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What are the general characteristics of the CNS?
Consists of brain and spinal cord
brain is largest and most complex portion of nervous system
Brain controls sensation, perception, movement, thinking
Brain consists of 2 cerebral hemispheres, diencephalon, brainstem, cerebellum
Brainstem connects brain to spinal cord
Brain and spinal cord connect to the PNS by peripheral nerves
What is the meninges?
Membranes that protect brain and spinal cord; lie between bone and soft tissues of nervous system
consists of Dura mater, Arachnoid mater, Pia mater
What is the dura mater?
Outer layer
tough, dense connective tissue
Dural sinuses
Epidural space
What is the arachnoid mater?
Middle layer, web-like
subarachnoid space contains CSF
What is the pia mater?
Inner layer, attached to surface of brain, spinal cord
contains blood vessels and nerves
Nourishes CNS
What are the properties of the ventricles?
Produces CSF; interconnected cavities within cerebral hemispheres and brainstem
ventricles are continuous w/ the central canal of the spinal cord
2 lateral ventricles (first and second), third, fourth ventricle
What is the interventricular foramina?
Connect third to lateral ventricles
What is the cerebral aqueduct?
Connects third and fourth ventricles
What are the properties of CSF?
Produced by the choroid plexuses
selective transfer of substances from the blood to form CSF
Nutritive and protective of CNS neurons
Helps maintain stable ionic concentrations in the CNS
After exchanging substances, CSF is absorbed by the arachnoid granulations
Vol is about 140mL
What is a TBI?
Traumatic brain injury→ result of mechanical force such as a fall, attack, accident, sports injury
What is a concussion?
A mild TBI; typically results from a one-time injury and has no lasting symptoms
What is a CTE?
Chronic traumatic encephalopathy→ sports-related, mild repetitive TBI
results from many small injuries over time; symptoms begin years later and have long-lasting effects on memory and behavior
What is a blast-related brain injury?
Severe TBI, results from explosions in combat situations; often leads to cognitive decline years after injury
What is the purpose of CSF pressure?
Continuous secretion/reabsorption of CSF keeps fluid pressure in ventricles constant
interference w/ circulation can increase intracranial pressure in ventricles
Can lead to collapses of cerebral blood vessels, injury of brain tissues compressed against skull
Pressure can be relieved by insertion of a drain into subarachnoid space
What is used to measure CSF pressure?
Spinal tap/lumbar puncture
What are the functions of the brain?
Neural centers for sensory function
Sensations and perceptions
Motor commands to skeletal uncles
Higher mental functions, such as memory, reasoning
Neural centers for coordinating muscular movement
Neural centers for regulating visceral activities
Personality
What are the major regions of the adult brain?
Cerebrum
Diencephalon
Cerebellum
Brainstem
midbrain
Pons
Medulla oblongata
What are the properties of the cerebrum?
Largest part of brain→ 2 hemispheres
Corpus callosum→ connects cerebral hemispheres
Gyri→ ridges or convolutions
Solci→ shallow grooves in surface
Fissures→ deep grooves in surface
longitudinal: separates cerebral hemispheres
Transverse→ separates cerebrum from cerebellum
What are the 5 lobes of the cerebrum?
Frontal lobe
Parietal lobe
Temporal lobe
Occipital lobe
Insula (deep within lateral sulcus)
What is the cerebral cortex?
Thin layer of gray matter that makes up outermost layer of all outer lobes of the cerebrum
contains almost 75% of neuron cell bodies in nervous system
What is the white matter of the cerebrum?
Lies under cerebral cortex
makes up most of cerebrum
Contains bundles of myelinated axons that connect neuron cell bodies in cerebral cortex to other portions of nervous system
What are the functions of the cerebral cortex?
Interpreting impulses from sensory organs
Initiating voluntary movements
Storing information as memory
Retrieving stored info
Reasoning
Seat of intelligence and personality
divided into sensory, association, and motor areas (w/ overlap)
What is the function of the frontal lobes?
