Unit 3 - Human Physiology

Ch. 12 - Fundamentals of the Nervous Systems and Nervous Tissue

Nervous System

  • Master Control

  • Has 3 overlapping functions

    • Sensory input - Sensory receptors - monitor inside and outside the body

      • from PNS to CNS

    • Integration - Processes and interprets sensory input

      • Makes decisions - integration

    • Motor Output - Dictates a response by activating effector organs

      • response —> muscles and glands

      • From CNS to PNS

Basic Divisions of the Nervous System

  • Central Nervous System (CNS)

    • brain and spinal cord

    • integrating and command center; processes information

  • Peripheral Nervous System

    • outside the CNS

    • carries sensory input to CNS and motor output away

    • nerves from brain and spinal cord

      • cranial nerves and spinal nerves

    • peripheral nerves link all regions of the body to CNS

Sensory Input and Motor Output

  • Divided according to region they serve

    • Somatic body region (outer body structures: skin, joints, muscles and bones)

    • Visceral body region (inner body structures: heart, lung, and intestines)

  • Results in four main subdivisions

    • Somatic sensory

    • Visceral sensory

    • Somatic motor

    • Visceral motor

Types of Sensory and Motor Information

  • Sensory (afferent) division

    • Somatic Sensory

      • General: touch, pain, pressure, vibration, temperature, and proprioception in skin, body wall, and limbs

      • Special: hearing, equilibrium and vision

    • Visceral Sensory

      • General: stretch, pain, temperature, chemical changes, and irritation in viscera; nausea and hunger

      • Special: taste and smell

  • Motor (efferent) division

    • Somatic motor (voluntary motor)

      • General: motor innervation of all skeletal muscles

    • Visceral motor (involuntary motor)

      • General: motor innervation of smooth muscle, cardiac muscle, and glands; equivalent to autonomic nervous system (ANS)

STUDY TIP: Afferent = Arrives (Sensory) ; Efferent = Exits (Motor)

Structure of a Typical Large Neuron:

Anatomy of a Neuron

  • Dendrites —> Receive Signals

  • Cell Body (Soma) —> Integrates Information

  • Axon —> Carries Impulses Away

  • Myelin —> Insulates Axon; Speeds Conduction

  • Nodes of Ranvier —> Impulse jumps node to node

  • Axon Terminals —> Release Neurotransmitters

Synapses

  • Site at which neurons communicate

  • Signals pass across synapse in one direction

  • Presynaptic neuron

    • Conducts signal toward a synapse

  • Postsynaptic neuron

    • Transmits electrical activity away from a synapse

Two Neurons Communicating at a Synapse

Axosomatic Synapses:

  • forms between the axon terminal of one neuron and the cell body (soma) of another neuron

  • has a strong influence on whether the post synaptic neuron fires an action potential because they are close to axon hillock

  • often inhibitory, help reduce or prevent the neuron from generating an action potential

Axodendritic Synapses:

  • form between axial terminal of one neuron and the dendrites of another

  • most common type of synapse in the nervous system and receive most incoming signals

  • usually excitatory, transmitting information that contributes to whether the neuron will fire an action potential

Structure of a Synapse

Signals Carried by Neurons*

  • plasma membranes of neurons conduct electrical signals

  • resting neuron

    • membrane is polarized

  • inner, cytoplasmic side is negatively charged

  • stimulation of the neuron —> depolarization

Action Potentials on Axons

  • strong stimulus applied to the axon triggers

    • nerve impulse or action potential

  • membrane becomes negative externally

  • impulse travels the length of the axon and membrane repolarizes (neutralizes) itself

Synaptic Potentials*

  • Excitatory synapses

    • leads to an inflow of positive ions

      • depolarizes the postsynaptic membrane

      • drives the postsynaptic neuron toward impulse generation

  • Inhibitory synapses

    • inside becomes more negative

      • action potential less likely

Classification of Neurons

  • Structural Classification

    • Multipolar - possess more than two processes

      • Numerous dendrites and one axon

    • Bipolar - possess two processes

      • Rare neurons - found in some special sensory organs

    • Unipolar (pseudounipolar) - possess one short, single process

Functional Classification of Neurons*

  • According to the direction the nerve impulse travels

  • Sensory (afferent) neurons - transmit impulses toward the CNS

    • virtually all are unipolar neurons

    • cell bodies in ganglia outside the CNS

  • Motor (efferent) neurons

    • carry impulses away from the CNS to effector organs

    • most are multipolar

    • cell bodies are within the CNS (ex: nucleus)

    • form junctions with effector cells

  • Interneurons (association neurons) - most are multipolar

    • lie between motor and sensory neurons

    • confined to the CNS

Supporting Cells

  • Six types of supporting cells

    • Four in the CNS

    • Two in the PNS

  • Provide supportive functions for neurons

    • non-excitable

    • maintenance

    • insulation

  • Cover nonsynaptic regions of the neurons

  • Neuroglia

    • Function:

      • support, protect, and feed neurons to keep nervous system going

        • forming myelin insulation

        • maintaining chemical balance

        • defending against damage

    • outnumber neurons 10 - 1

    • make up half the mass of the brain

Types of Neuroglial Cells*

  • Astrocyte

    • CNS - Support neurons; Blood Brain Barrier

  • Microglia

    • CNS - Immune defense

  • Ependymal Cells*

    • CNS - Produce/Circulate CSF

  • Oligodendrocytes*

    • CNS - Myelin for multiple axons

Supporting Cells in the PNS

  • Satellite cells

    • surround neuron cell bodies within ganglia

  • Schwann cells (neurolemmocytes)

    • surround axons in the PNS

    • form myelin sheath around axons of the PNS

Myelin Sheath

  • segmented structures composed of the lipoprotein myelin

  • surround thicker axons

  • form an insulating layer

    • prevent leakage of electrical current

  • increase the speed of impulse conduction

Myelin Sheaths in the CNS

  • Oligodendrocytes form the myelin sheaths in the CNS

    • have multiple processes (multipolar)

    • coil around several different axons

Disorders of the Nervous System

  • Multiple sclerosis

    • An autoimmune disease

    • Immune system attacks the myelin around axons in the CNS

Nerves

  • Nerves - cordlike organs in the PNS

  • Consists of numerous axons wrapped in connective tissue

  • Axon is surrounded by Schwann cells

KNOW - Structure of a Nerve*

Axon —> Myelin Sheath —> Endoneurium —> bundle of axons in Perineurium —> Fascicle with Blood Vessels in —> Epineurium

Reflex Arcs

  • explain and are responsible for reflex behaviors

    • rapid, autonomic motor responses

      • can be visceral or somatic

Simplified Design of the Nervous System

  • Gray matter in the spinal cord

    • H-shaped region - surrounds central cavity

    • Cell bodies are clustered in the gray matter

      • Nucleus vs. ganglia

  • White matter in the spinal cord

    • External to gray matter

    • No neuronal cell bodies, but millions of axons

    • Myelin sheath - white color

      • Consists of axons running between different parts of the CNS

      • Tracts - bundles of axons traveling to similar destinations

        • vs. nerves

Neuronal Regeneration

  • Neural injuries may cause permanent dysfunction

  • If axons alone are destroyed, cells bodies often survive and the axons may regenerate

    • PNS - macrophages invade and destroy axon distal to the injury

      • Axon filaments grow peripherally from injured site

      • Partial recovery is sometimes possible

    • CNS - neuroglia never form bands to guide regrowing axons may hinger axon growth with growth - inhibiting chemicals

    • No effective regeneration after injury to the spinal cord and brain

Chapter 13 - The Central Nervous System

The Central Nervous System

  • Consists of the brain and spinal cord

  • Directional terms unique to the CNS

    • Rostral - toward the nose

    • Caudal - toward the tail

Brain Development

Brain Development from Week 5 to Birth

Basic Parts and Organization of the Brain

  • Divided into four regions

    • 1) Cerebrum

    • 2) Diencephalon

    • 3) Brain stem: midbrain, pons, and medulla

    • 4) Cerebellum

Basic Parts and Organization of the Brain

Ventricles of the Brain

  • Expansions of the brain’s central cavity

  • Filled with cerebrospinal fluid

  • Lined with ependymal cells

  • Continuous with each other

  • Continuous with the central canal of the spinal cord

  • Lateral ventricles - located in cerebral hemispheres

    • Horshoe-shaped from bending of the cerebral hemispheres

  • Third ventricle - lies in diencephalon

    • Connected with lateral ventricles by interventricular foramen

  • Cerebral aqueduct - connects 3rd and 4th ventricles

  • Fourth ventricle - lies in hindbrain

    • connects tho the central canal of the spinal cord

Protection of the Brain

  • The brain is protected from injury by

    • The skull

    • Meninges

    • Cerebrospinal fluid

    • Blood-brain barrier

  • Meninges

    • cover and protect the CNS

    • enclose and protect the vessels that supply the CNS

    • contain CSF

  • The Dura Mater - strongest of the meninges

    • largest sinus - the superior sagittal sinus

    • extends inward to subdivide the cranial cavity

The Arachnoid Mater

  • located beneath the dura mater

  • Subdural space

    • potential space between dura and arachnoid mater

  • Subarachnoid space

    • filled with CSF (cerebralspinal fluid)

    • contains the blood vessels that supply the brain

  • Arachnoid villi

    • allow CSF to pass into the dural blood sinuses

The Pia Mater

  • Delicate connective tissue

  • Clings tightly to the surface of the brain

    • follows all convolutions of the cortex

Protection of the Brain - Cerebrospinal Fluid (CSF)

  • Provides a liquid cushion for the brain and spinal cord

  • The brain “floats” in CSF

  • Formed in choroid plexuses in the brain ventricles

Protection of the Brain - Blood-Brain Barrier

  • Prevents most blood-borne toxins from entering the brain

    • Impermeable capillaries

  • Not an absolute barrier

    • Nutrients such as oxygen pass through

    • Allows alcohol, nicotine, and anesthetics through

The Cerebral Hemispheres

  • Account for 83% of brain mass

    • Fissures - deep grooves - separate major regions of the brain

      • Transverse fissure - separates cerebrum and cerebellum

      • Longitudinal fissure - separates cerebral hemispheres

  • Sulci - grooves on the surface of the cerebral hemispheres - grooves between gyri

