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解惑：基底节 = 基底节区？

2021-12-16 放射沙龙 网络

基底节区
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基底节是解剖学概念，更准确的说这一术语是基底神经节（basal ganglia）或称基底核（basal nucleus）。

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悄悄告诉你：基底节和基底节区不是一回事

基底节和基底节区是我们经常听到的名词，听得久了，仿佛两者是同一回事。笔者在这里提醒您，这是两个不同的概念。
1、基底节是解剖学概念，更准确的说这一术语是基底神经节（basal ganglia）或称基底核（basal nucleus）。基底神经节是大脑深部的灰质核团，包括纹状体（尾状核和豆状核）、屏状核和杏仁核。是椎体外系的重要结构和边缘系统的重要结构。广义的基底神经节还包括红核、黑质和丘脑底核。
2、基底节区是影像学概念，影像读片常出现这一概念。轴位扫描，通过基底神经节的平面内，除了上述灰质核团，还包括其周围的白质、内囊。其实基底节区是不太明确的区域，笔者翻阅影像学课本及各类文献，均无对这一概念的准确描述。
下面是基底神经节、基底节区的示意图。
 
图1 基底神经节模式图（图片改编自参考文献[1]）
 
图2 基底节概述
 
图3 基底节区，Cau，尾状核；E：外囊；I：内囊；P，壳核；T，丘脑。
（图片来自参考文献[2]）
参考文献：
[1]神经病学（第3版）.人民卫生出版社.北京, 2015.
[2]医学影像学（第3版）.人民卫生出版社.北京, 2015.
首发：医学界神经病学频道

评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1081963, encodeId=f666108196376, content=不错，学习了！, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f802411854, createdName=1237a1fam90暂无昵称, createdTime=Mon Dec 20 06:49:43 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081097, encodeId=d766108109ef4, content=<a href='/topic/show?id=056c420664b' target=_blank style='color:#2F92EE;'>#基底节区#</a>是个非常好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42066, encryptionId=056c420664b, topicName=基底节区)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c7ad5218670, createdName=14775a26m11暂无昵称, createdTime=Fri Dec 17 11:13:05 CST 2021, time=2021-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080920, encodeId=4a771080920fd, content=分类的角度不相同，要注意区分, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211216/9452e987f53b49ffbae0997155088a68/3586c1e3b13b47ba8d1e47b0f7f41b81.jpg, createdBy=13f05571406, createdName=李会媛, createdTime=Thu Dec 16 22:41:09 CST 2021, time=2021-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080814, encodeId=2f311080814a1, content=基底节, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210821/285a12750b6f479abbc2cb84dfb7885e/1073447e075b4528b9a08483aefe5172.jpg, createdBy=79975576266, createdName=今天明天aaaaaaf9, createdTime=Thu Dec 16 18:18:11 CST 2021, time=2021-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582381, encodeId=c1841582381c1, content=<a href='/topic/show?id=1f634206545' target=_blank style='color:#2F92EE;'>#基底节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42065, encryptionId=1f634206545, topicName=基底节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=823916911991, createdName=41514492@qq.com, createdTime=Wed Nov 10 00:45:33 CST 2021, time=2021-11-10, status=1, ipAttribution=)]
    2021-12-20 1237a1fam90暂无昵称

    不错，学习了！

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1081963, encodeId=f666108196376, content=不错，学习了！, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f802411854, createdName=1237a1fam90暂无昵称, createdTime=Mon Dec 20 06:49:43 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081097, encodeId=d766108109ef4, content=<a href='/topic/show?id=056c420664b' target=_blank style='color:#2F92EE;'>#基底节区#</a>是个非常好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42066, encryptionId=056c420664b, topicName=基底节区)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c7ad5218670, createdName=14775a26m11暂无昵称, createdTime=Fri Dec 17 11:13:05 CST 2021, time=2021-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080920, encodeId=4a771080920fd, content=分类的角度不相同，要注意区分, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211216/9452e987f53b49ffbae0997155088a68/3586c1e3b13b47ba8d1e47b0f7f41b81.jpg, createdBy=13f05571406, createdName=李会媛, createdTime=Thu Dec 16 22:41:09 CST 2021, time=2021-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080814, encodeId=2f311080814a1, content=基底节, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210821/285a12750b6f479abbc2cb84dfb7885e/1073447e075b4528b9a08483aefe5172.jpg, createdBy=79975576266, createdName=今天明天aaaaaaf9, createdTime=Thu Dec 16 18:18:11 CST 2021, time=2021-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582381, encodeId=c1841582381c1, content=<a href='/topic/show?id=1f634206545' target=_blank style='color:#2F92EE;'>#基底节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42065, encryptionId=1f634206545, topicName=基底节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=823916911991, createdName=41514492@qq.com, createdTime=Wed Nov 10 00:45:33 CST 2021, time=2021-11-10, status=1, ipAttribution=)]
    2021-12-17 14775a26m11暂无昵称

