| 1 |
| 00:00:05,040 --> 00:00:10,440 |
| بسم الله الرحمن الرحيم السلام عليكم ورحمة الله |
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| 2 |
| 00:00:10,440 --> 00:00:15,960 |
| وبركاته محاضرة الأسبوع التاسع راح نكمل موضوع |
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| 3 |
| 00:00:15,960 --> 00:00:19,940 |
| anatomy and physiology of the cranial nerves الجزء |
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| 4 |
| 00:00:19,940 --> 00:00:24,900 |
| الأول من محاضرة الأسبوع التاسع راح نتكلم بالتفصيل |
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| 5 |
| 00:00:24,900 --> 00:00:29,600 |
| الممل عن anatomy and physiology of the facial |
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| 6 |
| 00:00:29,600 --> 00:00:34,990 |
| nerveأهم عصب لكم في موضوع cranial nerves هو العصب |
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| 7 |
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| السابع facial nerve facial |
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| 8 |
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| nerve it |
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| 9 |
| 00:00:44,670 --> 00:00:48,870 |
| is a mixed nerve it is a mixed nerve which |
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| 10 |
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| contains motor sensory and parasympatheticفانكشن |
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| 11 |
| 00:00:57,600 --> 00:01:02,920 |
| أو fibers هاي هو دي ال mix nerve عشر تلاف وتسعمية |
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| 12 |
| 00:01:02,920 --> 00:01:09,670 |
| وخمس وسبعين خلصنا السابق العصب الخامساللي هو الـ |
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| 13 |
| 00:01:09,670 --> 00:01:13,490 |
| Trigeminal nerve دلوقت راح اتكلم على Facial nerve |
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| 14 |
| 00:01:13,490 --> 00:01:17,970 |
| Facial nerve اللي هو العصب السابع عصب السابع |
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| 15 |
| 00:01:17,970 --> 00:01:22,230 |
| Facial nerve it is mixed nerve contains motor |
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| 16 |
| 00:01:22,230 --> 00:01:27,250 |
| sensory and parasympathetic fibers يوم اتكلمت على |
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| 17 |
| 00:01:27,250 --> 00:01:30,950 |
| Trigeminal nerve قلتلكوا Trigeminal nerve it is |
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| 18 |
| 00:01:30,950 --> 00:01:35,310 |
| more important than sensory nerve اليوم راح اتكلم |
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| 19 |
| 00:01:35,310 --> 00:01:40,730 |
| على Facial nerveit is more important as motor |
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| 20 |
| 00:01:40,730 --> 00:01:44,070 |
| nerve، عشان هي مهم إلكوا في العلاج الطبيعي، موضوع |
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| 21 |
| 00:01:44,070 --> 00:01:51,110 |
| facial nerve، لإنه عصب حركي أكتر ما هو حسيه، هو في |
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| 22 |
| 00:01:51,110 --> 00:01:57,110 |
| خليط الأنسجة، لكن هو more important as motor nerve |
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| 23 |
| 00:01:57,110 --> 00:02:01,730 |
| than sensory and than parasympathetic functions |
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| 24 |
| 00:02:02,370 --> 00:02:06,550 |
| what's the root of a facial nerve اتفقنا ان ال |
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| 25 |
| 00:02:06,550 --> 00:02:11,070 |
| facial nerve immerse بخرج من ال lower part of the |
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| 26 |
| 00:02:11,070 --> 00:02:16,130 |
| pons between the pons and medulla oblongata بخرج |
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| 27 |
| 00:02:16,130 --> 00:02:22,230 |
| as a two root اللي هو كام root؟ two root large |
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| 28 |
| 00:02:22,230 --> 00:02:31,100 |
| root large root بيكون اللي هوموتر فاشيال موتر روت |
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| 29 |
| 00:02:31,100 --> 00:02:37,000 |
| فاشيال موتر روت is purely motor nerve supply all |
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| 30 |
| 00:02:37,000 --> 00:02:42,360 |
| the muscle of expression facial expression second |
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| 31 |
| 00:02:42,360 --> 00:02:48,140 |
| root small rootsmall root بيسموه nerve |
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| 32 |
| 00:02:48,140 --> 00:02:53,880 |
| intermediates nerve intermediates contains sensory |
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| 33 |
| 00:02:53,880 --> 00:02:59,900 |
| and parasympathetic fibers يبقى كمان مرة ال facial |
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| 34 |
| 00:02:59,900 --> 00:03:05,370 |
| nerveبخرج من ال .. ال ventral service of the pons |
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| 35 |
| 00:03:05,370 --> 00:03:09,390 |
| في ال lower part of the pons between the pons and |
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| 36 |
| 00:03:09,390 --> 00:03:14,730 |
| medulla oblongata as two root large root facial |
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| 37 |
| 00:03:14,730 --> 00:03:20,390 |
| motor nerve و small root يعتبر intermedius nerve |
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| 38 |
| 00:03:20,390 --> 00:03:25,210 |
| اللي فيه sensory و parasympathetic fibers sensory |
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| 39 |
| 00:03:25,210 --> 00:03:32,710 |
| و parasympathetic fibersهي عندي ال lower part of |
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| 40 |
| 00:03:32,710 --> 00:03:37,950 |
| the palms بخرج منها large root أنا برسم على ال |
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| 41 |