  • Gyri - twisted ridges between sulci - raised folds

  • Prominent gyri and sulsi are similar in all people

  • Deeper sulci divide cerebrum into lobes

  • Lobes are named for the skull bones overlying them

  • Central sulcus separates frontal and parietal lobed

    • Bordered by two gyri

      • Precentral gyrus

      • Postcentral gyrus

  • Parieto - occipital sulcus

    • Separates the occipital from the parietal lobe

  • Lateral sulcus

    • Separates temporal lobe from parietal and frontal lobes

  • Insula - deep within the lateral sulcus

Functional and Structural Areas of the Cerebral Cortex (conscious part of brain)

The Cerebral Cortex

  • Three kinds of functional areas

    • 1) Motor areas

    • 2) Sensory areas

    • 3) Association areas

Motor Areas - Primary Motor Cortex

  • Control motor functions

    • Primary motor cortex (somatic motor area)

    • Located in precentral gyrus (Brodmann area 4)

  • Pyramidal cells - large neurons of primary motor cortex

Motor Areas - Premotor Cortex

  • located anterior to the precentral gyrus

  • controls more complex movements

  • receives processed sensory information

    • visual, auditory, and general somatic sensory

  • controls voluntary actions dependent on sensory feedback

  • involved in the planning of movements

Sensory Areas

  • cortical areas involved in conscious awareness of sensation

  • located in parietal, temporal, and occipital lobes

  • distinct area for each of the major senses

Sensory Areas - Somatosensory Association Area

  • Lies posterior to the primary somatosensory cortex

    • Corresponds to Brodmann areas 5 and 7

  • Integrates different sensory inputs

    • Touch, pressure, and others

  • Draws upon stored memories of past sensory experiences

    • Interprets new with respect to old

Language and Speech

Lateralization of Cortical Functioning

  • The two hemispheres control opposite sides of the body

  • Hemispheres are specialized for different cognitive functions

  • More pronounced in men

  • Females generally have larger connections between 2 sides

  • Damage to left side produces aphasia

  • Damage to same area on right side lead to speech with little emotional inflection

Sensory Areas - Visual Areas

Cerebral White Matter

  • Types of tracts

    • Commissures - composed of commissural fibers

      • Allows communication between cerebral hemispheres

      • Corpus callosum - the largest commissure

    • Association fibers

      • Connect different parts of the same hemisphere

    • Projection fibers - run vertically

      • descend from the cerebral cortex

      • ascend to the cortex from lower regions

Projection Tracts

  • Internal capsule - projection fibers form a compact bundle

    • passes between the thalamus and basal nuclei

  • Corona radiata - superior to the internal capsule

    • fibers run to and from the cerebral cortex

Basal Ganglia

  • Cooperate with the cerebral cortex in controlling movements

  • Receive input from many cortical areas

  • Evidence shows that they:

    • start, stop, and regulate intensity of voluntary movements

    • in some way estimate the passage of time

  • Function: motor control and cognitive and emotional processing

  • Five primary structures:

    • Striatum (putamen and caudate nucleus)

    • Globus Pallidus

    • Subthalamic Nucleus

    • Substantia Nigra

The Diencephalon

  • Composed of three paired structures:

    • Thalamus, hypothalamus, and epithalamus

  • Border the third ventricle

  • Primarily composed of gray matter

The Diencephalon - The Thalamus

  • makes up 80% of the diencephalon

  • contains approx. a doxen major nuclei

  • send axons to regions of the cerebral cortex

  • nuclei act as relay stations for incoming sensory messages

    • “gateway” to the cerebral cortex

  • nuclei organize and amplify or tone down signals

The Diencephalon - The Hypothalamus

  • lies between the optic chiasm and the mammilary bodies

  • pituitary gland projects inferiorly

  • contains approx a dozen nuclei

  • main visceral control center of the body

Functions include the following:

  • Control of the autonomic nervous system

    • ex: HR, BP

  • Control of emotional responses

    • Limbic system

  • Regulation of body temperature

  • Regulation of hunger and thirst sensations

  • Control of behavior

    • ex: motivation for feeding

  • Regulation of sleep-wake cycles

    • optic nerve inpute

  • Control of endocrine system

    • Pituitary gland

  • Formation of memory

The Diencephalon - The Epithalamus

  • Forms part of the “roof” of the third ventricle

  • Consists of a tiny group of nuclei

  • Includes hte pineal gland (pineal gland)

    • Secrets the hormone melatonin

    • Under the influence of the hypothalamus

The Brain Stem

Structures include:

  • Midbrain

  • Pons

  • Medulla Oblongata

The Brain Stem - The Midbrain

  • Lies between the diencephalon and the pons

  • Central cavity - the cerebral aqueduct

  • Cerebral peduncles located on the ventral surface of the brain

    • contain pyramidal (corticospinal) tracts

  • Superior cerebellar peduncles

    • connect midbrain to the cerebellum

  • Periaqueductal gray matter surrounds the cerebral aqueduct

    • Involved in two related functions

      • fright-and-flight reaction

      • mediates response to visceral pain

  • Corpora quadrigemina - the largest nuclei

    • Superior colliculi - nuclei that act in visual reflexes

    • Inferior colliculi - nuclei that act in reflexive response to sound

  • Imbedded in the white matter of the midbrain

    • Two pigmented nuclei

    • Substantia nigra - neuronal cell bodies contain melanin

      • Functionally linked to the basal nuclei

    • Red nucleus - lies deep to the substantia nigra

      • Largest nucleus of the reticular formation

The Brain Stem - The Pons

  • Located between the midbrain and medulla oblongata

  • Contains the nuclei of cranial nerves V, VI, and VII

  • Pontine nuclei

    • Middle cerebellar peduncle

The Brain Stem - The Medulla Oblongata

  • Most caudal level of the brain stem

    • Continuous with the spinal cord

    • Choroid plexus lies in the roof of the fourth ventricle

    • Pyramids of the medulla - lie on its ventral surface

      • Decussation of the pyramids - crossing over of motor tracts

    • Cranial nerves VIII - XII attach to the medulla

    • Inferior cerebella peduncle

  • The core of the medulla contains:

    • Much of the reticular formation

      • Nuclei influence autonomic functions

    • Visceral centers of the reticular formation include:

      • Cardiac center

      • Vasomotor center

      • The medullary respiratory center

      • Centers for hiccupping, sneezing, swallowing, and coughing

The Cerebellum

  • Located dorsal to the pons and medulla

    • Smoothes and coordinates body movements

    • Helps maintain equilibrium

    • Consists of two cerebella hemispheres

      • Surface folded into ridges called folia (gyri)

        • separated by fissures

    • Hemispheres each subdivided into:

      • anterior lobe

      • posterior lobe

      • flocculonodular lobe

  • Composed of 3 regions:

    • Cortex - gray matter

    • Internal white matter

    • Deep cerebellar nuclei - deeply situated gray matter

  • Cerebellum must receive information

    • On equilibrium

    • On current movements of limbs, neck, and trunk

    • From the cerebral cortex

The Cerebellum - Cerebellar Peduncles

  • Thick tracts connecting the cerebellum to the brain stem

    • Superior cerebellar peduncles

    • Middle cerebellar peduncles

    • Inferior cerebellar peduncles

  • Fibers to and from the cerebellum are ipsilateral

    • Run to and from the same side of the body

Functional Brain Systems

  • Networks of neurons functioning together

    • The limbic system - spread widely in the forebrain

    • The reticular formation - spans the brain stem

The Limbic System

  • Location

    • Medial aspect of cerebral hemispheres

    • Also within the diencephalon

  • Composed of:

    • Septal nuclei, cingulate gyrus, and hippocampal formation

    • Part of the amygdala

  • The fornix and other tracts link the limbic system together

  • The “emotional brain”

    • Cingulate Gyrus

      • allows us to shift between thoughts

      • Interprets pain as unpleasant

  • Encodes, consolidates, and retrieve memories

The Reticular Formation

  • Runs through the central core of the medulla, pons, and midbrain

  • Widespread connection

    • Ideal for arousal of the brain as a whole

  • Reticular Activating System (RAS)

    • Maintains consciousness and alertness

    • Functions in sleep and arousal from sleep

The Spinal Cord

  • Runs through the vertebral canal

  • Extends from the foramen magnum to the level of the vertebra L1, or L2

  • Protected by bone, meninges, and CSF

  • Conus Medullaris - the inferior end of the spinal cord

  • Filum Terminale - long filament of connective tissue

    • Attaches to the coccyx inferiorly

  • Cervical and lumbar enlargements

    • Where nerves for upper and lower limbs arise

  • Cauda equina - collection of nerve roots

Add Diagram

  • Denticulate ligaments - anchor spinal cord to vertebrae

  • Two deep grooves run the length of the cord

    • Posterior median sulcus

    • Anterior median fissure

Gray Matter of the Spinal Cord and Spinal Roots

  • shaped like the letter H

  • gray commissure - contains the central canal

  • anterior horns - contain cell bodies of motor neurons

  • posterior horns - consist of interneurons

  • gray matter - divided according to somatic and visceral regions

White Matter of the Spinal Cord

  • Composed of myelinated and unmyelinated axons

  • 3 types of fibers

    • Ascending

    • Descending

    • Commissural

Sensory and Motor Pathways

  • Most motor pathways:

    • Decussate at some point along their course

    • Consist of a chain of two or three neurons

    • Exhibit somatotopy

      • Tracts arranged according to the body region they supply

    • All pathways are paired

      • One of each on each side of the body

Ascending (Sensory) Pathways

  • Conduct general somatic sensory impulses

  • Chains of neurons

  • 4 main ascending pathways

    • Dorsal column pathway

      • discriminative tough

    • Spinothalamic pathway

      • pain and temperature

    • Posterior and Anterior spinocerebellar pathway

      • subconscious proprioception

Descending (Motor) Pathways

  • Deliver motor instructions from the brain to the spinal cord

  • Divided into two groups

    • Pyramidal, or corticospinal tracts

      • to skeletal muscle

    • Other motor pathways

      • Tectospinal tracts

      • Vestibulospinal tract

      • Rubrospinal tract

      • Reticulospinal tract

Chapter 14 - The Peripheral Nervous System

Basic Structure Components of the PNS

  • Sensory receptors

    • inside or outside the body

  • Motor endings

    • innervate effetors (muscle fibers and glands)

  • Nerves and ganglia

    • Nerves

      • bundles of peripheral axons

    • Ganglia

      • clusters of peripheral neuronal cell bodies

Cranial Nerves

  • Attach to brain

  • Pass through skull foramina

  • I-XII

  • I to II attach to forebrain

    • Others attach to brain stem

  • Primarily serve head and neck structure

    • Exception

      • X

The 12 Pairs of Cranial Nerves!!

  1. Filaments of Olfactory nerve - Sensory

  2. Optic Nerve - Sensory

  3. Oculomotor Nerve - Motor

  4. Trochlear Nerve - Motor

  5. Trigeminal Nerve - Both

  6. Abducens Nerve - Motor

  7. Facial Nerve - Both

  8. Vestibulocochlear Nerve - Sensory

  9. Glassopharyngeal Nerve - Both

  10. Vagus Nerve - Both

  11. Accessory Nerve - Motor

  12. Hypoglossal Nerve - Motor

Mnemonic: Oh Oh Oh To Touch And Feel Very Good Velvet AH!

Mnemonic: Some Say Marry Money But My Brother Says Big Brains Matter More

Ofalctory Nerves

  • Sensory nerves of smell

    • Sensory

Optic Nerve

  • Sensory nerve of vision

    • sensory

Oculomotor Nerve

  • Innervates four of the extrinsic eye muscles

    • motor

Trochlear Nerve

  • Innervates an extrinsic eye muscle

    • motor

Trigeminal Nerve

  • Provides sensory innervation to the face

  • Motor innervation to chewing muscles

Abducens Nerve

  • Abducts the eyeball

    • motor

Facial Nerve

  • Innervates muscles of facial expression

  • Some taste and some sensation of skin on ear

    • mixed

Vestibulocochlear Nerve

  • Sensory nerve of hearing and balance

    • sensoory

Glossopharyngeal Nerve

  • Innervates structures of the tongue and pharynx (motor and somatosensory)

  • Some taste

    • mixed

Vagus Nerve

  • A mixed sensory and motor nerve

    • “Wanders” into thorax and abdomen

Accessory Nerve

  • An accessory part of the vagus nerve

    • motor

Hypoglossal Nerve

  • Runs inferior to the tongue

    • Innervates the tongue muscles

    • motor

Spinal Nerves

  • 31 pairs

  • Named for point of tissue from the spinal cord

    • 8 pairs of cervical nerves (C1-C8)

    • 12 pairs of thoracic nerves (T1-T12)

    • 5 pairs of lumbar nerves (L1-L5)

    • 5 pairs of sacral nerves (S1-S5)

    • 1 pair of coccygeal nerves (Co1)

  • Connect ot the spinal cord by the dorsal root and ventral root

    • Dorsal root

      • sensory fibers

      • cell bodies

        • dorsal root ganglion

    • Ventral root

      • motor fibers

  • Branchs

    • dorsal ramus

    • ventral ramus

  • Sensory and motor fibers in each

Innervation of the Back

  • Dorsal rami

    • Follow a neat, segmented pattern

    • Innervate a horizontal strip of muscle and skin

      • In line with emergence point from the vertebral column

  • Thoracic region

    • Ventral rami arranged in simple, segmented pattern

    • Intercostal nerves - supply intercostal muscles, skin, and abdominal wall

      • Each gives off lateral and anterior cutaneous branches

Introduction to Nerve Plexuses

  • Nerve plexus - a network of nerves

  • Ventral rami (except T1-T12)

