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What is the center of the spinal cord made of?
gray matter
Is gray matter myelinated or unmyelinated?
unmyelinated
What surrounds the center of the spinal cord?
white matter
What is white matter composed of?
myelinated axons
How many pairs of spinal nerves are there per segment of the spinal cord?
one pair of nerves
What does the dorsal root do?
carries sensory information into the spinal cord
What does the ventral root do?
carries motor information away from the spinal cord
What does the spinal cord control?
processing and response to sensory input
What is a flexor muscle?
muscle that brings a limb closer to the body
What is an extensor muscle?
muscle that take limbs away from the body
What does ipsilateral mean?
the same side
What does contralateral mean?
the opposite side
What are spinal reflexes?
the simplest motor response by the nervous system
What route does a stretch reflex follow?
goes in the dorsal route and out the ventral route
What is an example of the stretch reflex?
the knee jerk reflex
What is a flexor withdrawal reflex?
withdrawal of a limb from a painful stimulus to prevent damage
Which muscles are stimulated and inhibited during the flexor withdrawal reflex?
flexor muscle is stimulated and extensor muscle is inhibited
What is the cross extensor reflex?
involves the stimulation of both legs
Which leg is flexed or extended during the cross extensor reflex?
ipsilateral leg is flexed and contralateral leg is extended
What is the inverse myotatic reflex?
too much tension on the muscle causes the muscle to relax which is the opposite of what the muscle was originally trying to do
What is the function of the meninges?
to be protective and nourishing
What is the dura mater?
tough outer membrane that contains blood sinuses
What is the arachnoid mater?
highly vascularized middle layer that is web-like in appearance
What is the subarachnoid space?
space between the arachnoid mater and pia mater
What does the subarachnoid space contain?
cerebral spinal fluid
What is the pia mater?
innermost membrane located on the surface of the brain and spinal cord that adheres to the surface of the cortex
Does the brain contain pain receptors?
no
What can headache pain be associated with?
inflammation of the meninges or blood vessels
What is meningitis?
inflammation of the meninges usually caused by infection
What is the most common form of meningitis?
viral meningitis
Which is the more severe form of meningitis?
bacterial meningitis
What is cerebral spinal fluid?
clear watery fluid that contains many of the same constituents as plasma but at different concentrations
What does CSF fill?
the space between arachnoid and pia maters of brain and spinal cord as well as the ventricles of the brain and the central canal of the spinal cord
Is the CSF the same as the brain’s interstitial fluid?
no
What is the total volume of the CSF usually?
125 to 150 mL
What is hydrocephalus?
the enlarging of the skull caused by excess CSF
Why is the CSF important?
acts as a cushion of water for the brain thus reducing the brain’s weight by 97% and helps exchange materials between blood and brain interstitial fluid
What forms the blood brain barrier?
endothelial cells of capillary walls in the brain
What do the endothelial cells have?
tight junctions that force material to go through cells in the capillary wall
How do astrocyte glial cells help form the blood brain barrier?
by surrounding the capillaries
What regions of the CNS are not protected by the blood brain barrier?
portion of the hypothalamus
How does the blood brain barrier make it hard to treat certain diseases?
some materials cannot get through the blood brain barrier and into the brain
What are Parkinson’s patients treated with?
L-dopa because dopamine cannot get through the blood brain barrier
How much energy does the brain require?
about 20% of the body’s energy needs
Why does the brain need a constant flow of blood?
for oxygen and glucose
What do neurons in the CNS rely on?
aerobic metabolism
Do neurons in the CNS store glycogen?
no
What can diabetics experience after taking an insulin shot?
insulin shock due to low blood glucose
What does insulin shock cause?
increased excitability of CNS and possibly seizures
What is a stroke?
it is a loss of blood flow to an area of the brain
What is a transient ischemic attack?
brief blockage of blood flow to an area of the brain; mini stroke
What is a hemorrhagic stroke?
blood vessel ruptures and causes a clot resulting in ischemia
How many segments does the spinal cord have?
