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This book presents the anatomical systems that take part in the
scientific and clinical study of emotional functions and
neuropsychiatric disorders. It discusses the limbic system-the
cortical and subcortical structures in the human brain involved in
emotion, motivation, and emotional association with memory-at
length and how this is no longer a useful guide to the study of
psychiatric disorders. The book provides an understanding of brain
anatomy, with an emphasis on the new anatomical framework which has
emerged during the last quarter century. The goal is to help the
reader develop an understanding of the gross anatomical
organization of the human forebrain.
Times of dramatic progress in brain research have often been correlated with the development of new and powerful techniques that have changed the kinds of questions one can ask. An historical example may illustrate the point. More than 50 years ago, Nissl studies (Ferraro, 1928) showed that extensive forebrain lesions resulted in chromatolysis and cell loss in the sub- stantia nigra; thus, it was suggested that the substantia nigra gave rise to projections into the basal forebrain. In the late 1950s, another clue emerged, this time linking observations from the field of neuropathology with a dis- covery in experimental neuropharmacology (Carlsson, 1959a,b; Ehringer and Hornykiewicz, 1960). It had long been recognized that patients with Par- kinson's disease suffered neuronal loss in the substantia nigra and that their symptoms were somehow related to striatal dysfunction. Thus, when flu- orescent catecholamine assays were developed and combined with pharma- cological and neuropathological studies of Parkinson's disease, the dopamin- ergic nature of the illness was shown. A bit later, Falck and Hillarp (Falck et at. , 1962) developed a fluorescent histochemical method to visualize mono- amine-containing cells in the brain; this technique was soon applied to show that the rich dopaminergic terminal field in the striatum derived from neu- rons in the substantia nigra (Anden et at. , 1964). In the following decade, refinements in the histofluorescent method and the development of sensitive silver impregnation methods permitted a detailed light microscopic explo- ration of the dopaminergic nigrostriatal system.
The knowledge of the mammalian central nervous pared by Ms. Anne Dunn. I am truly grateful for system has increased dramatically during the last their contributions. decade, which has provided a major impetus for A caveat is in order for the first 5 figures in preparing the second edition of The Human Brain Chapter 10, which represent cross-sections through and Spinal Cord. For the medical profession this has different levels of the brainstem. Considering the been a revolutionary time, since modem imaging rapidly expanding reliance on in vivo imaging by the methods have provided unparalleled opportunities clinicians, figures 10-1 to 10-5 are presented with for anatomical and functional studies of the human the posterior parts of the brainstem facing down body in vivo. It is now essential for the clinician to wards, since this is the way the brainstem images have an intimate knowledge of anatomy including appear in axial MRls routinely used by neuro the functional-anatomical systems in the brain radiologists (see Chapter 5). This somewhat un and spinal cord. The new edition of this textbook conventional approach, suggested by Dr. Duane reflects this progress in the sense that almost all of Haines, is directly relevant for the transfer of basic the chapters have been rewritten and several new science information to clinical practice. All other figures have been included.
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