4 buliit¥ osciculsl extrpiramidale—rubro-sinal, vestbulo- tal, reicule-spinal,tecto-sinal s1fescculal cent ‘alcatel, In otis posteroars opore,bondeata longitudinal posterior for: frata ait bre de oxoctye ce fe legara ive nce veatbulr Foeilomoter Funetilo bulbului sint somatice gi vegetative, Funtile somoticn fin ble orcendente 3 descendente ost senabittes ais #1 proniocsptvs 0: corull 1! membrelor, te esiguré moi tsco ola onc! emda, laura, Soma Go Seullo erapromcis) lor prin fomatile erebeloose 9) nucle Seeilouiow balou paretpd To eoordonorea. miydror 1 monn coh aa ahe Pain neil cranieni bulberi so osigurd funetil importante penta dealitte, fonajie sl mostcatie ca 3 sensibltotea unr orgone ( finges fing imbe)” precum i seniiiates gusta in teimen poweroora limb Sti bulborb prin legttai_ impontento cu sstemul extcpita- mide sh exrebclu, ore robin michrieoeulcceoiogre, convalind Si cctftetea mueller motor" core Ineneard mutch faingei, fo Fingeli 3 wdult pola a fini vogetsive = bulbul indeplinesteo seiie de ate rele Imponante\pontrs producerea” secret salvar degltil, “use, Stranutuuh ome sagt Oe impotent wots lint neil re Dictate i eardhovascularé In me Eoniemal ‘ebro. Intern oct Te. fiom complete ovonome. etunilabulbulal realex tulburdrt motor, sanntve cores Teoze. tuber din porta nant lor ernien 9 tulburd vegetotve fare a0. pot" grvpa. in sinoroome Sine Inakadudlzote tn Topon et ‘operate! etoogia lent Sindrome bulbore nueare unilateral Sindroomele bulbare mucleore Uunloterale tnt detorminate do le lun ole nucelorneror bulbar, ‘oss — scene snrouneye we 0880 ner! cu etnget ole ator fae Go Canc Sebi "* Formiuni bulbar (fg. 122) = = Sindromul Aves ~ porlxa Slut pola a cor vocole ‘ovtes leiundy prin ineresarea'mucledlat embiu spiecul Sindoma, Schmit = cupinind wn anion Ae 16 cre 0 odoug® parlsc ramurigerame a spol "Sindromol Jocteon cones, dintrun sindrom Schmidt comple tot cusporaise homelatersié eli, prin prindores x 0 nvcleul Fiposlselt Sindroame bulbare nucleare bileterole Sindroomele bulbore niclare bilterle = sntrelzate de uncle infecteo viueur nourtrope (poliomielt, poloenceflta ineroars). Unele Gol degenerative cum erte isierata Iatarala amotategy sc Fingobulbta presint pe lings simptonetolegia caracerstes acostor bot, 9 parlide Toble-glosolringians, prin ofectorea iaterale a Nocillor “nerilor‘bulbor ‘Snsoame oscar bulbare = Sindcml interfer sau poromedian (ig. 123) const din sorlse bomolatealé « Npegiossu cu hemplese H hemanestose rotund de" portea opusd tenunt Pig, 288, — Toporatin I <= Sindvomul ltero-bulbor 290 reto-olvar Wallenberg (9.124) de“Gceoas! porte cu leakinea re consist _unusindrom, vestibular, «bora do glosofaringion siveg, unainarom Claude. Borord-Her™ he, urshomisndiom cerebolos 91 hemianestrio feel, jer de pariea at herioneete de Sp stingomieke Gg. 18 6) ¥ ene ent aFE | = Sindromul Babinski-Nogoote, de hemibulb,reaizord 0 sin ptonatolagie asocitd osingtomul lterobulbar I nteralar. Poralgia neruilor bulbor de cvigine ceneld prin lesan! bilo- tora, fosccululu) gonealt (cotleoreclea?) reoieazs sindromul Dprevdobulbsr sauce. ce Fa 124, 2 — Sma topomate len fae Spro deosebire de lenunile bulbore in sindroml pseudobulbor lipses® efile # Hontapile musclore coy! roactia de. degeneres conte, leci, Reflerele mosetrin, polmo-mentonier si bucol sintexagercte. Se cosoclorstulourn pace re ins spas Sindroame protuberanjiale Protuberonta este situotd intra bulbs! peduncul cerebral gf ‘ate logotalotorel de cerebel prin peduncull corebolog! milo Bin cole yore fer patu int vtle x numat dovd roole:anterioo’ 1 Bostrioard Pe fata onteroors se gBseste un sant, medion corespunzitor tore batiare cv 2 rics de'0 pare Ge ota mdrgite lateral Je"Seginco aporente@ roddcin| ners tigemen,co-o delimieced 5 “Paull corebelonmillct Feta postedoard reprints mateo superoat® plangeull venticuar W delist loterl de. pedunculi cevebeloy supeion, Ait prin voiuis