31
How many pairs of nerves does the spinal cord have?
31
Where do spinal nerves carry sensory information?
in the back
Where do spinal nerves carry motor information?
in the front
What are dermatomes?
skin areas the cover each pair of spinal nerves
What is referred pain?
pain corresponding to the dermatome of a specific region and not necessarily where the problem is happening
What is an example of referred pain?
heart attacks can cause a pain sensation in left arm and chest
What is cauda equina?
the “horse’s tail” of nerves that fill the vertebral canal after the L2
Why are spinal taps performed?
to detect infection or disease or administer anesthetics
What is the brainstem composed of?
medulla, pons, and midbrain
What is the brainstem the origin of?
most of the cranial nerves
What is the brainstem involved in?
initial processing and organization of information from the spinal cord
True or false: the brainstem is an important autonomic control center.
true
What is the reticular activating system?
diffuse network or neurons throughout the brainstem
How do general anesthetics work?
by suppressing activity of the RAS
True or false: the reticular activating system is a distinct group of neurons located in a specific area of the brainstem.
false
What happens when there are lesions or damage to the RAS?
a coma can result because it cannot arouse the higher levels of the brain
What is the structure of the cerebellum?
outer gray matter, inner white matter, convolutions to increase surface area
What does increased surface area of the cerebellum allow for?
more neurons
How much of the brain’s neurons does the cerebellum contain?
over 50%
What is the cerebellum involved in?
subconscious control of motor activity, including the coordination and planning of skilled voluntary movements
True or false: the cerebellum directly controls the muscles.
false
What does the cerebellum do?
monitors and indicates adjustments needed in movements
What can damage to the cerebellum result in?
difficulties in movement, speech, and abnormal eye movements
How does alcohol affect the cerebellum?
causes slurred speech and unsteady movements
What is the hypothalamus?
collection of specific nuclei located above the pituitary and below the thalamus
What does nuclei refer to?
large groups of gray matter (dendrites, cell bodies, and some axons)
What is the hypothalamus involved in?
control of many homeostatic functions
True or false: the hypothalamus is an important autonomic control system
true
What does the hypothalamus help control?
basic functions such as thirst, urine production, body temperature, gastrointestinal activity, cardiovascular activity, and appetite
What does the hypothalamic pituitary gonadal axis do?
important in the control of reproduction and reproductive cycles
What is the hypothalamus the link between?
the nervous system and endocrine system
What does the hypothalamus control?
the release of hormones from the anterior pituitary
What does the hypothalamus produce?
hormones released by the posterior pituitary
What is the thalamus?
mass of gray matter in the center of the brain that has a lot of neurons packed into it
What does the thalamus act as?
relay station for sensory information going to the cortex
True or false: almost all sensory information passes through the thalamus on the way to the cortex.
true
What does the thalamus do?
projects sensory information to specific areas of the cortex and screens/filters sensory information before relaying it to the cortex
What are the basal nuclei?
series of gray matter nuclei that are subcortical (under the cortex)
What does the basal nuclei do?
help maintain purposeful motor activity while inhibiting unwanted motor activity
What has been posited to be the cause of Tourette’s Syndrome?
loss of inhibition by the basal ganglia
What is the cerebral cortex?
the most advanced portion of the brain
What is the cerebral cortex responsible for?
sensory perception, control of voluntary movements, language, personality, higher level thinking, and executive functions
How is the cerebral cortex composed?
outer gray matter and inner white matter
What does the occipital lobe contain?
primary visual cortex; association areas for recognizing shapes, faces, etc
What does the parietal lobe contain?
somatosensory cortex; association areas for sensory information
What does the temporal lobe contain?
primary auditory cortex and primary olfactory cortex; association areas for recognizing smells and sounds
What is the temporal lobe important for?
the process of memory storage and incorporating thoughts into long term memory storage