Brain Anatomy Flashcards
Where is CSF produced? How is it absorbed?
Choroid plexus produces
Arachnoid villi absorbs
Approx. How much CSF present in normal adult?
150ml
If there is a blockage in the ventricular system, what pathology could arise?
Hydrocephalus
What are the 4 functions of CSF?
1) Shock absorber
2) basic immunological protection
3) remove metabolic waste
4) transport neurotransmitters
Which part of the ventricular system does the thalamus form the wall to?
Third ventricle
What is the function of the thalamus? Is it composed of grey or white matter?
Relay motor and sensory signals to the cerebral cortex. It is a mostly grey matter structure
What are the functions of the basal ganglia?
Production of movement, controlling unwanted movement
What are the key parts of the limbic system?
Hippo with a hat Hippocampus Hypothalamus Amygdala Thalamus
What is the pterion and why is it clinically significant?
Where the frontal, parietal, temporal and sphenoid bones join. It is the weakest part of the skull and susceptible to trauma
What type of neutron is found in the pyramids
Multipolar neuron
What is the function of the cerebellar peduncles? How many are there?
They permit communication between cerebellum and other parts of the CNS
There are 6 cerebellar peduncles, 3 on each side
What is the function of basal ganglia?
Motor refinement/ suppress unwanted movements
Learning motor skills
The lentiform nucleus is composed of?
Globus pallidus and putamen
What is the arterial supply to the basal ganglia?
Middle Cerebral Artery
What is the function of the cerebellum?
Regulates and coordinates movement such as posture
Afferent neurones
Sensory neurones - receive + integrate incoming information
Efferent neurones
Motor neurones - transmit information to target organs
What type of neurone is a typical sensory neurone
Pseudounipolar
What type of neurone is a typical motor neurone
Multipolar
Function of Glial cells
Insulate neurones
Nutrition
Oxygen
White matter
Myelinated neurones connecting grey matter structures
Dendrites and glial cells
On the inside in the brain and the outside in the spinal cord
Grey matter
Somas (cell bodies) and synapses
Brain outside, spinal cord inside
Covering of neurones from superficial to deep
Epineurium - surrounds entire nerve + associated capillaries
Perineurium - surrounds fascicle
Endometrium - surrounds axon
Structural division of nervous system
CNS - brain and spinal cord
PNS - cranial and spinal nerves
Functional division of nervous system
Somatic nervous system - voluntary control and conscious sensation
Autonomic nervous system - involuntary control - parasympathetic + sympathetic
Location of axons in PNS is called
Nerves
Location of axons in CNS is called
Tracts
Neuronal cell bodies in PNS are called
Ganglia
Neuronal cell bodies in CNS are called
Nuclei
Layers of scalp from superficial to deep
Skin Periosteum Cranium Dura mater Arachnoid mater Pia mater
The two layers of the dura mater are called
Periosteum layer
Meningeal layer
Dural venous sinuses drain into
Internal jugular veins
What are Arachnoid granulations
Small projections of arachnoid mater into dural venous sinus to allow for venous drainage of CSF
Briefly describe the flow of CSF
Made in choroid plexus. 2 lateral ventricles in each cerebral hemisphere drain into a singular third ventricle (donut) which drains through aqueduct to the 4th ventricle located in the hindbrain
How do you test CSF
Insert needle in between L3/L4 in the cauda equina
Where does nerve C1 emerge from
Between skull and atlas
Where do nerves C2-C7 emerge from?
Superior to respective vertebrae
Where does nerve C8 emerge from?
Inferior to C7 vertebrae
Where do Nerves T1-T12 emerge
inferior to respective vertebrae
Dorsal root of spinal nerve
Posterior
Somas in sensory ganglia
Afferent fibres (PNS > CNS)
Sensory
Ventral Root of spinal nerve
Anterior
Somas in ventral horn
Efferent fibres (CNS > PNS)
Motor
What is a myotome
Group of muscles supplied by efferent motor neurones of a single spinal nerve
What is a Dermatome
Area of skin supplied by afferent sensory fibres of a single Spinal nerve
How many pairs of nerves in the whole PNS?
43
How many pairs of spinal nerves?
