CNS Brain Flashcards
What makes up the CNS?
- Brain and spinal cord make up the CNS
How is the brain studied?
- Historically
- Study humans with brain damage
- Humans during brain surgery
- “Volunteers”
- Today, since 1990, we can learn about the brain less invasively
- fMRI = functional MRI
– Looks at increased blood flow (oxygen) to areas of brain - PET scan
– Looks at glucose utilization (high metabolic areas)
Facts about the brain?
- The brain weighs about 3.3 lbs
- Has a consistency of cold oatmeal
- Approx. 100 billion neurons
What is the Connective Tissues around Brain?
Connective Tissues around Brain
* Under the skull, there are 3 connective tissues surrounding the brain
(they surround the spinal cord as well)
* Dura mater (most superficial)
* Arachnoid mater
* Pia mater
What are the Meninges around Skull - Dura Mater?
Dura mater = “tough mother”
* Two layers of dense irregular CT, outermost layer
- Periosteal layer attached to skull (= periosteum)
- Meningeal layer = true external covering of brain
* Blood sinus (dural sinus) contained between layers
* Two layers are fused where there is no sinus
What is Arachnoid mater?
- Arachnoid mater = “spider mother”
- Just deep to dura mater
- Reticular CT
- Web-like extensions attach it to underlying pia mater; extensive blood supply
What is Pia mater?
- Pia mater = “soft mother”
- Deep to arachnoid mater
- Very thin, loose areolar CT
- Clings to surface of brain, into
indentations as well - Richly vascularized (small blood vessels)
What are the Spaces Between Meningeal Layers?
- Subdural space
- Subarachnoid space
What is Subdural space?
Subdural space
* Space between dura mater and
arachnoid mater
* Often referred to as potential space
* Can fill with fluid with disease or trauma
* Normally, contains only thin film of fluid
What is Subarachnoid space
Subarachnoid space
* Space between arachnoid mater and pia mater
* Contains cerebrospinal fluid (CSF)
What is Cerebrospinal Fluid (CSF)?
- Located in subarachnoid space and hollow cavities of
brain and spinal cord - Floats and cushions CNS, thereby preventing injury
- Provides nutrients, removes wastes from CNS
- Is similar to blood plasma, circulates within and around the CNS
- Continuously produced by ependymal cells of the capillary-rich choroid plexus
- Filtrate moves through ependymal cells, into ventricles
- Usually only 100-160 ml (1/2 cup) at any one time
What is CSF and the Choroid Plexus?
- Produced by filtration of plasma from blood capillaries in pia mater
- Filtrate moves through ependymal cells, into ventricles
- CSF continuously produced by filtration of blood plasma
CSF-Filled Structures of the Brain?
CSF-filled structures of the brain:
* Lateral ventricles (2)
* Third ventricle (1)
* Cerebral aqueduct (1)
* Fourth ventricle (1)
* Central canal (1, spinal cord)
What is the purpose of the ventricles in the brain?
Ventricles are connected, fluid-containing spaces within the brain
* After produced, CSF flows freely through ventricles
* Some CSF enters central canal (spinal cord)
* Most CSF enters subarachnoid space, bathing brain and spinal cord surfaces
What are Arachnoid Granulations?
Arachnoid granulations
* Portions of arachnoid mater that extend though dura mater into dural sinuses
* This is where CSF is returned to the blood after circulating through CNS
What is CSF movement?
CSF movement is in a pulsatile fashion
* Matches pulse of blood flow (from heart)
What is Hydrocephalus?
Hydrocephalus
* CSF is overproduced and/or not removed properly
* Increased intracranial pressure causes brain damage
* Treatment
- Insert shunt that delivers excess CSF to abdominal cavity
What is Meningitis?
- Inflammation of meninges, often by
infection (viral or bacterial) - The infection can spread to the
nervous tissue of brain- Swelling results
- Death can result
- Viral: most common; often resolves
within a few weeks - Bacterial: most dangerous; can be
treated with antibiotics
What is Blood Brain Barrier?
Capillaries of brain
* Are specialized continuous capillaries
* Endothelial cells are tightly packed; lacking in
intercellular clefts
* Many tight junctions formed by foots of
astrocytes
* Restricts what can enter the brain
- Lipid soluble substances more readily cross
- Can be issue with chemotherapy
What is White Matter?
White matter
* Made of myelinated axons
* Form fiber tracts
What is gray matter?
Gray matter composed of
* Dendrites
* Cell bodies
* Glial cells
* Unmyelinated axons
Gray and white matter
Brain
* Outer gray matter = cerebral cortex
* Inner gray matter = nuclei
Spinal cord
* Outer white matter = fiber tracts
* Inner gray matter
What is Cerebrum?
Cerebrum
* Makes up 83% of total brain mass (human)
* Two hemispheres (right and left)
* Has complex neural networks
* Originally part of the telencephalon
What is gray matter of cerebrum?
Gray matter
* Cerebral cortex
* Internal nuclei