Peripheral Nervous System
Composed of 12 pairs of cranial nerves connected directly to the brain or brainstem.
Cranial nerves are numbered by the order in which they emerge, from anterior to posterior.
Can be sensory, motor, or mixed (both).
Cranial Nerves
Learn them both by name and number (Roman numeral).
I. Olfactory Nerve:
Sensory: Smell. Originates in the olfactory epithelium and projects to the olfactory bulb.
II. Optic Nerve:
Sensory: Vision. Transmits visual information from the retina to the brain.
III. Oculomotor Nerve:
Motor: Controls most of the eye's movements, including raising the eyelid, constricting the pupil, and controlling lens shape.
IV. Trochlear Nerve:
Motor: Controls the superior oblique muscle of the eye, responsible for downward and outward eye movement.
V. Trigeminal / Cranial Nerve V
Sensory: Skin of head & face; gums & teeth.
Motor: Muscles of mastication.
Disorder: Trigeminal Neuralgia / Tic Douloureux [painful twitch].
Recurring episodes of intense stabbing pain in the face.
VI. Abducens Nerve:
Motor: Controls the lateral rectus muscle, responsible for lateral eye movement.
VII. Facial / Cranial Nerve VII
Sensory: Taste buds / anterior ⅔ of tongue.
Motor: Muscles of facial expression.
Disorder: Bell’s Palsy / drooping of ½ face / facial paralysis.
VIII. Vestibulocochlear Nerve:
Sensory: Hearing and balance. Has two divisions: the vestibular nerve (balance) and the cochlear nerve (hearing).
IX. Glossopharyngeal Nerve:
Sensory: Taste and sensation from the posterior 1/3 of the tongue, as well as the pharynx.
Motor: Controls some muscles of the pharynx involved in swallowing.
X. Vagus / Cranial Nerve X
Longest cranial nerve: stretches from the brainstem to the intestines.
Sensory & Motor to: pharynx, larynx, trachea, heart, lungs, esophagus, stomach, intestines & gallbladder.
Major nerve of PNS: 75% of all parasympathetic fibers travel in the vagus nerve.
Major Functions:
Slows down the heart.
Promotes digestive secretions & peristalsis (wavelike contractions of the intestines).
XI. Accessory Nerve:
Motor: Controls the sternocleidomastoid and trapezius muscles, involved in head movement and shoulder elevation.
XII. Hypoglossal Nerve:
Motor: Controls the muscles of the tongue.
Cranial Nerve Zero
Detects pheromones.
Sexual signals, social signals, dormitory syndrome in the absence of males.
Neurotransmitters
All preganglionic neurons release Acetylcholine.
Postganglionic neurons:
Parasympathetic: release Acetylcholine.
Sympathetic: most release Norepinephrine / adrenaline-like stimulant.
Slow to break down.
Effects are more long-lasting
Reaction to Fear aka “Fight or Flight”
(physical danger, job or relationship stress):
Heart muscle:
Sympathetic Effects: \uparrow Heart rate, \uparrow strength of contractions
Parasympathetic Effects: opposite
Muscles:
Skin / blood vessels:
Sympathetic Effects: Constrict / pale face of fear
Skeletal muscle blood vessels:
Sympathetic Effects: Dilate
Cardiac blood vessels:
Sympathetic Effects: Dilate
Abdominal blood vessels:
Sympathetic Effects: Constrict
Hollow Organs & Sphincter Muscles:
Bronchioles:
Sympathetic Effects: Dilate
Digestive Tract:
Sympathetic Effects: Constrict / \downarrow Peristalsis
Parasympathetic Effects: \uparrow Peristalsis
Iris of Eye:
Sympathetic Effects: Pupil Dilation
Arrector Pili Muscle:
Sympathetic Effects: Contract / “goosebumps”
Glands:
Sweat:
Sympathetic Effects: \uparrow Activity
Salivary:
Sympathetic Effects: \downarrow Activity
Parasympathetic Effects: \uparrow Activity
Liver:
Sympathetic Effects: \uparrow Blood Sugar & FA Levels
Adrenal Medulla:
Sympathetic Effects: \uparrow Epinephrine / Adrenaline (prolongs effects of Norepinephrine)
Immune System
Sympathetic Effects: \downarrow Activity ( \uparrow Cortisol)
Cortisol
Cortisol is a hormone released in stressful situations:
e.g., Smoking:
\uparrow Cortisol by 77% >> Immune problems
\uparrow Adrenalin by 84% >> Heart attack
Sense Organs
Sense Organs / Receptors
Specialized structures of the nervous system able to respond to external or internal stimuli by producing an action potential.
