2. Anatomy of the Brain and Spinal Cord

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37 Terms

1
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What is the Meninges?

3 layers of tissue provide
protection to the brain and spinal cord

<p><span>3 layers of tissue provide</span><br><span>protection to the brain and spinal cord</span></p>
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What is cerebrospinal fliud?

Where is CSF derived from?

How does it Leave?

  • Fluid = cerebroventricular/cerebrospinal fluid (CSF)

    • Derived from choroid plexus – a specialized vascular tissue within walls of ventricles; filters capillary blood and secretes the CSF product into the ventricles.

    • CSF leaves ventricles through several foramina (openings/passages) into the subarachnoid space surrounding the brain/spinal surface

    • CSF then drains out of subarachnoid space through arachnoid villi/granulations, into subdural sinuses, and then back into the general venous blood circulation

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What are the different layers of the Meninges

  • Dura mater = “tough mother”

    • Outermost layer, it is tough and leathery

  • Arachnoid mater = “spider-like”

    • This is the middle layer, it is fairly delicate and impermeable

    • Arachnoid mater is separated from the dura by the subdural space

    • Arachnoid mater is separated from the pia mater by the subarachnoid space, which is filled with cerebrospinal fluid.

  • Pia mater = “tender mother”

  • The innermost layer, it adheres to the surface of the brain, covering the gyri and descending into the sulci.

  • It appears glossy, is so thin it is almost invisible to the naked eye

<ul><li><p><span>Dura mater = “tough mother”</span></p><ul><li><p><span>Outermost layer, it is tough and leathery </span></p></li></ul></li><li><p><span>Arachnoid mater = “spider-like”</span></p><ul><li><p><span>This is the middle layer, it is fairly delicate and impermeable</span></p></li><li><p><span>Arachnoid mater is separated from the dura by the subdural space</span></p></li><li><p><span>Arachnoid mater is separated from the pia mater by the subarachnoid space, which is filled with cerebrospinal fluid.</span></p></li></ul></li><li><p><span>Pia mater = “tender mother”</span></p></li><li><p><span>The innermost layer, it adheres to the surface of the brain, covering the gyri and descending into the sulci.</span></p></li><li><p><span>It appears glossy, is so thin it is almost invisible to the naked eye</span></p></li></ul><p></p>
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What is Meningitis?

Meningitis = infection/inflammation of the meninges
• viral meningitis
• bacterial meningitis (more serious, often fatal, immunization available)

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What is the ventricular system of the brain?

  • The Ventricular system is a series of interconnected, fluid-filled spaces within the core of the CNS (brain and spinal cord)

<ul><li><p>The Ventricular system is a series of interconnected, fluid-filled spaces within the core of the CNS (brain and spinal cord)</p></li></ul><p></p>
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What is the purpose of Cerebrospinal fluid?

1) Buoyancy: The mass of the human brain is about 1.5 kg (~ 3 pounds) but the net weight when suspended in CSF is equivalent 25-50 grams.
This is called“neutral buoyancy”
– the brain can be dense without being damaged by its own
weight.


2) Protection: CSF protects the brain tissue from injury by providing a fluid buffer that acts as a shock absorber


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T or F, the ventricular system only protects the brain?

Ventricular system extends down to
spinal cord: protects the entire central
nervous system (not just the brain!)

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Clinical Applications: Ventricular System

  • Spinal tap/epidural
    • CSF can be collected for testing (i.e. meningitis)
    • Drugs can be delivered into the CSF (intrathecal administration)

<ul><li><p><span>Spinal tap/epidural</span><br><span>• CSF can be collected for testing (i.e. meningitis)</span><br><span>• Drugs can be delivered into the CSF (intrathecal administration)</span></p></li></ul><p></p>
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Describe the Blood Brain Barrier (BBB)

  • protects the brain from substances in the blood

  • Do not confuse with the role of the meninges

  • BBBarrier is formed by the tight junctions between capillary endothelial cells within the brain & spinal cord

    • These tight junctions are maintained by astrocytes via their “end feet”, which contact vascular endothelial cells


<ul><li><p><span>protects the brain from substances in the blood</span></p></li><li><p><span>Do not confuse with the role of the meninges</span></p></li><li><p><span>BBBarrier is formed by the tight junctions between capillary endothelial cells within the brain &amp; spinal cord</span></p><ul><li><p><span>These tight junctions are maintained by astrocytes via their “end feet”, which contact vascular endothelial cells</span></p></li></ul></li></ul><p><br></p>
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T or F? Brain capillaries are fenestrated?

