| 영문 | spinal tap, spinal puncture | 한글 | 허리천자, 요추천자, 요추뚫기 |
|---|---|---|---|
| 설명 | 질병의 진단이나 치료 또는 마취를 하기 위해 피부에서 거미막밑공간으로 바늘을 찌를 때가 있다. 이것은 셋째 허리뼈 아래쪽에서 시행한다. 척수가 첫째 허리뼈 아랫모서리에서 끝나고, 거미막밑공간은 둘째 엉치뼈 분절까지 뻗어 있기 때문에 이 부위는 바늘로 척수를 찌를 위험이 없다. 또 척추뼈고리판이 짧아 서로 겹쳐있지 않기 때문에 허리뼈 사이로 바늘을 찌를 수 있다. 이 부위의 거미막밑공간에는 척수신경 뿌리가 있으나, 이들은 뇌척수액속에 있기 때문에 바늘을 넣을 때 한쪽으로 밀려 손상받는 경우는 거의 없다. 배를 넓적다리에 붙일정도로 허리를 구부리면 고리판 사이가 더 벌어져 틈이 커진다. 바늘이 뚫고 지나가는 구조는 바깥에서 속으로 ① 피부, ② 피부밑조직, ③ 근육막, ④ 가시끝인대, ⑤ 가시사이인대, ⑥ 황색인대, ⑦ 경질막, ⑧ 거미막, ⑨ 뇌척수액이 된다.  |
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| 영문 | spinal cord | 한글 | 척수 |
|---|---|---|---|
| 설명 | 척추내에 위치하는 중추신경계의 일부분. 위에서부터 목척수, 등척수, 허리척수, 엉치척수로 구분됨. 내부는 바깥쪽의 백색질과 안쪽의 회색질로 구분된다. 척수의 아래끝은 척수 원뿔이라 하며 첫번째 허리뼈 높이까지 내려온다. 뇌와 말초신경사이의 신경 통로 역할을 하며 척수반사(예: 무릎반사)에서는 뇌를 통하지 않고 반사의 중추 작용을 한다.  |
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| 영문 | spinal nerve | 한글 | 척수신경 |
|---|---|---|---|
| 설명 | 척수의 앞뿔에서 출발하는 운동신경과 뒷뿔으로 들어오는 감각신경이 합쳐서 형성되는 신경으로서 총 31쌍이 존재함. 목뼈신경이 8쌍, 자등뼈신경이 12쌍, 허리뼈의 신경이 5쌍, 엉치뼈의 6쌍을 이룸. |
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| DCML | dorsal column medial lemniscus |
|---|---|
| DNLL | dorsal nucleus of lateral lemniscus |
| LM | lactic acid mineral [medium]; lactose malabsorption; laryngeal mask; laryngeal muscle; lateral malle... |
| PSA | parasternal short axis; pleomorphic salivary gland adenoma; polyethylene sulfonic acid; polysacchari... |
| SC | conditioned stimulus; sacrococcygeal; Sanitary Corps; scalenus [muscle]; scapula; Schwann cell; scia... |
| DNLL | dorsal nucleus of the lateral lemniscus |
|---|---|
| LL | lateral lemniscus |
| ML | medial lemniscus |
| VNLL | ventral nucleus of the lateral lemniscus |
| ASIA | American Spinal Injury Association |
| spinal lemniscus | A large ascending fibre bundle in the ventral half of the lateral funiculus of the spinal cord, arising from cells in the posterior horn at all levels of the cord, which cross within their segments of origin in the white commissure. In their contralateral ascent, the bundle is intermingled with numerous intersegmental fibres. The spinothalamic tract continues from the spinal cord into the brainstem, occupying a ventrolateral position and issuing numerous fibres to the rhombencephalic and mesencephalic reticular formation, to the lateral part of the central gray substance of the mesencephalon, and to the deep and intermediate layers of the superior colliculus; the relatively few fibres (10 to 20%) that remain form the true spinothalamic tract which enters the diencephalon and ends in the nucleus ventralis posterior (caudal part) and intralaminar nuclei of the thalamus. In its ascent in the spinal cord the tract is composed of a dorsal part, the lateral spinothalamic tract, which conveys impulses associated with pain and temperature sensation, and a more ventral part, the anterior spinsothalamic tract, involved in tactile sensation. Synonym: lemniscus spinalis, spinal lemniscus, tractus spinothalamicus. (05 Mar 2000) |
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| acoustic lemniscus | A bundle of ascending fibres that originate from the cochlear and auditory relay nuclei of the rhombencephalon, enter the trapezoid body, a transverse fibre stratum in which about half their number decussate, and from here turn rostrally along the lateral side of the spinothalamic tract; in the midbrain, it arches dorsally and enters the inferior colliculus in which all of its fibres terminate; the auditory pathway is transsynaptically extended from here by the brachium of the inferior colliculus to the medial geniculate body of the thalamus, from which in turn the auditory radiation leads to the auditory cortex; intercalated in the trapezoid body and along the ascending trajectory of the lemniscus are several cell groups in which part of the fibres synapse. Synonym: lemniscus lateralis, acoustic lemniscus, auditory lemniscus, auditory tract, lateral fillet. (05 Mar 2000) |
|---|---|
| auditory lemniscus | A bundle of ascending fibres that originate from the cochlear and auditory relay nuclei of the rhombencephalon, enter the trapezoid body, a transverse fibre stratum in which about half their number decussate, and from here turn rostrally along the lateral side of the spinothalamic tract; in the midbrain, it arches dorsally and enters the inferior colliculus in which all of its fibres terminate; the auditory pathway is transsynaptically extended from here by the brachium of the inferior colliculus to the medial geniculate body of the thalamus, from which in turn the auditory radiation leads to the auditory cortex; intercalated in the trapezoid body and along the ascending trajectory of the lemniscus are several cell groups in which part of the fibres synapse. Synonym: lemniscus lateralis, acoustic lemniscus, auditory lemniscus, auditory tract, lateral fillet. (05 Mar 2000) |
