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1 |
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00:00:05,040 --> 00:00:10,440 |
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بسم الله الرحمن الرحيم السلام عليكم ورحمة الله |
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2 |
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00:00:10,440 --> 00:00:15,960 |
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وبركاته محاضرة الأسبوع التاسع راح نكمل موضوع |
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3 |
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00:00:15,960 --> 00:00:19,940 |
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anatomy and physiology of the cranial nerves الجزء |
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4 |
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00:00:19,940 --> 00:00:24,900 |
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الأول من محاضرة الأسبوع التاسع راح نتكلم بالتفصيل |
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5 |
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00:00:24,900 --> 00:00:29,600 |
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الممل عن anatomy and physiology of the facial |
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6 |
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00:00:29,600 --> 00:00:34,990 |
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nerveأهم عصب لكم في موضوع cranial nerves هو العصب |
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7 |
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00:00:34,990 --> 00:00:40,990 |
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السابع facial nerve facial |
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8 |
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00:00:40,990 --> 00:00:44,670 |
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nerve it |
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9 |
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00:00:44,670 --> 00:00:48,870 |
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is a mixed nerve it is a mixed nerve which |
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10 |
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00:00:48,870 --> 00:00:57,600 |
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contains motor sensory and parasympatheticفانكشن |
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11 |
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00:00:57,600 --> 00:01:02,920 |
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أو fibers هاي هو دي ال mix nerve عشر تلاف وتسعمية |
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12 |
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00:01:02,920 --> 00:01:09,670 |
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وخمس وسبعين خلصنا السابق العصب الخامساللي هو الـ |
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13 |
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00:01:09,670 --> 00:01:13,490 |
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Trigeminal nerve دلوقت راح اتكلم على Facial nerve |
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14 |
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00:01:13,490 --> 00:01:17,970 |
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Facial nerve اللي هو العصب السابع عصب السابع |
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15 |
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00:01:17,970 --> 00:01:22,230 |
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Facial nerve it is mixed nerve contains motor |
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16 |
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00:01:22,230 --> 00:01:27,250 |
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sensory and parasympathetic fibers يوم اتكلمت على |
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17 |
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00:01:27,250 --> 00:01:30,950 |
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Trigeminal nerve قلتلكوا Trigeminal nerve it is |
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18 |
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00:01:30,950 --> 00:01:35,310 |
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more important than sensory nerve اليوم راح اتكلم |
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19 |
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00:01:35,310 --> 00:01:40,730 |
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على Facial nerveit is more important as motor |
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20 |
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00:01:40,730 --> 00:01:44,070 |
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nerve، عشان هي مهم إلكوا في العلاج الطبيعي، موضوع |
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21 |
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00:01:44,070 --> 00:01:51,110 |
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facial nerve، لإنه عصب حركي أكتر ما هو حسيه، هو في |
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22 |
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00:01:51,110 --> 00:01:57,110 |
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خليط الأنسجة، لكن هو more important as motor nerve |
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23 |
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00:01:57,110 --> 00:02:01,730 |
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than sensory and than parasympathetic functions |
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24 |
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00:02:02,370 --> 00:02:06,550 |
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what's the root of a facial nerve اتفقنا ان ال |
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25 |
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00:02:06,550 --> 00:02:11,070 |
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facial nerve immerse بخرج من ال lower part of the |
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26 |
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00:02:11,070 --> 00:02:16,130 |
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pons between the pons and medulla oblongata بخرج |
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27 |
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00:02:16,130 --> 00:02:22,230 |
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as a two root اللي هو كام root؟ two root large |
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28 |
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00:02:22,230 --> 00:02:31,100 |
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root large root بيكون اللي هوموتر فاشيال موتر روت |
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29 |
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00:02:31,100 --> 00:02:37,000 |
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فاشيال موتر روت is purely motor nerve supply all |
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30 |
