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SECTION I ±âº»¿ø¸® BASIC PRINCIPLES 1
1. ½Å°æ°èÅëÀÇ ±âÃÊ Fundamentals of the Nervous System 1
½Å°æ°èÅëÀÇ ±âº»µµÇØ General Plan of the Nervous System 1
¸»ÃʽŰæ°èÅë Peripheral Nervous System 6
¸é°ú ¿ë¾î Planes and Terms 7
2. ½Å°æ°èÅëÀÇ ¹ß»ý°ú ¼¼Æ÷ ±¸¼º¼ººÐ
Development and Cellular Constituent of the Nervous System 9
½Å°æ ¹ß»ýÀÇ ¼¼Æ÷ Ãø¸é Cellular Aspect of Neural Development 9
½Å°æ¼¼Æ÷ Neuron 9
½Å°æ¼¼Æ÷ÀÇ ºÐ·ù¿Í ¿¬°á Neuronal Grouping and Connection 14
º¯¼º°ú Àç»ý Degeneration and Regeneration 19
½Å°æ¹ß»ý Neurogenesis 21
3. ½Å°æ°èÅëÀÇ ½ÅÈ£Àü´Þ Signaling in the Nervous System 23
¸·ÀüÀ§ Membrane Potential 23
¹ß»ý±âÀüÀ§ Generator Potential 24
È°µ¿ÀüÀ§ Action Potential 25
½Å°æ¼¼Æ÷¸·¿¡ ÀÖ´Â ÀÌ¿ÂÅë·Î The Nerve Cell Membrane Contain Ion Channel 26
¸»ÀÌÁýÇü¼ºÀÇ È¿°ú The Effect Of Myelination 26
È°µ¿ÀüÀ§ÀÇ Àüµµ Conduction of Action Potential 28
½Å°æ¿¬Á¢ Synapse 28
¿¬Á¢Àü´Þ Synaptic Transmission 31
ÈïºÐ ¹× ¾ïÁ¦¿¬Á¢ÀÛ¿ë Excitatory and Inhibitory Synaptic Action 32
¿¬Á¢Çü¼º·Â°ú Àå±â°ÈÀÛ¿ë Synaptic Plasticity and Long-Term Potentiation 33
¿¬Á¢¾Õ¾ïÁ¦ Presynaptic Inhibition 33
½Å°æ±ÙÀÌÀ½ºÎ¿Í Á¾¸»ÆÇÀüÀ§ The Neuromuscular Junction and The End-Plate Potential 35
½Å°æÀü´Þ¹°Áú Neurotransmitters 35
SECTION II ÀÓ»óÀû »ç°í °³¿ä INTRODUCTION TO CLINICAL THINKING 39
4. ½Å°æÇغÎÇаú ½Å°æÇÐÀÇ °ü°è The Relationship between Neuroanatomy
and Neurology 39
½Å°æÁúȯÀÇ Áõ»ó°ú ¡ÈÄ Symptoms and Signs of Neurological Diseases 39
º´ÅÍÀÇ À§Ä¡´Â? Where is the Lesion? 43
¹«½¼ º´ÅÍÀΰ¡? What is the Lesion? 45
³ú¿µ»ó°ú °Ë»ç½Ç°Ë»çÀÇ ¿ªÇÒ The Role of Neuroimaging and Laboratory Investigations 47
½Å°æÁúȯ ȯÀÚÀÇ Ä¡·á The Treatment of Patient with Neurologic Disease 48
SECTION III ô¼ö¿Í ôÃß SPINAL CORD AND SPINE 51
5. ô¼ö The Spinal Cord 51
¹ß»ý Development 51
ô¼öÀÇ °Ñ¸ð½À External Anatomy of the Spinal Cord 51
ô¼ö»Ñ¸® ¹× ½Å°æ Spinal Root and Nerve 54
ô¼öÀÇ ¼Ó±¸Á¶ Internal Division of the Spinal Cord 57
¹é»öÁúÀ» Áö³ª´Â ½Å°æ·Î Pathway in White Matter 59
¹Ý»ç Reflex 66
¿îµ¿½Å°æ·ÎÀÇ º´ÅÍ Lesion in the Motor Pathway 70
ƯÁ¤ ô¼öÀå¾ÖÀÇ ¿¹½Ã Example of Specific Spinal Cord Disorder 73
6. ôÁÖ¿Í Ã´¼ö ÁÖÀ§ ±¸Á¶ The Vertebral Column and Other Structures
Surrounding the Spinal Cord 77
½Î´Â ¸· Investing Membrane 77