31 8 cervical 12 thoracic 5 lumbar 5 sacral 1 coccygeal
Where are the cell bodies of motor neurones found
Ventral horn of grey matter
Where are cell bodies of sensory neurones found
Dorsal root ganglion
What type of Neurons are found in plexuses
Ventral/efferent/motor
Sympathetic nerves arise from
T1-L2
Parasympathetic nerves arise from
CN3,CN7,CN9,CN10 and S2-S4
Preganglionic fibres have somas in
Brain stem or ventral horn of spinal cord
Frontal lobe is responsible for
Higher intellect Personality Controlling movement Emotion Problem solving
Parietal lobe responsible for
Language
Interpreting movement
Visuospatial functions
Primary motor cortex location
Precentral gyrus
Location of somatosensory cortex
Post central gyrus
Location of primary auditory cortex
Superior temporal gyrus
Temporal lobe responsible for:
Hearing
Memory
Language
Speech
Primary visual cortex location is
Occipital lobe
Types of white matter tracts
Association - same hemisphere
Commissural - opposite hemisphere
Projection - different parts of CNS
Striatum is made of
Caudate nucleus
Putamen
Disorders of basal ganglia
Parkinson’s - hypokinetic, tremor
Huntington’s - hyperkinetic, jerks
Main function of hypothalamus
Maintain homeostasis
Brain stem is responsible for
Cardiovascular system control
Respiratory control
Pain sensitivity control
Alertness, awareness, consciousness
What is the vermis
Separates cerebellar hemispheres
Cerebellum is concerned with:
Motor function + learning (balance, muscle tone, posture)
Location of Foramen of monroe
Between lateral and third ventricle
What is the blood brain barrier
Semi-permeable membrane Separating circulating blood from the CSF. Occurs across all capillaries in the brain. Made of tight endothelial junctions. Bacteria can’t pass
Most common pathogen causing meningitis in neonates
E.coli
Most common pathogen causing meningitis in adults
Strep. Pneumoniae
Physical symptoms of meningitis
Nuchal rigidity - neck stiffness
Kernigs sign - patient in supine position. Flex knee and hips at 90°. Try to extend knee. - can’t straighten
Brudzinskis sign - patient in supine position. Lift neck. Positive test - patient raises knees
Treatment of meningitis
If bacterial - prompt and aggressive therapy. High does IV benzylpenicillin
What is the meningococcus
Neisseria meningitidis
Excitatory neurotransmitter
Glutamate
Inhibitory neurotransmitter
GABA
Pain pathway stages
Transduction
Transmission
Modulation
Perception
Name of CN1
Olfactory
Name of CN2
Optic
Name of CN3
Oculomotor
Name of CN4
Trochlear
Name of CN5
Trigeminal
Name of CN6
Abducens
Name of CN7
Facial
Name of CN8
Vestibulocochlear
Name of CN9
Glossopharyngeal
Name of CN10
Vagus
Name of CN11
Spinal Accessory
Name of CN12
Hypoglossal
Lateral grey horn is found between which levels? Why is it present?
T1-L2
Preganglionic motor neurones of sympathetic nervous system
Dorsal column pathway carries
Fine touch, vibration, proprioception
Anterolateral system (spinothalamic tract) carries
crude touch, pain and temperature
In the dorsal column, first order neuron signals from the upper limb travel to the
Nucleus cuneatus
In the dorsal column, first order neuron signals from the lower limb travel to the
Nucleus gracilis
Name of two ascending tracts
Dorsal column - medial lemniscal
Spinothalamic
Where do dorsal column first order neurones synapse?
Medulla oblongata
Describe the journey of second order dorsal column neurones
Begin -nucleus gracilis/cuneatus
Decussate in the medulla and travel in contralateral medial lemniscus
Synapse - thalamus
Spinothalamic tract first order neuron journey
Sensory receptors in periphery to the spinal cord. Ascend 1-2 vertebral levels and synapse at tip of dorsal horn
Spinothalamic second order neurons journey
From dorsal horn in spinal cord. Decussate in spinal cord and then split into two - anterior and lateral spinothalamic tracts
Anterior spinothalamic tract carries
Crude touch and pressure
Lateral spinothalamic tract carries
Pain and temperature
Corticospinal tract receives a number of inputs from
Primary motor cortex
Premotor cortex
Supplementary motor cortex
Describe the journey of the cortical spinal tract
Receives multiple inputs.
Descends through internal capsule
Divides in two at most inferior part of medulla
Lateral tract decussates and descends.
Terminates in ventral horn.
Lower motor neurone supply muscles
Anterior tract remains ipsilateral, descends and terminates in ventral horn