Nervous System and Cranial Nerves Flashcards

Overview of the Nervous System

  • The nervous system has complex pathways for carrying sensory information from the periphery (skin) to the brain.

  • Key topics include the peripheral nervous system, the somatosensory pathways, and motor pathways.

Somatosensory Pathways

Dorsal Column Medial Lemniscus System
  • Function: Carries touch and proprioception information.

    • First Order Neurons: Detect stimuli in the periphery (skin), enter the spinal cord via the dorsal root.

    • Second and Third Order Neurons: Located in the spinal cord and brain, respectively.

    • Gracilis vs. Cuneatus: Gracilis carries information from the lower body; cuneatus from the upper body.

Anterolateral System
  • Function: Carries pain and temperature information.

    • First Order Neuron: Detects stimulus (pain/temperature) and enters spinal cord through the dorsal root.

    • Second Order Neuron: Located in the dorsal horn of the spinal cord; immediately synapses.

    • Decussation: Crossing over occurs in the spinal cord before ascending to the thalamus.

    • Paths: Travels via the spinothalamic tract to the thalamus and then to the primary somatosensory cortex (S1).

Primary Somatosensory Cortex (S1)

  • Location: Postcentral gyrus of the brain.

  • Body Mapping: Area of cortex dedicated to body regions correlates with sensitivity, not size.

    • Example: Large areas for hands and lips due to higher sensitivity; smaller for less sensitive areas such as the trunk.

Motor Pathways

Corticospinal Tract
  • Function: Carries motor commands to peripheral muscles.

    • Decussation: Occurs at the medulla's pyramids.

    • Synapse: Lower motor neurons in the ventral horn of the spinal cord synapse on muscles.

Organization of Primary Motor Cortex (M1)
  • Located in the precentral gyrus.

  • Functions similarly to S1, reflecting how finely motor control is required in different body regions.

Basal Nuclei & Cerebellum Functions

  • Basal Nuclei: Groups of nuclei that modulate voluntary movement (gas for voluntary; brakes for involuntary).

  • Cerebellum: Monitors movements, calculates discrepancies between intended and actual movements (motor error), and facilitates motor learning.

Spinal Nerves and Cranial Nerves Overview

Spinal Nerves
  • Total: 31 pairs of mixed spinal nerves (both sensory and motor).

  • Roots: Dorsal (sensory) and ventral (motor) roots combine to form spinal nerves.

Cranial Nerves
  • Total: 12 pairs; can be sensory, motor, or both.

  • Learning Focus: Name, function, and whether each nerve is sensory, motor, or both.

    • Key Cranial Nerves:

    • II (Optic): Vision.

    • III (Oculomotor), IV (Trochlear), VI (Abducens): Eye movement.

    • V (Trigeminal): Sensation in the face, motor functions in facial muscles.

    • VIII (Vestibulocochlear): Hearing and balance.

    • IX (Glossopharyngeal): Taste and motor functions of the throat.

    • XI (Accessory): Motor control of neck muscles.

    • XII (Hypoglossal): Motor control of the tongue.

Important Terminology

  • Decussation: The crossing over of nerve fibers from one side to another.

  • Somatotopy: Organization of the brain that relates to the body, where adjacent body parts are represented adjacently in the brain's cortex.

  • Sensory and Motor Functions: Recognize the distinction within cranial nerves for learning purposes (e.g., sensory, motor, or both).