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00:02:37,000 --> 00:02:42,360 |
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the muscle of expression facial expression second |
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31 |
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00:02:42,360 --> 00:02:48,140 |
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root small rootsmall root بيسموه nerve |
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32 |
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00:02:48,140 --> 00:02:53,880 |
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intermediates nerve intermediates contains sensory |
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33 |
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00:02:53,880 --> 00:02:59,900 |
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and parasympathetic fibers يبقى كمان مرة ال facial |
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34 |
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00:02:59,900 --> 00:03:05,370 |
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nerveبخرج من ال .. ال ventral service of the pons |
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35 |
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00:03:05,370 --> 00:03:09,390 |
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في ال lower part of the pons between the pons and |
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36 |
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00:03:09,390 --> 00:03:14,730 |
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medulla oblongata as two root large root facial |
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37 |
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00:03:14,730 --> 00:03:20,390 |
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motor nerve و small root يعتبر intermedius nerve |
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38 |
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00:03:20,390 --> 00:03:25,210 |
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اللي فيه sensory و parasympathetic fibers sensory |
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39 |
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00:03:25,210 --> 00:03:32,710 |
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و parasympathetic fibersهي عندي ال lower part of |
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40 |
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00:03:32,710 --> 00:03:37,950 |
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the palms بخرج منها large root أنا برسم على ال |
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41 |
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00:03:37,950 --> 00:03:45,350 |
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left side large root اللي هو motor facial nerve و |
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42 |
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00:03:45,350 --> 00:03:50,590 |
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small root nerve intermediates nerve intermediates |
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43 |
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00:03:50,590 --> 00:03:55,030 |
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اللي علاقة بال sensation و هي parasympathetic |
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44 |
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00:03:55,030 --> 00:03:59,650 |
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function sensory and parasympathetic function |
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45 |
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00:04:04,790 --> 00:04:11,850 |
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nuclei of the facial nerve حسب ال function فيه |
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46 |
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00:04:11,850 --> 00:04:17,450 |
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nuclei اتفاقنا main function is motor function |
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47 |
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00:04:17,450 --> 00:04:23,750 |
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يبقى موجود عندي facial motor nerve facial motor |
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48 |
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00:04:23,750 --> 00:04:29,590 |
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nucleus فيه موجودة facial motor nucleus تنجسم |
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49 |
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00:04:29,590 --> 00:04:35,040 |
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جسمين هذه ال facial motor nucleusالها dorsal part |
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50 |
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00:04:35,040 --> 00:04:44,340 |
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و ventral part هي نرسمها هذه تعتبر facial motor |
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51 |
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00:04:44,340 --> 00:04:57,040 |
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nucleus of facial nerve تمام الها جزئين جزء دورسل |
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52 |
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00:04:57,040 --> 00:04:59,360 |
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وجزء |
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53 |
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00:05:01,570 --> 00:05:10,070 |
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ventral اللي الدورسل الدورسل |
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54 |
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00:05:10,070 --> 00:05:14,890 |
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supply the |
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55 |
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00:05:14,890 --> 00:05:19,730 |
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upper part |
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56 |
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00:05:19,730 --> 00:05:28,670 |
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of the face يبقى الدورسل nucleus بتاعة الموتور |
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57 |
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00:05:28,670 --> 00:05:34,410 |
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مسئول عن أي جزءupper part of the face يعني upper |
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58 |
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00:05:34,410 --> 00:05:38,250 |
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quadrant of the face يقول لو غمضت عيني مين حرك |
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59 |
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00:05:38,250 --> 00:05:44,170 |
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لعين هذا ال dorsal part دكتور ايه اضحك شيء عن |
