Chapter 14 - Brain & Cranial Nerves Flashcards
4 Principle Parts of the Brain
- Brain Stem
- Cerebellum
- Diencephalon
- Cerebrum
Brain Stem (3 Parts)
- Medulla Oblongata
- Pons
- Midbrain
Medulla Oblongata
- Connects brain to spinal cord
- Relays sensory & motor info
- Autonomic regulation
Pons
- Connects cerebellum to brain stem
- Involved in some somatic & visceral motor control
Midbrain
- Processes visual & auditory info
- Head movements respond to visual & auditory stimuli
- Generates some voluntary somatic motor responses
Cerebellum
Adjusts voluntary & involuntary motor activities based on sensory data & memory
Diencephalon (3 Parts)
- Hypothalamus
- Thalamus
- Epithalamus
Hypothalamus
Contains centers involved w/ emotions, autonomic function & hormone production
Thalamus
- Relay center for sensory data (3rd order relay neurons project to the somatosensory cortex or other sensory areas of the cortex)
- Transmits motor info from the cerebellum & basal nuclei to the primary motor cortex
Epithalamus
- Contains the pineal gland
- Involved in emotional responses to olfactory stimuli
Cerebrum
- Supported by the diencephalon
- Origin of thought, memory & voluntary motor functions
- Divided into right & left hemispheres
3 Protections of the CNS
- Bone
- Cerebrospinal Fluid
- Cranial & Spinal Meninges
3 Cranial & Spinal Meninges
- Dura Mater
- Arachnoid Mater
- Pia Mater
Dura Mater
- Outermost membrane; one layer around spinal cord, periosteal & meningeal layers around brain
- Made of dense irregular connective tissue
Arachnoid Mater
- Web-like middle membrane
- Thin strands attach to the pia mater
- Subarachnoid space contains cerebrospinal fluid
Pia Mater
-Innermost membrane
Dural Venous Sinuses
Venous spaces that collect venous blood & CSF
3 Dural Membrane Extensions
- Falx Cerebri: Runs down longitudinal fissure, anchors to ethmoid bone
- Falx Cerebelli: Insulates the two halves of the cerebellum
- Tentorium Cerebelli: Seperates cerebrum from cerebellum
2 Head Injuries for Producing Bleeding
- Epidural Hematoma: Blood between dura mater & cranial bone
- Subdural Hematoma: Blood between dura mater & arachnoid mater
4 Brain Ventricles for CSF Circulation
- 2 Lateral Ventricles: Each located in a brain hemisphere, separated by septum pellucidum
- 3rd Ventricle: Located between the 2 halves of the thalamus
- 4th Ventricle: Located between the brainstem & cerebellum
Inter-ventricular Foramina
- 2 in total
- Act as the aqueduct of the midbrain (AKA “Aqueduct of Sylvius”)
Cerebrospinal Fluid (3 Main Functions)
- Mechanical Protection: Protective cushion for CNS
- Chemical Protection: Supplies neurons & neuroglia w/ O2 & various nutrients (e.g, Na+, K+, Cl-), also maintains optimal environment
- Circulatory System: Returns wastes to blood via dural venous sinuses; links brain & spinal cord to bloodstream
3 Spaces for CSF Containment
- Subarachnoid Space
- Central Canal of Spinal Cord
- Brain Ventricles & Interconnecting Channels
Choroid Plexuses
Leaky capillaries covered by ependymal cells
*CSF = blood water “strained” through ependymal cells
Blood-CSF Barrier
- Filters approx. 480 mL of CSF/day
- Renews CSF 3-6 times daily
4 Steps of CSF Flow
- CSF leaves 4th ventricle through 2 lateral apertures & 1 median aperture
- Flows into subarachnoid space
- Flows into central canal of spinal cord
- Enters dural venous sinuses via arachnoid villi
* CSF Removal must = CSF Production
Hydrocephalus
- Abnormal accumulation of CSF within the brain
- Blockage of CSF flow in infants = brain & head may enlarge due to CSF accumulation -> brain damage
- CSF accumulation in older child/adult = brain cannot enlarge -> rapid ischemic brain damage
Arterial Blood Supply to Brain (2 Arteries)
- Internal Carotid Arteries
2. Vertebral Arteries
Venous Drainage of Brain (1 Vein)
- Internal Jugular Veins
Hypoglycemia & the Brain
Severe hypoglycemia can cause:
- Dizzines & confusion
- Unconsciousness
- Convulsive seizures
- Possible coma & death
Ischemia & The Brain
- 1 to 2 mins. of low O2 leads to unconsciousness
- 4 mins. of ischemia leads to irreversible brain damage
Circle of WIllis (AKA “Cerebral Arterial Circle”)
- A ring of arteries supplying the brain & forming an anastomosis, surrounding the infundibulum
- Union of the anterior cerebral arteries & posterior cerebral arteries
- Anterior communicating artery & 2 posterior communicating arteries complete the Circle