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This voluminous nucleus extends from the upper part of the medulla oblongata to the 4 th cervical segment of the spinal cord. This topography puts it in relation with numerous other spinal and cerebral centers = ventral and dorsal horns of the spinal cord, including spinal nucleus of the accessory nerve, nucleus solitarius, motor dorsal nucleus of the vagus nerve, reticular formation, etc...

Even if the longitudinal aspect of this nucleus is not uniform, it must be pointed out that the three branches of the trigeminal nerve are represented along this course through the trigeminal spinal tract.

These relations explain the straight reciprocal action of the nerve areas of the trigeminal branches with the first four cervical nerves and the related autonomic links.

These direct elementary reflexes may explain : 1/ many referred symptoms ; 2/ etiologic or trigerring factors of neuralgias in the entire cervico-cephalic region ; 3/ the treatment of the cervico-cephalic diseases (of cerebrospinal or autonomic type) by stimulation of the various cervicocephalic structures : acupuncture points, articular manipulations, massages, etc...4/ an important part of auriculopuncture effects ; 5/ the possibility to use points localized in various nerve areas to get the same action.
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Keywords: Noyaux trigeminaux; Trigeminal nuclei; acupuncture; articular manipulations; auriculopuncture; autonomic nervous system; cervical spinal cord; cervicocephalic acupuncture points; facteur déclenchant; formation réticulaire; manipulation articulaire; massage; massages; microsystems of acupuncture; microsystèmes de l’acupuncture; moelle cervicale; motor dorsal nucleus of vagus nerve; noyau moteur dorsal du X; noyau solitaire; noyau spinal du V; noyau spinal du nerf accessoire; nucleus solitarius; névralgie cervico-céphalique; referred symptom; reticular formation; spinal nucleus of accessory nerve; symptômes référés; système nerveux autonome; trigeminal spinal nucleus; trigerring factors

Document Type: Research Article

Affiliations: Professor of Anatomy, Faculty of Medicine, Univ. Montpellier - Head of Department, Functional exploration of nervous system - CHR et U - BP 26 - 30006 NIMES-Cédex - FRANCE

Publication date: January 1, 1986

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