    • branch and join with one another

    • form nerve plexuses

      • cervical, brachial, lumbar, and sacral

    • primarily serve limbs

    • fibers from ventral rami crisscross

The Cervical Plexus

  • Deep in neck

    • under sternocleidomastoid

  • Formed by ventral rami of first four cervical nerves

  • Most are cutaneous nerves

  • Some innervate muscles of anterior neck

  • Phrenic nerve

    • most important of cervican plexus

The Brachial Plexus and Innervation of the Upper Limb

  • Brachial plexus lies in the neck and axilla

  • Formed by ventral rami of

    • C5-C8

    • Most of T1

    • Sometimes part C4 or T2

  • Cords give rise to main nerves of the upper limb

Nerves from the Lateral and Medial Cords

  • Musculocutaneous

    • main branch of the lateral cord

    • innervates the biceps brachii and brachialis

  • Median

    • originates from both lateral and medial cords

    • innervates anterior forerm muscles and lateral palm

  • Ulnar

    • branches from the medial cord

    • innervates intrinsic hand muscles and skin of the medial hand

Nerves from the Posterior Cord

  • Radial

    • continuation of the posterior cord

    • largest branch of the brachial plexus

    • innervates muscles of the posterior upper limb

  • Axillary

    • innervates deltoid and teres minor

Brachial Plexus

The Lumbar Plexus and Innervation of the Lower Limb

  • Lumbar plexus

    • L1-L4

    • Main branches innervate the anterior and medial thigh

      • Femoral nerve

        • anterior thigh muscles

      • Obturator nerve

        • adductor muscles

The Sacral Plexus

  • L4-S4

  • Caudal to lumbar plexus

  • Often considered with the lumbar plexus

    • Lumbosacral plexus

Innervation of the Lower Limb

  • Sciatic nerve

    • largest nerve of the sacral plexus

    • actually two nerves in one sheath

      • Tibial nerve

        • most of the posterior lower limb

      • Common fibular (peroneal) nerve

        • muscles of the anterolateral leg

  • Superior and inferior gluteal nerves

    • innervate the gluteal muscles

  • Pudendal nerve

    • innervates muscles of the perineum

The LumboSacral Plexus

Innervation of the Skin: Dermatomes

  • Dermatome

    • innervated by cutaneous branches of a single spinal nerve

  • Upper limb

    • brachial plexus

  • Lower limb

    • Lumbar nerves - anterior surface

    • Sacral nerves - posterior surface

Map of Dermatomes - Anterior View

Map of Dermatomes - Posterior View

Spastic vs. Flaccid Paralysis

  • Flaccid

    • when communication between spinal cord and muscle is the site of injury

  • Spastic

    • when communication between the brain and spinal cord is the site of injury

Chapter 16 - The Special Senses

The Special Senses

  • Taste, smell, sight, hearing, and balance

  • Special sensory receptors

    • Localized

      • head region

    • Receptors are not free endings of sensory neurons

    • Special receptor cells

The Chemical Senses: Taste and Smell

  • Taste

    • gustation

  • Smell

    • olfaction

  • Receptors

    • chemoreceptors

    • respond to chemicals

Taste - Gustation

  • Taste receptors

    • Occur in taste buds

      • Most are found on the surface of the tongue

      • Located within tongue papillae

      • Collection of 50-100 epithelial cells

Taste Buds

Taste Sensation and Gustatory Pathway

  • Four basic qualities of taste

    • Sweet

    • Salty

    • Sour

    • Bitter

    • A fifth taste - umami - “deliciousness”

  • The “taste map” is a myth

    • All taste modalities can be elicited from all areas containing taste buds

  • No structural difference among taste buds

Gustatory Pathway

  • Taste information reaches the cerebral cortex

    • Primarily through

      • facial (VII)

        • anterior

      • glossopharyngeal (IX)

        • posterior

    • Some through:

      • vagus nerve (X)

        • epiglottis and lower pharynx

    • Sensory neurons synapse in the medulla

      • solitary nucleus to thalamus to parietal cortex

Olfactory Receptors

The Eye and Vision

  • Visual organ - the eye

  • 70% of all sensory receptors are in the eyes

  • 40% of the cerebral cortex is involved in provessing visual information

  • Anterior one-sixth of the eye’s surface is visible

Anatomy of the Eyeball

  • Components of the eye

    • Protect and support the photoreceptors

    • Gather, focus, and process light into precise images

  • Anterior pole - most anterior part of the eye

  • Posterior pole - most posterior part of the eye

  • External walls - composed of three tunics

    • Fibrous, vascular, sensory

  • Internal cavity - contain fluids (humors)

The Fibrous Tunic

  • Most external layer of the eyeball

    • Composed of two regions of connective tissue

      • Sclera - posterior five-sixths of the tunic

        • White, opaque region

        • Provides shapes and an anchor for eye muscles

      • Cornea - anterior one-sixth of the fibrous tunic

Medial View of the Eye

The Vascular Tunic

  • The middle coat of the eyeball

  • Composed of choroid, ciliary body, and iris

  • Choroid - vascular, darkly pigmented membrane

    • posterior 5/6

Posterior View of the Anterior Half of the Eye

The Vascular Tunic

  • Ciliary body - thickened ring of tissue - encirles the lends

  • Composed of ciliary muscle

The Iris

  • Visible colored part of the eye

  • Attached to the ciliary body

  • Composed of smooth muscle

  • Pupil - the round, central opening

    • Sphincter pupillae muscle

    • Dilator pupillae muscle

      • Act to vary the size of the pupil

The Sensory Tunic (Retina)

  • Retina - the deepest tunic

Photoreceptors

  • Two main types

    • Rod cells - more sensitive to light

      • Allow vision in dim light

    • Cone cells - operate best in bright light

      • Enable high - acuity, color vision

Internal Chambers and Fluids

  • Posterior segment (cavity)

