This page intentionally left blank. SSiieeggeell__FFMM..iinndddd iiii 22//11//22001100 77::5566::1188 PPMM SSiieeggeell__FFMM..iinndddd ii 22//11//22001100 77::5566::1166 PPMM This page intentionally left blank. SSiieeggeell__FFMM..iinndddd iiii 22//11//22001100 77::5566::1188 PPMM Allan Siegel, PhD Professor Department of Neurology and Neurosciences Department of Psychiatry University of Medicine and Dentistry of New Jersey New Jersey Medical School Newark, New Jersey Hreday N. Sapru, PhD Professor Department of Neurological Surgery Department of Neurology and Neurosciences Department of Pharmacology and Physiology University of Medicine and Dentistry of New Jersey New Jersey Medical School Newark, New Jersey Case Histories written by Heidi E. Siegel, MD SSiieeggeell__FFMM..iinndddd iiiiii 22//11//22001100 77::5566::1188 PPMM Acquisitions Editor: Crystal Taylor Product Manager: Kelley Squazzo Marketing Manager: Brian Moody Vendor Manager: Bridgett Dougherty Manufacturing Manager: Margie Orzech-Zeranko Design Coordinator: Doug Smock Compositor: SPi Technologies Second Edition Copyright © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Two Commerce Square, 2001 Market Street Baltimore, MD 21201 Philadelphia, PA 19103 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their offi cial duties as U.S. government employees are not covered by the above-mentioned copyright. To request permis- sion, please contact Lippincott Williams & Wilkins at Two Commerce Square 2001 Market Street, Philadelphia, PA 19103, via email at [email protected], or via website at lww.com (products and services). Library of Congress Cataloging-in-Publication Data Siegel, Allan, 1939– Essential neuroscience / Allan Siegel, Hreday N. Sapru ; case histories written by Heidi E. Siegel.— 2nd ed. p. ; cm. Includes bibliographical references and index. ISBN 978-0-7817-8383-5 (alk. paper) 1. Neurosciences—Outlines, syllabi, etc. I. Sapru, Hreday N. II. Title. [DNLM: 1. Nervous System Physiological Phenomena. 2. Mental Disorders—physiopathology. 3. Nervous System—anatomy & histology. 4. Nervous System Diseases. WL 102 S571e 2011] RC343.6.S54 2011 612.8—dc22 2009051230 DISCLAIMER Care has been taken to confi rm the accuracy of the information present and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication. 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Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST. 9 8 7 6 5 4 3 2 1 SSiieeggeell__FFMM..iinndddd iivv 22//11//22001100 77::5566::2233 PPMM This book is dedicated to our wives, Carla and Millie. “We have learned much from our teachers and from our colleagues more than from our teachers, but from our students, more than from them all.” SSiieeggeell__FFMM..iinndddd vv 22//11//22001100 77::5566::2233 PPMM This page intentionally left blank. SSiieeggeell__FFMM..iinndddd vvii 22//11//22001100 77::5566::2233 PPMM SSiieeggeell__FFMM..iinndddd vviiii 22//11//22001100 77::5566::2233 PPMM viii PREFACE and movement disorders associated with the cerebral cortex, The full-color illustrations, which have been universally basal ganglia, cerebellum, brainstem, and spinal cord. praised, are even better in the second edition, with additions and The fi nal section of the text (Chapters 22 to 28) concerns a enhancements rendering a truly cohesive, instructive art variety of functions of the nervous system characterized by higher program. levels of complexity. Chapters 22 to 25, “The Autonomic Nerv- Selected topics have been expanded where appropriate: the ous System,” “The Reticular Formation,” “The Hypothalamus,” functional relationship, memory, and lateralization of the hip- and “The Limbic System,” include analyses of visceral processes, pocampal formation and limbic cortex; limbic relationships of sleep, and wakefulness (Chapters 22 to 25). In addition, an analy- the basal ganglia (especially in reference to psychiatric issues); sis of the structure, functions, and dysfunctions of the cerebral the development of the anterior and posterior pituitary; a dis- cortex is provided in Chapter 26, “The Thalamus and Cerebral cussion of prions in relation to Creutzfeldt Jacob disease; and Cortex.” Chapter 27, “Vascular Syndromes,” was placed toward others. the end of the book because by this point the student has gained a Material has also been integrated in multiple places where it deeper understanding and appreciation of brainstem syndromes would augment understanding of important concepts. For exam- than if that material had been presented earlier in the text. Vascu- ple, the functional relationships associated with the cerebral cor- lar syndromes of the brainstem constitute an important review for tex are again referred to vis-à-vis sensory and motor systems. the student on a topic that is heavily tested on USMLE examina- Extensive cross referencing among chapters has likewise been tions. The fi nal chapter, “Behavioral and Psychiatric Disorders” incorporated. (Chapter 28) examines disorders such as schizophrenia, depres- Although this text was originally primarily designed for medi- sion, anxiety, and obsessive compulsion. These disorders have a cal students who study neuroscience, it can be used quite effec- clear relationship to abnormalities in neural and neurochemical tively by neurology residents and graduate and undergraduate functions and, thus, refl ect an important component of neuro- university students specializing in biological sciences. In this lat- science. These topics also receive attention on the USMLE. est edition, special topics have been reworked to better accom- Essential Neuroscience proved to be a highly effective tool for modate dental students. The trigeminal nucleus, for instance, has students and faculty. The goal of this second edition, therefore, is been divided into its components for a more detailed study. to perfect the formula with which we had such success. For exam- Essential Neuroscience, 2nd Edition distinguishes itself from ple, key terms and concepts of neuroscience were highlighted in other texts as the concise, clinically relevant neuroscience text bold in each chapter and explained in an extensive glossary at providing balanced coverage of anatomy, physiology, biology, and the end of the book. In response to readers’ appreciation of this biochemistry. With a full array of pedagogical features, it helps helpful feature, we have doubled the glossary size in this edition. students gain conceptual mastery of this challenging discipline Also in response to reader requests, we have presented and, we hope, foments the urge to continue its exploration. Chapter Summary Tables at the end of each chapter in this new edition. These tables will not only help students review chapters Allan Siegel as they go, but will be valuable, high-yield tools for study and Hreday N. Sapru review at examination time. SSiieeggeell__FFMM..iinndddd vviiiiii 22//11//22001100 77::5566::2299 PPMM
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