The brain must respond to this stimuli in order to maintain homeostasis.
Somatic Senses / General
Distributed throughout the body densely or sparsely.
Relay sensations of touch, pressure, temperature, pain.
Special Senses
Grouped in the tongue, nose, eyes, ears.
Produce sensations of taste, smell, sight, sound, and balance /imbalance
All sense organs & receptors initiate reflexes necessary for maintaining homeostasis
Sensory Adaptation
In response to continuous stimulation,
the magnitude of the receptor potential decreases.
Sensory impulse conduction slows down and
Intensity of the sensation decreases.
Fast Adapting
touch, temperature, smell, light, sound, pressure, taste
Slow Adapting
pain, proprioceptors / stretch receptors
Classification of Receptors by Type of Stimulus
Mechanoreceptors
respond to mechanical force that in some way moves or changes the shape or position of receptors.
Like pushing a lever on a machine to activate it.
e.g., hearing & touch, pressure / blood vessels, skin; stretch / muscles, tendons, lungs, balance
Chemoreceptors
respond to amount or changing concentration of chemicals
e.g., taste & smell (tastants & odorants) also monitor blood levels of glucose, CO2, O2, H^+ / Hydrogen ions (acidic)
Thermoreceptors
found everywhere. Respond to changes in temperature
Photoreceptors
located only in eyes. Respond to light, if enough is present
Baroreceptors (Osmoreceptors)
Concentrated in the hypothalamus.
Sometimes described as pressure sensors, not to be confused with mechanoreceptors, they detect osmotic pressure or osmolarity.
This is the ionic concentration or concentration of electrolytes in body fluids.
Important in stimulating the hypothalamic thirst center.
Nociceptors/ pain receptors
respond to “noxious” stimuli (intense stimuli of any type that results in tissue damage) due to toxic chemicals (including chemicals released from damaged tissue), intense light, sound, pressure, or heat;
Referred Pain: originates from deep structures and is referred to surface areas
Theory: Somatic neurons & sensory autonomic neurons share same interneurons / synapses in spinal cord
Heart attack pain:
In men: may be felt as pain in sides of the face, left shoulder & chest, down inside of left arm & hand.
In women: pain may be felt in back
Classification by Structure
Free Nerve Endings
Simplest, most common receptors
Respond to pain, itching, tickling, touch, temperature, movement, stretch
Encapsulated Nerve Endings
Touch & pressure receptors, e.g,
Meissner’s corpuscles: light touch; fingertips
Pacinian corpuscles: deep pressure& stretch; deep dermis of skin
Merkel’s disks: light touch, 2 point discrimination, closer together on tongue & fingertips, further apart on the back.
Stretch Receptors
Golgi Tendon Organ: Proprioceptor / prevents muscle & tendon injury
Muscle Spindle: Proprioceptor / prevents muscle & tendon injury
SMELL (OLFACTION)
Olfactory Receptors
Chemoreceptors for our sense of smell
Specialized bipolar neurons
Only neurons to regenerate throughout adult life
Used as adult stem cells to re-grow nerve tissue
Knob at the end of dendrite contains cilia
Cilia: moves odor molecules toward the receptor binding sites / \uparrow contact with surface area for binding
Humans: ≈ 10 million olfactory receptors
Dogs: ≈ 1 billion olfactory receptors / 100X human smell capacity
Olfactory receptors also carry pain, touch, pressure & temperature sensations to CN-V (Trigeminal)
Anosmia
loss of sense of smell from Infection, Injury (concussion), Cigarette smoking (immobilizes cilia), Cocaine use, Zinc deficiency (sources of dietary zinc: eggs, pumpkin seeds) Genetics
TASTE (GUSTATION)
Gustatory Receptors
Chemoreceptors for our sense of taste
“Taste Hairs” replaced every 3-10 days
Located inside taste buds on the superior surface of the tongue, throat, lining of mouth and duodenum!