Viewsens. Pe ino mosions, se absera pelunaios thet Eolomus sciptonus, lor deo pase 91 de ota ominanta teres, corespunind_auceuil ocuomsoruul exten gl fovea. supeior focus coeruleus, orespunsing cleat moter ol wigementtu inunghtufle ere ole 'onticuslr Vs. gézere gure use, fare foe comunicates Scesio ch spat! suberahnetdion in conforma iaranr 8 dings tou potubro In Serededase's Toscteu promise = qf coloto pontno” unde 36 Gisose ucla moto, sendin vegetal cf newer cfonien! te Geman, oculomotor excrm, focicl f wesibuler, nuclul solar supe org ucle tactnal Ge Fomotir! prost gBsim olvo, protvberanjal, corpul wape seid i porfunme fteralo ‘6 pang Rel, formatun cote foc parte Gin» dolee ocustes. Stbstonto elo cole este reprazenctd prin foscicule oscen deine’ "pungiea’ Keil medons, aurea spine-‘alomic ven Spinetclanie ‘dorsal st fosctull_spine-cerebeior imerulgt. Fos- “Eilts Gescondorte srt fowcculul contol of colt, fescieull rubro- Spinel, torovspinl, feiculorpinal He aberanteconlco-oculo-ce- TBiogr's: toscicu in cig Russet Ca fasciele de erode este Seneca Toate poweoar uncle potberontel int moto oluntaré st impluntor) sme ave t.do eoordonare, realzas prin frccule oscendente, desc ote eoncnunle eu corebll Frid non ronini cu ongines In clot, protuberanta inde plineste_urmétoarlo. feet “onl ingemen oxgurd senabitates fun gl fetal (cu ex: cepts gonlnula sensibitaes” mucootel conjuneivele, nazla Geel $273 onteire ole limb "Seer, sigemenul ore rol in mestioie pin romul motor ol roxio infor = ‘erin nawul oculomotor extern s0 oxigue motittea globo culo ‘ponte pitea in fars, De asemenca a2 esigure,migele $eitetositate ale leblorocsion prin contaio sinergies 2) muy ‘Sulu dept extorn do 0 pone x deep intern se porao opus ru oct ineteors‘muscultua” tet esiguind. mince ‘exproiive, volun’ (bree. cortcanucleate) $i mimica automate,onion’ prin impulsile pe core newl focal le priests dele coe Shae {a nivel protoboranel ze gisese cent rllecs: laetiml, sa: Ivor super Gar lonele, ubmoxlere, aubinguale, ell comean, geustice-palpabal, acusice-eculogl rflext co mastcatc 1 eflosulmasetrin {> nivlul prowberanie! se realizecrS o serie de sindroame In functie de loccfcorea fein ia colon eau picor gi Im roport co facion: stooge! occidene vascular, process tumoral, infec Sindromol Mild Gubler ~ protuberantil terior (ig. 125, 126) caracterzot prin hemiplegie de’ pares. opus Teuunil para Pi. 1 — Saunt linie focila de up patferle do acseay! potty oxociatd uneort cx ovale de ‘cculometor exam. 7 = Sindromul Brssoud-Sicord — consté_ din hemispasm facil homoloterals1 hemiplegia. hetorolaterla. eSindromul Grens! ~ onesterie focil6 homalateala cu her nostri tormoolgercs.feteeotel 3 uneot! stole cl Yemor Imtenfional ‘de sceeasi_parte cu lenunao, prin inoresoroa pedun Cut gerebelos superior nent de inrucire S Sindoml ofterel catebeloase supetocre ~ se pradntd co tu sindrom eorebelos de oceeo porte ci lesuneo gi heminipostesie leimoclgeric® de portea opus, Uneor #0 oociard un sindeom ‘lave Bemord Homer x ewentoel moclon homolatralo, sindramul rotuberontial superior Raymond:Ceston ~ ete consi din hemparen® ed micah coreo-cttoice, uneor! cu fe Stomene clance si dsarite corelocss e_parteo opus lei, hemionestaie ated si devierea glbilor eculati spre pettea pa raltel =" sindromul Fomila protuberata! superior (ig, 127) este format ini hemipiegie conrolatealé 1 porlina migsSrior de lterltae 2 glbilr ocular spre porten sinstooss EPAEs canon (Vt Gabor Sewn 'me ballard-cuber" ey de: ~ Sindromul Fol protuberata, Inferior. cupinde (ig, 128) fe Hngd"smptonslesindromulst Milord.Gubler, porate migcBier 2E lateroltote« slobilor cular, och prvind spre partes Nemistooied Sindroame pedunculore Peduncul cerebral impround eu lama cvadigeminala oestuese| rozenceolul, find staat ine protuberant sence Ta enteig, peduncull eerebral epar sub forma a dous cor oon cide state pe port vonvals crelerlui eu directa napa