ô¼ö¼øȯ Spinal Cord Circulation 78
ôÁÖ The Vertebral Column 80
Ç㸮õÀÚ Lumbar Puncture 83
ôÃß¿Í Ã´¼öÀÇ ¿µ»ó Imaging of the Spine and Spinal Cord 84
SECTION VI ³ú ÇغÎÇÐ ANATOMY OF THE BRAIN 89
7. ³úÁÙ±â¿Í ¼Ò³ú The Brain Stem and Cerebellum 89
³úÁÙ±â¿Í ³ú½Å°æÀÇ ¹ß»ý Development of The Brain Stem and Cranial Nerve 89
³úÁÙ±âÀÇ ±¸¼º Brain Stem Organization 90
³úÁٱ⿡ ÀÖ´Â ³ú½Å°æÇÙ Crania Nerve Nuclei in The Brain Stem 92
¼û³ú Medulla 94
´Ù¸®³ú Pons 97
Áß°£³ú Midbrain 99
Ç÷°üºÐÆ÷ Vascularization 100
¼Ò³ú Cerebellum 103
8. ³ú½Å°æ°ú °æ·Î Cranial Nerve and Pathway 111
³ú½Å°æ ¼¶À¯ÀÇ ±â¿ø Origin of Cranial Nerve Fibers 111
³ú½Å°æÀÇ ±â´ÉÀû ¼ººÐ Functional Components of the Cranial Nerves 111
³ú½Å°æÀÇ ÇغÎÇÐÀû °ü°è Anatomic Rela-tionships of the Cranial Nerves 114
9. »çÀ̳ú Diencephalon 133
½Ã»ó Thalamus 133
½Ã»óÇϺΠHypothalmus 136
½Ã»ó¹ØºÎ Subthalamus 141
½Ã»ó»óºÎ Epithalamus 141
³ú½ÇÁÖÀ§±â°ü Circumventricular Organ 143
10. ´ë³ú¹Ý±¸/³¡³ú Cerebral hemispheres/Telencephalon 147
¹ß»ý Development 147
´ë³ú¹Ý±¸ÀÇ ÇغÎÇÐÀû ±¸Á¶ Anatomy of the Cerebral Hemispheres 148
´ë³ú°ÑÁúÀÇ Çö¹Ì°æÀû ±¸Á¶ Microscopic Structure of the Cortex 154
ƯÁ¤ °ÑÁú¿µ¿ªÀÇ ±â´É Physiology of Specialized Cortical Regions 159
¹Ù´ÚÇÙ Basal Ganglia, Basal Nuclei 161
¼Ó¼¶À¯¸· Internal Capsule 164
11. ³ú½Ç°ú ³ú¸¦ ½Î´Â ±¸Á¶ Ventricle and Covering of the Brain 167
³ú½Ç°èÅë Ventricular System 167
³ú¸·°ú ³ú¸·¹Ø°ø°£ Meninges and Submeningeal Space 169
³úô¼ö¾× CSF 171
½Å°æ°èÅë¿¡¼ÀÇ À庮 Barriers in the Nervous System 173
¸Ó¸®»À Skull 175
12. ³úÀÇ Ç÷°üºÐÆ÷ Vascular Supply of the Brain 183
³úÀÇ µ¿¸ÆºÐÆ÷ Arterial Supply of the Brain 183
Á¤¸Æ¹èÃâ Venous Drainage 187
³úÇ÷°üÁúȯ Cerebrovascular Disorder 190
SECTION V ±â´ÉÀû ü°è FUNCTIONAL SYSYEM 203
13. ¿îµ¿Á¶Àý Control of Movement 203
¿îµ¿Á¶Àý Control of Movement 203
ÁÖ¿ä ¿îµ¿°èÅë Major Motor System 204
¿îµ¿±â´ÉÀå¾Ö Motor Disturbance 210
14. ¸ö°¨°¢°èÅë Somatosensory System 217
¼ö¿ëü Receptor 217
¿¬°á Connection 217
°¨°¢½Å°æ·Î Sensory Pathway 218
°ÑÁú¿µ¿ª Cortical Area 218
ÅëÁõ Pain 220
15. ½Ã°¢°èÅë The Visual System 225
´« The Eye 225
½Ã°¢½Å°æ·Î Visual Pathway 230
½Ã°¢°ÑÁú The Visual Cortex 234
16. û°¢°èÅë The Auditory System 241
ÇغÎÇаú ±â´É Anatomy and Function 241
û°¢½Å°æ·Î Auditory Pathway 242
17. ¾È¶ã°èÅë The Vestibular System 247
