Nervous System Study Notes (Chapter 14)
Objectives
- Describe the nervous system
- State the description of the organs and structures of the nervous system
- List the major divisions of the brain
- Analyze, build, spell, and pronounce medical words
- Describe diagnostic and lab tests related to the nervous system
- Identify and define selected abbreviations
Overview
- The nervous system has 2 divisions – central and peripheral
- The central nervous system (CNS) is composed of the brain and spinal cord
- The peripheral nervous system (PNS) is composed of all nervous tissue outside of the brain and spinal cord
- The autonomic nervous system is a subdivision of the PNS
Combining Forms of the Nervous System
- Cephal/o
- Cerebell/o
- Crani/o
- Dendr/o
- Dur/o
- Encephal/o
- Esthesi/o
- Hypn/o; somn/o
- Mening/o
- Ment/o
- Myel/o
- Neur/o
- Spondyl/o
Central Nervous System
- The brain and spinal cord are covered by the meninges
- Major structures of the brain include the cerebrum, cerebellum, diencephalon, and the brainstem
- The hypothalamus is associated with behavior and emotional expression and is the primary link between the endocrine system and the CNS
- The medulla is the vital center
- Cerebrospinal fluid flows through the CNS
Peripheral Nervous System
- The autonomic nervous system (ANS) controls involuntary body activities
- The sympathetic division of the ANS is the fight-or-flight division
- The parasympathetic division of the ANS is the rest and repair division
Building A Medical Vocabulary
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- Akinesia — absence or impairment of voluntary movement
- Amnesia — memory loss
- Analgesia — absence of pain sensation
- Aphagia — inability to swallow
- Aphasia — impairment of language function
- Ataxia — lack of muscle coordination
- Cephalgia — headache
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- Akathisia — restlessness; inability to stay still
- Apraxia — inability to perform purposeful movements
- Bradykinesia — slowness of movement
- Dyskinesias — abnormal, involuntary movements
- Dysphagia — difficulty swallowing
- Dysphasia — impairment of language
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- Chorea — involuntary, irregular movements
- Concussion — minor head injury
- Dementia — progressive cognitive decline
- Dyslexia — difficulty reading
- Encephalitis — inflammation of the brain
- Hemiparesis — weakness on one side of the body
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- Hyperesthesia — increased sensitivity
- Hyperkinesis — excessive movement
- Lobotomy — surgical destruction or removal of part of the brain tissue
- Meningitis — inflammation of the meninges
- Narcolepsy — sudden sleep attacks
- Neuralgia — nerve pain
- Neuroma — tumor of nerve tissue
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- Hemiplegia — paralysis of one side of the body
- Neuropathy — disease of the nerves
- Quadriplegia — paralysis of four limbs
- Paraplegia — paralysis of the legs and the lower part of the body
- Paresis — partial paralysis or weakness
- Paresthesia — abnormal sensation (tingling or prickling)
- Somnambulism — sleepwalking
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- Meningocele — herniation of meninges through a bony defect
- Hydrocephalus — accumulation of cerebrospinal fluid in the ventricles
- Meningioma — tumor of the meninges
- Meningocele (A) and Meningomyelocele (B) — image references
- Microcephalus — abnormally small head
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- Stroke — cerebrovascular accident (CVA)
- Subdural — located beneath the dura mater
- Sundowning — evening confusion in dementia
- Syncope — fainting
- Tactile — pertaining to touch; related to touch sensation
Diagnostic and Lab Tests
Cerebrospinal fluid (CSF) analysis
Electroencephalogram (EEG)
Lumbar puncture (LP)
Neurological examination
Magnetic resonance imaging (MRI)
Positron emission tomography (PET)
Computed tomography (CT)
Notes:
- CSF analysis evaluates infections, bleeding, or other CNS conditions
- EEG measures the brain's electrical activity and helps diagnose seizures and other disorders
- LP is a procedure to collect CSF for analysis; used to diagnose infections or hemorrhage; carries risks such as headaches
- Neurological examination assesses functions of the nervous system (motor, sensory, reflexes, coordination, mental status)
- MRI provides detailed images of brain and spinal cord soft tissues; useful for detecting many neurological conditions
- PET shows metabolic activity and function of tissues, often used in oncology and neurology
- CT provides rapid cross-sectional imaging of the brain and spine; good for acute bleeding or injury
Abbreviations
- CP — cerebral palsy
- CSF — cerebrospinal fluid
- CNS vs PNS — central nervous system vs peripheral nervous system
- CVA — cerebrovascular accident (stroke)
- DDD — degenerative disc disease
- ICP — intracranial pressure
- MS — multiple sclerosis
- REM — rapid eye movement
- TENS — transcutaneous electrical nerve stimulation
- TBI — traumatic brain injury
- TIA — transient ischemic attack
Connections and practical notes:
- The CNS and PNS work together to control body functions; autonomic subdivisions (sympathetic vs parasympathetic) balance fight/flight responses with rest/repair.
- Diagnostic tests complement neurological history and exam to localize and characterize CNS/PNS pathology.
- Common neurological terms cover motor, sensory, cognitive, and language domains; many terms share roots (neur/o, mening/o, cerebr/o) that aid in building vocabulary for communication and diagnosis.
- Ethical and practical implications include respecting patient comfort and consent during invasive tests (eg, LP) and balancing speed of diagnosis with radiation exposure and contrast use in imaging.