CH 13 - The Brain and Cranial Nerves Flashcards
Name the 4 major regions of the adult brain.
Cerebrum, diencephalon, brain stem, cerebellum
Describe the ventricles of the brain.
Lined with ependymal cells
Hollow chambers filled with CSF
Continuous with each other and with the central canal of the spinal cord
What structures protect the brain?
Skull bones, cranial meninges, CSF, blood-brain barrier
Name the layers from the scalp to the brain from most superficial to deep.
Scalp Periosteum Skull bone Periosteal layer (dura mater) Meningeal layer (dura mater) Subdural space Arachnoid mater Subarachnoid space Pia mater Brain
Dura mater “tough mother”
Strongest and most superficial meninx
Made of dense collagenous CT
Outer periosteal layer- fused to periosteum of skull bones
Inner meningeal layer- continuous inferiorly to form the spinal dura mater
Dural venous sinuses
The 2 layers of the dura mater are separated
Forms an interconnected series of chambers (superior/inferior sagittal sinus) that collect venous blood from the brain that drains into the internal jugular vein of the neck
Dural folds
Meningeal layers extend inward to form flat partitions that subdivide the cranial cavity
Provides additional stabilization and support to the brain by limiting excessive movement of the brain within the cranium
Name the 3 dural folds and their locations.
Falx cerebri- separates the two cerebral hemispheres
Falx cerebelli- separates the cerebellar hemispheres
Tentorium cerebelli- separates the cerebrum and cerebellum
Arachnoid mater
Consists of arachnoid membrane and arachnoid trabeculae (fibers that secure arachnoid mater to pia mater)
Arachnoid villus
Knob-like projection of the arachnoid mater that protrudes into the inner meningeal layer of the dura mater and extend into the superior sagittal sinus
Arachnoid granulation
Clusters of arachnoid villi
Subdural space (potential space)
A thin layer of fluid that separates the dura mater and the arachnoid mater
Subarachnoid space
The space beneath the arachnoid membrane that contains arachnoid trabeculae
Filled with CSF and blood vessels
Pia mater “delicate mother”
Highly vascularized delicate connective tissue that adheres directly to the brain via astrocytes
Follows every fold and groove of the brain
Hemorrhage
Bleeding due to a ruptured, damaged, leaky blood vessel
Hematoma
Blood that pools or collects outside of a blood vessel due to trauma, injury, or ruptured blood vessels
Epidural hematoma
Blood pools between the skull bones and the dura mater
Subdural hematoma
Blood pools in the subdural space
Intracerebral hematoma
Blood pools anywhere in the cerebrum
What is cerebrospinal fluid?
Clear fluid produced by the choroid plexus, found in the ventricles, that completely surrounds the CNS (brain and spinal cord)
What are the functions of CSF?
Mechanical protection:
- liquid cushion of the CNS
- shock absorption
- reduces brain weight by 97% from buoyancy
Transports chemical messengers, nutrients, and waste
Choroid plexus
Site of CSF production (500ml/day; 150ml replaced every 8 hours)
Consists of ependymal cells joined by tight junctions, permeable blood capillaries, and fenestrations (gaps between capillaries)
Describe the blood-CSF barrier.
Formed by ependymal cells
Surrounds blood capillaries of the choroid plexus
Limits movement of transferred compounds and allows the chemical composition of blood and CSF to differ
Hydrocephalus
The buildup of CSF in the ventricles
Extra CSF increases the size of the ventricles and puts pressure on the brain
How/where does CSF circulate?
Circulates from choroid plexus through ventricles and into central canal of spinal cord
Constant motion is aided by ependymal cell cilia in the ventricles
Describe the circulation process of CSF.