| 00:03:37,950 --> 00:03:45,350 |
| left side large root اللي هو motor facial nerve و |
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| 42 |
| 00:03:45,350 --> 00:03:50,590 |
| small root nerve intermediates nerve intermediates |
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| 43 |
| 00:03:50,590 --> 00:03:55,030 |
| اللي علاقة بال sensation و هي parasympathetic |
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| 44 |
| 00:03:55,030 --> 00:03:59,650 |
| function sensory and parasympathetic function |
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| 45 |
| 00:04:04,790 --> 00:04:11,850 |
| nuclei of the facial nerve حسب ال function فيه |
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| 46 |
| 00:04:11,850 --> 00:04:17,450 |
| nuclei اتفاقنا main function is motor function |
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| 47 |
| 00:04:17,450 --> 00:04:23,750 |
| يبقى موجود عندي facial motor nerve facial motor |
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| 48 |
| 00:04:23,750 --> 00:04:29,590 |
| nucleus فيه موجودة facial motor nucleus تنجسم |
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| 49 |
| 00:04:29,590 --> 00:04:35,040 |
| جسمين هذه ال facial motor nucleusالها dorsal part |
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| 50 |
| 00:04:35,040 --> 00:04:44,340 |
| و ventral part هي نرسمها هذه تعتبر facial motor |
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| 51 |
| 00:04:44,340 --> 00:04:57,040 |
| nucleus of facial nerve تمام الها جزئين جزء دورسل |
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| 52 |
| 00:04:57,040 --> 00:04:59,360 |
| وجزء |
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| 53 |
| 00:05:01,570 --> 00:05:10,070 |
| ventral اللي الدورسل الدورسل |
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| 54 |
| 00:05:10,070 --> 00:05:14,890 |
| supply the |
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| 55 |
| 00:05:14,890 --> 00:05:19,730 |
| upper part |
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| 56 |
| 00:05:19,730 --> 00:05:28,670 |
| of the face يبقى الدورسل nucleus بتاعة الموتور |
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| 57 |
| 00:05:28,670 --> 00:05:34,410 |
| مسئول عن أي جزءupper part of the face يعني upper |
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| 58 |
| 00:05:34,410 --> 00:05:38,250 |
| quadrant of the face يقول لو غمضت عيني مين حرك |
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| 59 |
| 00:05:38,250 --> 00:05:44,170 |
| لعين هذا ال dorsal part دكتور ايه اضحك شيء عن |
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| 60 |
| 00:05:44,170 --> 00:05:46,810 |
| الامتحان و ماعجبك و اشرحها الطالب او طالب يعمل |
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| 61 |
| 00:05:46,810 --> 00:05:51,800 |
| بتمها زيك حرك مش ماجبهممش هنجيبهم يبقى ان انا حركت |
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| 62 |
| 00:05:51,800 --> 00:05:55,200 |
| ال lower quadrant of the face المسئول عنه ال lower |
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| 63 |
| 00:05:55,200 --> 00:06:00,720 |
| quadrant اللي هو ventral nucleus المسئول عن ايه ال |
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| 64 |
| 00:06:00,720 --> 00:06:04,140 |
| lower part |
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| 65 |
| 00:06:05,060 --> 00:06:08,780 |
| of the face من ناحية انا بتكلم عن ال motor من |
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| 66 |
| 00:06:08,780 --> 00:06:14,480 |
| ناحية ايه motor يبقى كمان مرة facial motor nucleus |
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| 67 |
| 00:06:14,480 --> 00:06:20,160 |
| الها two part dorsal part and ventral part ال |
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| 68 |
| 00:06:20,160 --> 00:06:25,340 |
| dorsal part مسئول عن مين عن ال upper quadrant of |
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| 69 |
| 00:06:25,340 --> 00:06:29,060 |
| the face ال ventral part مسئول عن مين lower |
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| 70 |
| 00:06:29,060 --> 00:06:32,560 |
| quadrant of the faceوين موجودة دي ال nucleus؟ |
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| 71 |
| 00:06:32,560 --> 00:06:36,300 |
| موجودة في ال pons موجودة وين؟ في ال pons إيش |
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| 72 |
| 00:06:36,300 --> 00:06:41,300 |
| وظيفتها؟ supply the facial muscles لو أتكلم على ال |
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| 73 |
| 00:06:41,300 --> 00:06:46,540 |
| lower quadrant ببطرق إلى ال ventral part upper |
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| 74 |
| 00:06:46,540 --> 00:06:52,120 |
| quadrant of the face دورسال part ثمانة في عندي |
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| 75 |
| 00:06:52,950 --> 00:06:57,730 |
| Superior Salivary Nucleus Superior Salivary |
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| 76 |
| 00:06:57,730 --> 00:07:02,870 |
| Nucleus هذه لها علاقة بال Parasympathetic function |
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| 77 |
| 00:07:02,870 --> 00:07:10,630 |
| Secretomotor بتغديلنا submandibular and sublingual |
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| 78 |
| 00:07:10,630 --> 00:07:15,190 |
| salivary glands عن طريق branch من ال facial nerve |
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| 79 |
| 00:07:15,190 --> 00:07:21,600 |
| اسمه cordaتمبني نيرف كوردة تمبني نيرف و بتغدين ال |
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| 80 |
| 00:07:21,600 --> 00:07:26,500 |
| gland of the palate nose لاخرم ال gland |
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| 81 |
| 00:07:26,500 --> 00:07:32,880 |
| nasopharynx عن طريق عصب اسمه GSPN greater |
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| 82 |
| 00:07:32,880 --> 00:07:37,800 |
