1 - Introduction to neuro Flashcards

Organisation of the nervous system, intro to clinical neurology

1
Q

Outline the basic organisation of the nervous system.

A

CNS - brain and spinal cord

PNS - nerves and ganglia (clusters of neuronal cell bodies) outside the brain and spinal cord

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2
Q

How is the PNS organised?

A

Somatic PNS - Controls motor and sensory function for the body wall, e.g. skin [sensory neuron], skeletal muscles [motor neuron])

Autonomic nervous system - (Also called visceral PNS, vegetative NS, involuntary NS). Regulates function of the viscera: internal organs, smooth (involuntary) muscle, pupils, sweating, blood vessels, bladder, intestine, glands etc, and controls heart contraction rate. Has sympathetic & parasympathetic arms.

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3
Q

What are the 2 directions that information can flow in the nervous system?

A

Afferent or efferent.

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4
Q

Axons enter and leave the CNS via which pairs of nerves?

A

Cranial and spinal

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5
Q

What is an afferent axon?

A

Axons that propagate action potentials towards the brain & spinal cord from the PNS (e.g. sensory neurons, both somatic and ANS).

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6
Q

What is an efferent axon?

A

Axons that propagate action potentials from the brain and spinal cord to the periphery (e.g. motor neurons, both somatic and ANS)

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7
Q

What are Interneurons?

A

CNS neurons that synapse with other CNS neurons within the brain or spinal cord.

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8
Q

Describe the basic anatomy of the Cerebral cortex. (Cerebrum) What does it do?

A

Two hemispheres.

In general, each receives sensory info from and controls movement of the opposite side of the body.

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9
Q

What does the cerebellum do?

A

“little brain” - controls coordination of movement

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10
Q

What is the brainstem?

A

is the most primitive part. Contains densely packed fibres.

Regulates vital functions (e.g. consciousness, breathing). Damage here is usually fatal.

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11
Q

How is the CNS spine structured?

A

Spinal cord (CNS) contains ascending and descending tracts to and from the brain as well as reflex circuits.

Voluntary movement and sensation involves communication to and from the brain via the ascending and descending tracts.

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12
Q

How does a reflex circuit work?

A

Somatic sensory neurons, which have their cell bodies outside the spinal cord, have their axons projecting into the spinal cord where they form synapses with interneurons, which in turn synapse with somatic motor neurons in the spinal cord.
These are needed for a fast reflex response.

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13
Q

What route do sensory pathways use to enter the spine?

A

Dorsal roots

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14
Q

What route to motor pathways use to leave the spine?

A

Ventral roots

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15
Q

Where does the CNS end?

A

The margins of the spinal cord.

The dorsal and ventral roots that emerge from the spinal cord being part of the PNS

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16
Q

What is in the grey matter and what is in the white matter?

A

Neuronal cell bodies are in the grey matter.

Ascending and descending axon tracts are in the white matter.

17
Q

How are spinal nerves (PNS) arranged?

A

Contain both afferent and efferent axons.
They are bundled into fascicles surrounded by perineurium.
The whole nerve is in a tough epineurium capsule.

18
Q

What are individual axons wrapped in?

A

Myelin & endoneurium.

Some are unmyelinated e.g. nociceptive (pain) neurones.

19
Q

What is the function of a neurone?

A

To transmit and receive action potentials, or stimulate target tissue, e.g. contraction of skeletal/smooth muscle, secretions from glands.

20
Q

What happens when an action potential reaches a synapse?

A

When action potentials reach a neuronal chemical synapse, neurotransmitters released by a presynaptic terminal bind to post-synaptic receptors of the neuron/muscle/gland it is synapsing with.

21
Q

What is the difference between regeneration of axons in the PNS and CNS?

A

Axons in peripheral nerves can regenerate after injury.

Axons in the CNS have limited regenerative capacity.

22
Q

How are axons in the PNS regenerated?

A

Injury leads to stimulation of phagocytes which remove debris. This debris would otherwise inhibit regrowth.
It can be compromised by aberrant axon sprouting and non-specific target reinnervation- This can lead to neuropathic pain.

23
Q

Why do axons in the CNS have limited regenerative capacity?

A

Glia have an inhibitory influence on regeneration.
Glial scars form in place of injured brain tissue.
Absence of guidance cues that stimulate axon growth.