Chapter 14: The Brain and Cranial Nerves Flashcards
Describe how the brain and spinal cord develop using the following terms:
Neural tube
Primary brain vesicles
Secondary brain vesicles
The brain and spinal cord develop from the ecodermal neuronal tube
Anterior portion expands, along with the associated neuronal crest tissue and is then contracted to create 3 regions called the primary brain vesicles (prosencephalon/forebain, mesencephalon/midbrain, and rhombencephalon/hindbrain)
The prosencephalon and rhombencephalon subdivide further into the secondary brain vesicles
- prosencephalon = telencephalon and diencephalon
- rhombencephalon = mesencephalon and myelincehpalon
Identify the 4 major parts of the brain
Brain stem - continuous with the spinal cord and consists of the medial oblongata, pons and midbrain
Cerebellum - posterior to brain stem
Diencephalon - superior to brain stem and consists of thalamus, hypothalamus, and epithalamus
Cerebrum - supporter on the brainstem and dienchaplon and is the largest part of the brain
Describe the locations of the cranial meninges
Cranial meninges are continuous with spinal meninges and have the same basic structure and names:
- Dura mater (outer)
- Arachnoid mater (middle)
- Pia mater (inner)
However, the cranial dura mater has 2 layers whereas the spinal dura mater has only one
Explain the blood supply to the brain and the importance of the blood-brain barrier
blood flows into the brain mainly by the internal carotid and vertebral arteries
the BBB consists of tight junctions that seal together the endothelial cells of the brain blood capillaries and a thick basement membrane that surrounds the capillaries
The BBB protects the tissue by only allowing water-soluble substances to cross by actin transport; preventing potentially harmful substances
What structures produce CSF and where are they located?
Majority of CSF production is from the choroid plexuses, networks of blood capillaries in the walls of the ventricles (4)
Ependymal cells that cover the choroid plexuses secrete substances and accounts for continuous CSF production
Define CSF and list the 4 CSF-filled cavities within the brain
CSF is a clear liquid composed of mainly water that protects the brain and spinal cord from chemical and physical injuries
CSF-filled cavities are called ventricles and there are 4:
- Lateral ventricle in each hemisphere of cerebrum (2)
- Third ventricle is a narrow slit lit cavity along the midline superior to the hypothalamus and between the thalamus
- Forth ventricle lies between the brainstem (anterior) and cerebrum (posterior)
__________ is a thin membrane that separates the lateral ventricles
Septul pellucidum
What are the 3 basic functions of CSF?
- Mechanical protection - serves as shock-absorbing medium
- Homeostatic Function - CSF pH affects pulmonary ventilation and cerebral blood flow and serves as a transport system for hormones
- Circulation - Medium for minor exchange of nutrients and waste products
What is the difference between the BBB and blood-cerebrospinal fluid barrier?
BBB is formed mainly by tight junctions of brain capillary endothelial cells
blood-CSF barrier is formed by tight junctions of ependymal cells - permitting only certain substances to enter the CSF
Describe the pathway of CSF circulation
- Formed in each lateral ventricle and flows into the 3rd ventricle through narrow oval opening called interventricular foramina
- More CSF is added and then flows through the aqueduct of the midbrain which passes through the midbrain into the 4th ventricle
- More CSF is added and it enters the subarachnoid space through three openings in the roof the 4th ventricle:
- Single median aperture
- Paired lateral apertures on each side - CSF then circulates in the central canal of the spina cord & subarachnoid space and is gradually reabsorbed into the blood through arachnoid villi
What are the 3 structures of the brain stem?
Medulla oblongata
Pons
Midbrain
Describe the location of the medulla
It is continuous with the superior part of the spinal cord; forming the inferior part of the brain stem
What is the main function of the medulla?
Contains sensory (ascending) and motor (descending) tracts
Regulates heartbeat and blood vessel diameter (cardiovascular center)
Regulates breathing (medullary respiratory center)
What part of the brain stem contains the pyramids? Describe them
Pyramids are protrusions of white mater that forms on the anterior aspect of the medulla
They are formed by large cortiospinal tracts that pass from the cerebrum to the spinal cord and control voluntary movements of the limbs and trunk
Describe the decussation of pyramids
Superior to the function of the medulla with the spinal cord, 90% of the axons in the left pyramid cross to the right side and 90% of the axons in the right cross the the left side
This explains why each side of the brain controls voluntary movements of the opposite side of the body
Describe the functions of the following nuclei found in the medulla:
Cardiovacular center
Medullary respiratory center
Cardiovascular center - regulates heart beat and diameter of blood vessels
Medullary respiratory center - adjusts basic rhythm of breathing
Describe the structure and location of the pons
Lies directly superior to the medulla and anterior to the cerebellum and is about 2.5 cm long
It is a bridge that connects parts of the brain with on another
What are the principal functions of the pons?
Pontine nuclei relay nerve impulses from motor area of cortex to cerebellum - essential role in coordinating and maximizing the efficiency of voluntary motor output
Vestibular nuclei assist in equilibrium
Pontine respiratory group helps control breathing
Where is the pontine respiratory group located and what is its function?
Located in the pons and together with the medullary respiratory center helps control breathing
Describe the structure and location of the midbrain
The midbrain extends from the pons to the diencephalon and is out 2.5cm long
The aqueduct of the midbrain connects the third and fourth ventricles
What are the principal functions of the midbrain?
Superior colliculi coordinate movements of head, eyes, and trunk in response to visual stimuli
Inferior colliculi coordinate movements of head, eyes, and trunk in response to auditory stimuli
Substantia nigra and red nucleus contribute to control of movement
What part of the brain stem contains the cerebral peduncles?
Located in the anterior part of the midbrain and are paired bundles of axons which conduct nerve impulses from motor areas in the cerebral cortex to the spinal cord, medulla, and pons
main sites through which tracts extend and nerve impulses are conducted between the superior parts of the brain and the inferior parts of the brain and the spi- nal cord.
Define the reticular formation and its location
The reticular formation is a netlike arrangement of white and gray matter that extends from the superior part of the spinal cord, throughout the brainstem and into the inferior part of the diencephalon
Neurons within have both ascending (sensory) and descending (motor) functions
What is the reticular activating system (RAS)? What are its functions?
It is the ascending portion of the reticular formation, consisting of sensory axons the project to the cerebral cortex both directly and through the thalamus
Functions:
- Consciousness
- Active during arousal
- Helps maintain attention
- Prevents sensory overload by filtering information
- Inactivation produces sleep but damage can result in a coma
Where are the transverse fissure and tentorium cerebelli found and what is their function?
Supports posterior portion of cerebrum and separates the cerebellum from the cerebrum
What are the principal functions of the cerebellum?
Smooths and coordinates contractions of skeletal muscles
Regulates posture and balance
May have a role in cognition and language processing
The shape of the cerebellum resembles a butterfly. The central constricted area is the _____ and the lateral wings are the ________
vermis
cerebellar hemispheres
What is the superficial layer of the cerebellum?
It is called the cerebellar cortex and it consists of gray matter in a series of slender, parallel folds called folia
Deep to the gray matter are tracts of white matter called arbor vitae that resemble tree branches and even deeper are cerebellar nuclei
What are cerebellar peduncles?
There are 3 pairs of peduncles that attach the cerebellum to the brain stem and allow communication with other parts of the brain
Superior - contain axons that extend from cerebellum to the red nuclei of the midbrain and nuclei of the thalamus
Middle (largest) carry impulse for voluntary movements from the pontine nuclei into the cerebellum
Inferior - carries impulses for sensory info from trunk/limbs and proprioception from ear/head