| superficial petrosal nerve اذا ذكروا لما نروح |
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| 83 |
| 00:07:37,800 --> 00:07:42,100 |
| المطبخ نقطع بصل ايش بيصير حالتنا شلش بيصير حالتنا |
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| 84 |
| 00:07:42,100 --> 00:07:48,010 |
| في شلش بندمع و بنف و حلقصعبة بتكون الوضع هنا من |
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| 85 |
| 00:07:48,010 --> 00:07:53,010 |
| البصل مين بشتغل هنا الـ Parasympathetic fibers |
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| 86 |
| 00:07:53,010 --> 00:07:57,270 |
| بتاعة مين ال facial nerve عن طريق أي نوكلياس |
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| 87 |
| 00:07:57,270 --> 00:08:01,230 |
| superior salivary nucleus وظيفته ايه |
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| 88 |
| 00:08:01,230 --> 00:08:07,590 |
| Parasympathetic ال نوكلياس التالتةsolitary nucleus |
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| 89 |
| 00:08:07,590 --> 00:08:14,530 |
| موجودة في الميدالة أبلانقاتها، علاقة بماذا؟ علاقة |
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| 90 |
| 00:08:14,530 --> 00:08:18,130 |
| بالـ sensory function، ومن ضمن الـ sensory |
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| 91 |
| 00:08:18,130 --> 00:08:24,310 |
| function taste، sensationfrom the anterior to |
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| 92 |
| 00:08:24,310 --> 00:08:29,930 |
| third of the tongue يعني ال facial nerve مسئول عن |
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| 93 |
| 00:08:29,930 --> 00:08:34,950 |
| حاسة التذوق لوين لل tongue من أي جزء من ال |
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| 94 |
| 00:08:34,950 --> 00:08:38,630 |
| anterior to third of the tongue يبقى ال taste |
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| 95 |
| 00:08:38,630 --> 00:08:43,370 |
| sensation from the anterior to third of the tongue |
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| 96 |
| 00:08:43,370 --> 00:08:48,310 |
| اللي بيحس فيها هو ال facial nerve عن طريق عصب اسمه |
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| 97 |
| 00:08:48,310 --> 00:08:50,750 |
| نفس الشيء كمان chorda tympani nerve هو chorda |
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| 98 |
| 00:08:50,750 --> 00:08:55,470 |
| tympani nerveو أي نوكلياس solitary نوكلياس وين |
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| 99 |
| 00:08:55,470 --> 00:08:58,250 |
| موجودة ال solitary نوكلياس في مضلة او بلانجاتا |
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| 100 |
| 00:08:58,250 --> 00:09:00,390 |
| احنا قولنا فيه exception مع ان ال facial nerve |
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| 101 |
| 00:09:00,390 --> 00:09:03,510 |
| المفروض يكون في ال bones تلاحظوا superior salivary |
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| 102 |
| 00:09:03,510 --> 00:09:06,990 |
| في ال bones و ال motor nucleus في ال bones لكن ال |
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| 103 |
| 00:09:06,990 --> 00:09:10,830 |
| solitary نوكلياس موجودة وين في مضلة او بلانجاتا |
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| 104 |
| 00:09:10,830 --> 00:09:14,410 |
| لأنها مسئولة كمان عن العصب التاسع و مسئولة عن من |
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| 105 |
| 00:09:14,410 --> 00:09:21,600 |
| عن العصب العاشرfunctions of the facial nerve ايش |
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| 106 |
| 00:09:21,600 --> 00:09:25,720 |
| وظيفة ال facial nerve اول function it is the main |
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| 107 |
| 00:09:25,720 --> 00:09:33,760 |
| function motor motor motor function motor function |
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| 108 |
| 00:09:33,760 --> 00:09:40,240 |
| وظيفتها ال motor اللي هيsupply the muscles of |
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| 109 |
| 00:09:40,240 --> 00:09:47,160 |
| facial expression لها علاقة بالموتور |
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| 110 |
| 00:09:47,160 --> 00:09:52,120 |
| facial expression ثاني بارا sympathetic function |
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| 111 |
| 00:09:52,120 --> 00:09:57,540 |
| to all glands of head لمين submandibular |
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| 112 |
| 00:09:57,540 --> 00:10:02,670 |
| sublingual and lacrimal glandsExcept Parotid |
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| 113 |
| 00:10:02,670 --> 00:10:05,950 |
| glands ما بتغدى ال Parotid gland ال Parotid gland |
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| 114 |
| 00:10:05,950 --> 00:10:10,470 |
| بتاخد عن طريق ال Glossopharyngeal nerve العصب |
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| 115 |
| 00:10:10,470 --> 00:10:16,450 |
| التاسع يبقى facial nerve مسئول عن كل ال salivary |
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| 116 |
| 00:10:16,450 --> 00:10:21,650 |
| glands مع دق اوتك أو ال Parotid gland بتاخد من |
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| 117 |
| 00:10:21,650 --> 00:10:26,690 |
| Glossopharyngeal nerveتلاثة مسئولة عن sensory from |
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| 118 |
| 00:10:26,690 --> 00:10:33,190 |
| skin of the external auricle و تمبانك مبراين بغض |
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| 119 |
| 00:10:33,190 --> 00:10:36,990 |
| يزه من الأذن و من طابلة الأذن تمبانك مبراين و أهم |
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| 120 |
| 00:10:36,990 --> 00:10:42,930 |
| شيء مسئول عن ايه taste sensation from the anterior |
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| 121 |
| 00:10:42,930 --> 00:10:48,220 |
| to third of the tongue نطبق على نقلي ITest |
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| 122 |
| 00:10:48,220 --> 00:10:52,020 |
