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Nervous System
directs thinking, feeling, and movement
Sympathetic: arouses the body (fight-or-flight)
Parasympathetic: calms the body (rest-and-digest)
Central Nervous System:
brain + spinal cord
Peripheral Nervous System:
nerves linking CNS with body
Somatic Nervous System:
voluntary movements, sensory signals
Autonomic Nervous System:
automatic functions (heart, breathing, digestion)
Sympathetic:
Parasympathetic:
arouses the body (fight-or-flight)
calms the body (rest-and-digest)
Endocrine System
glands release hormones into blood to influence growth, mood, metabolism, stress, and sex drive
Key Hormones: testosterone, estrogen, progesterone, adrenaline
How many neurons are there in the brain?
100 billion
they are supported by glial cells, which feed, protect, and insulate neurons
Parts of a Neuron
Cell Body: contains nucleus, keeps cell alive
Dendrites: receive incoming messages
Axon: sends messages away
Myelin Sheath: fatty insulation that speeds signals
Axon Terminals: release neurotransmitters into the synapse
Synapse: small gap between neurons where messages are passed
Action Potential: an electrical impulse that travels down the axon. “All-or-None” - it fires or it doesn’t
Myelination: fatty substance that covers neurons
Neurotransmitters
chemicals that are stored in sacs in the axon terminals, used to send messages across the synapses
Each kind of neurotransmitter acts on its own kind of receptor on the next neuron, crossing the synapse and binding receptors in the next neuron, fitting like a key into a lock
Can excite (increase activity) or inhibit(decrease activity)
Reuptake: neurotransmitters are reabsorbed after use.
Many drugs change brain chemistry by blocking, mimicking, or boosting neurotransmitters
everything you put in your body affects your neurochemistry
Major Neurotransmitters
Dopamine: reward, motivation, movement. Low: Parkinson’s, lack of drive. High: schizophrenia
Serotonin: mood, sleep, appetite, well-being. Low: depression, anxiety
Norepinephrine(Noradrenaline): alertness, arousal, fight or flight. Imbalances lead to anxiety, attention issues
Epinephrine(adrenaline): stress response, energy, metabolism
Glutamate: main excitatory transmitter, learning and memory. Excess: migraines, seizures.
GABA: main inhibitory transmitter, calms brain, reduces anxiety
Endorphins: natural painkillers, increase pleasure and mood
Histamine: wakefulness, immune response, and arousal
Stress Portrait of a Killer: In nature, what is the adaptive/evolutionary purpose of the stress response for animals?
They stress about saving their lives from predators
Adrenaline, hyperventilate, heart pounds, muscles tense, stress + hierarchy in baboons; baboons are horrible to each other
a baboon’s rank determines their stress levels
Stress Portrait of a Killer: How is the stress that modern day humans deal with so different than that of our ancestors?
we stress about being in traffic, speaking in front of a crowd
we are always stressed out
ancestors were threatened by animals and other dangerous forces - stress response - best chance at survival
Stress Portrait of a Killer: How can stress be a positive force?
surviving a crisis - adrenaline and glucocorticoids can save your life.
Stress Portrait of a Killer: How does one’s status in society tend to impact stress levels?
rank determine stress levels
people lower on the hierarchy were more prone to health issues due to stress
Stress Portrait of a Killer: How has modern research changed our understanding of ulcers
Stress - ulcers,
researchers in the 80’s identified a bacterial infection was the major cause of ulcers.
Stress did not cause ulcers
2/3 of the worlds population have this bacteria
immune system is hurt by stress - it wipes out the ability to heal stomach from bacteria
Stress Portrait of a Killer: what parts of the body are damaged by chronic stress?
artery walls
stress can lead to a heart attack
clog arteries, restricted blood flow
Stress Portrait of a Killer: what impact does stress have on the brain, specifically?
kills some of your brain cells
stressed brain cells are dramatically smaller
Chronic Stress - change brain circuits - affects memory
Acute Severe Stress - stress makes you “stupid” - affects learning
stress makes us miserable
Stress Portrait of a Killer: How does chronic stress impact body weight and shape?
distribution of weight - position in the hierarchy
stress changes the way you deposit fat on your body
fat brought on by stress is dangerous fat
we need to value stress reduction
Stress Portrait of a Killer: How does stress impact our chromosomes?
we have 46 chromosomes
the length of the telomere directly relates to the amount of stress
discovered enzyme that can repair damage
stress may damaged us long before we are aware
babies who were alive during the dutch hunger winter are more likely to have high cholesterol, stress levels, etc
Stress Portrait of a Killer: other important notes
its not just your rank, its what your rank means in society
control can be an ancedote to stressn- in your life
give people more involvement in work, more say in work, more collaboration - healthiar and more productive work envior
Medulla
Located at the base of the brainstem, governs basic autonomic life-support functions - brain and spinal cord connect
A key conduit for nerve signals to and from your body
Helps to control vital processes like your heartbeat, breathing, and blood pressure
Severe trauma to this area compromises involuntary breathing, heart rate control, and vital reflexes, necessitating mechanical life support
Nucleus Accumbens
Serves as a major hub in the brain’s reward pathway, utilizing dopamine to process pleasure and motivation.