Association areas→ intellectual processes for concentrating, planning, complex problem solving, and judging consequences of behavior
Motor areas→ control movements of voluntary skeletal muscles
What is the function of the parietal lobes?
Sensory areas→ provide sensation of temp, touch, pressure, pain involving skin
Association areas→ understanding speech and using words to express thoughts and feelings
What is the function of the temporal lobes?
Sensory areas→ responsible for hearing
Association areas→ interpret sensory experiences and remember visual scenes, music, and other complex sensory patterns
What are the properties of the occipital lobes?
Sensory areas→ vision
Association areas→ combine visual images w/ other sensory experiences
What hemisphere is more dominant?
Left cerebral hemisphere
What does the dominant hemisphere control?
Language skills of speech, writing, reading
Verbal, analytical, computational skills
What does the nondominant hemisphere control?
Nonverbal tasks
Motor tasks involving orientation in space
Understanding and interpreting musical and visual patterns
Provides emotional and intuitive thought processes
What is memory?
Consequence of learning and involves persistence of learning
short-term (working) memory
Long-term memory
What is short-term (working) memory?
Neurons connected in a circuit
Circuit is stimulated over and over
When impulse flow ceases, memory also ceases, unless it enters long-term memory via memory consolidation
What is long-term memory?
Holds memory for a life-time
changes structure or function of neurons, making new synaptic connections by increasing branching of processes
Long-term potentiation
What is long-term potentiation?
Increase in neurotransmitter release and effectiveness of synaptic transmission upon repeated stimulation
What are the properties of the diencephalon?
Between cerebral hemispheres and above brainstem
surrounds third ventricle, composed of gray matter
Contains:
Thalamus
Hypothalamus
Optic tracts
Optic chiasmata
Infundibulum
Posterior pituitary
Mammillary bodies
Pineal gland
What is the function of the thalamus?
Gateway for sensory impulses ascending to cerebral cortex
receives all sensory impulses except smell
Channels impulses to appropriate part of cerebral cortex for interpretation
What is the function of the hypothalamus?
Maintains homeostasis by regulating visceral activities
Ex. Blood pressure, heart rate, temp, water/electrolyte balance, hunger, body weight, movement and glandular secretion, etc.
links nervous and endocrine systems
What is the function of the limbic system?
Consists of several structures in various parts of brain, including diencephalon
controls emotional responses, feelings, behavior oriented toward survival
Reacts to potentially life-threatening upsets (physical or psychological)
What are the properties of the brainstem?
Connects brain to spinal cord
midbrain, pons, medulla oblongata
Connects nerve fiber tracts and gray matter masses
What are the properties of the cerebellum?
Inferior to occipital lobes, dorsal to pons and medulla oblongata
two hemispheres separated by falx cerebelli
Vermis connects hemispheres
Cerebellar cortex (gray matter)
Arbor vitae (white matter)
Cerebellar peduncles
Dentate nucleus (largest nucleus)
Integrates sensory info for proprioception
Coordinates skeletal muscle
Maintains posture
What is an EEG?
Electroencephalogram→ electrode on scalp that detect electrical changes in ECF of the brain
What are the 4 types of brain waves?
Alpha
Beta
Theta
Delta
What do delta waves indicate?
Mainly present during sleep
What do theta waves indicate?
Present in mainly in children, or sleeping/stressed adults
What do beta waves indicate?
Active mental activity under tension
What do alpha waves indicate?
Awake, resting, eyes closed
What is the spinal cord?
Slender column of nervous tissue continuous with brain and brainstem
extends downward through vertebral canal
Begins at foramen magnum I and terminates at first and second lumber vertebrae space
Consists of 31 segments→ pair of spinal nerves
Within each group, there is a superior/inferior
What does the cervical enlargement supply?
Supplies nerves to upper limbs
What does the lumbar enlargement supply?
Supply nerves to lower limbs
What does the conus medullaris supply?
Tapering region below lumbar enlargement
What is the filum terminale?
Cord of connective tissue that anchors spinal cord to coccyx
What is the cauda equina?
