CNS Flashcards
What is in the CNS?
Cerebrum
Cerebellum
Brainstem
Spinal cord
What is in the PNS?
Cranial nerves+Spinal nerves+peripheral ganglia
What are the 3 major divisions of the brain?
Forebrain
Midbrain
Hindbrain
Outline the major components of the fore, mid and hind-brain
What structures comprise the diencephalon?
Thalamus
Hypothalamus
Function of the frontal lobe
Regulating and initiating motor function, language, cognitive functions (executive function [e.g. planning], attention, memory)
Function of the parietal lobes
Sensation (touch, pain), sensory aspects of language, spatial orientation and self-perception
Function of the temporal lobes
Processing auditory information
Function of the occipital lobe
Processing visual information
Where is it and what structures are in the limbic lobe and what is its function
limbic lobeincludes the amygdala, hippocampus, mamillary body, and cingulate gyrus(MACH)
Learning, memory, emotion, motivation and reward
Where is the insular lobe and what are its functions
It lies deep in the lateral fissure
Concerned with visceral sensations, autonomic control, and interoception, auditory processing, visual-vestibular integration(coordination)
What are the 3 meningeal layers
Dura
Arachnoid
Pia
What are the 2 layers in the dura mater
periosteal - layer of periosteum
meningeal - durable, dense fibrous membrane
Where is CSF produced?
Choroid plexus of lateral, 3rd and 4th ventricles
Where is CSF found?
The ventricular system and sub-arachnoid space
What is the volume of CSF in the body and how much is produced daily
125ml
500ml/day
Where is CSF reabsorbed
Arachnoid villi (granulations) into superior sagittal sinus
What is the compositional difference between blood plasma and CSF?
CSF has lower pH, glucose, protein and potassium than plasma
(GPPP)
Mixed spinal nerve
Dorsal root
Dorsal rootlets
Dorsal root ganglion
White matter
Grey matter
Ventral rootlets
Ventral horn
How many nerves are in each cervical, thoracic, lumbar, sacral and coccygeal spine segments
8, 12, 5, 5, 1
Where do nerves emerge from the spinal cord in relation to vertebrae
Intervertebral foramina
Where in relation to the vertebrae do nerve emerge from?
C1-C7:Above the vertebra (e.g First spinal nerve above 1st vertebra)
C8-Co1:Below the vertebra (e.g 4th lumbar nerve below L4)
Why is there an enlargement of the cervical vertebrae compared to the thoracic vertebrae
Cervical enlargement – innervation of upper limbs
Why is there an enlargement of the lumbar vertebrae compared to the thoracic vertebrae
Lumbar enlargement – innervation of lower limbs
What is the major pathway for voluntary movement
Corticospinal tract
What is the corticospinal tract comprised of?
Composed of upper motor neurons in primary motor cortex and lower motor neurons in brainstem and spinal cord
What are the main pathways for sensation?
Dorsal column pathway and the spinothalamic tract
What is the dorsal column pathway used to sense?
Fine touch, vibration and proprioception (position) from the skin and joints
What is the spinothalamic tract pathway used to sense?
Pain, temperature (and crude touch) from the skin
1?
Dorsal columns
2?
Ventral spinothalamic tract
3?
Lateral corticospinal tract
4?
Ventral corticospinal tract
5?
Lateral spinothalamic tract
Where is the primary motor cortex found?
Anterior to the central sulcus
How did we find out where the primary motor cortex is?
Contraction of muscles on electrical stimulation
What differentiates upper and lower motor neurones
Location
Upper-Start in cerebral cortex and travel down to brainstem/spinal cord
Lower-Start in spinal cord and travel out to muscles/glands
Describe the deccusation of the corticospinal tract
Approximately 85% of fibres decussate (cross) in the medulla
Only the anterior corticospinal tract continues ipsilaterally
-Lateral corticospinal tract deccusates
Which nuclei are present in the corticobulbar tract and what do they innervate?
Oculomotor-Extraocular muscles
Trochlear-Extraocular muscles
Trigeminal-Muscles of mastication
Abducens-Extraocular muscles
Facial-Muscles of facial expression
Hypoglossal-Muscles of the tongue
(CN III-VII, XII)
What are the 4 brainstem motor tracts
Vestibulospinal
Tectospinal
Reticulospinal
Rubrospinal
Vestibulospinal tract function
provides information about head movement and position and mediates postural adjustments
Tectospinal tract functions
orientation of the head and neck during eye movements
Reticulospinal tract functions
preparatory and movement-related activities, postural control
Rubrospinal tract functions
Innervate lower motor neurons of the upper limb
Where is the primary somatosensory cortex
Post-central gyrus(Posterior to the central sulcus)
Describe the travel of nerves along the dorsal column pathway
First order neurone fibres enter via the dorsal horn and enter the ascending dorsal column pathways
Information conveyed from lower limbs and body (below T6) travel ipsilaterally along the gracile tract
Information conveyed from upper limbs and body (above T6) travel ipsilaterally along the cuneate tract
Second order axons decussate in the caudal medulla
Form the contralateral medial lemniscus tract
Synapse in the thalamus
Third order neurons from the thalamus project to the somatosensory cortex
Through what tract do dorsal column signals travel through above T6?
The cuneate tract
Through what tract do dorsal column signals travel below T6?
The gracile tract
Where are the first synapses of the gracile and cuneate tract?
Gracile nucleus
Cuneate nucleus
What occurs when the dorsal column reaches the medulla?
Second order axons decussate in the caudal medulla
Form the contralateral medial lemniscus tract
Synapse in the thalamus
What happens after the dorsal column neurones pass through the medulla and enter the brain
3rd order neurons from the thalamus project to the somatosensory cortex
Size of somatotopic areas is proportional to density of sensory receptors in that body region (somatosensory homunculus)
Which part of the spinothalamic pathway does pain and temperature arise in
Lateral spinothalamic
Which part of the spinothalamic tract does crude touch arise in
Anterior spinothalamic
Where do second order spinothalamic neurones decussate?
Second order neurons decussate immediately in the spinal cord and form the spinothalamic tract
Where do 2nd order neurones terminate in the spinothalamic tract
The thalamus
Where do 3rd order spinothalamic neurones project to
3rd order neurons from the thalamus project to the somatosensory cortex
What is the function of the lateral and ventral spinothalamic tract?
In the primary somatosensory cortex, what is the size of the somatotopic areas proportional to?
Density of sensory receptors in that body region (somatosensory homunculus)