Damage to this center leads to anhedonia: the inability to experience pleasure or motivation from previously rewarding stimuli
Pons
a major structure in the lower brainstem that acts as a vital communication bridge between the cerebrum, cerebellum, and spinal cord
a key merging point for several of your cranial nerves, which are nerves with direct connections to your brain
they help with several of the senses on or in your head, plus your ability to move various parts of your face and mouth
if damaged, it can disrupt vital functions like movement, breathing, consciousness, and cranial nerve control
Cerebellum
coordinates voluntary movements, posture, balance, and motor precision
Damage results in ataxia: clumsy, slow, and uncoordinated physical movements
Reticular activating system
runs through the brainstem and regulates arousal, alertness, and consciousness
disruption to this network prevents wakefulness and sleep-wake regulation, frequently causing a deep coma
Thalamus
acts as the central sensory relay station, routing tactile, visual, auditory, and gustatory data to the cortex.
sensory input from the right side of the body passes through the left thalamus, smell is the only sense that bypasses this relay entirely
damage will disrupt the brains main relay station. for sensory and motor signals, leading to wide-ranging physical, cognitive, and neurological effects
Hypothalamus
the ventromedial region serves as the brains “satiety center,” signaling to the body when it is full
damage to this structure disrupts fulness cues., leading to hyperphagia (uncontrolled, continuous eating)
Hippocampus
is essential for consolidating short-term memory into long term declarative memories
damage prevents the formation of new memories (anterograde + amnesia), causing patients to experience repeated encounters as completely new events
Amygdala
processes emotional reactions, particularly fear, threat detection, and social evaluation of facial expressions
damage to this region impairs fear conditioning, leaving individuals unable to feel fear or recognize fearful expressions in others
Corpus Callosum
bridges communication between the left and right cerebral hemispheres
disruption of interhemispheric transfer can cause alien hand syndrome, where one hand (often the non-dominant left hand controlled by the right hemisphere) performs autonomous actions outside the person’s conscious control
Occipital Lobe
the primary visual cortex is required for conscious visual awareness
damage here produces cortical blindness, but undamaged subcortical pathways allow patients to unconsciously navigate around obstacles
Temporal Lobe
the primary auditory cortex processes sound and auditory signals
internal damage or abnormal neural firing in this structure can generate auditory hallucinations without external sound or undamaged ear structure
Frontal lobe and prefrontal cortex
manages executive functioning, including impulse control, emotional regulation,and social appropriateness
damage impairs inhibition, leading to inappropriate outbursts, loss of social filters, and aggressive behaviors
Motor cortex
receives information from various lobes of the brain and uses it to carry out body movements like playing the piano, blowing a kiss, and skipping
damage can disrupt voluntary movement control, typically causing weakness or paralysis on the opposite side of the body
Paretial Lobe
plays a major role in spatial awareness and orienting attention to the opposite side of space
damage to this area causes hemispatial neglect, where patients fail to perceive, attend to, or acknowledge sensory input on the left side of their body and environment
Somatosensory cortex
maps tactile and sensory sensations from specific regions across the body.
-Following an amputation, cortical remapping in this sensory map can cause phantom limb sensations, making the patients perceive pain or touch in a missing limb
Broca’s Area
coordinates the precise motor planning and articulation required for fluent speech production
minor damage or altered motor pathways can affect speech timing, intonation, and rhythm, resulting in Foreign Accent Syndrome
Olfactory Bulb
receives direct sensory input from nasal receptors to process smell
damage to this pathway causes anosmia (loss of smell), which also dramatically reduces flavor perception because taste heavily relies on olfaction
Wernicke’s Area
located in the left temporal lobe, is responsible for comprehending spoken and written language
damage causes receptive aphasia where speech remains fluid in rhythm but loses meaning, making language sound garbled and uninterpretable
Pituitary Gland
is the master endocrine gland that secretes essential hormones, including growth hormone
tumors in this gland can cause excessive growth hormone secretion, resulting in physical overgrowth (gigantism/acromegaly) and endocrine imbalances
Pineal Gland
responds to environmental light changes by secreting melatonin to regulate circadian rhythms.