| sensation بتاعة الانترال توترد of the tongue مسئول |
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| 123 |
| 00:10:52,020 --> 00:10:58,480 |
| عنها مين؟ Solitary nucleus Sensory of skin تبع ال |
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| 124 |
| 00:10:58,480 --> 00:11:02,740 |
| external auricle و ال membrane مسئول عنها تنبانك |
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| 125 |
| 00:11:02,740 --> 00:11:06,120 |
| ممبران مسئول عنها كمان Solitary nucleusالـ |
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| 126 |
| 00:11:06,120 --> 00:11:08,980 |
| Parasympathetic Function بتاعته لـ Glans، Salivary |
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| 127 |
| 00:11:08,980 --> 00:11:13,000 |
| Glans Superior Salivary Nucleus الـ Motor Function |
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| 128 |
| 00:11:13,000 --> 00:11:19,180 |
| اللي هي Motor Nucleus of Facial Nerve تنقسم لقسمين |
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| 129 |
| 00:11:19,180 --> 00:11:25,490 |
| Ventral Part and Dorsal Partو ventral part بياخد a |
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| 130 |
| 00:11:25,490 --> 00:11:28,790 |
| أو مسئول عن a ال ventral part مسئول عن ال lower |
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| 131 |
| 00:11:28,790 --> 00:11:32,830 |
| quadrant of the face lower quadrant of the face و |
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| 132 |
| 00:11:32,830 --> 00:11:36,670 |
| dorsal nucleus مسئول عن upper quadrant of the face |
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| 133 |
| 00:11:36,670 --> 00:11:44,350 |
| نتكلم على intracranial course of the facial nerve |
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| 134 |
| 00:11:44,350 --> 00:11:48,690 |
| ال intracranial course of facial nerve the facial |
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| 135 |
| 00:11:48,690 --> 00:11:54,030 |
| nerveemersed from the lower border of the pons، |
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| 136 |
| 00:11:54,030 --> 00:11:58,250 |
| بخرج من أين؟ من ال lower border بتاع ال pons، بعد |
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| 137 |
| 00:11:58,250 --> 00:12:02,810 |
| هي بيمر في cerebellopontine angel، يوم ما شرحتلكوا |
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| 138 |
| 00:12:02,810 --> 00:12:05,850 |
| العصب الخامس، اتكلمنا عن ال cerebellopontine |
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| 139 |
| 00:12:05,850 --> 00:12:11,050 |
| angel، بيمر في العصب الخامس والسبع والثامن، بعد هي |
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| 140 |
| 00:12:11,050 --> 00:12:16,980 |
| بيفوت لل internal auditory meatusبيمور وين؟ في |
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| 141 |
| 00:12:16,980 --> 00:12:22,400 |
| facial canal او fallopian canal ماتخربطوش؟ في |
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| 142 |
| 00:12:22,400 --> 00:12:25,480 |
| fallopian tube حد يكتبلي fallopian tube fallopian |
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| 143 |
| 00:12:25,480 --> 00:12:29,760 |
| tube هذه موجودة فقط عند ال female بتربط ال uterus |
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| 144 |
| 00:12:29,760 --> 00:12:35,320 |
| مع ال ovary قناة بين من ومن؟ بين الرحم ال uterus و |
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| 145 |
| 00:12:35,320 --> 00:12:40,510 |
| ال ovary و المبايدفالوبيان كانال موجود عند المال |
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| 146 |
| 00:12:40,510 --> 00:12:48,570 |
| والفمال اسمها facial canal او اسمها internal |
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| 147 |
| 00:12:48,570 --> 00:12:52,970 |
| auditory canal موجودة في الـ petrostemporal bone |
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| 148 |
| 00:12:54,480 --> 00:12:59,480 |
| أثناء مروره في ال facial canal ال facial nerve |
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| 149 |
| 00:12:59,480 --> 00:13:02,900 |
| بيعطينا three branches راح نتكلم عنهم بعد هيك |
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| 150 |
| 00:13:02,900 --> 00:13:06,940 |
| finally it exit from stylo-mastoid foramen وفي |
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| 151 |
| 00:13:06,940 --> 00:13:11,280 |
| النهاية بخرجلنا من الخلف من stylo-mastoid foramen |
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| 152 |
| 00:13:11,280 --> 00:13:21,370 |
| هي اندي تابع معايا خرج ال facial nerve منlower |
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| 153 |
| 00:13:21,370 --> 00:13:24,470 |
| border of the pons between the pons and medulla |
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| 154 |
| 00:13:24,470 --> 00:13:33,110 |
| oblongata مروين في cerebellopontine angle بعد هيك |
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| 155 |
| 00:13:33,110 --> 00:13:39,630 |
| بيفوت لل internal auditory |
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| 156 |
| 00:13:39,630 --> 00:13:45,210 |
| meatus لل facial canal facial ايه؟ canal او |
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| 157 |
| 00:13:45,210 --> 00:13:46,630 |
| fallopian canal |
|
|
| 158 |
| 00:13:49,240 --> 00:13:53,900 |
| أثناء مروره في الـ facial canal إله جانجليون اسم |
|
|
| 159 |
| 00:13:53,900 --> 00:13:58,820 |
| هذا الجانجليون جينيكوليت جانجليون هذا الجانجليون |
|
|
| 160 |
| 00:13:58,820 --> 00:14:03,760 |
| الجينيكوليت جانجليون إله three branches greater |
|
|
| 161 |
| 00:14:03,760 --> 00:14:08,140 |
| superficial petrosal nerve nerve to stabilize |
|
|
| 162 |
| 00:14:08,140 --> 00:14:12,760 |
| muscleو cordotempani nerve هذول التلاثة راح نتكلم |
|
|
| 163 |
| 00:14:12,760 --> 00:14:19,420 |
| عنهم و finally بيخرج من وين؟ بيخرج بيغادر عن طريق |
|
|
| 164 |
| 00:14:19,420 --> 00:14:24,160 |
| Stylomastoid foramen بيخرج من وين؟ من Stylomastoid |