Taste receptors are also located in the esophagus, stomach, and duodenum that will detect sweet & increase insulin production, regardless of the type of sweetener.
Saliva breaks food molecules into smaller chemicals called “tastants”.
Ciliary action moves tastants dissolved in saliva toward receptors.
70 – 75% of what we perceive as taste comes from our sense of smell (cf. slices of apple and raw potato while holding nose and blindfolded)
(Tastants and odorants are really the same thing. The name comes from which sense organ they land on.)
5 Tastes:
Sweet: from sugars or artificial sweeteners
Salty: from salts
Sour: from acidic foods
Umami/Savory: from protein
Bitter: from high alkaline foods. High concentration of bitter sensing taste hairs on the posterior 1/3 of the tongue CN-IX (Glossopharyngeal) “Bitter back nine”. The taste most likely to be dangerous, therefore elicits gag reflex and is the only taste to adapt slowly.
Spicy hot: not a taste. It is nerve damage. The sensations of pain, temperature, touch are carried by taste fibers to CN- V (Trigeminal)
CN-VII (Facial) carries taste from anterior 2/3 of the tongue.
EAR - HEARING (AUDITION) & BALANCE (EQUILIBRIUM)
Receptors
“Hair Cells” / Mechanoreceptors
Shape is changed by stimulus of sound waves or movement of otoliths
Mediate both hearing & balance (equilibrium)
Major Parts of Ear
External Ear
Auricle / Pinna: Outer Ear
External Auditory Meatus: Ear Canal
Tympanic Membrane: Eardrum
Middle Ear
Tympanic cavity
Ossicles: Malleus, Incus, Stapes (Amplify sound by 30%)
Auditory Tube/ Eustachian Tube: Connects ear to throat & equalizes pressure around the eardrum
Inner Ear
Structures Involved with Equilibrium (Balance):
Semicircular Canals
Vestibule (& Vestibular Nerve):
Utricle: * Detects head position and movement
Saccule: * Detects head position and movement
Structures Involved with Hearing:
Cochlea (& Cochlear Nerve):
Organ of Corti: Contains hair cells (mechanoreceptors)
Tectorial Membrane: Sound waves depress membrane & bend cilia \rightarrow Stimulating an action potential.
High frequency sound waves cross the proximal membrane.
Low-frequency sound waves cross distally.
Conduction Deafness
problem anywhere in sound conduction pathway from:
Damage to eardrum
Buildup of earwax
Fluid buildup
Otosclerosis (calcification of ossicles)
Scarring
Tumors
Disease
Infection
Injury
Nerve Deafness
damage to hair cells, organ of Corti or neurons (cochlear nerve)
Hair Cell Damage can be from:
Loud noises
Excessive nicotine or caffeine
Infections of the ear, nose, throat; meningitis
Some antibiotics: Kanamycin, Neomycin
Aging
Static Equilibrium
Vestibule
Maintenance of body position relative to the force of gravity (Utricle & Saccule)
Dynamic Equilibrium
Semicircular Canals
Maintenance of body position in response to sudden movement such as rotation, acceleration, deceleration
Both respond to the position of the head
Vision is our dominant sense: ½ of the cerebral cortex is devoted to interpreting vision (e.g., ballerina spinning & spotting)
VISION
Parts of the Eye
Coats/Layers/Tunics:
Outer/Fibrous Layer:
Sclera / “white”
Cornea: most anterior transparent part
Middle/Vascular Layer:
Choroid is red or pink (looks dark blue in sheep eye)and contains:
blood vessels & pigments
Ciliary body & suspensory ligaments – attach to lens
Lens – changes shape to focus light
Iris – muscle controlling (pupil size & thus) amount of light entering the eye. The colored part of the eye.
