Basic Anatomy of the CNS Flashcards

1
Q

What are the clinical manifestations of a dysfunctional cerebellum?

A

Tremor

Dyssynergia = disturbance of muscular coordination
Dysdiadochokinesia = impaired ability to perform rapid, alternating movements

Tests =
Finger to nose
Examine gate
rapid alternating hand movements

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2
Q

How do the ventricles appear on CT and why?

A

dark = filled with CSF

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3
Q

How do the sulcus appear on CT and why?

A

dark = contain CSF

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4
Q

Define ectoderm

A

Outermost layer of the 3 primary germ layers

Skin, CNS

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5
Q

Define mesoderm

A

Middle layer of the 3 primary germ layers

Muscle, CVS, kidneys, cartilage, bone

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6
Q

Define endoderm

A

Innermost layer of the 3 primary germ layers

Gut

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7
Q

What is the notochord?

A

Induces changes in overlying ectoderm = growth factors

= ectoderm starts to bend down, forms neural tube which breaks off

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8
Q

What is the neural tube?

A

Created from the notochord

Goes onto create your brain and spinal cord

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9
Q

Outline the structures that make up the brainstem

A

Medulla (bottom) = CNS/resp centres, major motor pathway, medullary pyramids

Pons (middle) = feeding, sleep

Midbrain (top) = eye movement, reflex to sound/vision

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10
Q

What are the medullary pyramids?

A

Major motor pathway

Carrying motor fibres down to the spinal cord

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11
Q

What are the ventricles of the brain

A

Hollow spaces filled with CSF

Contain a network of ependymal cells involved in the prod of CSF

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12
Q

What structures make up the CNS?

A

Cerebral hemispheres

Brainstem and cerebellum

Spinal cord

Oligodendrocytes

Microglia

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13
Q

What structures makes up the PNS?

A

Dorsal and ventral roots

Spinal nerves

Peripheral nerves

Schwann cells

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14
Q

What are cranial nerves?

A

Nerves that arise in pairs from the lower surface of the brain one on each side

Specialised spinal nerves

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15
Q

Where is the ventral surface of the brain?

A

inferior surface

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16
Q

Where is the dorsal surface of the brain?

A

Superior surface

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17
Q

Outline decussation

A

Fibres cross from one hemisphere to the other side

= one side of the brain control the other side of the body

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18
Q

Define sulcus

A

Groove separating adjacent gyri

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19
Q

Define gyrus

A

Fold in the brain

Maximises volume of the brain

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20
Q

Define fissure

A

Large split between adjacent large areas of the brain

E.g. Giant sulcus

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21
Q

What is the central sulcus?

A

Important landmark = where the primary motor and sensory cortex reside

Marks the boundary between the frontal lobe and parietal lobe

Runs uninterrupted from the midline to the temporal lobe

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22
Q

Where is the primary somatosensory cortex found?

A

In the post-central gyrus

Found posterior to the central sulcus

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23
Q

Where is the primary motor cortex found?

A

In the pre-central gyrus

Anterior to the central sulcus

24
Q

Discuss the frontal lobe

A

Motor cortex

Higher cognition, motor function, speech

Anterior

25
Discuss the parietal lobe
Sensory cortex Spacial awareness Posterior
26
Discuss the temporal lobe
Memory, smell, hearing
27
Discuss the cerebellum
Co-ordination and motor learning Effects ipsilateral side of the body
28
What is the lateral sulcus
Also called = sylvian sulcus Separates temporal lobe from the frontal/parietal lobes
29
Discuss the occipital lobe
Most posterior Over the cerebellum Vision
30
Discuss the longitudinal fissure
Separates both hemispheres
31
What joins both hemispheres?
Corpus callosum
32
The anterior cranial fossa contains what?
Frontal lobe
33
The middle cranial fossa contains what?
Temporal lobe
34
The posterior cranial fossa contains what?
Cerebellum and brainstem
35
What is the optic chiasm?
Site where fibres in the visual system cross over Site of decussation
36
Discuss the pituitary stalk
Connection between hypothalamus and posterior pituitary Sits close to optic chiasm
37
What is the mimmillary body?
Part of the limbic system and hypothalamus Small round bodies on undersurface of brain Part of diencephalon Important in recollective memory
38
What is the uncus of the temporal lobe?
Medial most part of temporal lobe Sits next to the midbrain If intra cranial pressure increases uncus can compress midbrain and cause third nerve palsy
39
What is the diencephalon?
Thalamus + hypothalamus
40
What is the parahippocample gyrus?
Surrounds the hippocampus Memory encoding
41
Outline the role of the corpus calosum
Fibres connecting the 2 cerebral hemispheres
42
Discuss the cingulate gyrus
Sitting above corpus calosum Space occupying lesions in one hemisphere can push the singulate girus across into the other, underneath the falx cerebri = damage to singulate girus Compression of anterior cerbri A
43
What is the calcarine sulcus?
Primary visually cortex sit around this sulcus
44
What is the function of the septum pellucidum?
Separates the 2 lateral ventricles
45
What are the lateral ventricles?
2 largest cavities Come together by the interventricular foramina
46
Outline the role of the cerebral aquaduct
Passage to the 4th ventricle under the cerebellum
47
What is the role of the thalamus?
Sensory relay station projecting to sensory cortex
48
What is the function of the hypothalmus?
Essential centre for homeostasis
49
Name an important artery to the pons
Basilar A
50
What gland regulates sleep/wake?
Pineal gland
51
Which venous sinuses are found in the middle cranial fossa?
cavernous sinus
52
Which structures make up the hindbrain?
medulla pons cerebellum
53
What structures make up the brainstem?
midbrain pons medulla
54
outline the order venous blood drains from the cerebral veins to the venous structures in the neck
superior sagittal sinus confluence of sinuses transverse sinus sigmoid sinus IJV
55
what is the diencephalon made up of?
thalamus | hypothalamus
56
what structures make up the forebrain
diencephalon = thalamus + hypothalamus cerebrum