Chapter 14 - Brain & Cranial Nerves (Detailed Look) Flashcards

1
Q

Brain Stem (3 Parts)

A
  1. Medulla Oblongata
  2. Pons
  3. Midbrain
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2
Q

Medulla Oblongata

A
  • Begins at foramen magnum

- Between spinal cord & pons

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3
Q

Medullary White Matter Tracts

A
  • Contains sensory tracts (ascending) + motor tracts (descending)
  • Both types of tracts run between spinal cord & higher brain centers
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4
Q

Pyramids

A

Bulges formed by corticospinal tracts

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5
Q

Decussation of Pyramids

A

Crossing over of pyramids occurs on anterior surface of lower medulla
*90% of upper motor neurons decussate

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6
Q

Medullary Gray Matter

A

-Contains nuclei that form the 3 Vital Centers:

  1. Cardiovascular Control
  2. Medullary Respiratory
  3. Reflex Centers
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7
Q

Cardiovascular Control Center

A

Regulates heart rate & force

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8
Q

Medullary Respiratory Center

A

Regulates rate of breathing

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9
Q

Reflex Centers

A

Control reflexes for vomiting, coughing, sneezing, hiccupping & swallowing

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10
Q

Pair of Olives

A
  • Lateral to pyramids
  • Each olive contains an inferior olivary nucleus, for relaying proprioception info to cerebellum
  • Relays to cerebellum info fro, cerebral cortex & red nucleus
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11
Q

Right & Left Gracile & Cuneate Nuclei

A

Found in posterior medulla & concerned w/ fine touch, light pressure, vibration & proprioception

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12
Q

3 Other Medullary Nuclei

A
  1. Gustatory Nuclei
  2. Cochlear Nuclei
  3. Vestibular Nuclei

*Nuclei of origin for cranial nerves 8-12

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13
Q

4th Ventricle

A

Begins in medulla & continues into pons

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14
Q

Pontine White Matter

A
  • Contains ascending (sensory) & descending (motor) tracts
  • Contains tracts linking cerebellum & rest of CNS
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15
Q

Pontine Gray Matter

A
  • Pontine nuclei relay nerve impulses from primary motor cortex to the contralateral hemisphere of the cerebellum
  • Contains nuclei concerned w/ respiration
  • Contains nuclei of origin for cranial nerves 5-8
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16
Q

Pontine Reticular Formation

A

Reticular formation within the pons has a respiratory area: The Pontine Respiratory Group, which helps the medullary respiratory center to control breathing

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17
Q

Midbrain

A
  • Found between pons & diencephalon
  • Conduit for white matter tracts
  • Contains nuclei origin for oculomotor & trochlear nerves
  • Surrounds aqueduct of the midbrain (AKA “Cerebral Aqueduct”)
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18
Q

Cerebral Peduncles

A
  • Contains motor fibers of:
    1. Corticospinal Tracts
    2. Corticopontine Tracts
    3. Corticobulbar Tracts

-Also contains 2nd order relay fibers that terminate in the thalamus, synapsing w/ 3rd order relay neurons that project to the somatosensory cortex

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19
Q

Corticospinal Tracts

A

Bundles of UMNs from cerebral cortex that terminate at a specific spinal cord segment

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20
Q

Corticopontine Tracts

A

Bundles of UMNs that terminate in the pons, synapsing w/ LMNs that travel via cranial nerves to various skeletal muscles:

  1. Cranial Nerve 5 (Trigeminal) -> Jaw Muscles
  2. Cranial Nerve 7 (Facial) -> Face Muscles
  3. Cranial Nerve 12 (Hypoglossal) -> Tongue Muscles
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21
Q

Corticobulbar Tracts

A

Bundles of UMNs that terminate in the medulla, synapsing w/ LMNs via cranial nerves 3-7 & 9-12

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22
Q

3 Types of Gray Matter Nuclei

A
  1. Reflex Centers (within Tectum)
  2. Red Nuclei
  3. Substantia Nigra (Right & Left)
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23
Q

Reflex Centers (within Tectum)

A
  • 2 superior colliculi concerned w/ eye, head & trunk movements in response to visual stimuli
  • 2 inferior colliculi relay auditory information from cochlea to brain & concerned w/ startle reflex
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24
Q

