חוברת נוירולוגיה

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01 - ................................................................................................................09

1 7002.01.12 1.1 ' )" ( . : - )(. - . . , . .CSF Gyrus . .sulci Fissures . precentral , . post central , . . , . CNS Comisural . , .ant/post commisure .disconnected syndrome Projecting fibers . , " ) (

) (, . , . , . RF reticular formation , , , . , ) ,(medular rhythmic center .. . 21-8 8 11 21 , . )( . 7-5 . crossed syndrome ) (, ) ( 7/6, . . 4,3 Superior 2 LGN )lateral geniculate .(nucleus Inferior MGN ).(medial geniculate , , .

o

o

o

- LGN MGN VPN ventro-posterior nucleus . , . , .ADH ,2L ) (LP .3L ) (intermediate . . . LMN , ) NMJ(. ) ,(ALS )(, )' o (. . o . " , o . .

2

UMN -, .lat. Corticospinal tract ) .(ACA , , o .MCA , ), (. / . o .Crossed syndrome - . o . - .2L 3

4 2 1

Ant. Spinothalamic , 1. . Lat. Spinothalamic ', 2. . 3. ) (. ! . Post. Spinocerebellar , 4. . .

, . Lat. Corticospinal, , .internal capsule Ant. Corticospinal . -, . Internal capsule . , , )(, . ) ( o o . o 7002.01.52 2.1 - , , . . , . 1. , . , " . . /. 3

. . "". - , . ". Conduction aphasia . . .

2. 3.

.4. 5. 6.

, , , . 03-72, 42. 32 . , . LMN, , , . UMN , )( ) , (, ) (. " ) (. . . . . . , . . . . ) ( , / ) ( . . / ) (, . , . , . , . . ) ( , , .LMN ) ( . . . . . , . Grip test )(. . / 3 . ) ALS UMN ,LMN , (, .

4

) , (. , , , ,NMJ. , . , , . , . - 7002.01.82 I . -3 . II II , . o , . o - ) / ( o , . , , . III , . , . . ) , (, . , . , , . , , / 3 . , , , II . : Supranuclear palsy , . Alternating paralysis/crossed syndrome , .III ) ( . . - gaze , . . . ) ,III ( . , . VI .EICP , , , , . , Postural instability . . , . . ? , . 12B , . . , , - , , . ), , (, - . , , , , , . . .

5

) ( . LMN, . . ) (. . 009. . . . , .

Brudzinski Kering

, .

: 0 1 . 2 . 3 . 4 - -"- . 5 - -"- . . . . ,LMN. : - - =< . =< . =< , =< . =< . " lower motorneuron )( .CNS)-( . )+( . )++( . )+++/++++( . . - Babinski =< .upper motor neuron ,UMN/LMN, .

II, III . .

Grip test

.

. . .V 5C Biceps 7C Triceps 6C Brachio-radialis 4L patella Achilles ) (. 1S . . 01-8,(R/LUQ (T

6

- .

: . .- .

- " 21.B -

21-01.(R/L flanges, R/LLQ (T .UMN =< / =< . , , . - , 1. . 2. )(. . . . )4-3( . /, . /.

) (. .trunk

Homonymous hemianopsia Bitemporal hemianopsia

Quadrant defect )( )(. optic radiation. Papilitis =< . Anisocoria . Midriasis .III ) 3(, . Miosis . , , . Horner syndrome , , ) ( ) (. , .cluster headache -

Diadochokinesis. " ". . , - . ) ( . .60cm . . ) (PERRLA .

7

) supra nuclear (, - - ) (. Supranuclear palsy , ) (. =< , =< . Pendular ) (. . . . End point nistagm. Alternating paralysis/crossed syndrome , , . ) ,(gaze . . .

.H . . 4 . 6 .

-

- =< V .VII

Bells palsy VII