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What are the two systems that protect the brain?
The Meninges and the Blood brain barrier
What system nourishes the brain?
The arterial system
What system takes waste away from the brain?
Venous system
The Meninges are…
a 3 layered membrane surrounding the brain.
Dura mater
most outer layer; has 2 layers itself that are toghether unelss there is a cavity
Arachnoid mater
midddle layer; thinn delicate layer of connective tissue
Pia mater
inner layer; closest to the cortex and adheres to sluci and gyri.
epidural space
potential space between skull and dura mater in the spinal cord
Subdural space
potential space under the dura
Sinus is another word for
cavity
Subarachnoid space is what kind of space?
actual
Blood brain barrier functions
Protects against foreign invaders, against hormones and neurotransmitters and maintains homeostasis in the brain; not some things can get through
What can get through the BBB
alchohol and brain eating ameoba; plus some medicines
How much oxygen does the brain consume?
20% of the body’s oxygen
Circle of Willis feeds the body oxegynated blood thorugh
anterior cerebral artery, middle cerebral artery and posterior cerebral artery
The venous system
moves deoxygenated blood away from the brain.
Surface gray matter is made up of
neuron somas
white matter is made of
axons
deep grey matter is made of
thalamus, basal ganglia, etc
how many ventricles does the brain have?
4
Layer one is made of
glia and neurons
Layer two is made of
small pyramidal cells
Layer 3 is made of
large pyramidal cells
layer 4 is made of
nonpyramidal cells
layer 5 is made of
betz cells
layer 6 is made of
various cells.
Frontal lobe controls
reasonig, planning and motor movement
parietal lobe controls
sensory perception and interpretation
occiptal lobe controls
visoin
temporal lobe controls
memory, receptive language
The left side of the brain controls
Reading, writing, spoken language, auditory comprehension, reasoning
The right side of the brain controls
prosody, facial expression and recognition, body language, attention and visuospatial skills.
Corpus Callosum
a band of fibers that connects the right and left hemispheres together
What kind of problems can a TBI create?
coma, drowsiness, headache, seizures, hydrocephalus, visoin changes, plegia/paresis
Problems from a TBI specififc to cognitive communcative
attention, orientation, memory, new learning, reasoning, problem solving, executive functions
Cerebral Palsy
nonprogessive brain disorder, occurs before, at or right after brith. Symptoms include muscle tone issues, dyskinesias and gait problems
3 main kinds of CP are
spastic, dyskinetic and ataxia
stuttering
interruptions in the normal smoothness of oral language. Interruptions called disfluencies.
Neuroplasticity
the adaptive capacity of the central nervous system
Use it or lose it
if you don’t use a skill, you’ll lose it
use it and improve it
the more you use a pathway, the stronger it gets
Specificity
the nature of the training experience dictates the nature of plasticity.
Repetition matters
multiple attempts is what casues change
intensity matters
the brain changes in response to a challenge.
Time matters
the more tiem you spend on a an activity, the more likely the brain will change
salience matters
the brain changes best when the experience is interesting.
age matters
younger brains are more neuroplastic than older ones.
transference
training in one area can enhance a related skill
interference
sometimes neuropathways conflict and inhibit each other.
Broadmann Map
a map that divides the brain into 52 areas based on gross anatomy and cellular structure.
Frontal Lobe: Prefrontal Cortex
occupies BA 9,10,11,12,45,46,47. Involved with cognition, personality , decision making and social behavior.
Two profiles from PFC damage are
depressive and manic
Frontal Lobe: Frontal Eye Fields
occupies BA 8, controls eye movements( up, down, left,right). Damage results in eyes deviating toward injury. Involved in uncertainty and hope.
Frontal Lobe: Brocas Area
occupies BA 44, 45. Involved in interpretation of language and planning/ programing of verbal responses.
Frontal Lobe: Premotor Cortex
Occupies BA 6; Involved in selecting and planning of motor movements.
Frontal Lobe: Primary Motor Cortez
Occupies BA 4; sends motor plans developed in BA 6 to the muscles for them to act
Parietal Lobe; Primary Sensory Cortex
Occupies BA 1,2, 3; processes somatosensory information such as vibration, proprioception, touch and sterognosis.
Parietal Lobe; Somatosensory Association Cortex
Occupies BA 5 and 7; used to refine motor action and interpret sensory information.
Parietal Lobe; Angular Gyrus
Occupies BA 39; involved in reading and math abilities; could also be involved in our understanding of metaphors and our sense of embodiment
Parietal Lobe; Supermarginal Gyrus
Occupies BA 40; Involved in phonological systems ( stores auditory representations of phonemes)
Occipital Lobe: visual Cortex
Occupies BA 17,18,19; where info from eyes is received and processed.
Dorsal Stream
BA 18,19,7 and 39; the where of vision; analyzes motion and spatial relationships
Ventral Stream
BA 18,19,37; the what of vision; analyzes forms, colors and faces.
Temporal Lobe; Inferiro Temporal Area
Occupies BA 20 and 21; Involved in processing of auditory and language information as well as reading facial emotions
Temporal Lobe; Parahippocampal Gyrus
Occupies BA 27,28,34,35 and 36. Located on the mediul surface of temporal lobe. Involves the hippocampus and the entorhinal cortex
Hippocampus
associated with declarative memory
Temporal Lobe: Fusiform Gyrus
occupies BA 37; important in remembering and naming seen objects
Temporal Lobe: Temporal Pole
Occupies BA 38; Involved in Langauge
Left; semeantic processing, speech comprehensions
Right: integration of emotion into narratives, identifiying farmilier voices
both; theory of mind, empathy
Temporal Lobe; Primary Auditory Cortex
Occupies BA 41 and 42: receives auditory information , processes sound intensity and frequency; organized by tones
Temporal Lobe; Wenicke’s Area
Occupies BA 22; Involved in attaching meaning to auditory infromation
Cingulate Cortex
Occupies BA 23-26, 30-33; part of the limbic system and has connections to the PFC and hippocampus
Insular Cortex
Suggested to play a role in language and maybe lexical decision making.
why is the white matter white?
Because the myelin sheaths surrounding the axons are white
Longitudnal fissure
separates the two hemispheres
central fissure
Seperates the frontal lobe from the parietal
Lateral fissure
Separates temporal lobe from the frontal and parietal lobe.
association fibers
one part of the cortex to another part of the cortex in the same hemisphere
projection fibers
brain to body connection
Colossal fibers
connects one side to the same part of the brain on the other side
superior longitudnal fasciculus
connects frontal lobe to all the other lobes; bidirectional
arcuate fasiculus
Connects wernikies area to brocas area
ischemeic
lack of oxygen and or clotting to the brain
thrombotic
blockage in blood vessels to the brain
embolic
blockage in blood vessesl in the body but travels to the brain
transient
a mini stroke
What is the acronym for testing someone with a stroke
F.A.C.E
how do you prevent aneurysms
lower blood pressure and stop smoking
If you are sitting in the stands at a baseball game and the ball hits you, what kind of TBI is that?
impact based i
if you are in a car wreck, what kind of TBI is that
accelleration, decceleratiom
a concussion is a
mild TBI
spastic is the
most common form of CP
Brocas aphasia
choppy, labored, non-fluent, but comprehensible
wernickes aphasia
fluent speech with no meaning.
Spastic CP is due to damage in the
cerebral hemispheres
Dyskinetic CP is due to damage in. the
basal ganglia
ataxic CP is due to damage in the
cerebellum
You can take stroke meds within the first ___ hours for an ____
4, ischemic CVA