Red Nuclei

A

Integrate info from cerebrum & cerebellum to regulate muscle tone & posture

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25
Substantia Nigra (Right & Left)
- Modify regulatory motor output of basal nuclei | - Dopaminergic pathway starts in substantia nigra & ends in basal nuclei
26
Motor Output of Basal Nuclei
Controls the pyramidal pathway, starting & stopping voluntary motor activity & setting kinetic motor tone
27
Reticular Formation
- Net-like gray matter within white matter - Extends entire length of brain stem - Motor tracts maintain skeletal muscle tone, HR & BP, ventilation - Sensory tracts = RAS -> Cerebral Cortex
28
RAS (Reticular Activating System)
3 Functions: 1. Maintain consciousness 2. Prevent sensory overload 3. Arousal from sleep - Sensory inputs from eyes, ears & skin - Melatonin & general anesthetics inactivate RAS - RAS damage -> Possible coma
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Cerebellum
- Lies bellow cerebrum, separated from brain stem by 4th ventricle - Connected to brain stem by 3 sets of paired peduncles (white matter fiber tracts)
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3 Sets of Paired Peduncles
1. Inferior Cerebellar Peduncle 2. Middle Cerebellar Peduncle 3. Superior Cerebella Peduncle
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Inferior Cerebellar Peduncle
Tracts going to & from cerebellum including: - Sensory inputs w/ proprioception info from limbs & trunk - Sensory inputs w/ proprioception info about head - Inputs from inferior olivary nucleus - Outputs to vestibular nuclei - Outputs to reticular formation
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Middle Cerebellar Peduncle
Inputs w/ voluntary motor information from cerebral cortex
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Superior Cerebellar Peduncle
Outputs to red nucleus & thalamic nuclei -> primary motor cortex
34
Cerebellar Structure
- 2 cerebellar hemispheres joined by the vermis (3 lobes per hemisphere) - Cerebellar cortex: Outer gray matter organized as ridges ("folia") - Arbor vitae: Interior of cerebellum (white matter tracts & gray matter nuclei)
35
3 Lobes of the Cerebellar Hemispheres
1. Anterior Lobe: Subconscious components of voluntary movement 2. Posterior Lobe: Same as anterior 3. Flocculo-nodular Lobe: Equilibrium
36
3 Functions of the Cerebellum
1. Skeletal muscle coordination 2. Maintenance of muscle tone, posture & balance 3. Processing of sensory data
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Skeletal Muscle Coordination
- Function of the cerebellum - Inputs from primary motor cortex & basal nuclei integrated to produce smooth & graceful movements - Reconciliation of intended movements & actual movements - Memorize complex motor activities
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Maintenance of Muscle Tone, Posture & Balance
- Function of the cerebellum - Inputs: Vestibular apparatus of inner ear - Outputs: Muscles responsible for balance * Ataxia = Lack of coordination, can be caused by trauma, disease, intoxication, etc.
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Processing of Sensory Data
- Possible function of cerebellum - Connections between cerebellum & certain sensory association areas have conjectured roles in processing sensory info, cognition & learning
40
Diencephalon
- Switching & relay centers to integrate conscious & unconscious sensory & motor pathways - Consists of the Epithalamus, Hypothalamus, and Thalamus
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Epithalamus
- Located above & behind the thalamus | - Contains the habenular nuclei & pineal gland
42
Habenular Nuclei
Responsible for emotional responses to olfactory stimulation
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Pineal Gland
The source of melatonin (involved in circadian rhythm)
44
Hypothalamus
- Located in the floor of the 3rd ventricle - Helps maintain homeostasis - Has 12 nuclei
45
7 Main Functions of the Hypothalamus
1. ANS Control 2. Hormone Production 3. Emotions & Behavior 4. Food Intake 5. Water Intake 6. Body Temperature 7. Circadian Rhythm, Arousal & Sleep
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ANS Control
- Function of the Hypothalamus - Working via ANS nuclei, hypothalamus controls activity of smooth muscle, cardiac muscle & many glands - Receives sensory inputs from controlled viscera
47
Hormone Production
- Function of the Hypothalamus - Makes release-hormones & release-inhibiting hormones to control anterior pituitary (Delivered by hypophyseal portal system) - Synthesizes ADH & oxytocin, transported to posterior pituitary via hypothalamohypophyseal tract (Axons from paraventricular & supraoptic nuclei)
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Emotion & Behavior
- Function of the Hypothalamus | - Rage, aggression, pain, pleasure & sexual libido are all associated w/ the hypothalamus
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Food Intake
- Function of the Hypothalamus | - Controlled by the feeding center & satiety center
50
Water Intake
- Function of the Hypothalamus | - Thirst center's osmoreceptors respond to osmotic pressure of ECF
51
Body Temperature
- Function of the Hypothalamus - Monitors blood pressure - Excessive BP = Dermal vasodilation & sweating - Deficient BP = Dermal vasoconstriction & shivering
52
Circadian Rhythm, Arousal & Sleep