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60 |
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00:05:44,170 --> 00:05:46,810 |
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الامتحان و ماعجبك و اشرحها الطالب او طالب يعمل |
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61 |
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00:05:46,810 --> 00:05:51,800 |
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بتمها زيك حرك مش ماجبهممش هنجيبهم يبقى ان انا حركت |
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62 |
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00:05:51,800 --> 00:05:55,200 |
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ال lower quadrant of the face المسئول عنه ال lower |
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63 |
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00:05:55,200 --> 00:06:00,720 |
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quadrant اللي هو ventral nucleus المسئول عن ايه ال |
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64 |
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00:06:00,720 --> 00:06:04,140 |
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lower part |
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65 |
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00:06:05,060 --> 00:06:08,780 |
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of the face من ناحية انا بتكلم عن ال motor من |
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66 |
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00:06:08,780 --> 00:06:14,480 |
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ناحية ايه motor يبقى كمان مرة facial motor nucleus |
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67 |
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00:06:14,480 --> 00:06:20,160 |
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الها two part dorsal part and ventral part ال |
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68 |
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00:06:20,160 --> 00:06:25,340 |
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dorsal part مسئول عن مين عن ال upper quadrant of |
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69 |
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00:06:25,340 --> 00:06:29,060 |
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the face ال ventral part مسئول عن مين lower |
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70 |
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00:06:29,060 --> 00:06:32,560 |
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quadrant of the faceوين موجودة دي ال nucleus؟ |
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71 |
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00:06:32,560 --> 00:06:36,300 |
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موجودة في ال pons موجودة وين؟ في ال pons إيش |
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72 |
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00:06:36,300 --> 00:06:41,300 |
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وظيفتها؟ supply the facial muscles لو أتكلم على ال |
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73 |
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00:06:41,300 --> 00:06:46,540 |
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lower quadrant ببطرق إلى ال ventral part upper |
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74 |
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00:06:46,540 --> 00:06:52,120 |
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quadrant of the face دورسال part ثمانة في عندي |
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75 |
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00:06:52,950 --> 00:06:57,730 |
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Superior Salivary Nucleus Superior Salivary |
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76 |
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00:06:57,730 --> 00:07:02,870 |
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Nucleus هذه لها علاقة بال Parasympathetic function |
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77 |
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00:07:02,870 --> 00:07:10,630 |
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Secretomotor بتغديلنا submandibular and sublingual |
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78 |
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00:07:10,630 --> 00:07:15,190 |
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salivary glands عن طريق branch من ال facial nerve |
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79 |
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00:07:15,190 --> 00:07:21,600 |
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اسمه cordaتمبني نيرف كوردة تمبني نيرف و بتغدين ال |
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80 |
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00:07:21,600 --> 00:07:26,500 |
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gland of the palate nose لاخرم ال gland |
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81 |
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00:07:26,500 --> 00:07:32,880 |
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nasopharynx عن طريق عصب اسمه GSPN greater |
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82 |
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00:07:32,880 --> 00:07:37,800 |
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superficial petrosal nerve اذا ذكروا لما نروح |
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83 |
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00:07:37,800 --> 00:07:42,100 |
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المطبخ نقطع بصل ايش بيصير حالتنا شلش بيصير حالتنا |
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84 |
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00:07:42,100 --> 00:07:48,010 |
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في شلش بندمع و بنف و حلقصعبة بتكون الوضع هنا من |
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85 |
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00:07:48,010 --> 00:07:53,010 |
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البصل مين بشتغل هنا الـ Parasympathetic fibers |
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86 |
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00:07:53,010 --> 00:07:57,270 |
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بتاعة مين ال facial nerve عن طريق أي نوكلياس |
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87 |
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00:07:57,270 --> 00:08:01,230 |
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superior salivary nucleus وظيفته ايه |
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88 |
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00:08:01,230 --> 00:08:07,590 |
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Parasympathetic ال نوكلياس التالتةsolitary nucleus |
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89 |