Brain capillaries are NON-FENESTRATED (have tights junctions that form a barrier)


Capillaries in the rest of the body’s tissues are FENESTRATED (no tight junctions/no barriers)

<p><span>Brain capillaries are NON-FENESTRATED (have tights junctions that form a barrier)</span></p><p><br><span>Capillaries in the rest of the body’s tissues are FENESTRATED (no tight junctions/no barriers)</span></p>
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What is kept in and out by the blood brain barrier?

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____ organs are not protected by the BBB

Circumventricular

• A few small, special brain regions do
contain fenestrated capillaries . . .
specialized for detecting toxins,
hormones, etc.
– Circumventricular organs (on brain midline, adjacent to ventricles)


<p>Circumventricular</p><p></p><p><span>• A few small, special brain regions do</span><br><span>contain fenestrated capillaries . . .</span><br><span>specialized for detecting toxins,</span><br><span>hormones, etc.</span><br><span>– Circumventricular organs (on brain midline, adjacent to ventricles)</span></p><p></p><p><br></p>
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What functions might these structures (Circumventricular organs) serve?

• Receptors detect osmolality of extracellular fluid –
triggers thirst
• Receptors detect the presence of toxins in the blood

<p>• Receptors detect osmolality of extracellular fluid –<br>triggers thirst<br>• Receptors detect the presence of toxins in the blood</p>
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Axes and Directional Terminology

<p></p>
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White vs Gray Matter

• White matter = myelinated axons.
• Gray matter – consists mostly of cell bodies and dendrites

<p><span>• White matter = myelinated axons.</span><br><span>• Gray matter – consists mostly of cell bodies and dendrites</span></p>
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What are the features of the Spinal Cord?

• Located within the vertebral column
• Transfers information between CNS and PNS
• Pairs of spinal nerves are attached to the cord at 31 different
levels.
• Sensory information enters the dorsal (back) portion, and
motor commands exit on the ventral (stomach) side.
• Ganglion – collection of somas
• Root – axons entering and exiting the spinal cord

<p><span>• Located within the vertebral column</span><br><span>• Transfers information between CNS and PNS</span><br><span>• Pairs of spinal nerves are attached to the cord at 31 different</span><br><span>levels.</span><br><span>• Sensory information enters the dorsal (back) portion, and</span><br><span>motor commands exit on the ventral (stomach) side.</span><br><span>• Ganglion – collection of somas</span><br><span>• Root – axons entering and exiting the spinal cord</span></p>
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What are the cranial nerves?


• 12 pairs of nerves


• Emerge from the brain, rather than from segments
of the spinal cord


• Send motor commands to and receive sensory
information from the head and neck

Cranial nerves can be identified by:
• Rostro-caudal position (I-XII)
• Information type (sensory vs. motor)
• Function

<p><span><br>• 12 pairs of nerves</span></p><p><br><span>• Emerge from the brain, rather than from segments</span><br><span>of the spinal cord</span></p><p><br><span>• Send motor commands to and receive sensory</span><br><span>information from the head and neck</span><br><br><span>Cranial nerves can be identified by:</span><br><span>• Rostro-caudal position (I-XII)</span><br><span>• Information type (sensory vs. motor)</span><br><span>• Function</span></p>
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Name all the Cranial Nerves and Distinguish between Sensory and Motor

