Izzy was an active 22 year old when she
started to notice that her legs and arms
felt “heavy” and her vision was blurred.
One day, while jogging, she wasn’t fully
able to lift her left foot from the pavement,
and kept veering off the sidewalk. She
said it felt like she was “drunk.”
She called the doctor and discovered that
she couldn’t speak on the phone, her
words wouldn’t come and when she could
speak, the words were slurred.
Izzy’s Youtube ChannelWhen she made it to the doctor, the,
he immediately had her admitted to the
hospital.
There, she saw several neurologists
who asked her to perform several
tasks such as:
● touch your nose
● walk in a straight line
● read a passage of text
An MRI was ordered to scan her brain.
What do you notice about this image?Neurologists have proposed
several possible diagnoses
for Izzy.
1. Stroke
2. Brain tumor
3. Epilepsy
4. InfectionIzzy’s next test was a
lumbar puncture.
A needle is placed between
the lumbar and spinal fluid
is drawn to check for
inflammation and bacterial
infection.
Izzy was in the hospital for all of these tests, and
her symptoms were getting worse, not better. She
could not move, go to the bathroom or feed herself.With physical therapy, Izzy was able to
leave the hospital after 6 weeks. She
was referred to a specialist.
At this appointment, the specialist
showed her the brain scan and said
“These white spaces are lesions, or
scar tissue. They shouldn’t be there
and are signs of brain damage.“
Diagnosis:
Aggressive Onset Multiple SclerosisThe Nervous System
- Includes the brain, spinal cord and the nerves
So what happened to Izzy?
*Recall her main symptomsOverall function - coordinate
the body’s systems by receiving
and sending information;
maintaining homeostasis
● Sensory - receives information
● Integrative - determines where information is sent
● Motor - responds to signals
How were these systems working
(or not working) in Izzy’s case?Two Divisions of the Nervous System
Central Nervous System (CNS)
Brain and spinal cord
Peripheral Nervous System (PNS)
Nerves throughout the body
31 pairs of spinal nerves
12 pairs of cranial nervesSomatic Nervous
System
- skeletal
- voluntary
Autonomic Nervous
System
- smooth muscles
- glands
- involuntaryAutonomic Nervous
System (2 branches)
Parasympathetic
(rest and digest)
Sympathetic
(fight or flight)What was going on with Izzy? Why did she have lesions on
her brain that caused so many problems? The answer lies
within the cells of her nervous system: the NEURONS.
Symptoms associated with MS:
● Sensory loss: numbness in limbs, burning or prickly sensations
● Spinal cord symptoms (motor): muscle cramping, paralysis
● Vision problems: blindness or blurred vision
● Constitutional symptoms: fatigue and dizziness
● Cognitive difficulties: concentration, memory, and judgment
● Mental health: depression, bipolar disorder or dementiaNeurons = masses of nerve cells that
transmit information
*functional unit of the nervous system
1. Cell Body - contains the nucleus and
other cell organelles
2. Dendrites – shorter, more numerous,
receive information
3. Axons - single long fibers, conducts
information away from the cell
1
2
3Chromatophilic substance (rough ER) - transport system
-insulation surrounding axons
- gaps in the insulation
Myelin Nodes of Ranvier Neurofibrils are
fibers within the
axon.Neuroglial Cells - Support for neurons
node of ranvier1. Microglial Cells - Immune function; digest debris, kills
bacteria2. Oligodendrocytes -
make myelin sheath
that provides insulation
around the axons3. Astrocytes - connect blood vessels to neurons
I connect to
blood
vessels4. Ependymal Cells - forms membranes around tissue5. Schwann
cells: form the
insulating myelin
sheath around
the neurons in
the PNS
(same function as
oligodendrocytes,
which are found in the
CNS)Myelin Sheaths - insulate axons
Schwann cells supply the
myelin for peripheral neurons.
Oligodendrocytes myelinate the
axons of the central nervous
system.
Gaps in the sheath are called:
NODES OF RANVIERWhat is wrong with Izzy’s neurons?
Nerves lose their
myelin sheath, this is
called demyelination the neurons lose their
myelin, the nerves are
unable to send or receive
signals.
What aspects of Izzy’s
symptoms indicate loss of
these signals?How nerve impulses travelA
Which cell….
