent; to do with receiving information, from
Pulvinar The posterior nucleus of the thalamus; func- the skin, the muscles, the external environment, or from
tionally, involved with vision internal organs
Putamen The larger (lateral) part of the lentiform Septum pellucidum A double membrane of connective
nucleus, with the globus pallidus; part of the neostriatum tissue separating the anterior horns of the lateral ventri-
with the caudate nucleus cles, situated in the median plane
Pyramidal system Named because the cortico-spinal Septal region An area below the anterior end of the cor-
tracts occupy pyramid-shaped areas on the ventral aspect pus callosum on the medial aspect of the frontal lobe
of the medulla; may include cortico-bulbar fibers; the that includes cortex and the septal nuclei
term pyramidal tract refers specifically to the cortico- Somatic Used in neurology to denote the body, exclusive
spinal tract of the viscera (as in somatic afferent neurons from the
Quadrigeminal Referring to the four colliculi of the mid- skin and body wall); the word soma is also used to refer
brain; also called the tectum to the cell body of a neuron
Quadriplegia Paralysis affecting the four limbs (also Somatic senses Touch (discriminative and crude), pain,
called tetraplegia) temperature, proprioception, and the “sense of vibration”
Radicular Refers to a nerve root (motor or sensory) Somatotopic The orderly representation of the body parts
Ramus (plural rami) The division of the mixed spinal in CNS pathways, nuclei, thalamus, and cortex; topo-
nerve (containing sensory, motor, and autonomic fibers) graphical representation
into anterior and posterior Somesthetic Consciousness of having a body; somes-
Raphe An anatomical structure in the midline; in the thetic senses are the general senses of touch, pain, tem-
brainstem, several nuclei of the reticular formation are perature, position, movement, and “vibration”
in the midline of the medulla, pons, and midbrain (these Spasticity Velocity-dependent increased tone and
nuclei use serotonin as the neurotransmitter) increased resistance to passive stretch of the antigravity
Red nucleus Nucleus in the midbrain (reddish color in a muscles; in humans, flexors of the upper limb and exten-
fresh specimen) sors of the lower limb; usually accompanied by hyper-
Reflex Involuntary movement of a fixed nature in reflexia
response to a stimulus Special senses Sight (vision), hearing (audition), balance
Reflex arc Consisting of an afferent fiber, a central con- (vestibular), taste (gustatory), and smell (olfactory)
nection, a motor neuron, and its efferent axon leading to Spinal accessory nerve 11th cranial nerve (CN XI);
a muscle movement refers usually to the part of the nerve that originates in
Reticular Pertaining to or resembling a net — reticular the upper spinal cord (C1–5) and innervates the muscles
formation of brainstem of the neck, the sternomastoid and trapezius muscles
Reticular formation Diffuse nervous tissue, nuclei and Spinal shock Complete “shut down” of all spinal cord
connections, in brainstem; quite old phylogenetically activity (in humans) following an acute complete lesion
Rhinencephalon In humans, refers to structures related of the cord (e.g., severed cord after a diving or motor
to the olfactory system vehicle accident); usually up to two to three weeks in
Rigidity Abnormal muscle stiffness (increased tone) with duration
increased resistance to passive movement of both ago- Spino-cerebellar tracts Ascending tracts of the spinal
nists and antagonists (e.g., flexors and extensors), usually cord, anterior and posterior, for “unconscious” proprio-
seen in Parkinson’s disease; velocity independent ception to the cerebellum
Root The peripheral nerves — sensory (afferent, dorsal) Spino-thalamic tracts Ascending tracts of the spinal
and motor (efferent, ventral) — as they emerge from the cord for pain and temperature (lateral) and nondiscrim-
spinal cord and are found in the subarachnoid space inative or light touch and pressure (anterior)
Rostral Toward the nose, or the most anterior end of the Split brain A brain in which the corpus callosum has
neuraxis been severed in the midline, usually as a therapeutic
Rubro Red; pertaining to the red nucleus, as in rubro- measure for intractable epilepsy
spinal tract and cortico-rubral fibers Stereognosis The recognition of an object using the tac-
Saccadic To jerk; extremely quick movements, normally tile senses and also central processing, involving asso-
of both eyes together (conjugate movement), in changing ciation areas especially in the parietal lobe
the direction of gaze Strabismus A squint; lack of conjugate fixation of the
Schwann cell Neuroglial cell of the PNS responsible for eyes; may be constant or variable
formation and maintenance of myelin; there is one Stria A slender strand of fibers (e.g., stria terminalis from
Schwann cell for each internode of myelin amygdala)