- Suprachiasmatic Nucleus sets circadian body rhythm, based on sleep-wake cycle - Afferent nerve fibers from the retinae indicate day vs. night - Efferent nerve fibers from the suprachiasmatic nucles to RAS = arousal/ to pineal gland = melatonin = sleep
53
Thalamus
- Oval-shaped halves, joined by interthalamic adhesion (AKA "intermediate mass") * Gray matter of each half subdivided by Y-shaped white matter ("Internal Medullary Lamina") - Forms sides of 3rd ventricle - Consists of gray matter nuclei & white matter tracts - Is the central relay for most sensory impulses traveling to cerebrum - Dispatches sensory impulses to appropriate part of cortex, except for smell (e.g., occipital lobe for vision) - Relays motor impulses from cerebellum & basal nuclei to primary motor cortex (frontal lobes) - Contains 7 groups of nuclei
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Internal Capsule
White matter tract connecting thalamus & cerebral cortex
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Cerebrum
- Responsible for consciousness, cognition, learning & memory - Consists of the Cerebral Hemispheres, Cerebral Cortex, Cerebral Nerve Tracts, Basal Nuclei & Limbic System
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Cerebral Hemispheres
- Longitudinal fissure & falx cerebri divides the cerebrum into right & left cerebral hemispheres - Each hemisphere contains a lateral ventricle - Each hemisphere consists of cerebral cortex, cerebral white matter & basal nuclei
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Cerebral Cortex
- Outer layer of cerebrum composed of gray matter - Surface convolutions = gyri - Gyri seperated by sulci and fissures
58
3 Types of Cerebral Nerve Tracts
1. Association Tracts 2. Commissural Tracts 3. Projection Tracts
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Association Tracts
Tracts that form connections within the same hemisphere
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Commissural Tracts
Tracts that form connections between different hemispheres (e.g., corpus callosum) *The anterior & posterior commissures are examples of other commissural tracts
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Projection Tracts
Links cortex w/ lower CNS parts
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Basal Nuclei
- Consists of the Globus Pallidus, Putamen & Caudate Nucleus - Sometimes called the "Corpus Striatum" - Formerly called "Basal Ganglia"
63
5 Functions of the Basal Nuclei
1. Start/stop voluntary skeletal muscle movements (Caudate & Putamen) 2. Set "Kinetic Motor Tone" (Caudate & Putamen); goal is to avoid both hypo- and hyperkinesia 3. Regulate muscle tone (Globus Pallidus) 4. Coordinate subconscious skeletal muscle movements associated w/ voluntary muscle activity 5. Influence various cortical functions
64
Motor Disorders Caused by Basal Nuclei Damage/ Disease
1. Parkinson's Disease 2. Huntington's Disease (Genetic disorder of GABA-releasing neurons that run from basal nuclei to substantia nigra) 3. Sydenham's chorea 4. OCD, schizophrenia & chronic anxiety
65
Limbic System
A network of encircling nerve tracts & structures of the Cerebrum, Diencephalon & Olfactory Bulbs (+Myelinated Tracts)
66
Limbic System (4 Cerebral Structures)
1. Limbic Lobe (Cingulate Gyrus, Parahippocampal Gyrus & Hippocampus) 2. Dentate Gyrus 3. Amygdala 4. Septal Nuclei
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Limbic System (3 Diencephalic Structures)
1. Anterior Nucleus 2. Medial Nucleus 3. Mamillary Bodies
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Limbic System (Olfactory Bulbs + Myelinated Tracts)
1. Fornix 2. Stria Terminalis 3. Stria Medullaris 4. Medial Forebrain Bundle 5. Mammillothalamic Tract
69
Function of the Limbic System
- To control visceral functions via ANS & endocrine hormones - Also concerned w/ deep emotions (e.g., rage, pleasure), learning & memory (hippocampus) + olfaction * Stimulation of Amygdala = Increased Aggression * Removal of Amygdala = Decresed Aggression * Stress = cortisol release, which damages hippocampus & amygdala
70
4 Lobes of the Cerebrum
1. Frontal Lobe 2. Parietal Lobe 3. Temporal Lobe 4. Occipital Lobe
71
Frontal Lobe
Involved in: - Olfaction - Voluntary motor function (primary motor cortex, pre-central gyrus) - Behavioral attributes
72
Parietal Lobe
- Primary somatosensory cortex (post-central gyrus); sensory areas for general sensory input & taste - Other areas: object recognition, math skills & reading
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Temporal Lobe
- Direct olfactory input & indirect auditory input (for sound perception) - Involved in abstract thought, judgement & memory
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Occipital Lobe
-Contains primary visual area
75
Insula
- Lies within lateral cerebral sulcus, under P, F & T lobes - May be a 5th cerebral lobe - Is part of the Limbic System - Involved in cravings for food & drugs as well as emotions
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3 Different Functional Areas of the Cerebral Cortex
1. Sensory Areas 2. Motor Areas 3. Association Areas
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Sensory Areas
Areas involved in perception of particular sensations | *Sensation type perceived is related to area of brain stimulated
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5 Types of Sensory Areas