Inner/Nervous Layer:
Retina, (looks beige in sheep eye) Contains:
Photoreceptors – (rods & cones) continuous with
Neurons – continuous with optic nerve (CN II)
fovea centralis (in macula lutea) – high concentration of cones
retinal blood vessels
ora serrata – (Also rich with cones, its’ function is not well understood. May reduce light scattering for purpose of color consistency.)
Cavities & Humors:
Anterior Chamber: small
Between cornea & iris
Contains aqueous humor / watery
Posterior Chamber: large
Contains vitreous humor / gel-like
Maintains shape of eye / interocular pressure & holds retina against the choroid
Accessory Structures:
Eyelids:
Mucous membrane lining /Conjunctiva -- keeps eyes moist
Can become inflamed: Conjunctivitis / “pink eye”
Lacrimal Apparatus:
Produces “tears” constantly
Contains lysozymes that clean the eyes
Found on the lateral side of each eye
Process of Seeing
Refraction, Accommodation, Constriction & Convergence
Refraction (Bending) of Light by passing in order through the:
Cornea
Aqueous humor
Pupil (an opening in the iris)
Lens
Vitreous humor
Accommodation of Lens:
Lens shape/curvature is changed by the muscles of the ciliary body thus focusing the image on the retina’s fovea centralis.
Far Vision: elongated (lens is stretched out/thinned)
Near Vision: short, rounded (lens is allowed to relax)
Constriction or Dilation of Pupil (a space):
Circular fibers of iris constrict pupil for Near Vision
Radial fibers of iris dilate pupil for Far Vision
Convergence of Eyes / Stereovision:
Near Vision: extrinsic eye muscles move eyeballs inward to maintain single vision. To demonstrate in the extreme, hold your hand in front of you and focus on your fingertip. Then move your finger toward your nose and your eyes will converge the closer you get to your nose. You will appear “cross-eyed”
Far Vision: eyes are parallel
Types of Photoreceptors
Rods
responsible for night vision / more numerous than cones & 100 X more sensitive to light
Sensitive to:
Dimly lit images
Black & white images
Movement, peripheral vision
Dark Adaptation:
Rods contain a photopigment / Rhodopsin / visual purple: made by vitamin A
Broken down by bright light
When walking into a dark room, the Rhodopsin must be made / takes < 30 seconds to adapt
Cones
responsible for day vision
Sensitive to:
Brightly lit images
Color images
Detail, central vision
Fovea Centralis: small depression in the retina with a high concentration of Cones
Humans: 1 fovea per eye
Birds of prey: 2-3 fovea per eye / 8 X the visual acuity of humans
Optic Disc: where the nerves and blood vessels exit/enter the eye. This causes a normal “blind spot” because there is no room for receptors (rods or cones) here.
Eye Disorders
Blindness due to vitamin A deficiency is the most common cause of blindness worldwide
Causes loss of transparency of cornea
Tx: Corneal transplants /
Successful due to lack of blood vessels
Leading causes of blindness in the U.S.:2. Aging and degeneration of retina / macular degeneration
Diabetes
Glaucoma
Cataracts: Degenerated lens proteins / makes lens cloudy
Occurs in > 50% of the population over age 65.
Caused by trauma, UV radiation, diabetes, aging.
Tx: replace the lens with a synthetic lens.
Glaucoma: Fluid pressure buildup under the cornea because the aqueous humor can’t drain.
Interocular pressure builds up in both chambers damaging the retina and optic nerve.
Extremely painful
Triggers: stress, darkness, anesthetics / all dilate the pupil
Floaters: Calcium granules floating in vitreous humor casting shadows on the retina
Diabetic retinopathy: Caused by damage to the blood vessels from unregulated blood sugar