Lemons Michele L
Department of Natural Sciences, Assumption College, Worcester, MA 01609.
J Undergrad Neurosci Educ. 2017 Jun 15;15(2):C7-C10. eCollection 2017 Spring.
A fictitious patient, Mr. Challenge, is admitted to the emergency room and displays symptoms consistent with damage to the central nervous system. In this problem-based learning case, students are challenged to determine the location of a lesion that is consistent with Mr. Challenge's symptoms. Students discover details about Mr. Challenge's symptoms while exploring three anatomical pathways: corticospinal tract, spinothalamic tract and medial lemniscal pathway. Students make predictions as to which of these pathways may be damaged in Mr. Challenge and defend their predictions based on their research of the function and anatomical location of these tracts. This ultimately leads the student to identifying a single lesion site that can account for Mr. Challenge's symptoms. This case is executed in an undergraduate neuroscience course and would be useful in anatomy and physiology course, as well as other courses that serve students interested in health science related careers.
一位虚构的患者查林杰先生被送入急诊室，表现出与中枢神经系统损伤相符的症状。在这个基于问题的学习案例中，学生们面临挑战，要确定与查林杰先生症状相符的病变位置。学生们在探索三条解剖学通路（皮质脊髓束、脊髓丘脑束和内侧丘系通路）时，发现了有关查林杰先生症状的细节。学生们预测查林杰先生这些通路中哪一条可能受损，并根据他们对这些神经束的功能和解剖位置的研究来为自己的预测辩护。这最终引导学生确定一个能够解释查林杰先生症状的单一病变部位。这个案例在本科神经科学课程中实施，对解剖学和生理学课程以及其他为对健康科学相关职业感兴趣的学生开设的课程都很有用。
