由左右大脑半球组成【】课件

四、端脑

telencephalonDepartmentofAnatomy,KunmingMedicalCollege四、端脑

telencephalonDepartmento1概述1.组成:由左右大脑半球组成，两半球借胼胝体相连。2.position:覆盖间脑、中脑和小脑。3.大脑的结构：大脑皮质、髓质、基底核和侧脑室。概述2(一)端脑的外形和分叶1.两条裂：大脑纵裂和大脑横裂2.三面：上外侧面内侧面下面(一)端脑的外形和分叶1.两条裂：大脑纵裂和大脑横裂33.大脑半球的三条沟：中央沟、外侧沟、 顶枕沟五个叶： 额叶、顶叶 枕叶、颞叶、岛叶 3.大脑半球的4额叶：中央沟中央前沟中央前回额上回额中回额下回4.大脑半球主要的沟回额叶：4.大脑半球主要的沟回5顶叶：中央沟中央后沟中央后回顶下小叶角回缘上回4.大脑半球主要的沟回顶叶：4.大脑半球主要的沟回6颞叶：外侧沟、颞上回、颞中回、颞下回、颞横回颞叶：7 枕叶：顶枕沟、距状沟、楔叶、舌回。大脑半球内侧面和下面的结构：中央旁小叶、边缘叶（扣带回、海马旁回、钩、齿状回） 枕叶：8（二）大脑的内部结构 1.侧脑室lateralventricle:前角（额叶）、中央部（顶叶）、后角（枕叶）、下角（颞叶）、侧脑室脉络丛、室间孔（二）大脑的内部结构9基底核basalnuclei：尾状核、豆状核（壳核、苍白球）、杏仁核。纹状体：新纹状体（尾状核、壳核）、旧纹状体（苍白球）功能：调节肌张力。其损伤表现：parkinson′sdisease 舞蹈病基底核basalnuclei：尾状核、豆状核（壳核、苍白1043.大脑皮质机能定位1）第I躯体运动区(运动中枢)：位于中央前回和中央旁小叶前部，功能特点：倒置人形、对侧支配、功能为主。2）第I躯体感觉区(感觉中枢)：位于中央后回和中央旁小叶后部。功能特点：倒置人形、对侧管理、功能为主。43.大脑皮质机能定位11大脑皮质(cerebralcortex)机能定位3）视区(视觉中枢)：位于枕叶内面距状沟两侧皮质。一 侧视区损伤双眼同向性偏盲。4）听区(听觉中枢)：位于颞横回。一侧听区损伤可引起双 耳听力下降，但不至全聋。大脑皮质(cerebralcortex)机能定位3）视区(125、运动性语言中枢（说话中枢）—运动性失语症6、书写中枢—失写症7、听觉性语言中枢（听话中枢）—感觉性失症8、视觉性语言中枢（阅读中枢）—失读症5、运动性语言中枢（说话中枢）—运动性失语症13名称位置损伤表现第I躯体运动区(运动中枢)中央前回和中央旁小叶的前部对侧相应区域骨骼肌瘫痪第I躯体感觉区(感觉中枢)中央后回和中央旁小叶的后部对侧相应区域的躯体感觉障碍视区(视觉中枢)距状沟两侧的皮质双眼对侧视野偏盲听区(听觉中枢)颞横回一侧损伤,听力影响不大语言中枢听话中枢颞上回后部感觉性失语症说话中枢额下回后部运动性失语症阅读中枢角回失读症书写中枢额中回后部失写症名称位置损伤表现第I躯体运动区(运动中枢)中央前回和144.大脑半球的髓质medulla白质(由神经纤维组成，分为三类)(1)联络纤维：联络本半球各部之间的 纤维。(2)连合纤维：连接左右半球的纤维(3)投射纤维：联系大脑皮质与皮质下 中枢的上、下行纤维。4.大脑半球的髓质medulla15内囊internalcapsule1.内囊的位置和构成： 位于背侧丘脑和尾状核与豆状核之间，由联系大脑皮质和皮质下中枢的上、下行投射纤维构成的一宽厚白质区。内囊internalcapsule162.内囊的分部和各部通过的纤维束 前肢： 额桥束 膝： 皮质核束 后肢： 皮质脊髓束、丘脑中央辐、听辐射、视辐射2.内囊的分部和各部通过的纤维束17内囊各部损伤的纤维束 临床表现：（三偏征）皮质核束、皮质脊髓束 偏身躯体运动障碍（偏瘫）丘脑中央辐射受压 偏身躯体感觉障碍视辐射 双眼视野对侧偏盲内囊各部损伤的纤维束 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8wVayXcAZeC!gE%iG*kI)mK+oN1hG*jI)lK+nM1pO3rQ5tS7vU9xWbzYd20四、端脑