damage or surgical disruption prevents melatonin secretion, impairing sleep-ake cycles, and causing severe insomnia
Basal Ganglia
it has six structures: the caudate nucleus, putamen, nucleus accumbens, globus pallidus, and substantia nigra
processes movement-related information and information related to emotions, motivations, and cognitive functions
damage can cause disorders that influence movement like parkinson disease, huntington disease, and dystonia
Left Vs. Right Brain Differences
The left side of the brain controls the right side of the body
The right side of the brain controls the left side of the body
The left is specialized in language, logic, speech, and comprehension
The right is specialized in visual tasks, holistic processing, face recognition, and emotional connection
Fun Facts About the Brain
2% of total body weight; burns 20% of your body’s glucose.
• Signals in your brain travel along neurons at up to 250 miles per hour; faster than a race car!
• Half of the 30,000 genes are dedicated to the nervous system.
• The brain produces about 12–25 watts of electricity when awake; enough to power a
lightbulb.
• A newborn’s brain is only about 25% of its adult size. By age 2, it’s about 80% grown.
• Neuroplasticity: People who lose one sense (like sight or hearing) often experience an
enhanced development of other senses because the brain “rewires” to adapt.
• The brain itself cannot feel pain: headaches come from surrounding tissues, blood vessels,
or nerves, not the brain tissue.
• About 100,000 miles of blood vessels run through your brain, enough to circle the Earth four
times.
• With 100 billion neurons and trillions of connections, the human brain is the most complex
object in the known universe
The case of Phineas Gage
Railroad worker injured when an iron rod blasted through his
skull.
• He survived, but his personality dramatically changed (became impulsive, irritable, irresponsible).
• This case provided the first evidence linking the frontal lobes to personality and decision-making.
Scientists relied on observing patients with brain damage and linking personality changes to injuries in specific areas of the brain.
Lesion studies and functional localization
Broca & Wernicke (1860s and 70s):
• Paul Broca (1860s): Studied patients with speech
problems and identified Broca’s area (speech
production).
• Carl Wernicke (1870s): Identified Wernicke’s area
(language comprehension).
• Showed that specific brain regions control specific
functions (localization of function).
• 1930s: Prefrontal lobotomies:
• Dr. Walter Freeman
• Eliminated severe behavioral problems; also took away
emotions, problem solving, thinking.
• Animal studies: scientists created lesions in animal brains to
study behavior changes or used electrical stimulation:
• 1954: James Olds and Peter Milner placed an electrode
in the hypothalamus of the brains of rats by mistake and
discovered the pleasure center of the brain.
Electroencephalogram (EEG)
A device that amplifies and records the electrical activity of the brain
through electrodes placed on the scalp.
•Noninvasive, painless, and inexpensive, but it doesn’t show where the
activity is happening.
•Used to study sleep, epilepsy/seizures.
Computerized Axial Tomography (CAT)
Uses X-rays to take many images from different angles; a
computer combines them into cross-sectional images of the
brain.
• Used to detect structural problems: tumors, brain injuries,
bleeding, skull fractures.
• Quick, widely available, relatively inexpensive, but does not show
brain activity or function.
• Uses radiation (not ideal for repeated use)
Magnetic Resonance Imaging (MRI)
Aligns hydrogen atoms with powerful magnetic fields and radio waves.
• Exceptional and detailed 3D images ofthe brain’s soft tissue without radiation.
• Used to study brain anatomy, locate damage, and identify abnormalities (tumors,
strokes)
Positron Emission Tomography (PET)
Patient is injected with a small dose of radioactive glucose;
active brain areas “light up” as they consume the glucose.
•Shows brain function and can detect diseases before structural changes
appear; excellent for cancer detection.
DTI: Diffusion Tensor Imaging
Maps the movement of water molecules in the brain, revealing the white
matter pathways between different brain regions.
• Used in research and medicine and to understand disorders like
multiple sclerosis, Alzheimer’s disease, and traumatic brain injury.
• Used to map brain networks before surgery to avoid damaging critical pathways.
fMRI: functional magnetic resonance imaging
Tracks blood flow in the brain (since active areas use more oxygen).
• Used to study brain activity while people perform tasks (i.e. language, memory, decision making).
• Shows both structure and function and pinpoints exactly where activity is happening; “brain mapping.”
• Will this technology be used to read minds and detect lies in the future?
• Recently, with 80% accuracy, a research team was able to identify one of eight different mental tasks.
Traumatic Brain Injury
damage to the brain caused by an external physical force, such as a blow, bump, or jolt to the head.
categorized based on severity (mild, moderate, or severe).