1. Creates myelin sheath
2. Has an immune
function
0
3. Forms a membrane
M
4. Connects to a blood
supply
E
Practice with neuroglia coloring!Myelinated (white matter) – myelinated axons
matter) - unmyelinated
Unmyelinated (grey Lesions are evidence of
nerve cell damage in your
brain or spinal cord.
Symptoms can vary depending on
the location of the lesion.
- lesions on the spinal cord may
cause motor problems
- lesions on the back of the brain
may cause balance problemsWhy are the neuron’s in
Izzy’s brain demyelinating?
- Why is this called
an AUTOIMMUNE
disease?
- What does
“sclerosis” mean?Fun Facts about Neurons
-Longevity – can live and function for a lifetime
-Do not divide – fetal neurons lose their ability to undergo
mitosis; neural stem cells are an exception
-High metabolic rate – require abundant oxygen and glucose
-The nerve fibers of newborns are
unmyelinated - this causes their
responses to stimuli to be coarse and
sometimes involve the whole body.
Try surprising a baby!Nerve Impulses = weak electric current, like a wave1. Neuron membrane
maintains resting potential
2. Threshold stimulus is
received
3. Sodium channels open
4. Sodium ions diffuse inward,
depolarizing the membrane
channels open
6. Potassium ions diffuse
outward, repolarizing the
membrane
5. Potassium 7. The resulting action
potential causes a local
that
bioelectric current stimulates the
membrane.
8. Wave of action
potentials travel the
length of the axon as a
nerve impulseIons in the cell and outside the
cell create a positive and
negative side, which produces
an electric current.Depolarization:
loss of the difference in
charge between the
inside and outside of the
plasma membrane of a
muscle or nerve cell due
to a change in
permeability and
migration of sodium ions
to the interiorLabel the Graph:
1. Resting
2. Depolarization
3. Repolarization
4. RestingNerve Impulse
the size Speed is proportional to
of the axon
greater diameter =
faster impulse
Myelinated axons conduct
than
unmyelinated one
impulses faster Treatments for MS
Most treatments focus on
suppressing the immune system
so that immune cells do not
continue to attack neurons.
Chemotherapy
Anti-inflammatory drugs
(steroids)
Physical therapyautologous hematopoietic stem cell transplantation (AHSCT)Meet Izzy!
No one really knows
why a person gets MS,
but it is more common
in women.
Izzy’s Youtube
ChannelCommunication Between Neurons
Synapse = junction between two communicating neurons
Nerve pathway - nerve impulse travels from neuron to neuron
Dendrite → cell body → along axon -> synapse (gap) → dendriteTo complete the signal, a
NEUROTRANSMITTER is
released at the gap to signal
the next neuron.
Receptors on the dendrite
receive the chemical
messageAnatomy of the Synapse
A: Neuron (axon)
B: Neuron (dendrite)
1. Mitochondria
2. Vesicle
3. Receptor
4. Synapse
5. Receptor
6. Calcium Channel
7. Releases neurotransmitter
8. Re-uptakeTypes of Neurotransmitters
Excitatory - increase membrane
permeability, increases chance for
threshold to be achieved
Inhibitory - decrease membrane
permeability, decrease chance for
threshold to be achievedExamples of Neurotransmitters
Acetylcholine - stimulates muscle contraction
Dopamine - mood, happiness
Serotonin = sleepiness and mood
Endorphins = pain reduction, moodAgonist = molecule that has
the same effect on the
postsynaptic neuron as the
neurotransmitter itself does.
Antagonist = molecule that
blocks the effect that the
neurotransmitter normally has
on the postsynaptic neuron. Anatomy of a Nerve Impulse (Coloring)Antidepressants
Zoloft is part of a class of drugs called
selective serotonin reuptake inhibitors
it inhibits the uptake of
serotonin back into the cell,
keeping mood elevated for a
longer time.Cocaine
If cocaine is present, it
attaches to the dopamine
transporter and blocks the
normal recycling process,
resulting in a buildup of
dopamine in the synapse,
which contributes to the
pleasurable effects of
cocaine.Your
neurotransmitters
on cocaineEcstasy (MDMA)
The neurotransmitter serotonin is vital in
regulating many of our basic functions.
Serotonin is, among other things, the feel
good neurotransmitter and helps to
regulate body temp.
Our brain cells are recycle serotonin back
into the cells and out of the synapse using
serotonin reuptake transporters.
Ecstasy essentially takes these upkeep
transporters and reverses their roles. This
causes a massive flood of serotonin from
the brain cells into the synapse.