© 2006 by Taylor & Francis Group, LLC


252 Atlas of Functional Neutoanatomy

Striatum The phylogenetically more recent part of the Third (3rd) ventricle Midline ventricle at the level of the
basal ganglia (neostriatum) consisting of the caudate diencephalon (between the thalamus of each side), con-
nucleus and the putamen (lateral portion of the lentiform taining CSF
nucleus) Tic Brief, repeated, stereotyped, semipurposeful muscle
Stroke A sudden severe attack of the CNS; usually refers contraction; not under voluntary control, although may
to a sudden focal loss of neurologic function due to death be suppressed for a limited time
of neural tissue; mostly due to a vascular lesion, either Tinnitus Persistent ringing or buzzing sound in one or
infarct (embolus, occlusion) or hemorrhage both ears
Subarachnoid space Space between arachnoid and pia Tomography Radiological images, done sectionally,
mater, containing CSF (cerebrospinal fluid) including CT and MRI
Subcortical Not in the cerebral cortex, i.e., at a function- Tone Referring to muscle, its firmness, and elasticity —
ally or evolutionary “lower” level in the CNS; usually normal, hyper, hypo — elicited by passive movement
refers to the white matter of the cerebral hemispheres, and also assessed by palpation
and also may include the basal ganglia Tract A bundle of nerve fibers within the CNS, with a
Subicular region Part of hippocampal formation; transi- common origin and termination, (e.g., optic tract, cor-
tional cortex (three to five layers) between that of the tico-spinal tract)
hippocampus proper and the parahippocampal gyrus Transient ischemic attack (TIA) A n o n p e r m a n e n t
Substantia gelatinosa A nucleus of the gray matter of focal deficit, caused by a vascular event; by definition,
the dorsal (sensory) horn of the spinal cord composed usually reversible within a few hours, with a maximum
of small neurons; receives pain and temperature afferents of 24 hours
Substantia nigra A flattened nucleus in the midbrain Trapezoid body Transverse crossing fibers of the audi-
with motor functions — consisting of two parts: the pars tory pathway situated in the ventral portion of the teg-
compacta with melanin pigment in the neurons (the mentum of the lower pons
dopamine neurons, which degenerate in Parkinson’s dis- Tremor Oscillating, “rhythmic” movements of the hands,
ease), and the pars reticulata, which is an output nucleus limbs, head, or voice; intention (kinetic) tremor of the
of the basal ganglia limb commonly seen with cerebellar lesions; tremor at
Subthalamus Region of the diencephalon beneath the rest commonly associated with Parkinson’s disease
thalamus, containing fiber tracts and the subthalamic Trigeminal nerve 5th cranial nerve (CN V); major sen-
nucleus; part of the functional basal ganglia sory nerve of the head (face, eye, tongue, nose, sinuses);
Sulcus (plural sulci) Groove between adjacent gyri of the also supplies muscles of mastication
cerebral cortex; a deep sulcus may be called a fissure Trochlear nerve 4th cranial nerve (CN IV); motor to the
Synapse Area of structural and functional specialization superior oblique eye muscle
between neurons where transmission occurs (excitatory, Two-point discrimination Recognition of the simulta-
inhibitory, or modulation), using neurotransmitter sub- neous application of two points close together on the
stances (e.g., glutamate, GABA); similarly at the neuro- skin; distance varies with the area of the body (compare
muscular junction (using acetylcholine) finger tip to back)
Syringomyelia A pathological condition characterized Uncus An area of cortex — the medial protrusion of the
by expansion of the central canal of the spinal cord with rostral (anterior) part of the parahippocampal gyrus of
destruction of nervous tissue around the cavity the temporal lobe; the amygdala is situated deep to this
Tectum The “roof” of the midbrain (behind the aqueduct) area; important clinically as in uncal herniation
consisting of the paired superior and inferior colliculi; Upper motor neuron Neuron located in the motor cor-
also called the quadrigeminal plate tex or other motor areas of the cerebral cortex or in the
Tegmentum The “core area” of the brainstem, between brainstem — giving rise to a descending tract to lower
the ventricle (or aqueduct) and the cortico-spinal tract; motor neurons in the brainstem (for cranial nerves) or
contains the reticular formation, cranial nerve and other spinal cord (for body and limbs)
nuclei, and various tracts Upper motor neuron lesion A lesion of the brain (cor-
Telencephalon Rostral part of embryonic forebrain; pri- tex, white matter of hemisphere), brainstem, or spinal
marily cerebral hemispheres of the adult brain cord interrupting descending motor influences to the
Tentorium The tentorium cerebelli is a sheet of dura lower motor neurons of the brainstem or spinal cord,
between the occipital lobes of the cerebral hemispheres characterized by weakness, spasticity, and hyperreflexia,
and the cerebellum; its hiatus or notch is the opening for and often clonus; usually accompanied by a Babinski
the brainstem — at the level of the midbrain response
Thalamus A major portion of the diencephalon with sen- Vagus 10th cranial nerve (CN X); supplies motor fibers
sory, motor, and integrative functions; consists of several to the larynx; the major parasympathetic nerve to organs
nuclei with connections to areas of the cerebral cortex of the thorax and abdomen

© 2006 by Taylor & Francis Group, LLC


Glossary 253

Velum A membranous structure; the superior medullary Vestibulocochlear 8th cranial nerve (CN VIII); special
velum forms the roof of the fourth ventricle senses of hearing and balance (acoustic nerve is not
Ventricles Cerebrospinal (CSF) fluid-filled cavities really correct)
inside the brain White matter Nervous tissue of CNS made up of nerve
Vermis Unpaired midline portion of the cerebellum, fibers (axons), some of which are myelinated; appears
between the hemispheres “whitish” after fixation in formalin
Vertigo Abnormal sense of spinning, whirling, or motion,
either of the self or of one’s environment

© 2006 by Taylor & Francis Group, LLC

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