telencephalonDepartmentofAnatomy,KunmingMedicalCollege四、端脑

telencephalonDepartmento21概述1.组成:由左右大脑半球组成，两半球借胼胝体相连。2.position:覆盖间脑、中脑和小脑。3.大脑的结构：大脑皮质、髓质、基底核和侧脑室。概述22(一)端脑的外形和分叶1.两条裂：大脑纵裂和大脑横裂2.三面：上外侧面内侧面下面(一)端脑的外形和分叶1.两条裂：大脑纵裂和大脑横裂233.大脑半球的三条沟：中央沟、外侧沟、 顶枕沟五个叶： 额叶、顶叶 枕叶、颞叶、岛叶 3.大脑半球的24额叶：中央沟中央前沟中央前回额上回额中回额下回4.大脑半球主要的沟回额叶：4.大脑半球主要的沟回25顶叶：中央沟中央后沟中央后回顶下小叶角回缘上回4.大脑半球主要的沟回顶叶：4.大脑半球主要的沟回26颞叶：外侧沟、颞上回、颞中回、颞下回、颞横回颞叶：27 枕叶：顶枕沟、距状沟、楔叶、舌回。大脑半球内侧面和下面的结构：中央旁小叶、边缘叶（扣带回、海马旁回、钩、齿状回） 枕叶：28（二）大脑的内部结构 1.侧脑室lateralventricle:前角（额叶）、中央部（顶叶）、后角（枕叶）、下角（颞叶）、侧脑室脉络丛、室间孔（二）大脑的内部结构29基底核basalnuclei：尾状核、豆状核（壳核、苍白球）、杏仁核。纹状体：新纹状体（尾状核、壳核）、旧纹状体（苍白球）功能：调节肌张力。其损伤表现：parkinson′sdisease 舞蹈病基底核basalnuclei：尾状核、豆状核（壳核、苍白3043.大脑皮质机能定位1）第I躯体运动区(运动中枢)：位于中央前回和中央旁小叶前部，功能特点：倒置人形、对侧支配、功能为主。2）第I躯体感觉区(感觉中枢)：位于中央后回和中央旁小叶后部。功能特点：倒置人形、对侧管理、功能为主。43.大脑皮质机能定位31大脑皮质(cerebralcortex)机能定位3）视区(视觉中枢)：位于枕叶内面距状沟两侧皮质。一 侧视区损伤双眼同向性偏盲。4）听区(听觉中枢)：位于颞横回。一侧听区损伤可引起双 耳听力下降，但不至全聋。大脑皮质(cerebralcortex)机能定位3）视区(325、运动性语言中枢（说话中枢）—运动性失语症6、书写中枢—失写症7、听觉性语言中枢（听话中枢）—感觉性失症8、视觉性语言中枢（阅读中枢）—失读症5、运动性语言中枢（说话中枢）—运动性失语症33名称位置损伤表现第I躯体运动区(运动中枢)中央前回和中央旁小叶的前部对侧相应区域骨骼肌瘫痪第I躯体感觉区(感觉中枢)中央后回和中央旁小叶的后部对侧相应区域的躯体感觉障碍视区(视觉中枢)距状沟两侧的皮质双眼对侧视野偏盲听区(听觉中枢)颞横回一侧损伤,听力影响不大语言中枢听话中枢颞上回后部感觉性失语症说话中枢额下回后部运动性失语症阅读中枢角回失读症书写中枢额中回后部失写症名称位置损伤表现第I躯体运动区(运动中枢)中央前回和344.大脑半球的髓质medulla白质(由神经纤维组成，分为三类)(1)联络纤维：联络本半球各部之间的 纤维。(2)连合纤维：连接左右半球的纤维(3)投射纤维：联系大脑皮质与皮质下 中枢的上、下行纤维。4.大脑半球的髓质medulla35内囊internalcapsule1.内囊的位置和构成： 位于背侧丘脑和尾状核与豆状核之间，由联系大脑皮质和皮质下中枢的上、下行投射纤维构成的一宽厚白质区。内囊internalcapsule362.内囊的分部和各部通过的纤维束 前肢： 额桥束 膝： 皮质核束 后肢： 皮质脊髓束、丘脑中央辐、听辐射、视辐射2.内囊的分部和各部通过的纤维束37内囊各部损伤的纤维束 临床表现：（三偏征）皮质核束、皮质脊髓束 偏身躯体运动障碍（偏瘫）丘脑中央辐射受压 偏身躯体感觉障碍视辐射 双眼视野对侧偏盲内囊各部损伤的纤维束 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