| medial lemniscus | A band of white fibres originating from the gracile and cuneate nuclei and decussating in the lower medulla; thence it passes upward through the centre of the medulla oblongata, close to the median raphe; on entering the pons it spreads out laterally to form a flat band ascending over the dorsal border of the pontine nuclei; in the mesencephalon it passes over the dorsal border of the substantia nigra and is displaced laterally by the red nucleus; passing medial to the medial geniculate body, the bundle enters and terminates in the ventral posterior nucleus of the thalamus. Throughout their course, the fibres retain a somatotopic order such that those originating from the gracile nucleus and representing the lower extremity lie lateral to those originating in the cuneate nucleus and representing the arm. The medial lemniscus conveys somatic-sensory information involved in tactile discrimination (two-point discrimination), position sense, and vibration sense. Synonym: lemniscus medialis, medial fillet, Reil's band, Reil's ribbon. (05 Mar 2000) |
| gustatory lemniscus | The uncrossed secondary-sensory fibre system ascending from the rhombencephalic gustatory nucleus to the parabrachial nuclei (rostral pontine level) and directly to the thalamic gustatory nucleus (ventral postero-medial nucleus, pars parvicellularis). (05 Mar 2000) |
| nucleus of lateral lemniscus | A substantial cell mass embedded in the lateral lemniscus, immediately below the latter's entry into the inferior colliculus; the nucleus represents a synaptic way-station for part of the fibres of the lateral lemniscus. Synonym: nucleus lemnisci lateralis. (05 Mar 2000) |
| decussation of medial lemniscus | The intercrossing of the fibres of the left and right medial lemniscus ascending from the gracile and cuneate nuclei, immediately rostral to the level of the decussation of the pyramidal tracts in the medulla oblongata. Synonym: decussatio lemniscorum, decussatio sensoria, decussation of the fillet, sensory decussation of medulla oblongata. (05 Mar 2000) |
| trigeminal lemniscus | Collective term denoting the fibres ascending from the sensory nucleus of the trigeminus; one such fibre system originates from the main sensory nucleus, largely decussates, and ascends as the ventral trigeminal lemniscus to join the medial lemniscus with which it enters the ventral posterior nucleus of thalamus, terminating in the mediodorsal region of that nucleus; a second, uncrossed, fibre group follows an ascending course through central parts of the mesencephalic tegmentum ("dorsal trigeminal lemniscus"). The trigeminal lemniscus conveys tactile, pain, and temperature impulses from the skin of the face, the mucous membranes of the nasal and oral cavities, and the eye, as well as proprioceptive information from the facial and masticatory muscles. Synonym: lemniscus trigeminalis. (05 Mar 2000) |
| lateral lemniscus | A bundle of ascending fibres that originate from the cochlear and auditory relay nuclei of the rhombencephalon, enter the trapezoid body, a transverse fibre stratum in which about half their number decussate, and from here turn rostrally along the lateral side of the spinothalamic tract; in the midbrain, it arches dorsally and enters the inferior colliculus in which all of its fibres terminate; the auditory pathway is transsynaptically extended from here by the brachium of the inferior colliculus to the medial geniculate body of the thalamus, from which in turn the auditory radiation leads to the auditory cortex; intercalated in the trapezoid body and along the ascending trajectory of the lemniscus are several cell groups in which part of the fibres synapse. Synonym: lemniscus lateralis, acoustic lemniscus, auditory lemniscus, auditory tract, lateral fillet. (05 Mar 2000) |
| lemniscus | Origin: L. See Lemniscata. <zoology> One of two oval bodies hanging from the interior walls of the body in the Acanthocephala. Source: Websters Dictionary (01 Mar 1998) |
| lemniscus lateralis | A bundle of ascending fibres that originate from the cochlear and auditory relay nuclei of the rhombencephalon, enter the trapezoid body, a transverse fibre stratum in which about half their number decussate, and from here turn rostrally along the lateral side of the spinothalamic tract; in the midbrain, it arches dorsally and enters the inferior colliculus in which all of its fibres terminate; the auditory pathway is transsynaptically extended from here by the brachium of the inferior colliculus to the medial geniculate body of the thalamus, from which in turn the auditory radiation leads to the auditory cortex; intercalated in the trapezoid body and along the ascending trajectory of the lemniscus are several cell groups in which part of the fibres synapse. Synonym: lemniscus lateralis, acoustic lemniscus, auditory lemniscus, auditory tract, lateral fillet. (05 Mar 2000) |