Lateral ventricle’s choroid plexus produces CSF and adds it to the lateral ventricles, flows through interventricular foramina to
Third ventricle’s choroid plexus produces CSF and adds it to the third ventricle, flows through cerebral aqueduct to
Fourth ventricle’s choroid plexus produces CSF and adds it to the fourth ventricle, flows through lateral and median apertures to
Subarachnoid space, then flows to arachnoid granulations of the superior sagittal sinus, then flows through venous blood in internal jugular veins to heart and lungs, then flows through arterial blood in internal carotid arteries and back to the choroid plexuses of the ventricles
Internal carotid arteries
Blood flow to the brain
Supplies nutrients and oxygen to the brain
Internal jugular veins
Blood flow out of the brain
Removes wastes and carbon dioxide from the brain
Cerebrovascular diesases
Disorders that interfere with blood circulation to or within the brain
Describe the blood-brain barrier (BBB).
Formed by tight junctions between ependymal cells that isolates CNS neural tissue from general circulation
Astrocytes selectively allow substances to cross after releasing chemicals that control endothelium permeability
*Lipid-soluble compounds, oxygen, carbon dioxide, and steroids will bypass the BBB
Describe the cerebrum.
Largest part of the brain, split into two (left and right) cerebral hemispheres
Contains sensory, motor, and association areas
Name the 3 basic regions of the cerebrum.
Cerebral cortex, white matter, basal nuclei
Gyrus
Series of elevated ridges found on the surface of the cerebral hemispheres that increase the surface area
Sulcus
Shallow grooves that separate the gyri
Fissures
Deeper grooves that separate large regions of the brain
Longitudinal fissure- separates left and right cerebral hemispheres
Transverse fissure- separates the cerebrum and cerebellum
Lateral fissure- separates frontal and parietal lobes from the temporal lobe
Describe the cerebral cortex and its hemispheres.
Surface layer of the cerebrum (grey matter) that controls higher mental functions (executive suite; our conscious mind)
Each cerebral hemisphere receives info from and sends commands to the opposite side of the body (contralateral)
Cerebral hemispheres have alike structures, but different functions (functions are not exactly specific to the region)
Name the 4* lobes of the cerebral cortex.
Frontal lobe, parietal lobe, temporal lobe, occipital lobe
*Insula is sometimes considered a fifth lobe
What are the 4 kinds of functional areas found in the cerebral cortex?
Motor areas, sensory areas, association areas, integrative centers
What do motor areas do?
Control voluntary movement
Name the motor areas of the cerebral cortex.
Primary motor cortex (precentral gyrus)
Premotor cortex
Frontal eye field
Broca’s area (motor speech area)
Describe the primary motor cortex (precentral gyrus).
Contains pyramidal cells that allow for control of precise voluntary movement of skeletal muscle
*Long axons of pyramidal cells project to spinal cord, forming voluntary motor tracts called corticospinal tracts
Entire body is controlled spatially and contralaterally
Describe the premotor cortex.
A memory bank for skilled motor activities
Coordinates learned movements
Coordinates the movement of several muscle groups simultaneously or sequentially by sending impulses to the primary motor cortex
Plans movements by using sensory information
Describe the frontal eye field.
Controls voluntary eye movements
Describe broca’s area (motor speech area).
Special motor speech area that directs the muscles involved in speech production and regulates the patterns of breathing and vocalization needed for normal speech
Motor commands are adjusted by feedback from the auditory association area
Present in one cerebral hemisphere (usually left) and becomes active as we think and prepare to speak
What do sensory areas do?
Involved in the conscious awareness of sensation and other sensory information
Name the sensory areas of the cerebral cortex.
Primary sensory cortex (postcentral gyrus) Somatic sensory association area Visual areas -Primary visual cortex -Visual association area -Facial recognition area Auditory areas -Primary auditory cortex -Auditory association area Olfactory areas -Primary olfactory cortex -Olfactory association area Gustatory cortex
Describe the primary sensory cortex (postcentral gyrus).
Receives information from somatic sensory neuron receptors and proprioceptors
Once info is received, the neurons identify the body region being stimulated (spatial discrimination)