Group of lumbar and sacral nerves extending downward from conus medullaris in vertebral canal
What is the structure of the spinal cord?
Anterior median fissure and posterior median sulcus→ grooves that extend whole length of spinal cord
white matter surrounds gray matter
Gray matter arranged in horns
White matter arranged in funiculi
Posterior roots contain sensory neurons
Anterior roots contain motor neurons
What are the functions of the spinal cord?
Center for spinal reflexes
Conduit for impulses to and from the brain
What is a reflex?
Automatic, subconscious response to a stimuli within or outside the body
maintain homeostasis by controlling involuntary processes, such as heart rate, blood pressure, swallowing, coughing
What is the reflex arc?
Neural pathway, consisting of a sensory receptor, 2 or more neurons, and an effector
What does a simple reflex arc contain?
Only sensory and motor neurons
What does the common reflex arc contain?
Sensory neuron, interneurons, motor neurons
What is the process of a reflex arc?
Receptor senses impulse from stimulus→ cell body electronically changes, sending an impulse
Impulse is sent through interneuron to the posterior horn of the spinal cord
Impulse travels to brain, where it sends a signal down a descending pathway through the anterior horns of the spinal cord to an effector
Effector acts upon motor impulse
What is a monosynaptic (stretch) reflex?
Contains 2 neurons→ sensory and motor
only 1 synapse in spinal cord
Helps maintain an upright posture
What is an example of a stretch reflex?
Patellar/knee-jerk reflex
What is a withdrawal reflex?
Occurs hen person touches or steps on something painful
prevents or limits tissue damage by removing limb from painful stimulus
Polysynaptic: contains sensory, interneuron, and motor neuron
Reciprocal innvervation: flexors contract, extensors inhibited
What is the process of the patellar reflex?
Tapping the patellar ligament sends the motion through the patella into the quad muscles
Sensory neurons innervating the quad muscle senses impulse, sending a signal up an ascending pathway to spinal cord
Spinal cord receives impulse via sensory neuron of the posterior horn, sends impulse back through the anterior horns
Impulse travels down a descending pathway back to quad muscle via motor neuron
Motor neuron controls quad muscle (effector) to contract, causing kick reaction
What is the process of the withdrawal reflex?
Pain felt by pain Receptor of the foot→ sends signal to sensory neuron
Sensory neuron sends impulse up an ascending pathway the posterior horns of the spinal cord
Spinal cord receives impulse and converts it into a motor impulse through the anterior horns
Anterior horn sends signal down a descending pathway to effector
Effector muscles contracts, taking limb away from pain source
What is the crossed extensor reflex?
During withdrawal reflex, flexors on affected (ipsilateral) side contract and extensors are inhibited
At same time, extenors on opposite (contralateral) side contract, flexors inhibited
Also shifts body weight, so person remains upright
What is an ascending tract?
Conduct impulses to the brain
What is a descending tract?
Conduct motor impulses from the brain via motor neurons reaching muscles and glands
What are the major ascending spinal cord tracts?
Fasciculus gracilis and fasciculus cunneatus
Spinothalamic tracts
Spinaocerebellar tracts
What are the major descending (motor) spinal cord tracts?
Corticospinal tracts
Reticulospinal tracts
Rubrospinal tracts
What is the function of the fasciculus gracilis/cuneatus tract?
Located: posterior funiculi
conduct sensory impulses associated w/ senses of touch, pressure, and body movement from skin, muscles, tendons, and joints to brain
What is the function of the spinothalmic tracts (posterior/anterior)?
Located: lateral and anterior funiculi
conduct sensory impulses associated w/ senses of pain, temp, touch, and pressure form various body regions to brain
What is the function of the spinocerebellar tract (posterior/anterior)?
Located: lateral funiculi
conduct sensory impulses for the coordination of muscle movements from muscle of the lower limbs and trunk to the cerebellum
What is the function of the corticospinal tracts (lateral/anterior)?
Located: lateral and anterior funiculi
conduct motor impulses associated w/ voluntary movements from the brain to the skeletal muscles
What is the function of the reticulospinal tracts (lateral, anterior, medial)?
