Chapter 14: Brain And Cranial Nerves Flashcards
Olfactory (I)
Sensory
Smell
Extends through 20 olfactory foramina in the cribfiform plate of ethmoid bone.
Terminates in the brain in paired masses of gray matter call olfactory bulbs.
Optic (II)
Sensory
Sight
Tract of the brain, conducts nerve impulses for vision through ganglion cells.
Passes through the optic foramen and end in the lateral geniculate nucleus of the thalamus.
Neural Pathway: retina:rod/cones, bipolar cells, ganglion cells, optic nerve.
Oculomotor (III)
Motor
Movement muslce of eye balls and upper lid
Adjusts lens for near vision
Constriction of pupil
Divides into superior and inferior branches that pass through superior orbital fissure into the orbit.
Trochlear (IV)
Motor
Smallest of the 12 cranial nerves
Movement of eye balls
Originates in the midbrain of brain stem, axons cross to opposite side and exit the brain on its posterior aspect. Passes through the superior orbital fissure into orbit.
Innervate superior oblique.
Trigeminal (V)
Both Sensory and Motor
Touch, pain and thermal sensation for scalp, face and oral cavity
Chewing and controls middle ear muscle
Contains 3 nerve branches that enter the Trigeminal ganglion and terminate in the nuclei of the pons.
Abducens (VI)
Motor
Abducts the eyeball in lateral rotation. Named due to the movement it makes.
Passes through the superior orbital fissure of the orbit.
Facial (VII)
Both Sensory and Motor
Taste buds on 2/3 of tongue, touch, pain and thermal sensation from skin
Control of muscles for facial expression
Secretions of tear and saliva
Exits through the stylomastoid foramen to innervate the middle ear.
Vestibulocochlear (VIII)
Sensory
Hearing and equilibrium
Vestibular branch: impulse for equilibrium
Cochlear branch: impulse for hearing
Axons extend to nuclei in the medulla Oblongata and end in the thalamus.
Nerve impulses move medially.
Glossopharyngeal (IX)
Both Sensory and Motor
Taste from 1/3 tongue
Touch, pain, thermal sensations from skin
Propriception and assist in swallowing muscle, secretions of saliva, supply the taste buds.
Monitors BP, O2 and CO2 levels in blood
Pass through the jugular foramen and end in the medulla.
Vagus (X)
Both Sensory and motor. Gets its name due to its wide distribution.
Taste from epiglottis
Swelling, vocalization, coughing
Proprioception from throat and voicebox muscle
Monitors BP, O2 and CO2 in blood
Touch, pain and thermal sensation of skin
Sensation from thoracic and abd organs
Motility and excretion of GI organs
Construction of Resp passageways
Decreases HR
Pass through the jugular foramen to end in the medulla and pons.
Accessory (XI)
Motor
Movement of head and pectoral girdle
Arise from the first 5 segments of cervical portion of the spinal cord. Ascend through foramen magnum and exit through the jugular foramen.
Hypoglossal (XII)
Motor
Speech
Manipulation of food, swallowing
Innervate the tongue.
Exits the cranium through the Hypoglossal canal.
Located at the midline of the medulla.
Brainstem
Continuous with the spinal cord
Contains:
Midbrain
Pons
Medulla Oblongata
Medulla Oblongata
Medulla begins at the foramen magnum and extends to the inferior boarder of the pons.
Contains sensory (ascending) /motor tracts (descending).
Contains nuclei that are vital in control body functions.
Cardiovascular Center: regulates heart beat, blood vessels.
Medullary Resp Center: regulates breathing
Reticular Formation: functions in consciousness and arousal
Vomiting Center: controls reflex’s for vomiting, swallowing, sneezing, coughing and hiccupping.
Pons
Lies directly superior to the medulla and anterior to the cerebellum.
Acts as a bridge that connect the parts of the brain to one another.
Contains sensory and motor tracts.
Pontine nuclei: relay nerve impulses from motor areas of cerebral cortex to cerebellum.
Pontine resp group: helps control breathing.
Cranial Nerves:
Trigeminal, abducens, facial, vestibular
Midbrain
Or mesencephalon. Extends from the pons to the Diencephalon.
Contains sensory and motor tracts
Tectum: posterior part, contains 4 rounded elevations:
2 Superior colliculi: coordinate movement of heads, eyes and trunk in response to visual stimuli.
2 Inferior colliculi: coordinate movements of head, eyes and trunk in response to auditory stimuli.
Diencephalon 3 Parts
Superior to Brainstem
Contains:
Thalamus
Hypothalamus
Epithalamus
Thalamus
Makes up 80% of Diencephalon
Relays almost all sensory input to cerebral cortex.