1. Primary Somatosensory: For conscious proprioception & pain, tickle/itch, hot/cold, touch, pressure & vibration 2. Primary Visual: Visual perception 3. Primary Auditory: Auditory perception 4. Primary Gustatory: Gustatory perception 5. Primary Olfactory: Olfactory perception
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Motor Areas
Areas that initiate nerve impulses to control voluntary skeletal muscle activity
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2 Types of Motor Areas
1. Primary Motor Area: Found on precentral gyrus, controls most voluntary skeletal muscle contraction 2. Broca's Motor Speech Area: Usually present on left frontal lobe, controls muscles of larynx, pharynx, lips, tongue, mouth & ventilation
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Cerebral Palsy
E.g., Cerebral ischemia could lead to damage to primary motor cortex/ cerebellum, basal nuclei, etc.
82
Non-fluent (Broca's ) Aphasia
-Condition in which Broca's area is damaged causing speech output to be severely reduced
83
Association Areas
-Involved in learning, memory, intelligence, reasoning, judgement, artistic & creative ability & personality traits
84
10 Examples of Association Areas
1. Somatosensory Association 2. Pre-frontal Cortex 3. Visual Association 4. Facial Recognition 5. Auditory Association 6. Wernicke's Interpretive Speech 7. Common Integrative 8. Pre-Motor 9. Frontal Eyefield 10. Orbito-frontal Cortex
85
Somatosensory Association Area
- Processes inputs from primary somatosensory area, thalamus & other parts of the cerebrum - Determines object's shape & texture w/o visual inputs ("stereognosis") - Stores memories
86
Pre-frontal Cortex
- Processes inputs from cerebral cortex, limbic system, thalamus, hypothalamus & cerebellum - Associated w/ personality, conscience, mood, foresight, planning, judgement & abstract thought * Damage can create a rude, moody personality w/o foresight
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Visual Association Area
- Processes inputs from primary visual cortex & thalamus - Relates present & past experiences - Recognition of objects by sight
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Facial Recognition Area
- Processes inputs from visual association area | - Stores info about facial features
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Auditory Association Area
-Responsible for sound recongition
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Wernicke's Interpretive Speech Area
- Left Hemisphere: Translates thoughts & language symbols - Right Hemisphere: Adds emotional content to language
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Common Integrative Area
-Integrates sensory interpretations from other association areas & sends info to other brain areas for the appropriate action
92
Pre-motor Area
- Linked to motor cortex, sensory association area, thalamus & basal nuclei - Initiates & remembers motor sequences
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Frontal Eyefield Area
-Responsible for voluntary eye scanning movements
94
Orbito-frontal Cortex
-Responsible for odor identification
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Cerebral Cortex Mapping
- The sensory homunculus & motor homunculus have the mapped arrangements of the different sensory & motor functions - The amount of cortex are mapped to a given body part depends on the number of afferent or efferent fibers connecting that body part to the brain - Reflection of sensory receptor density/motor unit size respectively
96
EEG (Electroencephalogram)
A record of composite electrical activity of the brain at any given instant
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4 Types of Brain Wave Patterns
1. Alpha Waves 2. Beta Waves 3. Theta Waves 4. Delta Waves
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Alpha Waves
- Frequency: 8-13 Hz - Seen in resting person w/ closed eyes - Disappears during sleep
99
Beta Waves
- Frequency: 14-30 Hz - Seen when eyes are open - Seen during mental activity/sensory input
100
Theta Waves
- Frequency: 4-7 Hz - Associated w/ deep relaxation & meditation - Seen in frustrated children & adults, or in brain disorders
101
Delta Waves
- Frequency: 1-5 Hz ("Slow Waves") - Seen during deep sleep in adults & children - Normal in awake infants - Seen in waking brain damaged older children & adults
102
Flat EEG
Diagnosis for brain death
103
Hemispheric Lateralization
When right/left hemispheres specialize in some tasks
104
Hemispheric Dominance
- Left hemisphere once considered "dominant" because it controls language, analytical skills & reasoning - Right hemisphere controls visual-spatial skills, pattern perception & creative abilities * Is considered an outdated term
105
Lateralization of Speech Centers
- Wernicke's & Broca's speech areas are usually on the left hemisphere; damage can cause fluent & non-fluent aphasia respectively - Right hemispheres in most people add emotional content to speech
106
Fluent (Wernicke's ) Aphasia
-Connection in which Wernicke's Area is damaged, causing speech to be a disconnected string of words w/o meaning ("word salad")
107
Gracile & Cuneate Nuclei Pathway
1st order sensory fibers ascend via gracile & cuneate nuclei tracts (posterior white columns) -> gracile & cuneate nuclei (1st order sensory neuronal fibers synapse w/ 2nd order relay neurons) -> decussate in medulla, ascend -> medial lemniscus pathway -> thalamus (2nd order relay neuronal fibers synapse w/ 3rd order relay neuronal neurons) -> primary somatosensory cortex