面神經(jīng)解剖及病變課件整理-002

人的差異在于業(yè)余時(shí)間面神經(jīng)解剖及病變?nèi)说牟町愒谟跇I(yè)余時(shí)間面神經(jīng)解剖及病變1面神經(jīng)病變20170308面神經(jīng)病變2面神經(jīng)概述第Ⅶ對顱神經(jīng)混合神經(jīng)感覺神經(jīng)纖維:舌前2/3的味覺運(yùn)動神經(jīng)纖維:面部表情肌的運(yùn)動·副交感神經(jīng)纖維:舌下腺、下頜下腺和淚腺的分泌>人體中穿過骨管最長的腦神經(jīng),有長達(dá)35cm的面神經(jīng)管位于顳骨內(nèi),易受到損傷面神經(jīng)概述3正常面神經(jīng)(CT)正常面神經(jīng)(CT)4正常面神經(jīng)(CT)正常面神經(jīng)(CT)5正常面神經(jīng)(CT)神經(jīng)節(jié)大神經(jīng)莖突正常面神經(jīng)(CT)6正常面神經(jīng)(MR)正常面神經(jīng)(MR)7面神經(jīng)解剖運(yùn)動神經(jīng)核上段(supranuclearsegment)運(yùn)動神經(jīng)核段(nuclearsegment)小腦腦橋段(cerebellopontinesegment)內(nèi)聽道段(internalauditorycanalsegment)迷路段(labyrinthinesegment)鼓室段(tympanicsegment)>乳突段(mastoidsegment),又稱垂直段顳骨外段(extratemporalsegment)面神經(jīng)解剖8面神經(jīng)分支面神經(jīng)管內(nèi)的分支鼓索(chordatympaninerve)鐙骨肌神經(jīng)(stapedialnerve,Rosal巖大神經(jīng)(greatsuperficial顱外分支:顳支(temporalbranch)顴支(zygomaticbranch)頰支(buccalbranch)下頜緣支(marginalmandibularbranch)頸支(cervicalbranch)面神經(jīng)分支9面神經(jīng)經(jīng)顳骨模式圖OpeningofinternalacousticmeatusFacialnerve(CNVID)GeniculateganglionGreaterpetrosalnerveLesserpetrosalnerveDeeppetrosalnerveTympanicplexusChordatympaniLingualnerve(CNV)PetrotympanicfissureInternalcarotidarterystylomastoidforamen(CNIX)Glossopharyngealnerve(CNIX)Inferi面神經(jīng)經(jīng)顳骨模式圖10面神經(jīng)麻痹周圍性面癱:又稱“核下癱”下運(yùn)動神經(jīng)元損傷所致的面神經(jīng)麻痹(面神經(jīng)核或核以下周圍神經(jīng)屬于下運(yùn)動神經(jīng)元)表現(xiàn)為病灶側(cè)所有面肌的癱瘓中樞性面癱:又稱“核上癱”上運(yùn)動神經(jīng)元所致的面神經(jīng)麻痹,病變在一側(cè)中央前回部或皮質(zhì)延髓束產(chǎn)生對側(cè)眼裂以下的面肌和對側(cè)舌肌癱瘓面神經(jīng)麻痹11面神經(jīng)解剖及病變課件整理_00212面神經(jīng)解剖及病變課件整理_00213面神經(jīng)解剖及病變課件整理_00214面神經(jīng)解剖及病變課件整理_00215面神經(jīng)解剖及病變課件整理_00216面神經(jīng)解剖及病變課件整理_00217面神經(jīng)解剖及病變課件整理_00218面神經(jīng)解剖及病變課件整理_00219面神經(jīng)解剖及病變課件整理_00220面神經(jīng)解剖及病變課件整理_00221面神經(jīng)解剖及病變課件整理_00222面神經(jīng)解剖及病變課件整理_00223面神經(jīng)解剖及病變課件整理_00224面神經(jīng)解剖及病變課件整理_00225面神經(jīng)解剖及病變課件整理_00226面神經(jīng)解剖及病變課件整理_00227面神經(jīng)解剖及病變課件整理_00228面神經(jīng)解剖及病變課件整理_00229面神經(jīng)解剖及病變課件整理_00230面神經(jīng)解剖及病變課件整理_00231面神經(jīng)解剖及病變課件整理_00232面神經(jīng)解剖及病變課件整理_00233面神經(jīng)解剖及病變課件整理_00234面神經(jīng)解剖及病變課件整理_00235面神經(jīng)解剖及病變課件整理_00236面神經(jīng)解剖及病變課件整理_00237面神經(jīng)解剖及病變課件整理_00238面神經(jīng)解剖及病變課件整理_00239面神經(jīng)解剖及病變課件整理_00240面神經(jīng)解剖及病變課件整理_00241面神經(jīng)解剖及病變課件整理_00242面神經(jīng)解剖及病變課件整理_00243面神經(jīng)解剖及病變課件整理_00244面神經(jīng)解剖及病變課件整理_00245面神經(jīng)解剖及病變課件整理_00246面神經(jīng)解剖及病變課件整理_00247面神經(jīng)解剖及病變課件整理_00248面神經(jīng)解剖及病變課件整理_00249面神經(jīng)解剖及病變課件整理_00250面神經(jīng)解剖及病變課件整理_0025126、要使整個(gè)人生都過得舒適、愉快，這是不可能的，因?yàn)槿祟惐仨毦邆湟环N能應(yīng)付逆境的態(tài)度。——盧梭