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00:08:07,590 --> 00:08:14,530 |
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موجودة في الميدالة أبلانقاتها، علاقة بماذا؟ علاقة |
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90 |
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00:08:14,530 --> 00:08:18,130 |
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بالـ sensory function، ومن ضمن الـ sensory |
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91 |
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00:08:18,130 --> 00:08:24,310 |
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function taste، sensationfrom the anterior to |
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92 |
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00:08:24,310 --> 00:08:29,930 |
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third of the tongue يعني ال facial nerve مسئول عن |
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93 |
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00:08:29,930 --> 00:08:34,950 |
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حاسة التذوق لوين لل tongue من أي جزء من ال |
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94 |
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00:08:34,950 --> 00:08:38,630 |
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anterior to third of the tongue يبقى ال taste |
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95 |
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00:08:38,630 --> 00:08:43,370 |
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sensation from the anterior to third of the tongue |
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96 |
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00:08:43,370 --> 00:08:48,310 |
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اللي بيحس فيها هو ال facial nerve عن طريق عصب اسمه |
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97 |
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00:08:48,310 --> 00:08:50,750 |
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نفس الشيء كمان chorda tympani nerve هو chorda |
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98 |
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00:08:50,750 --> 00:08:55,470 |
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tympani nerveو أي نوكلياس solitary نوكلياس وين |
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99 |
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00:08:55,470 --> 00:08:58,250 |
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موجودة ال solitary نوكلياس في مضلة او بلانجاتا |
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100 |
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00:08:58,250 --> 00:09:00,390 |
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احنا قولنا فيه exception مع ان ال facial nerve |
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101 |
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00:09:00,390 --> 00:09:03,510 |
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المفروض يكون في ال bones تلاحظوا superior salivary |
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102 |
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00:09:03,510 --> 00:09:06,990 |
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في ال bones و ال motor nucleus في ال bones لكن ال |
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103 |
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00:09:06,990 --> 00:09:10,830 |
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solitary نوكلياس موجودة وين في مضلة او بلانجاتا |
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104 |
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00:09:10,830 --> 00:09:14,410 |
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لأنها مسئولة كمان عن العصب التاسع و مسئولة عن من |
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105 |
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00:09:14,410 --> 00:09:21,600 |
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عن العصب العاشرfunctions of the facial nerve ايش |
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106 |
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00:09:21,600 --> 00:09:25,720 |
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وظيفة ال facial nerve اول function it is the main |
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107 |
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00:09:25,720 --> 00:09:33,760 |
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function motor motor motor function motor function |
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108 |
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00:09:33,760 --> 00:09:40,240 |
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وظيفتها ال motor اللي هيsupply the muscles of |
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109 |
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00:09:40,240 --> 00:09:47,160 |
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facial expression لها علاقة بالموتور |
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110 |
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00:09:47,160 --> 00:09:52,120 |
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facial expression ثاني بارا sympathetic function |
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111 |
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00:09:52,120 --> 00:09:57,540 |
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to all glands of head لمين submandibular |
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112 |
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00:09:57,540 --> 00:10:02,670 |
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sublingual and lacrimal glandsExcept Parotid |
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113 |
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00:10:02,670 --> 00:10:05,950 |
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glands ما بتغدى ال Parotid gland ال Parotid gland |
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114 |
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00:10:05,950 --> 00:10:10,470 |
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بتاخد عن طريق ال Glossopharyngeal nerve العصب |
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115 |
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00:10:10,470 --> 00:10:16,450 |
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التاسع يبقى facial nerve مسئول عن كل ال salivary |
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116 |
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00:10:16,450 --> 00:10:21,650 |
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glands مع دق اوتك أو ال Parotid gland بتاخد من |
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117 |
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00:10:21,650 --> 00:10:26,690 |
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Glossopharyngeal nerveتلاثة مسئولة عن sensory from |
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118 |
