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所在平台: Udemy |
课程主页: https://www.udemy.com/course/head-and-neck-neuroanatomy/
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Coursera 课程《头颈神经解剖学》摘要 本课程深入探讨头颈部关键的神经解剖学知识,重点关注三叉神经和面神经,以及脑室、前颅窝和中颅窝。课程旨在让学习者全面了解这些结构的解剖学特点、生理功能,及其重要的临床意义。 课程内容涵盖: * **头颈部的皮肤及其附属器**:包括皮肤的分层(表皮、真皮、皮下组织)及其各自的细胞结构,例如表皮的五个层次(角质层、透明层、颗粒层、棘层、基底层/生发层)以及基底层的细胞分裂功能。 * **头颈部的血管系统**:详细讲解了构成颈部和头部血液供应的主要动脉。 * **头臂动脉干**:这是最大的分支动脉,分出右侧颈总动脉和右锁骨下动脉,为右侧上胸部、右臂、颈部和头部供血,其中重要的分支如右侧椎动脉。 * **椎动脉**:左右椎动脉汇合形成基底动脉,进而向上延伸至后交通动脉,最终形成大脑后动脉,为大脑大部分区域提供氧气。后交通动脉与大脑后动脉共同构成威尔氏环的一部分。 * **左侧颈总动脉**:分为颈内动脉(供应大脑)和颈外动脉(供应颈部和面部)。 * **锁骨下动脉**:左右锁骨下动脉不仅为上胸部和上肢供血,还形成内乳动脉、椎动脉、甲状腺颈动脉干和肋颈动脉干。锁骨下动脉在第一肋骨外侧缘转变为腋动脉。 * **脊神经与头颈部**: * **颈段脊神经**:起源于脊柱的颈部,负责支配头颈部及胸腔的肌肉,并传输感觉信息至中枢神经系统。颈部脊柱包含七块颈椎(C1-C7)和八对神经(C1-C8)。 * **神经丛**:脊神经形成复杂的神经网络,称为神经根或神经丛。 * **感觉分支**:包括枕小神经、耳大神 经、颈横神经和锁骨上神经,负责将头皮、颈部和肩部的感觉信息传入大脑。 * **运动分支**:包括颈袢(包括上、下神经根)和膈神经,以及肘部神经分支(C5-T1),负责将运动信息传导至头颈部、膈肌和肩部肌肉。 * **臂丛**:由C5-C8及T1神经根组成,为肩部和上肢提供全部神经支配,并分为锁骨上分支、外侧束、内侧束和后束,控制手臂的运动。 * **脊髓损伤的临床关联**:强调了C5以上脊髓损伤可能导致的呼吸骤停和生命危险。 * **脑神经**: * **定义与分布**:直接起源于大脑(包括脑干)的神经,共十二对(有时考虑第零对),负责传递大脑与头颈部之间(包括视觉、味觉、嗅觉和听觉等特殊感觉)的信息。 * **起源与编号**:脑神经从大脑和脑干自前向后发出,其编号(I-XII)基于其发出的顺序。终端神经(0)、嗅神经(I)和视神经(II)起源于大脑,其余十对起源于脑干。 * **神经系统归属**:脑神经属于周围神经系统(PNS),尽管嗅神经(I)、视神经(II)和三叉神经(V)在结构上更接近中枢神经系统(CNS)。 * **与脊神经的区别**:脑神经与起源于脊髓节段的脊神经不同。 本课程理论与实践相结合,强调头颈部解剖结构及其神经支配的临床相关性,旨在为学习者提供扎实的头颈部神经解剖学知识,使其能够享受学习过程并应用于实际。
This course includes knowledge about the Trigeminal Nerve, Facial Nerve, ventricles of the brain, anterior cranial Fossa, and middle cranial fossa. the student will get to know about the significance and clinical relevance of these structures. Their importance and Core knowledge about it. Students will Surely Enjoy this Course for their Head and Neck Anatomy.The head and neck is covered in skin and its appendages, termed the integumentary system. These include hair, sweat glands, sebaceous glands, and sensory nerves. The skin is made up of three microscopic layers: epidermis, dermis, and hypodermis. The epidermis is composed of stratified squamous epithelium and is divided into the following five sublayers or strata, listed in order from outer to inner:Stratum corneum,Stratum lucidum,Stratum granulosum,Stratum spinosum,Stratum germinativum also called stratum basale. The deepest layer is the miotic layer, stratum basale producing daughter cells by mitosis.The brachiocephalic artery or trunk is the first and largest artery that branches to form the right common carotid artery and the right subclavian artery. This artery provides blood to the right upper chest, right arm, neck, and head, through a branch called right vertebral artery. The right and left vertebral artery feed into the basilar artery and upward to the Posterior cerebral artery, which provides most of the brain with oxygenated blood. The posterior cerebral artery and the posterior communicating artery are within the circle of Willis.The left common carotid artery divides to form the: internal carotid artery (ICA) and an external carotid artery (ECA). The ICA supplies the brain. The ECA supplies the neck and face.The left subclavian artery and the right subclavian artery, one on each side of the body form the internal thoracic artery, the vertebral artery, the thyrocervical trunk, and