Neuro exam 1

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Peripheral nervous system

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98 Terms

1

Peripheral nervous system

outside column, 12 cranial and 31 spinal nerves

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Central Nervous System

inside column

brain and spinal cord

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ANS

functionally, not anatomically separated

specialized structures provide internal homeostasis

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Gray matter

made up of neuronal cell bodies

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White matter

made up of neuronal axons

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Tracts or fasciculus

collection of nerve axons that transmit similar information

only in CNS or peripheral n. in PNS

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Afferent

towards reference cell or CNS

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Efferent

away from reference cell or CNS

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Butterfly gray matter

cell bodies and dendrites of spinal neurons and axons or axon terminals

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Outside white matter

fibrous

axons carry information in both directions

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types of glial cells

astrocytes, oligodendrocytes, microglia, ependymal cells, schwann cells

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Astrocytes

CNS, supporting network, metabolic fxn, scars

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Oligodendrocytes

CNS, form myelin

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Ependymal cells

CNS, Line ventricles direct CSF flow

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Schwann Cells

PNS, form myelin

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Myencephalon

medulla

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Mesencephalon

Midbrain

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Metencephalon

Pons and cerebellum

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Diencephalon

thalamus, etc.

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Telencephalon

cerebrum and most of basal ganglia

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Back up of CSF in babies

increase head size before skull fuses

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Rostral to caudal CNS

diencephalon, midbrain,pons, medulla

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Teratogenesis

process by which congenital malformations are produced in embryo or fetus

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Pyramid location

swelling lying between fissure and sulcus on each side

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Pyramid definition

composed of bundle of nerve fibers which originate in cerebral cortexes and descend to innervate neurons in CNS

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Corticospinal tract

path for motor axons

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corticobulbar tract

responsible for cranial nerves

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Between pons and medulla

CN VI, VII, VIII

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Hypoglossal n emerges

from ventral medulla posterior to pyramid

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Gracile and cuneate nuclei fxn

helps shape receptive fields and send sensory info to thalamus

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What cranial nerves are dorsal to olive

CN IX, X, XI

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Where olive located and function

lateral surface medulla, motor learning

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Gracile and cuneate nuclei location

closed medulla

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Medulla internal features

gracile, cuneate, reticular, inferior olivary

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Reticular nuclei location

Scattered throughout open and closed medulla

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Reticular nuclei fxn

Cardiovascular regulation and pain modulation

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Inferior olivary location

open medulla

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Inferior olivary fxn

motor learning

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Middle component of brain

pons

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rostral boundary of pons

inferior colliculus

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Ventral external features of pons

basilar groove, CN V

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Dorsal external features of pons

4th ventricle, cut middle cerebellar peduncles

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Internal features of pons

(ventral) pontine nuclei, longitudinal and transverse fibers

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Transverse fibers

axons from pontine nuclei cross midline and form middle cerebellar peduncles

major relay station

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Midbrain

most rostral portion of brain

connect pons and cerebellum with cerebral cortex

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Ventral surface of midbrain connects

pons to mammillary bodies

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Dorsal surface of midbrain connects

inferior colliculi to thalamus and pineal body

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External ventral midbrain

Interpeduncular fossa bound by crus cerebri

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What cranial nerves exit at external ventral midbrain

CN II, III

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External Dorsal surface of Midbrain

superior and inferior colliculi

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Cranial nerves at External Dorsal surface of Midbrain

CN IV

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Internal midbrain

tectum and tegmentum

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Tectum

roof to fourth ventricle, paired colliculi dorsal to aqueduct

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Tegmentum

ventral to aqueduct, tracts, SN, cerebral peduncles

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Cerebellar peduncles

3 pairs of large white matter fiber pathways

form lateral walls of 4th ventricles

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Superior cerebellar peduncles

efferent fibers from cerebellum

attach to midbrain inferior to inf. colliculi

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Middle cerebellar peduncles

afferent fibers destined for cerebellum

attached to lateral border of pons

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External features of cerebellum

Vermis and flocculonodular lobes(ventral)

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cerebellar nuclei

dentate, interposed(globose and emboliform), fastigial

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Cerebellar nuclei function

involved with sensory and motor integration

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Cerebellar functions

balance, muscle tone, coordination, rapid alternating movements, motor learning, movement initiation

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Diencephalon location

rostral to midbrain, surrounded by cerebrum

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4 functional areas of diencephalon

thalamus, epithalamus, hypothalamus, subthalamus

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Group 1 functional nuclear groups of thalamus

Sensory

lateral and medial geniculate, posterolateral and posteromedial

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Lateral geniculate

visual information integration

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Medial geniculate

auditory information

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Ventral posterolateral

sensory body

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Ventral posteromedial

Face (sensory)

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Group 2

motor

basal ganglia and cerebellum→motor control

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Group 3

Limbic group

emotions and memory

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Group 4 multimodal

complex processing of sensory info

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Group 5 intralaminar

regulation of consciousness along with roles in movement control and pain

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Thalamic dysfunction

significant sensory loss or distortion

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Hypothalamus location

anterior/ventral to thalamus

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Hypothalamus houses

mammillary bodies and pituitary gland

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Hypothalamus function

regulating homeostasis

eating, temp., sleep, fluid, emotions, pituitary hormones

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Subthalamus location

lies below thalamus

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Subthalamic nucleus

functional part of basal ganglia

Dyskinesia, Parkinson’s

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Epithalamus

most posterior

habenular trigones, single midline pineal body, habenular commisure

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Habenular trigones

nuclei process olfactory, limbic, and autonomic info

emotion and smell

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Pineal gland

lies between paired superior colliculi of midbrain

inhibits gonadal function, delays puberty

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Telencephalon

C shaped development

cerebral cortex, surrounds diencephalon and parts of brainstem

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Cerebral cortex surrounds

center of white matter fibers, lateral ventricles, diencephalon, basal ganglia

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Inferior frontal lobe lies

anterior to cranial fossa

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Inferior frontal gyri divide into

opercular, triangular, and orbital portions

language centers

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Operculum

structure that closes or covers an aperture

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Inferior aspect of frontal lobe

olfactory bulb, tract, stria

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lateral aspect of parietal lobe

supramarginal and angular gyri

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Inferior aspect of temporal lobe

parahippocampal gyrus and uncus(rostral end)

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Secondary lobes

Limbic lobe: cingulate gyrus, parahippocampal gyrus, uncus, subcallosal, amygdala, hippocampal formation

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Basal ganglia

internal telencephalon

group of nuclei influences motor control, eye movement, cognition, and emotion

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Caudate nucleus body

lies on thalamus

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caudate nucleus head

floor and wall of lateral ventricle

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caudate nucleus tail

temporal horn of lateral ventricle

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White matter pathways

projection fibers, commissural fibers, Association fibers

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96

Projection fibers

connect cortical structures with sub-cortical regions

ex. internal capsule

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Commissural fibers

cross midline and connect sides of CNS

ex. corpus callosum

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Association fibers

interconnect cortical regions within same hemisphere

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