|
|
| 165 |
| 00:14:24,160 --> 00:14:28,660 |
| foramen يقول هذا ال course بتاع اللي هو ال facial |
|
|
| 166 |
| 00:14:28,660 --> 00:14:31,380 |
| nerve intracranial course |
|
|
| 167 |
| 00:14:37,190 --> 00:14:41,890 |
| نتكلم على extra cranial course of the facial nerve |
|
|
| 168 |
| 00:14:41,890 --> 00:14:47,910 |
| it leaves the skull through the stylomastoid |
|
|
| 169 |
| 00:14:47,910 --> 00:14:51,630 |
| foramen يعني هو بيغادر ال facial canal الموجودة في |
|
|
| 170 |
| 00:14:51,630 --> 00:14:54,590 |
| ال skull عن طريق ال stylomastoid foramen |
|
|
| 171 |
| 00:14:54,590 --> 00:15:01,350 |
| immediately after exit of the skull it gives two |
|
|
| 172 |
| 00:15:01,350 --> 00:15:03,630 |
| branches بعد ما يخرج من ال skull بيعطينا |
|
|
| 173 |
| 00:15:03,630 --> 00:15:09,810 |
| immediately two branchesبعد ذلك يدخل في الـ |
|
|
| 174 |
| 00:15:09,810 --> 00:15:16,270 |
| Posterior Medial Service |
|
|
| 175 |
| 00:15:16,270 --> 00:15:20,150 |
| of Parotid Glan بيكون Superficial لـ External |
|
|
| 176 |
| 00:15:20,150 --> 00:15:26,750 |
| Carotid Arteryو it ends inside of the substance |
|
|
| 177 |
| 00:15:26,750 --> 00:15:32,710 |
| part of the gland by dividing into five terminal |
|
|
| 178 |
| 00:15:32,710 --> 00:15:36,610 |
| branches و في الأخير بيعطينا five branches يعني |
|
|
| 179 |
| 00:15:36,610 --> 00:15:41,150 |
| طلع ال facial nerve له كام branch؟ عشرة، له عشرة، |
|
|
| 180 |
| 00:15:41,150 --> 00:15:46,000 |
| ثلاثة موجودين في ال facial canalتنين immediately |
|
|
| 181 |
| 00:15:46,000 --> 00:15:48,660 |
| after exit و تنين بعد ما يخرج من |
|
|
| 182 |
| 00:15:48,660 --> 00:15:52,360 |
| السايلومسترويدفورامن و خمسة terminal branches |
|
|
| 183 |
| 00:15:52,360 --> 00:15:59,820 |
| صاروا كام صاروا عندي عشرة branches لمن لاله facial |
|
|
| 184 |
| 00:15:59,820 --> 00:16:07,020 |
| nerve 10 branches |
|
|
| 185 |
| 00:16:07,020 --> 00:16:12,640 |
| هاي عندي لما يخرج من السايلومسترويدفورامن تكون |
|
|
| 186 |
| 00:16:12,640 --> 00:16:16,240 |
| الخلف شويةالميديات اللي بيعطينا two branches هاي |
|
|
| 187 |
| 00:16:16,240 --> 00:16:20,840 |
| واحد هاي اتنين هذا اسمه posterior auricular nerve |
|
|
| 188 |
| 00:16:20,840 --> 00:16:24,940 |
| و هنا nerve to posterior piliacal and digastric |
|
|
| 189 |
| 00:16:24,940 --> 00:16:30,040 |
| muscle and stylohyoid muscle بعد هيك بيعطينا five |
|
|
| 190 |
| 00:16:30,040 --> 00:16:35,920 |
| branches temporal nerve, zygomatic nerve, buccal |
|
|
| 191 |
| 00:16:35,920 --> 00:16:41,380 |
| nerveمارجينال مانديبولار نيرف سيرفايكال نيرف صار |
|
|
| 192 |
| 00:16:41,380 --> 00:16:46,200 |
| عندي في تلاتة في الكنة اللي قلنا هي أربعة خمسة ستة |
|
|
| 193 |
| 00:16:46,200 --> 00:16:51,480 |
| سبعة تمانية تسعة عشرة طلع كام برنش عندي الفيشيال |
|
|
| 194 |
| 00:16:51,480 --> 00:16:58,690 |
| نيرفعشرة ten branches مهمين |
|
|
| 195 |
| 00:16:58,690 --> 00:17:02,310 |
| جدا وفي العلاج الطبيعي انتوا بتتعاملوا كثير مع ال |
|
|
| 196 |
| 00:17:02,310 --> 00:17:06,330 |
| facial nerve في حالات bells pulse لما يجينا المريض |
|
|
| 197 |
| 00:17:06,330 --> 00:17:10,670 |
| عنده facial neuropathy التهاب في العصب السابع |
|
|
| 198 |
| 00:17:10,670 --> 00:17:17,730 |
| branches of the facial nerve branches of the |
|
|
| 199 |
| 00:17:17,730 --> 00:17:23,400 |
| facial nerve inside the facial fallopian canalأول |
|
|
| 200 |
| 00:17:23,400 --> 00:17:27,980 |
| شي في greater superficial petrosal nerve اتنين |
|
|
| 201 |
| 00:17:27,980 --> 00:17:34,860 |
| small branch to stapedius muscle ايه بجنه؟ هذا |
|
|
| 202 |
| 00:17:34,860 --> 00:17:40,680 |
| small branch للاستابيدياس مصل يعتبر motor جي اس بي |
|
|
| 203 |
| 00:17:40,680 --> 00:17:46,360 |
| ان بارا sympathetic الكوردة تنبني يعتبر بارا |
|
|
| 204 |
| 00:17:46,360 --> 00:17:52,370 |
| sympathetic و sensory و هي و sensoryPosterior |
|
|
| 205 |
| 00:17:52,370 --> 00:17:56,110 |
| Auricular Nerve يعتبر موتور مع Sensory مع بعض |
|
|
| 206 |
| 00:17:56,110 --> 00:17:59,950 |
| Nerve of Posterior Biliary of the Digastric Muscle |
|
|
| 207 |
| 00:17:59,950 --> 00:18:05,710 |
| موتور و Terminal five branches temporal nerveموتور |
|
|
| 208 |
| 00:18:05,710 --> 00:18:12,530 |
| موتور موتور موتور موتور موتور موتور موتور موتور |
|
|
| 209 |
| 00:18:12,530 --> 00:18:20,530 |
| موتور موتور موتور موتور موتور |
|
|
| 210 |
| 00:18:25,670 --> 00:18:30,930 |
| تنين immediately after exit وخمسة terminal التلاتة |
|
|
| 211 |
| 00:18:30,930 --> 00:18:34,510 |
| اللي بيكونوا في ال canal داخل ال canal واحد GSBN |
|
|
| 212 |
| 00:18:34,510 --> 00:18:37,850 |
| اللي هو greater superficial petrosal nerve ثمين |
|
|
| 213 |
| 00:18:37,850 --> 00:18:42,670 |
| small branch to stapedius muscle تلاتة corda |
|
|
| 214 |
| 00:18:42,670 --> 00:18:48,470 |
| tympani nerve ال two nerves immediately after exit |
|
|
| 215 |
| 00:18:48,470 --> 00:18:51,930 |
| from stylomostoid foramen اللي هو posterior |
|
|
| 216 |
| 00:18:51,930 --> 00:18:56,010 |
| auricular nerveو nerve to posterior belay of |
|
|
| 217 |
| 00:18:56,010 --> 00:19:00,230 |
| digastric muscle and stylohyoid muscle وخمسة |
|
|
| 218 |
| 00:19:00,230 --> 00:19:03,610 |
| terminal branches temporal nerve زي Gematic nerve, |
|
|
| 219 |
| 00:19:04,030 --> 00:19:07,310 |
| buccal nerve, marginal mandibular nerve and |
|
|
| 220 |
| 00:19:07,310 --> 00:19:13,890 |
| cervical nerve الآن في ال slide هذا راح اتكلم على |
|
|
| 221 |
| 00:19:14,740 --> 00:19:19,660 |
| الـ branches التلاتة الموجودين في الـ canal GSPN |
|
|
| 222 |
| 00:19:19,660 --> 00:19:24,460 |
| أو Greater Superficial Petrosal Nerve it is a |
|
|
| 223 |
| 00:19:24,460 --> 00:19:29,700 |
| parasympathetic nerve carry parasympathetic fibers |
|
|
| 224 |
| 00:19:29,700 --> 00:19:34,560 |
| to the lacrimal gland, nasal gland, nasopharyngeal |
|
|
| 225 |
| 00:19:34,560 --> 00:19:40,560 |