27、只有把抱怨環(huán)境的心情，化為上進(jìn)的力量，才是成功的保證?！_曼·羅蘭

28、知之者不如好之者，好之者不如樂之者?！鬃?/p>

29、勇猛、大膽和堅(jiān)定的決心能夠抵得上武器的精良。——達(dá)·芬奇

30、意志是一個(gè)強(qiáng)壯的盲人，倚靠在明眼的跛子肩上?！灞救A謝謝！5226、要使整個(gè)人生都過得舒適、愉快，這是不可能的，因?yàn)槿祟惐厝说牟町愒谟跇I(yè)余時(shí)間面神經(jīng)解剖及病變?nèi)说牟町愒谟跇I(yè)余時(shí)間面神經(jīng)解剖及病變53面神經(jīng)病變20170308面神經(jīng)病變54面神經(jīng)概述第Ⅶ對顱神經(jīng)混合神經(jīng)感覺神經(jīng)纖維:舌前2/3的味覺運(yùn)動神經(jīng)纖維:面部表情肌的運(yùn)動·副交感神經(jīng)纖維:舌下腺、下頜下腺和淚腺的分泌>人體中穿過骨管最長的腦神經(jīng),有長達(dá)35cm的面神經(jīng)管位于顳骨內(nèi),易受到損傷面神經(jīng)概述55正常面神經(jīng)(CT)正常面神經(jīng)(CT)56正常面神經(jīng)(CT)正常面神經(jīng)(CT)57正常面神經(jīng)(CT)神經(jīng)節(jié)大神經(jīng)莖突正常面神經(jīng)(CT)58正常面神經(jīng)(MR)正常面神經(jīng)(MR)59面神經(jīng)解剖運(yùn)動神經(jīng)核上段(supranuclearsegment)運(yùn)動神經(jīng)核段(nuclearsegment)小腦腦橋段(cerebellopontinesegment)內(nèi)聽道段(internalauditorycanalsegment)迷路段(labyrinthinesegment)鼓室段(tympanicsegment)>乳突段(mastoidsegment),又稱垂直段顳骨外段(extratemporalsegment)面神經(jīng)解剖60面神經(jīng)分支面神經(jīng)管內(nèi)的分支鼓索(chordatympaninerve)鐙骨肌神經(jīng)(stapedialnerve,Rosal巖大神經(jīng)(greatsuperficial顱外分支:顳支(temporalbranch)顴支(zygomaticbranch)頰支(buccalbranch)下頜緣支(marginalmandibularbranch)頸支(cervicalbranch)面神經(jīng)分支61面神經(jīng)經(jīng)顳骨模式圖OpeningofinternalacousticmeatusFacialnerve(CNVID)GeniculateganglionGreaterpetrosalnerveLesserpetrosalnerveDeeppetrosalnerveTympanicplexusChordatympaniLingualnerve(CNV)PetrotympanicfissureInternalcarotidarterystylomastoidforamen(CNIX)Glossopharyngealnerve(CNIX)Inferi面神經(jīng)經(jīng)顳骨模式圖62面神經(jīng)麻痹周圍性面癱:又稱“核下癱”下運(yùn)動神經(jīng)元損傷所致的面神經(jīng)麻痹(面神經(jīng)核或核以下周圍神經(jīng)屬于下運(yùn)動神經(jīng)元)表現(xiàn)為病灶側(cè)所有面肌的癱瘓中樞性面癱:又稱“核上癱”上運(yùn)動神經(jīng)元所致的面神經(jīng)麻痹,病變在一側(cè)中央前回部或皮質(zhì)延髓束產(chǎn)生對側(cè)眼裂以下的面肌和對側(cè)舌肌癱瘓面神經(jīng)麻痹63面神經(jīng)解剖及病變課件整理_00264面神經(jīng)解剖及病變課件整理_00265面神經(jīng)解剖及病變課件整理_00266面神經(jīng)解剖及病變課件整理_00267面神經(jīng)解剖及病變課件整理_00268面神經(jīng)解剖及病變課件整理_00269面神經(jīng)解剖及病變課件整理_00270面神經(jīng)解剖及病變課件整理_00271面神經(jīng)解剖及病變課件整理_00272面神經(jīng)解剖及病變課件整理_00273面神經(jīng)解剖及病變課件整理_00274面神經(jīng)解剖及病變課件整理_00275面神經(jīng)解剖及病變課件整理_00276面神經(jīng)解剖及病變課件整理_00277面神經(jīng)解剖及病變課件整理_00278面神經(jīng)解剖及病變課件整理_00279面神經(jīng)解剖及病變課件整理_00280面神經(jīng)解剖及病變課件整理_00281面神經(jīng)解剖及病變課件整理_00282面神經(jīng)解剖及病變課件整理_00283面神經(jīng)解剖及病變課件整理_00284面神經(jīng)解剖及病變課件整理_00285面神經(jīng)解剖及病變課件整理_00286面神經(jīng)解剖及病變課件整理_00287面神經(jīng)解剖及病變課件整理_00288面神經(jīng)解剖及病變課件整理_00289面神經(jīng)解剖及病變課件整理_00290面神經(jīng)解剖及病變課件整理_00291面神經(jīng)解剖及病變課件整理_00292面神經(jīng)解剖及病變課件整理_00293面神經(jīng)解剖及病變課件整理_00294面神經(jīng)解剖及病變課件整理_00295面神經(jīng)解剖及病變課件整理_00296面神經(jīng)解剖及病變課件整理_00297面神經(jīng)解剖及病變課件整理_00298面神經(jīng)解剖及病變課件整理_00299面神經(jīng)解剖及病變課件整理_002100面神經(jīng)解剖及病變課件整理_002101面神經(jīng)解剖及病變課件整理_002102面神經(jīng)解剖及病變課件整理_00210326、要使整個(gè)人生都過得舒適、愉