Duus' Topical Diagnosis in Neurology: Anatomy, Physiology, by Mathias Baehr, Michael Frotscher

By Mathias Baehr, Michael Frotscher

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Extra resources for Duus' Topical Diagnosis in Neurology: Anatomy, Physiology, Signs, Symptoms, 4th Edition

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Usage subject to terms and conditions of license. 2 2 Lateral spinothalamic tract (pain, temperature) Posterior columns Anterior spinocerebellar tract Posterior spinocerebellar tract Posterior columns Proprioception (unconscious) Muscle spindle and tendon organ (to the cerebellum and forebrain) Fasciculus Fasciculus cuneatus gracilis (of Burdach) (of Goll) Proprioception, vibration, touch, pressure, discrimination (to the thalamus and cerebral cortex) Touch, pressure Posterior spinocerebellar tract Pain, temperature Medial bundle Anterior spinocerebellar tract Lateral bundle Lateral spinothalamic tract Spinotectal tract Spino-olivary tract Motor fiber Anterior spinothalamic tract Fig.

One of these two processes travels to the receptor organs of the periphery, giving off numerous collateral branches along the way, so that a single ganglion cell receives input from multiple receptor organs. The other process (the central process) travels by way of the posterior root into the spinal cord, where it either makes synaptic contact with the second sensory neuron immediately, or else ascends toward the brainstem (see Fig. 17, p. 43). There are no synapses within the dorsal root ganglion itself.

These secondary endings react to stretch as the primary endings do, but the afferent impulses generated in them travel centrally in II fibers, which are thinner than the Ia fibers associated with the primary endings. The impulses are relayed via spinal interneurons to produce a net inhibition—and thus relaxation—of the antagonist muscle(s) (reciprocal antagonist inhibition, Fig. 14). Baehr, Duus' Topical Diagnosis in Neurology © 2005 Thieme All rights reserved. Usage subject to terms and conditions of license.

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