Contributes to motor function by transmitting information from cerebellum and basal nuclei to primary motor area of cerebral cortex.
Function: plays a role in maintenance of consciousness.
Hypothalamus
Small part of Diencephalon
Main function: controls body activities and a major regulator of homeostasis.
Other Functions:
1. Controls and integrates activities of ANS
2. Produces and releases hormones.
3. Regulates emotional and behavior patterns.
4 Controls feeding/thirst centers and body temp.
5. Regulation of circadian rhythms.
Epithalamus
Small region of Diencephalon
Consists of pineal gland and habenular nuclei (involved in olfaction).
Cerebrum
Largest part of the brain
Is the seat of intelligence: read, write and speak
Supported on the Diencephalon and Brainstem
Sensory ares: perception of sensory information
Motor areas control execution of voluntary movements.
Complex functions: memory, personality traits and intelligence.
Cerebellum
Occupies the inferior and posterior aspect of the cranial cavity.
Main Function: to evaluate how well movements initiated by motor areas in the cerebrum are actually being carried out.
Also:
Smooths and coordinates contractions of skeletal muscles.
Regulates posture and balance.
Cerebellum Cortex: consists of gray matter in a slender folds called foliage.
Arbor Vitae: white matter, resembles branches of a tree.
4 Major Parts of the Brain
Brainstem
Cerebellum
Diecephalon
Cerebrum
Protective Coverings of the Brain
Cranium and cranial meninges surround and protect the brain.
3 Cranial Meninges
Continuous with spinal meninges and have a similar basic structure.
1. Dura Mater: contains 2 layers:
Periosteal layer (external) and meningeal layer (internal).
2. Arachnoid Mater
3. Pia Mater
3 Extensions of Dura Mater
- Flax Cerebri: separates 2 hemispheres of cerebrum
- Flax Cerebelli: separates 2 hemispheres of cerebellum
- Tentorium Cerebelli: separates cerebrum from cerebellum.
Blood Flow to the Brain
Mainly via the internal carotid and vertebral arteries.
Dura Venous Sinuses
Drain into the internal jugular veins to return blood from the head to the heart.
Adult Brain
2% of total body weight
Consumes about 20% of the O2 and glucose used by the body.
An interruption in blood flow for 1-2 mins impairs neuronal function.
Total deprivation of O2 for about 4 mins causes permanent injury, supply of glucose must be continuous.
Blood Brain Barrier
Or BBB
Consists of :
mainly tight junctions, seal together the endothelial cells of brains blood capillaries
thick basement membrane that surrounds the capillaries.
Antibiotic and proteins cant cross the BBB.
Cerebrospinal Fluid
Or CSF. Production is 20ml/hr.
Is clear, colorless liquid composed of water
formed from blood plasma of ependymel cells
protects the brain and spinal cord from chemical and physical injury.
Found in: subarachnoid space, ventricles and central canals.
Carries: O2, glucose and chemicals from blood to neurons
Contains small amounts : glucose, proteins, lactic acid, urea, cations and anions. Some WBC.
CSF Circulation
CSF is formed in the choroid plexuses of each lateral ventricle.
Flows into third ventricle through 2 oval openings, intervenbtricular foramina.
Then flows through the aqueduct of the midbrain in fourth ventricle.
CSF enters subarachnoid space through openings of the fourth ventricle.
Then is gradually reabsorbed into blood through arachnoid villi.
4 CSF Filled Cavities in the Brain
Known as: Ventricles
2 Lateral Ventricles: one is each hemispheres of the cerebrum ( ventricles 1 and 2).
1 Third Ventricle: narrow, slit like cavity along the midline superior to the hypothalamus.
1 Fourth Ventricle: lies between the brain and the cerebellum.
Septum Pellucidrum
Thin membrane that separates the lateral ventricles.
Functions of CSF
- Mechanical Protection: serves as shock absorbing medium that protects the tissue of the brain and spinal cord. creates a buoys so the brain floats in cranial cavity.
- Chemical Protection: provides optimal chemical environment for accurate neuronal signaling.
- Medium for minor exchange of nutrients and waste products between blood and adjacent nervous tissue.
Formation of CSF in Ventricles
Majority of CSF is produced from the choroid plexuses
Network of blood capillaries in the walls of the ventricles.
Selected substances (mostly water) from blood plasma
Filtered from capillaries
Then secreted by the ependymal cells to produce CSF.