Central Nervous System (CNS) Flashcards

1
Q

CNS

A

Consists of Brain and Spinal Cord

Integration, decision making, and processing of signals

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2
Q

Peripheral Nervous System (PNS)

A

Consists of nerves and ganglia

Signals traveling to/from targets in the periphery

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3
Q

Afferent and Efferent signals

A

CNS and PNS are connected via a constant feedback loop

Sensory info → AFFerent
incoming info, INTO CNS

Motor info → EFFerent
outgoing info, FROM CNS to PNS

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4
Q

CNS

A

Major Divisions:

Cerebral cortex

Diencephalon

Cerebellum

Brainstem
continues inferiorly as the spinal cord

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5
Q

Cerebral Cortex

A

Outermost layer of brain

Associated w/ higher lever processing and functioning

Divided into right and left hemispheres

Folded to increase SA for info processing
gyri - bumps/folds of cortex
sulci - grooves/indentations
fissure - deep sulcus
longitudinal fissure divides hemispheres

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6
Q

Cerebral Cortex: Matter

A

Each hemisphere is made up of white and gray matter

“Matter” = made up of different parts of CNS cells called NEURONS

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7
Q

Grey Matter vs. White Matter

A
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8
Q

Cerebral Cortex: Corpus Callosum

A

Major white matter tract found beneath the cerebral cortex

Largest collection of white matter w/in brain

Connects left and right hemispheres and carries info received in one hemisphere over to the other

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9
Q

Clinical Correlation: Split Brain Syndrome and Hemisphere Dominance

A

Corpus callostomy: when corpus callosum = surgically severed as a last-resort tx of pt suffering from epilepsy → can stop seizures from spreading from one hemisphere to the other

Pts known as “split brain” pts due to lack of connection between left and right hemispheres (most deficits = language related)

Speech → generated in left hemisphere (dominant hemisphere for language)

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10
Q

Cerebral Cortex: Each Hemisphere has 4 Lobes

A

Frontal = cognition, control of voluntary movement

Parietal = processes info about pain, temp, taste, touch, and vibration

Temporal = processes memories and auditory info

Occipital = primarily responsible for processing visual sensation

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11
Q

Key Cortical Areas and their Specific Functions

A
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12
Q

Cerebral Cortex: Central Sulcus

A

Separates parietal lobe from frontal lobe

Precentral gyrus → represents primary motor cortex in frontal lobe

Post-central gyrus → represents the primary somatosensory cortex in parietal lobe

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13
Q

Cortical Homunculus: Motor and Sensory Mapping of Cortex

A
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14
Q

Frontal - Broca’s Area

A

Function:
motor production of speech and articulation

damage to this area results in “non-fluent aphasia”
^poor or absent grammar // omitting common words // difficulty forming complete sentences // difficulty w/ articulating sounds and words

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15
Q

Parietal/Temporal/Occipital = Wernicke’s Area

A

Function
language interpretation and understanding

damage to this area results in “fluent aphasia”
^results in articulating sentences that have the appropriate cadence but lack the right words // jumbling words together in a seemingly arbitrary sequence // inserting made-up, nonsense-like words into sentences // being unaware that you may be articulating something incomprehensible to others

INDIVIDUALS W/ WERNICKE’S APHASIA ≠ ABLE TO COMPREHEND WHAT IS BEING SAID TO THEM

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16
Q

Diencephalon

A

Large mass of grey matter found between the cerebrum and brainstem

Thalamus → major relay center for all incoming sensory info (EXCEPT olfaction/smell)

Hypothalamus → coordinates autonomic nervous system & pituitary gland to regulate body temp, maintain homeostasis, control appetite, manage sexual behavior, regulate emotional responses

17
Q

Brainstem

A

Connects cerebrum w/ spinal cord

Coordinates motor control signals sent from brain to body

Controls autonomic functions
HR, RR, BP

  • *Composed of 3 Parts:**
  • *midbrain**
  • *pons**
  • *medulla oblongata**
18
Q

Cerebellum

A

Located posteriorly
Sits inferior to occipital and temporal lobes

“Little brain” in Latin

Coordinates and regulates movement, posture, and balance

Functions in proprioception → the perception or awareness of the position and movement of body
^signals from soft tissues of muscles, tendons, ligaments, skin sent to CNS

19
Q

CNS Imaging

A
20
Q

CNS Imaging

A
21
Q

Cortical Injuries

A

Common Examples:
space occupying lesion // stroke // traumatic brain injury // hematoma // edema

Diagnostic Signs on Imaging:
∆ in radiographic density
abnormal shape compressing/shifting cortical structures
specific pt deficits based on compression of specific cortical regions

22
Q

Cortical Injuries

A
23
Q

The Spinal Cord

A

Inferior continuation of the brainstem

Coordinates motor and sensory signals between brain and body
Sensory signals = AFFerent and ASCEND up the cord to the brain

Motor signals = EFFerent and DESCEND down the cord from the brain to the peripheral system

Connected to the PNS via spinal nerves (31 pairs of nerves)

24
Q

Spinal Cord Contd.

A

Runs from foramen magnum to L1/2 intervertebral disc
in newborn ends at 4th lumbar vertebrae
growth of cord stops at age 5

Conus Medullaris: termination of the spinal cord

Cauda Equina: remaining spinal nerves traveling w/in the canal

25
Q

Internal Anatomy of Spinal Cord

A

Similar to the cortex (comprised both grey and white matter)

  • *2 grooves** on the cord which are helpful for orientation
  • *anterior median fissure (deep opening)**
  • *posterior median sulcus (shallow line)**

Signals ascend/descend the cord via white matter “columns” (posterior → sensory only // anterolateral → motor&sensory)

26
Q

Signals of the Nervous System

A
27
Q

Protection of the CNS

A

Bone:
skull // vertebral column

Connective tissues:
meningeal layers

**Fluid:**
cerebrospinal fluid (CSF)
28
Q

Meninges of Brain

A

Skull
epidural space: NO! ONLY PATHOLOGICALLY

Dura Mater “tough mother”:
2 layers:
1. periosteal (adhered to bone)
2. meningeal (forms dural folds for venous sinuses)

subdural space: NO! ONLY PATHOLOGICALLY

Arachnoid mater:
Named for its “web-like” appearance
Arachnoid villus / arachnoid granulations (small protrusions of arachnoid through the dura mater)

subarachnoid space: where you find CSF

Pia mater: tightly adhered to neural tissue itself

29
Q

Meninges of Brain Contd.

A

Periostal dura (outer layer)

Meningeal dura (inner layer)
forms folds of tissue that separate cranial cavity into sections
separated by “venous sinuses”

30
Q

Meninges of Spinal Cord

A

Vertebral Column
Epidural space:
filled w/ fat for additional protection

Dura mater:
1 layer only: meningeal layer
thicker than other meninges:

Subdural Space:
NO! ONLY PATHOLOGICAL

Arachnoid mater:
named for its “web-like” appearance

Subarachnoid space:
where you find CSF

Pia mater:
tightly adhered to neural tissue itself

31
Q

Meninges of Spinal Cord

A
32
Q

Injecting into Meningeal Spaces

A
33
Q

Ventricular System of CNS

A
34
Q

Ventricles of CNS

A
35
Q

Flow of CSF w/in Ventricles

A
36
Q

Flow of the CSF

A
37
Q

Meninges of Brain

A