Sensory

  • Olfactory

  • Optic

  • Trigeminal

  • Facial

  • Vestibulocochlear

  • Glossopharyngeal

  • Vagus

Motor

  • Oculomotor

  • Trochlear

  • Abducens

  • Spinal Accessory

  • Hypoglossal

<p>Sensory</p><ul><li><p>Olfactory</p></li><li><p>Optic</p></li><li><p>Trigeminal</p></li><li><p>Facial</p></li><li><p>Vestibulocochlear</p></li><li><p>Glossopharyngeal</p></li><li><p>Vagus</p></li></ul><p></p><p>Motor</p><ul><li><p>Oculomotor</p></li><li><p>Trochlear</p></li><li><p>Abducens</p></li><li><p>Spinal Accessory</p></li><li><p>Hypoglossal</p></li></ul><p></p>
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Divisions of the brainstem and their functions

Medulla:
• Includes neurons that maintain normal, rhythmic breathing

Pons region:
• Pons (structure): includes axons that allow the cerebellum to communicate with the brainstem and the cerebral cortex


• Fourth ventricle is on the dorsal side of the pons region


Midbrain:
• Superior and inferior colliculi: localization of visual and auditory
stimuli

All levels of the brainstem contain
sensory and motor axons

<p><span>Medulla:</span><br><span>• Includes neurons that maintain normal, rhythmic breathing</span></p><p><span>Pons region:</span><br><span>• Pons (structure): includes axons that allow the cerebellum to communicate with the brainstem and the cerebral cortex</span></p><p><br><span>• Fourth ventricle is on the dorsal side of the pons region</span></p><p><br><span>Midbrain:</span><br><span>• Superior and inferior colliculi: localization of visual and auditory</span><br><span>stimuli</span></p><p></p><p><span>All levels of the brainstem contain</span><br><span>sensory and motor axons</span></p>
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Cerebellum

Roles of the cerebellum:


Motor planning:
• Aids the motor cortices in planning complex movements

Motor learning:
• Error correction when learning movements: compares intended
movement with actual movement and corrects errors that might occur
• Synapses change with experience

<p><span>Roles of the cerebellum:</span></p><p><br><span>Motor planning:</span><br><span>• Aids the motor cortices in planning complex movements</span><br></p><p><span>Motor learning:</span><br><span>• Error correction when learning movements: compares intended</span><br><span>movement with actual movement and corrects errors that might occur</span><br><span>• Synapses change with experience</span></p>
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Diencephalon

Components:
Thalamus:
• Located rostral to the midbrain
• “Relay” for information going to and coming from the neocortex


Hypothalamus:
• Located below the thalamus

• Regulates the autonomic nervous system
• Regulates hormone release

<p><span>Components:</span><br><span>Thalamus:</span><br><span>• Located rostral to the midbrain</span><br><span>• “Relay” for information going to and coming from the neocortex</span></p><p><br><span>Hypothalamus:</span><br><span>• Located below the thalamus </span></p><p><span>• Regulates the autonomic nervous system</span><br><span>• Regulates hormone release</span></p>
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Gross Structures of the cerebral cortex (neocortex)

What are the main overaching functions of the cerebral cortex?

Gross structures:
• Sulci (singular: sulcus): grooves
• Fissures: deep sulci
• Gyri (singular: gyrus): rounded regions between sulci

Functions:
• Processing of sensory input
• Initiation/planning of movements
• “Higher-order” functions including memory, cognition, language

<p><span>Gross structures:</span><br><span>• Sulci (singular: sulcus): grooves</span><br><span>• Fissures: deep sulci</span><br><span>• Gyri (singular: gyrus): rounded regions between sulci</span></p><p></p><p><span>Functions:</span><br><span>• Processing of sensory input</span><br><span>• Initiation/planning of movements</span><br><span>• “Higher-order” functions including memory, cognition, language</span></p>
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Distinct features of cerebral cortex + lobes

• Occipital lobe
• Parietal lobe
• Temporal lobe
• Frontal lobe


Central sulcus:
• Separates parietal and frontal lobes


Lateral fissure:
• Separates the temporal lobe from those surrounding it


Longitudinal fissure:
• Separates the two hemispheres of the brain

<p><span>• Occipital lobe</span><br><span>• Parietal lobe</span><br><span>• Temporal lobe</span><br><span>• Frontal lobe</span></p><p><br><span>Central sulcus:</span><br><span>• Separates parietal and frontal lobes</span></p><p><br><span>Lateral fissure:</span><br><span>• Separates the temporal lobe from those surrounding it</span></p><p><br><span>Longitudinal fissure:</span><br><span>• Separates the two hemispheres of the brain</span></p>
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Pre and Post central gyri of cerebral cortex