Located: lateral and anterior funiculi
conduct motor impulses associated w/ the maintenance of muscle tone and activity of sweat glands from the brain
What is the function of the rubrospinal tract?
Located: lateral funiculi
conduct motor impulses associated w/ muscular coordination from the brain
What is amyotropic lateral sclerosis (ALS)?
Motor neuron disease
involves degeneration of motor neurons in spinal cord, brainstem, cerebral cortex
possible causes: overactive microglia that’s kill neurons, or buildup of oxygen-free radicals that neurons or astrocytes cannot counter
cognitive function is normal
Fatal in 2-5 years due to respiratory problems
What are the properties of the peripheral nervous system?
Consists of cranial and spinal nerves
contains somatic nervous system, autonomic nervous system
What is the somatic nervous system?
Cranial and spinal nerves connect CNS to the skin and skeletal muscles (voluntary)
What is the autonomic nervous system?
Cranial and spinal nerves that connect CNS to viscera (involuntary activities)
What are sensory nerves?
Conduct impulses into brain or spinal cord
What are motor nerves?
Conduct impulses to muscles or glands
What are mixed nerves?
Contain both sensory and motor nerve fibers
all spinal nerves are mixed (except first pair)
How many cranial nerves are there?
12 pairs of nerves
Whati is CN1?
Olfactory nerve (sensory)
sensory fibers conduct impulses associated w/ sense of smell
What is CN2?
Optic nerve (sensory)
sensory fibers conduct impulses associated w/ sense of vision
What is CN3?
Oculomotor (motor)
motor fibers conduct impulses to muscles that raise eyelids, move eyes, adjust amount of light entering eyes, focus lense
Some sensory fibers associated w/ proprioceptors
What is CN4?
Trochlear (motor)
motor fibbers conduct impulses to muscles that move eyes
Some sensory fibers conduct impulses associated w/ proprioception
What is CN5?
Trigeminal (mixed)
Ophthalmic→ sensory fibers conduct impulses from surface of eyes, tear glands, scalp, and upper eyelids
Maxillary→ sensory fibers conduct impulses from scalp, skin of jaw, lower teeth, gum, lip
Mandibular→ conduct impulses to muscles of mastication and muscles of the floor of the mouth
What is CN6?
Abducens (motor)
motor fibers conduct impulses to muscles that move eyes
Sensory fibers conduct impulses associated w/ proprioceptors
What is CN7?
Facial (mixed)
sensory fibers conduct impulses associated w/ taste receptors of anterior tongue
Motor fibers conduct impulses to muscles of facial expression, tear glands, and salivary glands
What is CN8?
Vestibulocochlear (sensory)
sensory fibers conduct impulses associated w/ sense of equilibrium
Sensory fibers conduct impulses associated w/ sense of hearing
What is CN9?
Glossopharyngeal (mixed)
sensory fibers conduct impulses from the pharynx, tonsils, posterior tongue, and carotid arteries
Motor fibers conduct impulses to salivary glands and to muscles of the pharynx used on swallowing
What is CN10?
Vagus (mixed)
sensory fibers conduct impulses from the pharynx, larynx, esophagus, and viscera of the thorax and abdomen
Somatic motor fibers conduct impulses to muscles associated w/ speech and swallowing
Autonomic motor fibers conduct impulses to the viscera of the thorax and abdomen
What is CN11?
Accessory (motor)
motor fibers conduct impulses to muscles of the soft palate, pharynx, and larynx
Motor fibers conduct impulses to muscle of neck and back (some proprioceptor input)
What is CN12?
Hypoglossal (motor)
motor fibers conduct impulses to muscles that move the tongue; some proprioceptor input
How many cervical nerves are there?
8
How many thoracic nerves are there?
12
How many lumbar nerves are there?
5
How many sacral nerves are there?
5
What does Co stand for?
Coccygeal nerve
What is a dermatome?
Area of skin innervated by sensory nerve fibers of a particular spinal nerve (below C1)