| gland, palatine gland كلهم منهثمين small branch to |
|
|
| 226 |
| 00:19:40,560 --> 00:19:44,260 |
| the stapedius muscle in the middle ear اللي هو |
|
|
| 227 |
| 00:19:44,260 --> 00:19:49,260 |
| يعتبر motor nerve reduce excessive vibration and |
|
|
| 228 |
| 00:19:49,260 --> 00:19:53,280 |
| sound transmission to inner ear بيكون جيرانكوا |
|
|
| 229 |
| 00:19:53,280 --> 00:19:57,660 |
| عندهم حفلة طول الليل و هم أغاني مش عارفين أين |
|
|
| 230 |
| 00:19:57,660 --> 00:20:02,280 |
| جايبينها و الإنسان بيرهق من سمح الأغاني اللي مش |
|
|
| 231 |
| 00:20:02,280 --> 00:20:07,890 |
| حلوة و ماعليهاش أي معنى و حرامماذا تفعل هذه |
|
|
| 232 |
| 00:20:07,890 --> 00:20:11,330 |
| العضلة؟ هذه العضلة تحدث لها contraction لـ |
|
|
| 233 |
| 00:20:11,330 --> 00:20:14,830 |
| Stapedius muscle لماذا تعمل contraction؟ عشان نقلل |
|
|
| 234 |
| 00:20:14,830 --> 00:20:19,770 |
| توصيل الصوت من الأدن الوسط للأدن الداخلية إذا كان |
|
|
| 235 |
| 00:20:19,770 --> 00:20:22,570 |
| حفلة عن جيرانكو طول الوقت تكون Stapedius muscle في |
|
|
| 236 |
| 00:20:22,570 --> 00:20:26,750 |
| وضع contraction ما هو وظيفتها؟ reduction excessive |
|
|
| 237 |
| 00:20:26,750 --> 00:20:32,670 |
| vibration and sound transmissionfrom middle ear to |
|
|
| 238 |
| 00:20:32,670 --> 00:20:35,790 |
| inner ear، يبقى بالعربي هذه العضلة عندما تحصل على |
|
|
| 239 |
| 00:20:35,790 --> 00:20:39,650 |
| contraction تعمل تخفيض للصوت العالي، توصيل الصوت |
|
|
| 240 |
| 00:20:39,650 --> 00:20:43,650 |
| العالي من الأدنة الوسطى لين؟ للأدنة الداخلية، لكن |
|
|
| 241 |
| 00:20:43,650 --> 00:20:47,770 |
| لو ما كانت شغالة هذه العضلة، بيحدث عندنا اشي اسمه |
|
|
| 242 |
| 00:20:47,770 --> 00:20:51,250 |
| hyperacusia، hyper ايه؟ Acusia |
|
|
| 243 |
| 00:20:53,830 --> 00:20:56,630 |
| يعني لو أنا بقرا محاضرة إلكوا اللي عنده |
|
|
| 244 |
| 00:20:56,630 --> 00:20:59,350 |
| hyperacusia بقدرش تحمل محاضرة الصوت بيكون |
|
|
| 245 |
| 00:20:59,350 --> 00:21:05,960 |
| بالنسباله عالي كثير و مزعج كثيرثلاثة كوردا تنباني |
|
|
| 246 |
| 00:21:05,960 --> 00:21:09,740 |
| نيرف هذا يعتبر بارا سيمباتاتيك و special sensory |
|
|
| 247 |
| 00:21:09,740 --> 00:21:15,660 |
| nerve يعطي بارا سيمباتاتيك فايبرز لسب مانديبولر و |
|
|
| 248 |
| 00:21:15,660 --> 00:21:20,320 |
| سب لينجوال سليفري جلاند بيغضينا السب مانديبولر و |
|
|
| 249 |
| 00:21:20,320 --> 00:21:23,260 |
| السب لينجوال سليفري جلاند العلاقة في ال production |
|
|
| 250 |
| 00:21:23,260 --> 00:21:27,780 |
| of saliva اثنين سب لايف دي تيه ال sensation بيغضي |
|
|
| 251 |
| 00:21:27,780 --> 00:21:35,130 |
| التذوق from anterior to third of the tongueهي عندي |
|
|
| 252 |
| 00:21:35,130 --> 00:21:39,170 |
| اللي هو greater superficial petrosal nerve هاي |
|
|
| 253 |
| 00:21:39,170 --> 00:21:44,790 |
| nerve to stapedius muscle وهي |
|
|
| 254 |
| 00:21:44,790 --> 00:21:48,890 |
| عندي اللي هو corda tympani nerve وخرج من وين؟ من |
|
|
| 255 |
| 00:21:48,890 --> 00:21:53,870 |
| stylo-mastoid foramen من stylo-mastoid foramen خرج |
|
|
| 256 |
| 00:21:53,870 --> 00:21:57,730 |
| من ال facial nerve هيك بيكون انا شرحتلكوا أول |
|
|
| 257 |
| 00:21:57,730 --> 00:22:06,170 |
| ثلاثة عندي بعد هيكاللي هو facial nerve بخرج من |
|
|
| 258 |
| 00:22:06,170 --> 00:22:10,590 |
| stylo mustoid foramen وبيعطينا two branches |
|
|
| 259 |
| 00:22:10,590 --> 00:22:15,250 |
| posterior auricular nerve and nerve to posterior |
|
|
| 260 |
| 00:22:15,250 --> 00:22:20,370 |
| belay of the gastric muscle and stylohyoid muscle |
|
|
| 261 |
| 00:22:20,370 --> 00:22:26,230 |
| هاي |
|
|
| 262 |
| 00:22:26,230 --> 00:22:33,850 |
| عندي اللي هو ال facial nerveبخرج من الـ stylo |
|
|
| 263 |
| 00:22:33,850 --> 00:22:43,130 |
| -mastoid foramin الان |
|
|
| 264 |
| 00:22:43,130 --> 00:22:48,490 |
| اتكلم على branches of the facial nerve immediately |
|
|
| 265 |
| 00:22:48,490 --> 00:22:52,930 |
| after exit from the skull بعد ما يخرج من ال skull |
|
|
| 266 |
| 00:22:52,930 --> 00:22:55,990 |
| من ال stylo-mastoid formin immediately it gives |
|
|
| 267 |
| 00:22:55,990 --> 00:23:01,000 |
| two branchesأول واحد بستيريور أوريكولار نيرف |
|
|
| 268 |
| 00:23:01,000 --> 00:23:05,920 |
| بستيريور أوريكولار نيرف supply of occipital belay |
|
|
| 269 |
| 00:23:05,920 --> 00:23:11,260 |
| of occipitofrontalis muscle supply also superior |
|
|
| 270 |
| 00:23:11,260 --> 00:23:16,000 |
| and posterior auricularis muscle بيغدينا ال |
|
|
| 271 |
| 00:23:16,000 --> 00:23:18,020 |
| superior و ال posterior auricularis muscle |
|
|
| 272 |
| 00:23:20,910 --> 00:23:25,630 |
| أوريكولار مصر لها جزءين جزء posterior و جزء |
|
|
| 273 |
| 00:23:25,630 --> 00:23:30,230 |
| anterior هو أدق بيغضي بيغضي posterior part بيغضي |
|
|
| 274 |
| 00:23:30,230 --> 00:23:33,830 |
| posterior part لإن ال temporal nerve راح يغضي main |
|
|
| 275 |
| 00:23:33,830 --> 00:23:38,050 |
| anterior part يبقى ال posterior auricular nerve |
|
|
| 276 |
| 00:23:38,050 --> 00:23:41,930 |
| راح يغضي أدق ال posterior part of superior |
|
|
| 277 |
| 00:23:41,930 --> 00:23:46,770 |
| auricular muscleOkay و إيه العلاقة بموضوع ال |
|
|
| 278 |
| 00:23:46,770 --> 00:23:51,650 |
| sensation from the posterior part of the auricle |
|
|
| 279 |
| 00:23:51,650 --> 00:23:56,330 |
| and tympanic membrane العصب الثاني من اسمه واضح |
|
|
| 280 |
| 00:23:56,330 --> 00:23:59,710 |
| اسمه nerve to posterior belay of the digastric |
|
|
| 281 |
| 00:23:59,710 --> 00:24:02,630 |
| muscle and the stylohyoid muscle في غدينا |
|
|
| 282 |
| 00:24:02,630 --> 00:24:05,530 |
| posterior belay of the digastric muscle and the |
|
|
| 283 |
| 00:24:05,530 --> 00:24:10,590 |
| stylohyoid muscle هي عندي اللي هو posterior |
|
|
| 284 |
| 00:24:10,590 --> 00:24:17,240 |
| auricular nervePosterior Auricular nerve خرج |
|
|
| 285 |
| 00:24:17,240 --> 00:24:22,380 |
| امدياتيالي تونيرف بوستيريور اوريكولار نيرف و نيرف |
|
|
| 286 |
| 00:24:22,380 --> 00:24:25,860 |