Postcentral gyrus:
• Directly caudal to the central sulcus
• Contains the primary somatosensory cortex, which processes touch and pain information


Precentral gyrus:
• Directly rostral to the central sulcus


• Contains the primary motor cortex, which helps plan movements and sends motor (movement) signals to the spinal cord

<p><span>Postcentral gyrus:</span><br><span>• Directly caudal to the central sulcus</span><br><span>• Contains the primary somatosensory cortex, which processes touch and pain information</span></p><p><br><span>Precentral gyrus:</span><br><span>• Directly rostral to the central sulcus</span></p><p><br><span>• Contains the primary motor cortex, which helps plan movements and sends motor (movement) signals to the spinal cord</span></p>
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What is the function of the occipital lobe

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What is the function of the parietal lobe?

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What is the function of the temporal lobe

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What is the function of the frontal lobe?

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Layers of neocortex: function of each layer

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T or F, the layers of the cortex are the same size throughout the neocortex?

False

<p>False</p>
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What is the limbic system and what is it responsible for?

• A group of interconnected structures that are related to
emotional behavior and emotional interpretation of the world.
• Sexual behavior
• Involved in the formation of memory, contains primary reward and punishment centers.
• Site of action of drugs which produce euphoria (direct and
indirect)


<p><span>• A group of interconnected structures that are related to</span><br><span>emotional behavior and emotional interpretation of the world.</span><br><span>• Sexual behavior</span><br><span>• Involved in the formation of memory, contains primary reward and punishment centers.</span><br><span>• Site of action of drugs which produce euphoria (direct and</span><br><span>indirect)</span></p><p><br></p>
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What is the hypothalamus?

Part of Limbic System

• Regulates many
motivated functions
(e.g., eating and
drinking), sleep/wake
cycle

• Controls activity of the
pituitary gland (master
gland that interacts with
the hypothalamus to
regulate many functions
via the release of
hormones)


<p>Part of Limbic System</p><p><span>• Regulates many</span><br><span>motivated functions</span><br><span>(e.g., eating and</span><br><span>drinking), sleep/wake</span><br><span>cycle</span><br><br><span>• Controls activity of the</span><br><span>pituitary gland (master</span><br><span>gland that interacts with</span><br><span>the hypothalamus to</span><br><span>regulate many functions</span><br><span>via the release of</span><br><span>hormones)</span></p><p><br></p>
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What is the Hippocampus?

• Involved in memory
consolidation and provide
the organism’s context

<p><span>• Involved in memory</span><br><span>consolidation and provide</span><br><span>the organism’s context</span></p>
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What is the Amygdala

• Coordinates autonomic
responses in with
emotional states

<p><span>• Coordinates autonomic</span><br><span>responses in with</span><br><span>emotional states</span></p>
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How does the cerebral cortex impact limbic system activity?

• Interacts with subcortical structures
to guide behavior

<p><span>• Interacts with subcortical structures</span><br><span>to guide behavior</span></p>
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What is the basal ganglia?

Group of interconnected structures that control
voluntary, smooth movement


Structures include:
striatum (caudate/putamen)
globus pallidus
substantia nigra


Actions of stimulants in the basal ganglia increases motor
activity

<p><span>Group of interconnected structures that control</span><br><span>voluntary, smooth movement</span></p><p><br><span>Structures include:</span><br><span>striatum (caudate/putamen)</span><br><span>globus pallidus</span><br><span>substantia nigra</span></p><p><br><span>Actions of stimulants in the basal ganglia increases motor</span><br><span>activity</span></p>
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<p>What is the corpus callosum</p>

What is the corpus callosum

- Long-range neurons that connect the two halves of the brain

<p><span>- Long-range neurons that connect the two halves of the brain</span></p>