They can occur in falls, car accidents, sports injuries, or assaults.
Damage may be focal (in one area) or diffuse (spread throughout
the brain).
Symptoms range from headaches and confusion to loss of consciousness and long-term cognitive impairments.
TBIs were the “signature injury” of the wars in Iraq and Afghanistan. More
than 450,000 U.S. service members were diagnosed with a TBI from 2000 to 2021.
Concussion
a mild traumatic brain injury caused by a sudden impact or jolt to the head that
disrupts normal brain function.
can have serious short and long-term effects, especially with repeated injury.
they often cause temporary confusion, dizziness, memory loss, and headaches
they disrupt brain metabolism and communication between neurons
if repeated they can lead to Chronic Traumatic Encephalopathy (CTE), a serious and progressive neurodegenerative disease.
Contusion
is a bruise on the brain tissue, typically caused by direct impact.
often occur with more severe TBIs and involve bleeding and swelling in specific areas.
They may lead to increased intracranial pressure and damage to nearby brain tissue. When there is a collection of clotted blood in one area, this is referred to as a hematoma.
Coup-Contrecoup Injury
Brain damage occurring at both the site of impact (coup) and the opposite side of the brain (contrecoup) where the brain rebounds off the inside of the skull.
Diffuse Axonal Injury (DAI)
is widespread damage to white matter axons caused by rotational forces or rapid
acceleration/deceleration (common in car crashes and shaken baby syndrome).
Microscopic shearing of axons interrupts communication pathways throughout the brain.
Because it’s often microscopic, it may not show up on imaging, yet it can cause coma or persistent vegetative states in severe cases.
Stroke
Occurs when blood flow to a brain region is interrupted.
are a leading cause of death and serious long term disability in the US
Ischemic Stroke (87% of cases):
Caused by a blockage (clot or plaque buildup from atherosclerosis) in a cerebral artery. Treatments may include clot-busting drugs given quickly after onset.
Hemorrhagic Stroke:
Occurs when a blood vessel bursts, bleeding into or around the brain.
Often caused by high blood pressure or aneurysms. The bleeding compresses brain tissue and can increase pressure in the skull, causing severe damage.
Transient Ischemic Attack (TIA)
is a brief interruption of blood flow to the brain. Symptoms are similar to a full
stroke but last only a few minutes to hours, then resolve. However, TIAs are serious warning signs of future strokes and indicate underlying vascular problems.
Anoxic/Hypoxic Brain Injury
Occurs when the brain is completely deprived of oxygen (anoxia) or receives reduced oxygen (hypoxia) due to near-drowning, cardiac arrest, or carbon monoxide poisoning
Alzheimer’s Disease
The most common cause of progressive dementia. Driven by two key protein abnormalities:
• Amyloid Plaques: Beta-amyloid protein clumps accumulating between neurons, blocking signaling.
• Neurofibrillary Tangles: Tau protein tangles inside neurons, collapsing the cell's internal transport
system. Damage typically originates in the hippocampus before spreading across the cortex.
Huntington’s Disease (HD)
A rare, inherited genetic disorder caused by a mutation in the HTT gene. The resulting abnormal protein destroys neurons in the striatum (caudate and putamen), leading to uncontrolled dance-like movements (chorea), severe emotional dysregulation, and cognitive decline.
Multiple Sclerosis (MS)
An autoimmune disorder in which the immune system mistakenly attacks the myelin sheath
surrounding axons in the central nervous system. The resulting scar tissue (sclerosis) slows or blocks
nerve impulses, affecting motor control, vision, and cognition.
Prion Diseases (Transmissible Spongiform Encephalopathies)
Rare, fatal conditions (e.g., Creutzfeldt-Jakob Disease) caused by misfolded prion proteins. These misfolded proteins cause neighboring normal proteins to misfold as well, creating a destructive domino effect that leaves microscopic "spongy" holes in brain tissue.
Neurotoxin Exposure
are substances that damage or destroy neurons. The heavy metals lead and mercury are particularly harmful to developing brains. Lead exposure is linked to lowered IQ, attention problems, and behavioral dysregulation in children.
A tragic recent example of mass lead contamination occurred in Flint, Michigan, where the city’s water supply became contaminated with lead in 2014 due to corroding pipes. Thousands of children and adults were exposed before the problem was widely recognized, making it one of the most serious public health crises in recent U.S. history.
Other toxins include solvents, pesticides, or drugs (such as methamphetamine) that can result in cognitive impairments, memory loss, and motor dysfunction.