| بوستيريور بيليق ديجاثريك مسل و سايلوهايويد نتكلم |
|
|
| 287 |
| 00:24:25,860 --> 00:24:29,340 |
| عن بوستيريور اوريكولار بيغدين اكسيبتر بيليق او |
|
|
| 288 |
| 00:24:29,340 --> 00:24:35,560 |
| اكسيبتر فرونتاليس مسل بيغدي بوستيريور اوريكولار |
|
|
| 289 |
| 00:24:35,560 --> 00:24:41,050 |
| مسل و بيغديالـ posterior part of superior |
|
|
| 290 |
| 00:24:41,050 --> 00:24:45,070 |
| auricular muscle هذا هو posterior auricular nerve |
|
|
| 291 |
| 00:24:45,070 --> 00:24:49,030 |
| وبيعطينا أو receive sensation from the posterior |
|
|
| 292 |
| 00:24:49,030 --> 00:24:53,810 |
| auricle and posterior tympanic membrane هذا أول |
|
|
| 293 |
| 00:24:53,810 --> 00:25:02,040 |
| branch after exit هاي عندي واضحأكسيبتال بلاي of |
|
|
| 294 |
| 00:25:02,040 --> 00:25:05,820 |
| occipital frontalis muscle هي posterior auricular |
|
|
| 295 |
| 00:25:05,820 --> 00:25:11,420 |
| muscle وهو بيغدى posterior part of superior |
|
|
| 296 |
| 00:25:11,420 --> 00:25:16,680 |
| auricular بعد هيك عندي five .. في عندي بعدها |
|
|
| 297 |
| 00:25:16,680 --> 00:25:21,320 |
| بيجينا five terminal branches في عندي five |
|
|
| 298 |
| 00:25:21,320 --> 00:25:25,580 |
| terminal branches خمسة اللي هو temporal nerve |
|
|
| 299 |
| 00:25:26,610 --> 00:25:30,830 |
| zigomatic nerve, buccal nerve, marginal mandibular |
|
|
| 300 |
| 00:25:30,830 --> 00:25:34,210 |
| nerve and cervical nerve هذول تيرمين ال branches |
|
|
| 301 |
| 00:25:34,210 --> 00:25:39,910 |
| temporal nerve نتكلم واحد واحد temporal nerve |
|
|
| 302 |
| 00:25:39,910 --> 00:25:45,530 |
| supply the frontal belay of subfrontalis muscle |
|
|
| 303 |
| 00:25:45,530 --> 00:25:52,640 |
| upper partof orbicularis oculi muscle superior and |
|
|
| 304 |
| 00:25:52,640 --> 00:25:56,100 |
| anterior auricularis muscle نشوفهم مع بعض ايش |
|
|
| 305 |
| 00:25:56,100 --> 00:26:01,460 |
| بيغدينا ال temporal nerve بيغدي اللي هو frontal |
|
|
| 306 |
| 00:26:01,460 --> 00:26:08,130 |
| belay ofوsubta frontalis muscle بيغضي من؟ anterior |
|
|
| 307 |
| 00:26:08,130 --> 00:26:13,790 |
| auricularis muscle وبيغضي ال anterior part of |
|
|
| 308 |
| 00:26:13,790 --> 00:26:18,350 |
| superior auricular muscle وبيغضي ال upper part of |
|
|
| 309 |
| 00:26:18,350 --> 00:26:22,650 |
| auricularis oculi muscle تمام؟ هذا من بيغضيهم؟ |
|
|
| 310 |
| 00:26:22,650 --> 00:26:32,490 |
| اللي هو temporal nerve نرجع لل slide zygomatic |
|
|
| 311 |
| 00:26:32,490 --> 00:26:37,830 |
| nerveالـ zygomatic nerve بنقسم لقسمين upper |
|
|
| 312 |
| 00:26:37,830 --> 00:26:43,910 |
| zygomatic branch and lower zygomatic branch ال |
|
|
| 313 |
| 00:26:43,910 --> 00:26:50,510 |
| upper zygomatic branch بيغدى subperior |
|
|
| 314 |
| 00:26:50,510 --> 00:26:53,110 |
| or inferior part of the orbicularis oculi muscle |
|
|
| 315 |
| 00:26:53,110 --> 00:26:58,110 |
| اللي بتغمض إليهبيغدي ال lower zygomatic muscle |
|
|
| 316 |
| 00:26:58,110 --> 00:27:03,210 |
| between the eye and mouth including nasal muscle |
|
|
| 317 |
| 00:27:03,210 --> 00:27:07,050 |
| يبقى في الحالة هذه ال upper zygomatic nerve بيغدي |
|
|
| 318 |
| 00:27:07,050 --> 00:27:11,070 |
| لنا ال articularis oculi muscle هذه ال upper part |
|
|
| 319 |
| 00:27:11,070 --> 00:27:16,530 |
| و ال lower part هذه كلها بتاخد من أين؟ من upper |
|
|
| 320 |
| 00:27:16,530 --> 00:27:19,630 |
| zygomatic و ال lower zygomatic بيغدينا ال muscles |
|
|
| 321 |
| 00:27:19,630 --> 00:27:27,510 |
| between the mouthand I including nasal muscles |
|
|
| 322 |
| 00:27:27,510 --> 00:27:33,390 |
| هذول بياخدوا من وين؟ من ال lower zygomatic branch |
|
|
| 323 |
| 00:27:33,390 --> 00:27:36,450 |
| في |
|
|
| 324 |
| 00:27:36,450 --> 00:27:43,990 |
| بعدها buckle nerve بيغدينا vaccinator muscle and |
|
|
| 325 |
| 00:27:43,990 --> 00:27:47,090 |
| orbicularis oris muscle orbicularis oris muscle |
|
|
| 326 |
| 00:27:47,090 --> 00:27:52,510 |
| اني انا لما بصفر بحركها لما بسكر طمي بحركها هذه هي |
|
|
| 327 |
| 00:27:53,850 --> 00:27:59,450 |
| Vaccinator muscle تاخد من البكال و Arbicularis |
|
|
| 328 |
| 00:27:59,450 --> 00:28:05,110 |
| muscle تاخد من البكال نيرف |
|
|
| 329 |
| 00:28:08,670 --> 00:28:14,150 |
| الفرع اللي بعده اللي هو marginal mandibular nerve |
|
|
| 330 |
| 00:28:14,150 --> 00:28:19,050 |
| supply the muscle in the region of the mandible |
|
|
| 331 |
| 00:28:19,050 --> 00:28:22,970 |
| وفيه cervical muscle أو cervical nerve بيغدى |
|
|
| 332 |
| 00:28:22,970 --> 00:28:29,860 |
| platysma muscleيبقى هاد ال muscles في ال angle of |
|
|
| 333 |
| 00:28:29,860 --> 00:28:33,720 |
| the mandible تمام او angle of the mouth تاخد من ال |
|
|
| 334 |
| 00:28:33,720 --> 00:28:36,840 |
| marginal mandibular nerve وهاد ال platysmal muscle |
|
|
| 335 |
| 00:28:36,840 --> 00:28:40,840 |
| راح تاخد من وين ال platysmal muscle من اللي هو ال |
|
|
| 336 |
| 00:28:40,840 --> 00:28:45,800 |
| cervical nerve of facial هكذا بيكون انا شرحتلكم |
|
|
| 337 |
| 00:28:45,800 --> 00:28:51,220 |
| ten branches of facial nerve شرحت العشر عصاب يبقى |
|
|
| 338 |
| 00:28:51,220 --> 00:28:55,430 |
| هاي عندي zygomatic nerveتمام؟ بيغدينا مين؟ |
|
|
| 339 |
| 00:28:55,430 --> 00:28:59,510 |
| الاربيكولاريس و ال muscle |
|
|
| 340 |
| 00:29:00,680 --> 00:29:05,080 |
| between the eye and mouth including nasal muscle |
|
|
| 341 |
| 00:29:05,080 --> 00:29:08,880 |
| أنا هأعلملكوا عليهم البقال نير بيغضي orbicularis |
|
|
| 342 |
| 00:29:08,880 --> 00:29:12,480 |
| oris muscle و vaccinator muscle ال marginal |
|
|
| 343 |
| 00:29:12,480 --> 00:29:16,480 |
| mandibular nerve بيغضينا ال muscle around the |
|
|
| 344 |
| 00:29:16,480 --> 00:29:20,800 |
| mouth angle و ال cervical nerve بيغضي platysma |
|
|
| 345 |
| 00:29:20,800 --> 00:29:25,240 |
| muscle و هذا ال marginal واضح بيغضينا ال muscle في |
|
|
| 346 |
| 00:29:25,240 --> 00:29:30,650 |
| ال angle of the mouthانتجي لموضوع راح أشرحه |
|
|
| 347 |