| lemniscus medialis | A band of white fibres originating from the gracile and cuneate nuclei and decussating in the lower medulla; thence it passes upward through the centre of the medulla oblongata, close to the median raphe; on entering the pons it spreads out laterally to form a flat band ascending over the dorsal border of the pontine nuclei; in the mesencephalon it passes over the dorsal border of the substantia nigra and is displaced laterally by the red nucleus; passing medial to the medial geniculate body, the bundle enters and terminates in the ventral posterior nucleus of the thalamus. Throughout their course, the fibres retain a somatotopic order such that those originating from the gracile nucleus and representing the lower extremity lie lateral to those originating in the cuneate nucleus and representing the arm. The medial lemniscus conveys somatic-sensory information involved in tactile discrimination (two-point discrimination), position sense, and vibration sense. Synonym: lemniscus medialis, medial fillet, Reil's band, Reil's ribbon. (05 Mar 2000) |
| lemniscus spinalis | A large ascending fibre bundle in the ventral half of the lateral funiculus of the spinal cord, arising from cells in the posterior horn at all levels of the cord, which cross within their segments of origin in the white commissure. In their contralateral ascent, the bundle is intermingled with numerous intersegmental fibres. The spinothalamic tract continues from the spinal cord into the brainstem, occupying a ventrolateral position and issuing numerous fibres to the rhombencephalic and mesencephalic reticular formation, to the lateral part of the central gray substance of the mesencephalon, and to the deep and intermediate layers of the superior colliculus; the relatively few fibres (10 to 20%) that remain form the true spinothalamic tract which enters the diencephalon and ends in the nucleus ventralis posterior (caudal part) and intralaminar nuclei of the thalamus. In its ascent in the spinal cord the tract is composed of a dorsal part, the lateral spinothalamic tract, which conveys impulses associated with pain and temperature sensation, and a more ventral part, the anterior spinsothalamic tract, involved in tactile sensation. Synonym: lemniscus spinalis, spinal lemniscus, tractus spinothalamicus. (05 Mar 2000) |
| lemniscus trigeminalis | Collective term denoting the fibres ascending from the sensory nucleus of the trigeminus; one such fibre system originates from the main sensory nucleus, largely decussates, and ascends as the ventral trigeminal lemniscus to join the medial lemniscus with which it enters the ventral posterior nucleus of thalamus, terminating in the mediodorsal region of that nucleus; a second, uncrossed, fibre group follows an ascending course through central parts of the mesencephalic tegmentum ("dorsal trigeminal lemniscus"). The trigeminal lemniscus conveys tactile, pain, and temperature impulses from the skin of the face, the mucous membranes of the nasal and oral cavities, and the eye, as well as proprioceptive information from the facial and masticatory muscles. Synonym: lemniscus trigeminalis. (05 Mar 2000) |
| accessory portion of spinal accessory nerve | <anatomy, nerve> The roots of the accessory nerve which arise from the medulla; the nerve fibres of the cranial root join the intracranial portion of the vagus nerve and are distributed to the pharyngeal plexus, providing the motor innervation of the soft palate (except the tensor veli palati) and the pharynx. Synonym: pars vagalis nervi accessorii, radices craniales, accessory portion of spinal accessory nerve, cranial roots, vagal part of accessory nerve, vagal part. (05 Mar 2000) |
| acute spinal cord compression | <radiology> Signs and symptoms of cord compression show progression within 24 hours or less: pain, weakness, autonomic dysfunction, sensory loss, ataxia Diagnostic considerations: Primary or secondary malignancy of epidural space or vertebrae, Trauma, Inflammatory process, Osteoarthritis REF: MacNeil BJ, Abrams HL. Brigham and Women's Hospital Handbook of Diagnostic Imaging. Chapter 35. (12 Dec 1998) |
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|
제품명 |
판매사 |
보험코드 | 성분/함량 | 구분/보험급여 |
|---|