    • Filled with vitreous humor

      • Clear, jelly-like substance

      • Transmits light

      • Supports the posterior surface of the lens and hold neuronal layer against pigmented layer

      • Helps maintain intraocular pressure

  • Anterior segment

    • Filled with aqueous humor

      • Renewed continuously

      • Formed as a blood filtrate

      • Supplies nutrients to the lends and cornea

        • Avascular

    • Glaucoma

The Eye as an Optical Device

  • Lens

    • A thick, transparent, biconvex disc

Cataract

  • Inadequate delivery of nutrients to part of lens

    • Possible causes

      • congenital

      • sunlight

      • smoking

      • medications

Visual Pathway

  • Most visual information travels to the cerebral cortex

  • Responsible for conscious “seeing”

Visual Pathways to the Cerebral Cortex

  • Pathway begins at the retina

    • Light activates photoreceptors

    • Leads to activation of optic nerve (II)

  • Optic tracts send axons to:

    • Thalamus

      • Synapse

      • Fibers of the optic radiation reach the primary visual cortex

The Ear: Hearing and Equilibrium

  • The ear

    • receptor organ

      • hearing and equilibrium

  • 3 main regions

    • Outer ear

      • hearing

    • Middle ear

      • hearing

    • Inner ear

      • both hearing and equilibrium

The Outer (External) Ear

  • Composed of:

    • The auricle (pinna)

      • helps direct sounds

    • External acoustic meatus

    • Tympanic membrane

      • forms the boundary between the external and middle ear

The Middle Ear

  • The tympanic cavity

    • A small, air-filled space

    • Located within the petrous portion of the temporal bone

  • Pharyngotympanic tube (auditory or eustachian tube)

    • Links the middle ear and pharynx

  • Ear ossicles - smallest bones in the body

    • Malleus

      • attaches to the eardrum

    • Incus

      • between the malleus and stapes

    • Stapes

      • vibrates against the oval window

The Inner (Internal) Ear

  • Inner ear - also called the labyrinth

  • Lies within the petrous portion of the temporal bones

  • Boney labyrinth - a cavity consisting of 3 parts

    • semicircular canals

    • vestiblue

    • cochlea

  • Membranous labyrinth

    • Series of membrane-walled sacs and ducts

    • Fit within the bony labyrinth

    • Consists of 3 main parts

      • semicircular ducts

      • utricle and saccule

      • cochlear duct

    • Filled with a clear fluid - endolymph

      • confined to the membranous labyrinth

    • Bony labyrinths is filled with perilymph

      • continuous with cerebrospinal fluid

The Vestibule

  • The central part of the bony labyrinth

  • Lies medial to the middle ear

    • Utricle and saccule - suspended in perilymph

      • Two egg-shaped parts of the membranous labyrinth

      • House the macula

        • a spot of sensory epithelium

  • Macula - contains receptor cells

    • Monitor the position of the head when the head is still

    • Receptor cells - called hair cells

      • synapse with the vestibular nerve

The Semicircular Canals

  • Lie posterior and lateral to the vestibule

  • Anterior and posterior semicircular canals

    • Lie in the vertical plane at right angles

  • Lateral semicircular canal

    • Lies in the horizontal plane

  • Semicircular duct - snakes through each semicircular canal

  • Membranous ampulla - located within bony ampulla

    • Houses a structure called a crista apullaris

      • Cristae contain receptors cells of rotational acceleration

        • Epitheliumm contains supporting cells and receptor hair cells

The Cochlea

  • The cochlear duct (scala media) - contains receptors for hearing

    • Organ of Corti - the receptor epithelium for hearing

The Role of the Cochlea in Hearing

Equilibrium and Auditory Pathways

  • The equilibrium pathway

    • Transmits information on the position and movements of the head

    • Most information goes to lower brain centers (reflex centers)

  • The ascending auditory pathway

    • Transmits information from cochlear receptors to the cerebral cortex

Auditory Pathway from the Organ of Corti

Chapter 15 - The Autonomic Nervous System and Visceral Sensory Neurons

The Autonomic Nervous System

  • Innervates

    • smooth muscle

    • cardiac muscle

    • glands

  • Regulates visceral functions

    • heart rate

    • blood pressure

    • digestion

    • urination

Comparison of Autonomic and Somatic Motor Systems

  • Somatic motor system

    • One motor neuron

      • from the CNS

      • to skeletal muscle

    • Axons are well myelinated, conduct impulses rapidly

  • Autonomic nervous system

    • Chain of two motor neurons

      • Preganglionic neuron

      • Ganglionic/Postganglionic neuron

    • Conduction is slower due to thinkly or unmyelinated axons

Autonomic and Somatic Motor Systems

Divisions of the Autonomic Nervous System

  • Sympathetic and Parasympathetic Divisions

    • Chains of two motor neurons

      • Innervate mostly the same structures

      • Cause opposite effects

  • Sympathetic - “fight, flight, or fright”

    • Activated during exercise, excitement, and emergencies

  • Parasympathetic - “rest and digest:

    • Concerned with conserving energy

Anatomical Differences in Sympathetic and Parasympathetic Dvisions

  • Sympathetic - also called thoracolumbar division

  • Parasympthetic - also called the craniosacral division

  • Length of postganglionic fibers

    • Sympathetic - long postganglionic fibers

    • Parasympathetic - short postganglionic fibers

  • Branching of axons

    • Sympathetic axons - highly branched

      • influences many organs

    • Parasympathetic axons - few branches

      • localized effect

  • Neurotransmitter released by postganglionic axons

    • Sympathetic

      • Most norepinephrine (adrenergic)

    • Parasympathetic

      • Acetylcholine

The Parasympathetic Division

Path of the Vagus Nerve

Sympathetic Trunk Ganglia

  • Both sides of vertebral column

  • Linked into sympathetic trunks

  • Joined to ventral rami by white and gray rami communicates

  • Fusion of ganglia —> fewer ganglia than spinal nerves

Prevertebral Ganglia

  • Unpaired, not segmentally arranged

  • Occur only in abdomen and pelvis

  • Lie anterior to the vertebral column

  • Main ganglia

    • Celiac, superior mesenteric, inferior mesenteric, inferior hypogastric ganglia

Sympathetic Divison of the ANS

Sympathetic vs. Parasympathetic Effects

Sympathethic Pathways to the Head

Sympathetic Pathways to Thoracic Organs

Sympathetic Pathways to the Abdominal Organs

Sympathetic Pathways to the Pelvic Organs

The Role of the Adrenal Medulla in the Sympathetic Division

  • Major organ of the sympathetic nervous system

  • Constitutes largest sympathetic ganglia

  • Secretes great quantities of:

    • norepinephrine

    • adrenaline

  • Stimulated to secrete by preganglionic sympathetic fibers

The Adrenal Medulla

Visceral Sensory Neurons

  • General visceral sensory neurons monitor:

    • stretch, temperature, chemical changes, and irritation

  • Cell bodies are located in the dorsal root ganglia

  • Visceral pain - perceibed to be somatic in origin

    • Referred pain

A Map of Referred Pain

Visceral Reflexes

  • Visceral sensory and autonomic neurons

    • Participate in visceral reflex arcs

      • Defecation reflex

      • Micturition reflex

  • Some are simple spinal reflexes

  • Others do not involve the CNS

    • Strictly peripheral reflexes

Visceral Reflex Arc

Central Control of the ANS

  • Control by the brain stem and spinal cord

    • Reticular formation exerts most direct influence

      • Medulla oblongata

      • Periaqueductal gray matter

    • Control by the hypothalamus and amygdala

      • Hypothalamus - the main integration center of the ANS

      • Amygdala - main limbic region for emotions

    • Control by the cerebral cortex

Chapter 17 - The Endorcine System

Endocrine vs Exocrine

Endocrine Organs

  • Scattered throughout the body

  • Pure endocrine organs

    • Pituitary, pineal, thyroud, parathyroid, and adrenal glands

  • Organs containing endocrine cells

    • Pancreas, thymus, gonads, and the hypothalamus

  • Richly vascularized

Location of Major Endocrine Glands

Hormones

  • Basic hormone action

    • Circulate throughout the body in blood vessels

    • Influence only specific tissues - target cells

    • A hormone can have different effects on different target cells

Control of Hormones Release: 3 Mechanisms

Control of Hormones Secretion

  • Always controlled by feedback loopes

    • Blood concentration declines below a minimum

      • More hormone is secreted

    • Blood concentration exceeds maximum

      • Hormone production is halted

The Pituitary Gland

The Anterior Lobe

Relationship Between the Posterior Pituitary and Hypothalamus

Glands and Hormones each releases

Other Endocrine Structures

  • Endocrine cells occur within:

    • Atria of heart

      • atrial natriuretic peptide (ANP)

    • The GI tract

      • enteroendocrine cells

    • The placenta

      • secretes several steroid protein hormones

        • Estrogen

        • Progesterone

    • The kidneys - cels of the juxtaglomerular apparatus secrete renin —> aldosterone (sodium reabsorption)

      • Endothelial cells and interstitial connective tissue - secrete erythropoietin

        • RBC production

    • The skin - modified cholesterol molecules convert to a precursor of vitamin D

      • A steroid hormone required for calcium metabolism/absorption

Pituitary Disorders

  • Gigantism - hypersecretion of GH in children

  • Pituitary dwarfism - hyposecretion of GH

  • Acromegaly - hyposecretion of GH after closure of growth plates

  • Diabetes insipidus - pars nervosa does not make enough ADH

Disorders of the Pancreas: Diabetes Mellitus

  • Caused by:

    • Insufficient secretion of insulin

    • Resistance of body cells to the effects of insulin

  • Type I diabetes - develops suddenly, usually before age 15

    • T cell-mediated autoimmune response destroys beta cells

  • Type II diabetes - adult onset

    • Usually occurs after age 40

    • Cells have lowered sensitivity to insulin

    • Controlled by dietary changes and regular exercise