| 00:29:30,650 --> 00:29:34,710 |
| بالتفصيل في سنة رابعة إن ضلينا طيبين هي عندي ال |
|
|
| 348 |
| 00:29:34,710 --> 00:29:41,970 |
| motor nucleus motor nucleus of the facial nerve |
|
|
| 349 |
| 00:29:41,970 --> 00:29:50,950 |
| تنقسم لقسمين تنقسم لقسمين قولنا جزء يعتبر ventral |
|
|
| 350 |
| 00:29:50,950 --> 00:29:58,190 |
| وجزء يعتبر dorsal ال ventral |
|
|
| 351 |
| 00:30:01,490 --> 00:30:09,050 |
| supply the lower quadrant of the face و الدورسل |
|
|
| 352 |
| 00:30:09,050 --> 00:30:16,450 |
| supply the upper quadrant of the face الدورسل تأخذ |
|
|
| 353 |
| 00:30:16,450 --> 00:30:21,490 |
| إشارة من الـipsilateral cerebral hemisphere و من |
|
|
| 354 |
| 00:30:21,490 --> 00:30:26,470 |
| الcontralateral cerebral hemisphere يعني حكمة ربنا |
|
|
| 355 |
| 00:30:26,470 --> 00:30:29,730 |
| واسع بالبعدأعطى العضلات اللى بتغمض العين |
|
|
| 356 |
| 00:30:29,730 --> 00:30:34,930 |
| innervation from both cerebral hemispheres يعني ال |
|
|
| 357 |
| 00:30:34,930 --> 00:30:39,130 |
| dorsal part أو ال dorsal nucleus of facial بتاخد |
|
|
| 358 |
| 00:30:39,130 --> 00:30:42,570 |
| من كام cerebral hemisphere؟ من two cerebral |
|
|
| 359 |
| 00:30:42,570 --> 00:30:47,310 |
| hemispheres لكن ال ventral nucleus المسئول عن ال |
|
|
| 360 |
| 00:30:47,310 --> 00:30:51,540 |
| lower quadrant of the faceفقط بتاخد من ال opposite |
|
|
| 361 |
| 00:30:51,540 --> 00:30:55,680 |
| side، يعني في الحالة هذه، لو إنسان صار معاه جلطة |
|
|
| 362 |
| 00:30:55,680 --> 00:30:58,940 |
| دماغية، جلطة دماغية في ال right cerebral |
|
|
| 363 |
| 00:30:58,940 --> 00:31:03,340 |
| hemisphere، في ال right cerebral hemisphere، إيش |
|
|
| 364 |
| 00:31:03,340 --> 00:31:09,340 |
| بحدث عنده؟ مين راح يتأثر فقط؟ الدرس اللي بتتأثر؟ما |
|
|
| 365 |
| 00:31:09,340 --> 00:31:13,420 |
| بتتأثرش لإنه عندها Epilateral Innervation طيب و ال |
|
|
| 366 |
| 00:31:13,420 --> 00:31:17,580 |
| Ventral ال Ventral راح تتأثر في الحالة هذه ال |
|
|
| 367 |
| 00:31:17,580 --> 00:31:23,260 |
| Ventral راح تتأثر راح ينشل نص وجهه السفلي الموضوع |
|
|
| 368 |
| 00:31:23,260 --> 00:31:28,240 |
| هذا ما راح أطول الآن فيه راح أشرحه بالتفصيل في سنة |
|
|
| 369 |
| 00:31:28,240 --> 00:31:32,520 |
| رابعة في الأمراض بتاعة الأعصاب ان شاء الله في |
|
|
| 370 |
| 00:31:32,520 --> 00:31:39,070 |
| cranial nerve disease هنا نشوفمرضى عندهم facial |
|
|
| 371 |
| 00:31:39,070 --> 00:31:46,830 |
| palsy مرضى دول عندهم facial palsy لاحظولى المريض |
|
|
| 372 |
| 00:31:46,830 --> 00:31:55,030 |
| عنده hand shell في نص وجهه على الجهة اليساربيغمض |
|
|
| 373 |
| 00:31:55,030 --> 00:31:58,470 |
| عينه هنا مش قادر يغمض في drop في ال mouth angle |
|
|
| 374 |
| 00:31:58,470 --> 00:32:03,770 |
| عينه فاتحة loss nasolabial fold مش موجودة يبقى ان |
|
|
| 375 |
| 00:32:03,770 --> 00:32:07,710 |
| المريض هذا عنده شلل في العصب السابع ال GHA اليسرى |
|
|
| 376 |
| 00:32:07,710 --> 00:32:11,110 |
| هذا كله بالتفصيل اللي راح اشرحه في سنة رابعة في |
|
|
| 377 |
| 00:32:11,110 --> 00:32:16,410 |
| مرض اسمه Bell's palsy التهاب بال أو شلل العصب |
|
|
| 378 |
| 00:32:16,410 --> 00:32:20,430 |
| السابع ونتكلم على ال upper motor neuron and lower |
|
|
| 379 |
| 00:32:20,430 --> 00:32:23,730 |
| motor neuron ايش انواعهمكل هذا ان شاء الله راح |
|
|
| 380 |
| 00:32:23,730 --> 00:32:27,630 |
| نتكلم عنه لاحظوا هنا المريض هذا عنده شلل في عضلات |
|
|
| 381 |
| 00:32:27,630 --> 00:32:30,990 |
| الوجه على الجهة اليسرى في بالز بالسي على ال left |
|
|
| 382 |
| 00:32:30,990 --> 00:32:35,550 |
| side مش قادر يغمض عينه drop mouth angle inability |
|
|
| 383 |
| 00:32:35,550 --> 00:32:40,030 |
| to close the eye كله wrinkles هذا ال nasolabial |
|
|
| 384 |
| 00:32:40,030 --> 00:32:44,110 |
| fold واضحة حلوة هنا lost مش موجودة المريض عنده شلل |
|
|
| 385 |
| 00:32:44,110 --> 00:32:47,050 |
| في العصب السابع على الجهة اليسرى |
|
|
| 386 |
| 00:32:57,770 --> 00:33:01,770 |
| نفس الشيء هذا الشاب بس هنا عاليمين شايفي لاحظوا في |
|
|
| 387 |
| 00:33:01,770 --> 00:33:05,550 |
| drop mouth عاليمين و عنده inability to close the |
|
|
| 388 |
| 00:33:05,550 --> 00:33:08,210 |
| eye دايما بيكون هنا في الحالات هذه ال mouth |
|
|
| 389 |
| 00:33:08,210 --> 00:33:11,970 |
| deviated على ال intact side ال mouth deviated ليه؟ |
|
|
| 390 |
| 00:33:11,970 --> 00:33:15,810 |
| لأنه في حركة هنا في ال vaccinator muscle و |
|
|
| 391 |
| 00:33:15,810 --> 00:33:19,950 |
| الorbicularis oris muscle متحركوا هنا عاليمين ع |
|
|
| 392 |
| 00:33:19,950 --> 00:33:25,090 |
| الشمال ع اليسار في حركة عاليمين في drop يبقى |
|
|
| 393 |
| 00:33:25,090 --> 00:33:29,600 |
| المريض هذا عندهright side facial palsy ال .. ال .. |
|
|
| 394 |
| 00:33:29,600 --> 00:33:32,060 |
| ال mouth deviated على ال left side لأن ال left |
|
|
| 395 |
| 00:33:32,060 --> 00:33:35,380 |
| side intact هنا ال right في drop في ال mouth angle |
|
|
| 396 |
| 00:33:35,380 --> 00:33:39,220 |
| inability to close the eye الأسطى nasolabial fold |
|
|
| 397 |
| 00:33:39,220 --> 00:33:42,760 |
| على ال right وكان في محالة هادة بتكلم على facial |
|
|
| 398 |
| 00:33:42,760 --> 00:33:48,990 |
| palsy عند المريض على الجهة اليمنىالجزء الأول |
|
|
| 399 |
| 00:33:48,990 --> 00:33:52,870 |
| باكتفي فيه في محاضرة cranial nerve بتاعة الأسبوع |
|
|
| 400 |
| 00:33:52,870 --> 00:33:55,650 |
| التاسع الجزء المتبقى إلينا في cranial nerves راح |
|
|
| 401 |
| 00:33:55,650 --> 00:33:59,550 |
| نتكلم عن Glossopharyngeal nerve Vegas nerve و |
|
|
| 402 |
| 00:33:59,550 --> 00:34:03,070 |
| accessory and hypoglossal nerve موضوع |
|
|
| 403 |
| 00:34:03,070 --> 00:34:06,430 |
| vestibulocochlear nerve بتكلم عنه في محاضرة ان شاء |
|
|
| 404 |
| 00:34:06,430 --> 00:34:10,770 |
| الله ال special sensation اللي هو sense of hearing |
|
|
| 405 |
| 00:34:10,770 --> 00:34:15,330 |
| هيك بكون أنهيت الجزء الأول من محاضرة تبعة الأسبوع |
|
|
| 406 |
| 00:34:15,330 --> 00:34:18,000 |
| التاسع يعطيكوا ألف عافيةالعربية |
|
|
|
|