By Alan R. Crossman PhD DSc, David Neary MD FRCP
"A transparent advisor to a fancy topic that’s precious for college kids and clinicians alike." by way of Pulse, Apr 2015
- Notoriously tricky strategies made transparent in straight forward and concise text
- Level of aspect conscientiously judged to facilitate realizing of the basic neuroanatomical rules and the workings of the worried method, delivering a valid foundation for the prognosis and remedy of up to date neurological disorders
- All new line drawings and images included all through to additional increase readability and mirror the most recent imaging techniques
- Clinical fabric and subject summaries totally up-to-date and highlighted in succinct packing containers in the textual content
- Clinical syndromes/symptoms index supplied with cross-referencing to appropriate text
- Memorable pictorial summaries of indicators linked to the most scientific syndromes
- New further worth digital content material - together with self-assessment fabric to assist revision and fee your knowing - is integrated in the incredible, complimentary more suitable eBook
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Extra resources for Neuroanatomy: an Illustrated Colour Text
Example text
The corticospinal (pyramidal) and corticonuclear/ corticobulbar pathways are particularly important (Fig. 29). These descending motor pathways are highly organised somatotopically but are also concerned with concerted movements of the limbs. Damage to the corticospinal pathway (upper motor neurone lesion) leads to loss of individual movements of the digits and a breakdown in movements of extension and abduction of the upper limb and of flexion of the lower limb. This characteristic weakness of movements is clinically referred to as a pyramidal weakness.
It is sometimes mistakenly thought that incoordination of the limbs is synonymous with a disorder of the cerebellum. This is not the case, whereas it is true that lesions of the cerebellum do lead to incoordination. A patient with a short leg and an arthritic hip joint, for example, will have an incoordinate gait. Moreover, weakness of the limbs due to disease of the central or peripheral nervous system will cause incoordination. Damage to the peripheral sensory nerves or to the dorsal columns of the spinal cord deprives the brain of proprioceptive information from the limbs, thus causing lack of coordination of the arms and an ataxic gait.
The spinal nerve roots leaving the spinal cord in the neck and back may be trapped by tumours and prolapsed intervertebral discs, causing pain, weakness and sensory loss in their region of distribution (radiculopathy). The peripheral nerves may become trapped at vulnerable pressure sites in the limbs by ribs and tough fibrous bands, leading to pain, weakness and sensory loss in their distribution (entrapment neuropathy). g. computed tomographic (CT) brain scan and magnetic resonance imaging (MRI)) to delineate the disorders (lesions) for neurosurgical decompression.