Alcohol-Related Brain Damage
Chronic alcohol abuse can lead to structural and functional brain changes. Prolonged heavy drinking reduces brain volume and can lead to Wernicke-Korsakoff syndrome, a condition involving memory problems due to vitamin B1 (thiamine) deficiency. Alcohol-related damage is especially evident in the frontal lobes, affecting judgment and decision-making.
Encephalitis
Encephalitis is inflammation of brain tissue, usually caused by a viral infection. Viruses like herpes simplex, West Nile, or measles can infect brain tissue, leading to swelling, fever, seizures, and confusion. Rapid treatment is essential to prevent long-term neurological deficits
Bacterial meningitis
Infection of the meninges (the membranes that protect the outside of the brain). Rapid onset of fever, neck stiffness, and altered mental status is typical.
Parasitic & Amoebic Infections
Rare organisms like Naegleria fowleri ("brain-eating amoeba") directly destroy brain tissue. Parasites like Taenia solium (pork tapeworm) cause neurocysticercosis, forming cysts in brain tissue that provoke seizures.
Primary Brain Tumors:
Originate within brain tissue. Gliomas (such as astrocytomas and the
more aggressive type, glioblastomas) arise from glial support cells and infiltrate surrounding tissue. Meningiomas arise from the outer meninges and compress adjacent brain regions.
Secondary (Metastatic) Tumors:
Cancer cells that spread to the brain from other parts of the
body (e.g., lung, breast, melanoma)’
Symptoms vary widely depending on the tumor’s location, but can include headaches, seizures, sensory or motor impairments, and personality changes.
Circuitry Changes:
Chronic stress shrinks dendrites in the prefrontal cortex and hippocampus
while hyperactivating the amygdala, impairing memory and emotional control
Cellular Stress:
Accelerates telomere shortening, increases oxidative stress, damages
mitochondria, and suppresses neurogenesis in the hippocampus
Christopher Nowinski
defensive tackle in college (football)
professional wrestler outside of college
he got hit during a match - forgot everything that was supposed to happen in the match
got constant headaches, sleepwalking, memory loss, nausea
was not aware of the amount of concussions he had
went on to be a neuroscientist
co-founded Boston University’s CTE center
CEO of cuncussion legacy foundation
Isaiah Kavinsky
former NFL Player
suffered a horrible concussion during a game - went back to play in the game only a few minutes after symptoms wore down - injured further
Fun Fact: 50% of football players feel symptoms and still continue to play
Andre Waters
died at 44 - suicide
stopped counting his concussions at 15
damage in his brain linked to football
brain microscope sample:
- should be all cream color - healthy brain
Water’s brain had a lot of dark brown spots - damaged brain
Gene Atkins
former NFL Player
diagnosed with a few concussions
said he had many more
memory loss, impulsive thoughts
was not able to remember something after someone said it
blurry vision so bad he could barely see
Keith Premeau
hockey player - NHL
still suffers from symptom
headaches, head pressure, fatigue, irritability
six full weeks of major concussion symptoms
after fourth concussion his trainer told him he was done
went on to coach his sons youth hockey program, and teach young hockey players about the risks, and precautions to take when getting injured
Ben Smith
hockey player NHL
took a blow to the head - went unconscious
he only had one diagnosed concussion
Cindy Parlow Cone
soccer player
retired b/c of post concussion syndrome
often when playing she used her head to punt the ball
Fun Fact: girls soccer/basketball players are more likely to get concussions
also takes longer to recover
Mary Pounce
15 yr old soccer player
lots of concussions already at such a young age
Owen Thomas
college football player
died by suicide
damage to his frontal lobe - controls impulse control
Facts about CTE
Chronic traumatic encephalopathy - is a progressive, degenerative brain disease caused by cumulative, repeated head impacts and concussions
during a test - 4/4 foo players tested with it
no cure for CTE
CTE could make you crazy and do terrible things but it also could allow someone to live a normal life
Head Games: other important facts
Study of retired NFL players - UMICH
Ages 30-49 are 1.9% or 19x more likely to get dementia
Ages 50+ are 6.1% or 61x more likely to get dementia
NFL donated $1 million to BU for research
1600 kids — 14 diagnosed with a concussion during the school year
sub concussive hits - impacts to the head that shift the brain inside the skull but do not cause immediate, noticeable symptoms like dizziness, confusion, or headaches
What the professional sports have done since head games
restricting dangerous plays
Almost every major league has expanded centralized video review and digital tracking (such as Hawk-Eye or puck/ball tracking) to minimize officiating errors.
Driven by growing awareness of long-term head trauma, contact sports have drastically tightened baseline concussion testing, spotters, and returning-to-play guidelines