Ch 8-12 Flashcards
2 ways the divisions of the nervous system can be classified by
Location Type of tissue supplied by the nerve cells in the division
2 neural structures the central nervous system (CNS) consists of
Brain Spinal cord
4 neural structures the peripheral nervous system (PNS) made up of
12 pairs of cranial nerves 31 pairs of spinal nerves Autonomic nerves Ganglia
2 neurons the PNS consists ofA
Afferent neurons Efferent neurons
Neurons that conduct impulses from peripheral receptors to the CNS
Afferent (sensory) neurons
Neurons that conduct impulses away from the CNS to the peripheral effectors
Efferent (motor) neurons
Supplies the striated skeletal muscles
Somatic nervous system (SNS)
Supplies smooth muscle, cardiac muscle, and glandular epithelial tissue
Autonomic nervous system (ANS)
Basic unit of the nervous system Consists of a cell body and two types of long, threadlike extensions
Neuron Nerve cell
Fatty covering that insulate the axons and increase the rate of transmission of nervous impulses
Myelin sheath
Deterioration of the fatty myelin sheath
Demyelination
The impulse conduction route to and from the CNS in involuntary reactions Basic ones consists of an afferent/sensory neuron, which conducts impulses to the CNS from the periphery; an an efferent/motor neuron which conducts impulses from the CNS to peripheral effectors (muscles or glandular tissue)
Reflex arc
Junction where impulses pass from one neuron to another Transmission here is a chemical reaction in which the termini of the axon release a neurotransmitter substance that produces an electrical impulse in the dendrites of the next axon; once the neurotransmitter has accomplished its task, its activity rapidly terminates so that subsequent impulses pass along this same route
Synapse
Largest part of the brain that consists of two cerebral hemispheres
Cerebrum
Elevations the surface of the cerebrum is highly convoluted with
Gyri
Shallow grooves the surface of the cerebrum is highly convoluted with
Sulci
Deeper grooves in the cerebrum that divide each cerebral hemisphere into lobes
Fissures
Outer portion of the cerebrum consists of a thin layer of gray matter where the nerve cell bodies are concentrated Responsible for receiving sensory information from all parts of the body and for triggering impulses that govern all motor activity Just posterior to the central sulcus, there are specialized areas to receive and precisely localize sensory information from the PNS
Cerebral cortex
Mass of white matter that connects the two cerebral hemispheres These extensive bundles of nerve fibers lie in the midline just above the roofs of the lateral ventricles
Corpus callosum
A few gray islands of gray matter deep within the white matter Help control position and automatic movements and consist of the caudate nuclei, the globus pallidus, and the putamen
Basal ganglia
3 parts of the brainstem (from top down) between the cerebrum and spinal cord
Midbrain Pons Medulla
Performs sensory, motor, and reflex functions, and contains the nuclei of the 12 cranial nerves and the vital centers controlling cardiac, vasomotor, and respiratory function
Brainstem
Responsible for such nonvital reflexes as vomiting, coughing, sneezing, hiccuping, and swallowing
Medulla
Second largest part of the brain located just below the posterior portion of the cerebrum that is composes of two large lateral masses: the hemispheres and a central section (vermis) Acts with the cerebral cortex to produce skilled movements by coordinating the activities of groups of muscles Coordinates skeletal muscles used in maintaining equilibrium and posture by functioning below the level of consciousness to make movements smooth rather than jerky, steady rather than trembling, and efficient and coordinated rather than ineffective and awkward
Cerebellum
Muscle incoordination
Ataxia
Lies between the cerebrum and midbrain and consists of several structures located around the third ventricle, primarily the thalamus and hypothalamus
Diencephalon
Primarily functions as a relay station that receives and processes sensory info of almost all kinds of sensory impulses before sending this info to the cerebral cortex
Thalamus
Extremely complex, tiny structure that functions as a link between the mind and body and is the site of “pleasure” or “rewards” centers for such primary drives as eating, drinking, and mating Plays a major role in regulating the body’s internal environment by coordinating the activities of the ANS and secreting the releasing hormones that control the secretion of hormones by the anterior and posterior portions of the pituitary gland Also important in helping to maintain a normal body temperature and in keeping the individual in a waking state
Hypothalamus
Lies within the vertebral column and extends from its junction with the brainstem at the foramen magnum to approximately the lower border of the first lumbar vertebra; consists of an inner core of gray matter surrounded by white matter tracts Its basic function is to conduct impulses up the cord to the brain (ascending tracts) and down the cord from the brain to spinal nerves (descending tracts); also serves as the center for spinal reflexes and involuntary responses (ex: knee jerk/patellar reflex)