    #基底节区#是个非常好的资料

    0

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    2021-12-16 李会媛

    分类的角度不相同，要注意区分

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1081963, encodeId=f666108196376, content=不错，学习了！, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f802411854, createdName=1237a1fam90暂无昵称, createdTime=Mon Dec 20 06:49:43 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081097, encodeId=d766108109ef4, content=<a href='/topic/show?id=056c420664b' target=_blank style='color:#2F92EE;'>#基底节区#</a>是个非常好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42066, encryptionId=056c420664b, topicName=基底节区)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c7ad5218670, createdName=14775a26m11暂无昵称, createdTime=Fri Dec 17 11:13:05 CST 2021, time=2021-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080920, encodeId=4a771080920fd, content=分类的角度不相同，要注意区分, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211216/9452e987f53b49ffbae0997155088a68/3586c1e3b13b47ba8d1e47b0f7f41b81.jpg, createdBy=13f05571406, createdName=李会媛, createdTime=Thu Dec 16 22:41:09 CST 2021, time=2021-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080814, encodeId=2f311080814a1, content=基底节, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210821/285a12750b6f479abbc2cb84dfb7885e/1073447e075b4528b9a08483aefe5172.jpg, createdBy=79975576266, createdName=今天明天aaaaaaf9, createdTime=Thu Dec 16 18:18:11 CST 2021, time=2021-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582381, encodeId=c1841582381c1, content=<a href='/topic/show?id=1f634206545' target=_blank style='color:#2F92EE;'>#基底节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42065, encryptionId=1f634206545, topicName=基底节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=823916911991, createdName=41514492@qq.com, createdTime=Wed Nov 10 00:45:33 CST 2021, time=2021-11-10, status=1, ipAttribution=)]
    2021-12-16 今天明天aaaaaaf9

    基底节

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1081963, encodeId=f666108196376, content=不错，学习了！, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=2f802411854, createdName=1237a1fam90暂无昵称, createdTime=Mon Dec 20 06:49:43 CST 2021, time=2021-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1081097, encodeId=d766108109ef4, content=<a href='/topic/show?id=056c420664b' target=_blank style='color:#2F92EE;'>#基底节区#</a>是个非常好的资料, beContent=null, objectType=article, channel=null, level=null, likeNumber=126, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42066, encryptionId=056c420664b, topicName=基底节区)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=c7ad5218670, createdName=14775a26m11暂无昵称, createdTime=Fri Dec 17 11:13:05 CST 2021, time=2021-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080920, encodeId=4a771080920fd, content=分类的角度不相同，要注意区分, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211216/9452e987f53b49ffbae0997155088a68/3586c1e3b13b47ba8d1e47b0f7f41b81.jpg, createdBy=13f05571406, createdName=李会媛, createdTime=Thu Dec 16 22:41:09 CST 2021, time=2021-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080814, encodeId=2f311080814a1, content=基底节, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210821/285a12750b6f479abbc2cb84dfb7885e/1073447e075b4528b9a08483aefe5172.jpg, createdBy=79975576266, createdName=今天明天aaaaaaf9, createdTime=Thu Dec 16 18:18:11 CST 2021, time=2021-12-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1582381, encodeId=c1841582381c1, content=<a href='/topic/show?id=1f634206545' target=_blank style='color:#2F92EE;'>#基底节#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=42065, encryptionId=1f634206545, topicName=基底节)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=823916911991, createdName=41514492@qq.com, createdTime=Wed Nov 10 00:45:33 CST 2021, time=2021-11-10, status=1, ipAttribution=)]
    2021-11-10 41514492@qq.com

    #基底节#

    0

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