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00:10:26,690 --> 00:10:33,190 |
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skin of the external auricle و تمبانك مبراين بغض |
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119 |
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00:10:33,190 --> 00:10:36,990 |
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يزه من الأذن و من طابلة الأذن تمبانك مبراين و أهم |
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120 |
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00:10:36,990 --> 00:10:42,930 |
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شيء مسئول عن ايه taste sensation from the anterior |
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121 |
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00:10:42,930 --> 00:10:48,220 |
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to third of the tongue نطبق على نقلي ITest |
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122 |
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00:10:48,220 --> 00:10:52,020 |
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sensation بتاعة الانترال توترد of the tongue مسئول |
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123 |
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00:10:52,020 --> 00:10:58,480 |
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عنها مين؟ Solitary nucleus Sensory of skin تبع ال |
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124 |
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00:10:58,480 --> 00:11:02,740 |
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external auricle و ال membrane مسئول عنها تنبانك |
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125 |
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00:11:02,740 --> 00:11:06,120 |
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ممبران مسئول عنها كمان Solitary nucleusالـ |
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126 |
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00:11:06,120 --> 00:11:08,980 |
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Parasympathetic Function بتاعته لـ Glans، Salivary |
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127 |
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00:11:08,980 --> 00:11:13,000 |
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Glans Superior Salivary Nucleus الـ Motor Function |
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128 |
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00:11:13,000 --> 00:11:19,180 |
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اللي هي Motor Nucleus of Facial Nerve تنقسم لقسمين |
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129 |
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00:11:19,180 --> 00:11:25,490 |
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Ventral Part and Dorsal Partو ventral part بياخد a |
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130 |
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00:11:25,490 --> 00:11:28,790 |
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أو مسئول عن a ال ventral part مسئول عن ال lower |
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131 |
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00:11:28,790 --> 00:11:32,830 |
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quadrant of the face lower quadrant of the face و |
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132 |
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00:11:32,830 --> 00:11:36,670 |
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dorsal nucleus مسئول عن upper quadrant of the face |
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133 |
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00:11:36,670 --> 00:11:44,350 |
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نتكلم على intracranial course of the facial nerve |
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134 |
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00:11:44,350 --> 00:11:48,690 |
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ال intracranial course of facial nerve the facial |
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135 |
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00:11:48,690 --> 00:11:54,030 |
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nerveemersed from the lower border of the pons، |
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136 |
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00:11:54,030 --> 00:11:58,250 |
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بخرج من أين؟ من ال lower border بتاع ال pons، بعد |
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137 |
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00:11:58,250 --> 00:12:02,810 |
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هي بيمر في cerebellopontine angel، يوم ما شرحتلكوا |
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138 |
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00:12:02,810 --> 00:12:05,850 |
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العصب الخامس، اتكلمنا عن ال cerebellopontine |
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139 |
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00:12:05,850 --> 00:12:11,050 |
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angel، بيمر في العصب الخامس والسبع والثامن، بعد هي |
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140 |
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00:12:11,050 --> 00:12:16,980 |
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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 |
|
|
|
142 |
|
00:12:22,400 --> 00:12:25,480 |
|
fallopian tube حد يكتبلي fallopian tube fallopian |
|
|
|
143 |
|
00:12:25,480 --> 00:12:29,760 |
|
tube هذه موجودة فقط عند ال female بتربط ال uterus |
|
|
|
144 |
|
00:12:29,760 --> 00:12:35,320 |
|
مع ال ovary قناة بين من ومن؟ بين الرحم ال uterus و |
|
|
|
145 |
|
00:12:35,320 --> 00:12:40,510 |
|
ال ovary و المبايدفالوبيان كانال موجود عند المال |
|
|
|
146 |
|
00:12:40,510 --> 00:12:48,570 |
|
والفمال اسمها facial canal او اسمها internal |
|
|
|
147 |
|
00:12:48,570 --> 00:12:52,970 |
|
auditory canal موجودة في الـ petrostemporal bone |
|
|
|
148 |
|
00:12:54,480 --> 00:12:59,480 |
|
أثناء مروره في ال facial canal ال facial nerve |
|
|
|
149 |
|
00:12:59,480 --> 00:13:02,900 |
|
بيعطينا three branches راح نتكلم عنهم بعد هيك |
|
|
|
150 |
|
00:13:02,900 --> 00:13:06,940 |
|
finally it exit from stylo-mastoid foramen وفي |
|
|
|
151 |
|
00:13:06,940 --> 00:13:11,280 |
|
النهاية بخرجلنا من الخلف من stylo-mastoid foramen |
|
|
|
152 |
|
00:13:11,280 --> 00:13:21,370 |
|
هي اندي تابع معايا خرج ال facial nerve منlower |
|
|
|
153 |
|
00:13:21,370 --> 00:13:24,470 |
|
border of the pons between the pons and medulla |
|
|
|
154 |
|
00:13:24,470 --> 00:13:33,110 |
|
oblongata مروين في cerebellopontine angle بعد هيك |
|
|
|
155 |
|
00:13:33,110 --> 00:13:39,630 |
|
بيفوت لل internal auditory |
|
|
|
156 |
|
00:13:39,630 --> 00:13:45,210 |
|
meatus لل facial canal facial ايه؟ canal او |
|
|
|
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 |
|
|
|
|