ÇغÎÇÐ Anatomy 247
¾È¶ã½Å°æ·Î Vestibular Pathways 247
±â´É Function 248
18. ±×¹°Ã¼ The Reticular Formation 251
ÇغÎÇÐ Anatomy 251
±â´É Function 251
19. µÑ·¹°èÅë The Limbic System 257
µÑ·¹¿±°ú µÑ·¹°èÅë The Limbic Lobe and Limbic System 257
ÈÄ°¢°èÅë Olfactory System 259
Çظ¶Çü¼ºÃ¼ Hippocampal Formation 261
±â´É°ú Áúȯ Function and Disorder 265
»çÀ̸·±¸¿ª Septal Area 267
20. ÀÚÀ²½Å°æ°èÅë
The Autonomic Nervous System 271
ÀÚÀ²½Å°æ À¯Ãâ Autonomic Outflow 271
¸Ó¸®ÀÇ ÀÚÀ²½Å°æºÐÆ÷ Autonomic Innervation of the Head 276
³»Àåµé½Å°æ·Î Visceral Afferent Pathway 279
ÀÚÀ²½Å°æ°èÅëÀÇ °èÃþÀû Á¶Á÷È Hierachical Organization of the Autonomic Nervous System 279
½Å°æÀü´Þ¹°Áú Transmitter Substance 282
21. °íÀ§°ÑÁú±â´É Higher Cortical Function 289
À̸¶¿± ±â´É Frontal Lobe Function 289
¾ð¾î¿Í ¸»Çϱâ Language and Speech 289
´ë³ú ¿ì¼º Cerebral Dominance 295
±â¾ï°ú ÇнÀ Memory and Learning 295
°£Áú Epilepsy 296
SECTION VI Áø´Ü ±â¹ý Diagnostic Aids 301
22. ³ú ¿µ»ó Imaging of the Brain 301
¸Ó¸®»À X¼± »çÁø SkullL X-ray Film 301
Ç÷°üÁ¶¿µ¼ú Angiography 301
ÄÄÇ»ÅÍ´ÜÃþÃÔ¿µ¼ú Computed Tomography 303
ÀÚ±â°ø¸í¿µ»ó Magnetic Resonance Imaging 305
ÀÚ±â°ø¸íºÐ±¤¹ý Magnetic Resonance Spectroscopy 308
È®»ê°Á¶¿µ»ó Diffusion-Weighted Imaging 309
±â´ÉÀû ÀÚ±â°ø¸í¿µ»ó Functional MRI 309
¾çÀüÀÚ¹æÃâ ´ÜÃþÃÔ¿µ Positron Emission Tomography 309
´ÜÀϱ¤ÀÚ¹æÃâ ÄÄÇ»ÅÍ´ÜÃþÃÔ¿µ Single Photon Emission CT 310
23. Àü±âÁø´Ü°Ë»ç Electrodiagnostic Test 313
³úÆÄ°Ë»ç Electroencephalography 313
À¯¹ßÀüÀ§ Evoked Potential 316
¸Ó¸®»ÀÅë°ú ¿îµ¿°ÑÁúÀÚ±Ø Transcranial Motor Cortical Stimulation 318
±ÙÀüµµ°Ë»ç¹ý Electromyography 318
½Å°æÀüµµ¿¬±¸ Nerve Conduction Study 320
24. ³úô¼ö¾× °Ë»ç Cerebrospinal Fluid Examination 323
ÀûÀÀÁõ Indication 323
±Ý±â Contraindication 323
³úô¼ö¾×ÀÇ ºÐ¼® Analysis of the CSF 324
SECTION VII Áõ·Ê °ËÅä DISCUSSION OF CASES 327
25. Áõ·Ê °ËÅä Discussion of Case 327
º´ÅÍÀÇ À§Ä¡ The Location of Lesion 327
º´ÅÍÀÇ ¼Ó¼º The Nature of Lesion 328
Áõ·Ê Case 329
ºÎ·Ï A. ½Å°æÇÐÀû °Ë»ç
Appendix A. The Neurologic Examination 347
ºÎ·Ï B. ±ÙÀ° ±â´É °Ë»ç
Appendix B. Testing Muscle Function 357
ºÎ·Ï C. ô¼ö½Å°æ°ú ½Å°æ¾ó±â
Appendix C: Spinal Nerve and Plexus 373
ºÎ·Ï D. ¹®Á¦¿Í Á¤´ä Appendix D: Question and Answer 391
ã¾Æº¸±â Index 403 |
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