Spinal cord
The inner coverings of brain and spinal cord
Meninges
3 layers of the meninges
Dura mater Arachnoid membrane Pia mater
Transparent innermost layer adhering to the outer surface of the brain and spinal cord
Pia mater
Tough outermost covering of the brain and spinal cord
Dura mater
Delicate, cobweb-like membrane between the pia and dura mater
Arachnoid membrane
3 extensions of the dura mater that separate portions of the brain
Falx cerebri Falx cerebelli Tentorium cerebellum
Extension of the dura mater that projects downward into the longitudinal fissure to separate the cerebral hemispheres
Falx cerebri
Extension of the dura mater that separates the two cerebellar hemispheres
Falx cerebelli
Extension of the dura mater that forms a tentlike covering over the cerebellum that separates it from the occipital lobe of the cerebrum
Tentorium cerebellum
After flowing through the ventricular system, the fluid circulates in this space between the pia mater and the arachnoid around the brain and spinal cord before being absorbed into venous blood through arachnoid villi
Subarachnoid space
An acute inflammation of the pia mater and arachnoid Infecting organisms can reach the meninges via infection in the middle ear, upper respiratory tract, or frontal sinus Spread through the bloodstream (hematogenously) Infection in the lungs (or other site)
Meningitis
2 things that cause meningitis
Bacteria Viruses
Most common form of meningitis
Bacterial meningitis (pyogenic)
Viral inflammation of the brain and meninges It produces a wide range of symptoms, ranging from mild headache and fever to severe cerebral dysfunction, seizures, and coma Herpes simplex virus can cause a sudden, severe, and fatal process
Encephalitis (meningoencephalitis)
Usually a result of chronic infections of the middle ear, paranasal sinuses, or mastoid air cells, of systemic infections (pneumonia, bacterial endocarditis, osteomyelitis)
Brain abscess
A suppurative process in the space between the inner surface of the dura and the outer surface of the arachnoid The most common cause is the spread of infection from the frontal or ethmoid sinuses Other causes: mastoiditis, middle ear infection, purulent meningitis, penetrating skull wounds, craniectomy, or osteomyelitis of the skull
Subdural empyema
Organisms that most commonly cause brain abscesses
Streptococci
Almost always associated with osteomyelitis in a cranial bone Originates from an infection in the ear or paranasal sinuses; the infection is outside the dural membrane and beneath the inner table of the skull The frontal region is usually affected because it is close to the frontal sinuses and the dura is easily stripped from the bone
Epidural empyema
Most commonly caused by direct extension of a suppurative process from the paranasal sinuses, mastoid air cells, or scalp Radiographic changes develop 1 to 2 weeks after the onset of clinical symptoms and signs
Osteomyelitis of the skull
8 CNS tumors
Glioma Meningioma Acoustic Neuroma Pituitary Adenoma Craniopharyngioma Pineal Tumors Chordoma Metastatic Carcinoma
The most common primary malignant brain tumors composed of glial cells (supporting connective tissues in the CNS) Spread by direct extension Can cross from one cerebral hemisphere to the other through connecting white matter tracts, such as the corpus callosum Peak age incidence: middle-age adults; infrequent in persons less than 30 years of age
Glioma
5 types of gliomas
Glioblastoma Astrocytoma Ependymoma Medulloblastoma Oligodendrocytoma
Highly aggressive gliomas that are predominately cerebral, although similar tumors may occur in the brainstem, cerebellum, or spinal cord
Glioblastoma
Most common gliomas (70%); slow-growing tumors that have an infiltrative character and can form large cavities or pseudocysts Favored sites are the cerebrum, cerebellum, thalamus, optic chiasm, and pons
Astrocytoma
A benign tumor that arises from arachnoid lining cells and is attached to the dura mater Most common sites: convexity of the calvaria, olfactory groove, tuberculum sellae, parasagittal region, sylvian fissure, cerebellopontine angle, and spinal canal
Meningioma
Slowly growing benign tumor May occur as a solitary lesion or as part of the syndrome of neurofibromatosis Arises from Schwann cells in the vestibular portion of the auditory (eighth cranial) nerve; most often originates in the internal auditory canal and extends into the cerebellopontine angle cistern
Acoustic neuroma
Usually arise in the anterior lobe Most common type: nonsecreting chromophobe adenoma (mass effect of tumor suppresses pituitary hormone secretions) Hormone-secreting ones produce symptoms related to excess hormones, rather than mass effect Gigantism in adolescents and acromegaly in adults
Pituitary adenomas
Most common types: germinoma and teratoma (both are rapidly growing germ cell tumors) Most common in males under age 25
Pineal tumors
Most common primary cancers to spread to the brain are lung and breast; usually reach the brain by hematogenous spread Melanomas, colon carcinomas, and testicular and kidney tumors also cause this
Metastatic carcinoma
3 types of skull fractures
Linear Diastatic Depressed