the costocervical trunk. The subclavian becomes the axillary artery at the lateral border of the first rib. The left subclavian artery also provides blood to the left upper chest and left arm.The spinal nerves arise from the spinal column. The top section of the spine is the cervical section, which contains nerves that innervate muscles of the head, neck and thoracic cavity, as well as transmit sensory information to the CNS.The cervical spine section contains seven vertebrae, C-1 through C-7, and eight nerve pairs, C-1 through C-8.There is the formation of an extensive network of nerve groups or tracts attaching to the spinal cord in arrangements called rami or plexus.The sensory branches of spinal nerves include: lesser occipital, C-2, great auricular, (C-2 and C-3); transverse cervical, C-2 and C-3; and supraclavicular, C-3 and C-4. These nerve groups transmit afferent (sensory) information from the scalp, neck, and shoulders to the brain.The motor branches of spinal nerves include: ansa cervicalis, dividing into a superior root, C-1, and an inferior root, C-2 and C-3, and the phrenic nerve, C-3 to C-5, the segmental nerve branches, C-1 to C-5. These nerve groups transmit efferent nerve (motor) information from the brain to muscle groups of the scalp, neck, diaphragm (anatomy), and shoulders.Additionally there are: (C5-C8, and T1) Brachial plexus, providing the entire nerve supply of the shoulder and upper limb; and includes supraclavicular branches (dorsal scapular, suprascapular, long thoracic) lateral cord (musculocutaneous, lateral antibrachial cutaneous, lateral head of median nerve), medial cord (ulnar, medial head of median nerve, medial antibrachial cutaneous, medial brachial cutaneous), posterior cord (axillary, radial), controlling the arm.Damage to a person's spinal cord above C-5 may result in respiratory arrest and death if medicinal aid does not intervene.Cranial nerves are the nerves that emerge directly from the brain (including the brainstem), of which there are conventionally considered twelve pairs. Cranial nerves relay information between the brain and parts of the body, primarily to and from regions of the head and neck, including the special senses of vision, taste, smell, and hearing.[1]The cranial nerves emerge from the central nervous system above the level of the first vertebrae of the vertebral column.[2] Each cranial nerve is paired and is present on both sides. There are conventionally twelve pairs of cranial nerves, which are described with Roman numerals I-XII. Some considered there to be thirteen pairs of cranial nerves, including cranial nerve zero. The numbering of the cranial nerves is based on the order in which they emerge from the brain and brainstem, from front to back.[2]The terminal nerves (0), olfactory nerves (I) and optic nerves (II) emerge from the cerebrum, and the remaining ten pairs arise from the brainstem, which is the lower part of the brain.[3]The cranial nerves are considered components of the peripheral nervous system (PNS),[3] although on a structural level the olfactory (I), optic (II), and trigeminal (V) nerves are more accurately considered part of the central nervous system (CNS).[4]The cranial nerves are in contrast to spinal nerves, which emerge from segments of the spinal cord.[3]