The most common cause of
Ecstasy-related death is
overheating (hyperthermia).Heroin
Activates opiate receptors
Blocks release of GABA
More dopamine is released
Dopamine Receptors
DOPAMINEAmphetamines
Mimic dopamine - binding to
receptors
Dopamine does not re-enter
the cell, depleting the cell’s
supplyDisorders Related to Neurons
ALS - (Lou Gehrig’s Disease) Amyotrophic Lateral Sclerosis
Progressive degeneration of
nerve cells in the spinal cord
and brain
NEURODEGENERATIVE
- this means symptoms will
get worse over time.
- most patients die within 5
years of diagnosisEpilepsy
Epileptic seizures are caused by
excessive electrical activity within
networks of neurons in the brain.
A fine balance between excitation and
inhibition must be maintained in order
for the brain to function normally.
If there is too much glutamate, neurons
can become hyperexcitable and a
seizure may result. Too little GABA
(inhibitory) can also result in a seizure.
2 Minute Neuroscience - EpilepsyMyasthenia Gravis
autoimmune disorder in
which antibodies destroy
neuromuscular
connections
We did a case study on
this during the muscle
chapter, do you
remember it?
The Meninges
= membranes located between bone and soft tissues
What is
meningitis?Meningitis
Meningitis can be
bacterial of viral.
● fever
● stiff neck
● photosensitive
● vomiting
● rash
*There is a vaccine!
Can cause
serious
complications,
even death.Cerebrospinal fluid
(CSF) is a clear liquid that
bathes the brain and
spinal cord; cushions the
brain and serves as a
shock absorber.Subdural Hematoma
Associated with
traumatic brain
injury. Bleeding
within the brain,
puts pressure
on the brain
and can be life
threateningSpinal Cord
passes down the vertebral canal,
(each with a pair
has 31 segments of spinal nerves)
They are named for their location
C1 - C8
T1 - T12
L1 - L5THE BRAIN Cerebrum
3 Major
Parts of the
Brain
Brain Stem
CerebellumCEREBRUM -
wrinkly large part
of the brain
(cerebral cortex)
higher mental
function, solving
problemsCEREBELLUM
Balance and coordination
White matter within the
cerebellum give it a
tree-like appearance -
this is called the
ARBOR VITAE
(“Tree of Life”)Brain Stem -
regulates visceral
functions
(autonomic system)Anatomy of the Brain (Coloring)
hypothalamus
Medulla oblongataPARTS OF THE BRAIN
Split brain
experiments?
Cerebral Hemispheres
- left and right side separated by the ....
Corpus Callosum - connects the two hemispheresCorpus callosumBrain Convolutions
- the wrinkles and
grooves of the cerebrum
Fissures = deep groove
Sulcus = shallow groove
= bump
Gyrus Each sulcus has a name based upon its location on the brain.Central Sulcus
Frontal Lobe Parietal Lobe
executive
functions perception,
sense-making,
math
Lateral
Fissure
Occipital
Lobe
vision
Temporal
Lobe
memory,
languageLongitudinal fissure - separate right and left sides
Transverse fissure - separates cerebrum and cerebellumVENTRICLES OF THE BRAIN
Fluid filled cavities, contain CSF
3rd
Ventricle
(1st and 2nd
ventricles)Association Areas
- interpreting and analyzing informationBRAIN STEM
Thalamus
Hypothalamus
Pituitary
Midbrain
Pons
Medulla OblongataDiencephalon
has 2 parts.....
Hypothalamus -
hormones, heart rate,
blood pressure, body
temp, hunger, attaches to
(red)
Thalamus - relay station
pituitary Optic Tract / Chiasma - optic nerves cross over each other
The left side
of the brain
controls the
right side of
the body!Midbrain – visual
reflexes, eye
movements
Pons - relay sensory
information
Medulla – heart,
respiration, blood
pressurePituitary Gland
The "master gland" of
the endocrine system.
It controls hormones.Corpus callosum
Thalamus
Hypothalamus
Pituitary glandMedulla
Oblongata Pons
MidbrainHIPPOCAMPUS
(“sea horse”) - storage and retrieval of memories
Amygdala - storage of
memories associated with
emotion.
~Also associated with fear
response and aggressionThe LIMBIC SYSTEM
-hypothalamus
-hippocampus
-amygdala
has a role in emotions
Why are
teenagers
impulsive?