Definition Flashcards
Nervous system
Is composed of two types of cells neurons in neuroglia.
Is the body’s control center and communications net work. It performs these functions.
1) stimulates movement
2) senses changes both within and outside the body
3) provides us with thought, learning, and memory
4) maintains homeostasis (a dynamic equilibrium of the internal environment of the body) along with the help of the hormonal system.
Is the net work of structures, that activates, coordinates, and controls all functions of the body
Receptors
Detect changes inside and outside the body
Sensory nerve endings that respond to stimuli are called……
Integrative functions
Creates sensations, produce, thoughts and memory, and make decisions,
Motor
Enable us to respond to stimulus
Nervous
Neutral
Means pertaining to a nerve or nerves, but the nervous system includes the brain and spinal cord, as well as the nerves 
To principal divisions of the nervous system page 479
1) Central Nervous System (CNS): Brain and spinal cord
2) Peripheral Nervous System (PNS): Various nerves and nerve masses that connect the brain and spinal cord with receptors, muscles, and glands
Is made up of nerves that take impulses away from and toward the CNS to receptors, muscles, and glands,
Two divisions of the CNF
Brain and spinal cord
Two systems of the PNS
The sensory or afferent system and the motor or efferent system
Afferent system
Conveys information from the receptors to the CNS
Efferent system
Conveys information from the CNS to muscles and glands
Neurons
Conduct impulses either to or from the CNS
If a neuron is destroyed, it cannot replace itself
Neuroglia or glia cells
Provide special support and protection
are the supporting structure of the nervous system (provide support and protection)
Are the supporting structures of nervous tissue
Neuroglia are far more numerous, the neurons, and, because they can reproduce, are the only source of primary malignant brain tumors, those are originating in the brain
Neuron or
nerve cell
Is the basic unit of the nervous system
Neurons
Carry out the function of the nervous system by conducting nerve impulses. Each neuron has a cell body, a single axon, and one or more dendrites.
Axon and
dendrites
Are cytoplasmic projections, or processes, that extend from the cell body. They are sometimes called nerve fibers.
Axon
Carries impulses from the cell body
Dendrites
Transmit impulses to the cell body.
Is a cytoplasmic projection and has numerous branches.
Myelin sheath
Is a white lipid covering that surrounds axons.
White matter
Myelinated axons appear whitish and are called ….
Gray matter
The axons that are not myelinated appear grayish and are called grey matter.
Myelinated fibers
The nerve impulse jumps from one node of Ranvier to the next and results in a faster rate of conduction, then in an unmyelinated nerve fiber. If the myelin sheath becomes damaged, as it does in certain diseases (such as multiple sclerosis.)(MS), conduction of the impulse is impaired.
Node of Ranvier
One of several constrictions in the myelin sheath of a nerve fiber
Axon hillock
Is its point of attachment to the nerve cell.
Basic parts of a neuron
The cell body, a single axon, and several dendrites.
Synapse
The region of communication between one neuron and another is called
Synaptic bulb
An axon terminates in several short branches that together form a synaptic bulb. The synaptic bulb releases a chemical neurotransmitter that either inhibits or enhances a nervous impulse.
Some of the best known neurotransmitters are
Acetylcholine (ACh)
Epinephrine
Dopamine
Serotonin
Endorphins
to prevent prolonged reactions, a neurotransmitter is quickly in activated by an enzyme.
Neuromuscular
Means concerning both nerves and muscles
neuromuscular junction
Is the area of contact between a neuron and a joining skeletal muscle.
When a nerve impulse reaches the neuromuscular junction. ACh is released, which leads to contraction of the muscle. ACh acts rapidly on muscle tissue, and most of it is then promptly in activated by an enzyme acetylcholinesterase.
Certain drugs can block transmission of impulses to the skeletal muscle. The transmission is blocked at the neuromuscular junction.
Reflex arc
Conduction of nervous impulses is often described as
The reflex arc involves two types of neurons: a sensory neuron in a motor neuron
Reflex
Is an automatic, involuntary response to some change, which is either inside or outside the body.
Reflexes help, maintain hemostasis by making constant adjustments to our blood pressure, breathing rate, and pulse.
A common reflex is that of quickly removing your hand from a hot object.
Deep tendon reflex DTR
Brisk muscular contraction in response to stimuli
Is one way of assessing the reflex arc. For example, a sharp tap on the tendon just below the kneecap normally causes extension of the leg at the knee. This is called the pay teller response or knee-jerk response.
A bicep reflects. The examiner elicits the biceps reflex by placing the thumb over the biceps tendon and striking the thumb with a hammer.
Patellar reflex. This reflects is elicited by striking the patellar tendon just below the kneecap. The normal response is extension of the leg.
Deep tendon reflex and superficial reflects, are used to assess neurologic and muscular damage. The DTR, a brisk contraction of a muscle in response to a sharp tap by a finger or a rubber hammer on a tendon, is often helpful in diagnosing a stroke.
Patellar response or knee-jerk response
A sharp tap on the tendon just below the kneecap normally causes extension of the leg at the knee. A normal response indicates an intact reflex arc between the nervous system and the muscles that are involved in the response.
Sensory neuron
Transmit nerve impulses toward the spinal cord and the brain
Motor neurons
Transmit nerve impulses from the brain to the spinal cord
Motor neurons causes the muscle to contract
Acetylcholinesterase
Is an enzyme that in activates acetylcholine.
Conceptual example of the reflex arc
A receptor detects the stimulus, the tap on the patellar tendon with the reflex hammer. The sensory neuron transmits the nerve impulse to the spinal cord. The motor neuron conducts a nervous impulse that causes the quadriceps muscle to contract. Extension of the leg at the knee, also called knee-jerk, is the normal patellar response.
Brain
Is that part of the CNS contained within the skull. This soft mass of tissue weighs approximately 1360 g. (3 lbs) in the average adult, receive thousands of bits of information, and integrates all the data to determine the approximate response. The brain is surrounded by the cranium(skull), and the spinal cord is protected by the vertebrae. in addition to the skull and vertebrae, the brain and spinal cord are protected by three membranes called meninges and circulating cerebrospinal fluid (CSF). The singular form of men meninges is meninx
Cranium
Skull
meninges and circulating cerebrospinal fluid CSF
Singular form meninx
Three membranes that protect the brain and spinal cord
CSF
cerebrospinal fluid
Protects the brain and spinal cord by acting as a shock absorber
CSF is formed in the ventricles, which are four cavities in the brain. The fluid circulates through the ventricles, the subarachnoid space, and the central canal of the spinal cord.
In addition to the protection offered by the meninges, CSF surrounds and cushions the spinal cord and brain.
meninges
Enclose the brain and the spinal cord
meningeal
Means pertaining to the meninges
Three meningeal layers
1) dura mater, tough outer layer, lies just inside the cranial bones and lines the vertebral canal. Lies just inside the skull.
2) arachnoid, the middle layer, a thin layer with numerous threadlike strands that attach it to the innermost layer. Resembles a cobweb.
3) pia mater, the innermost layer, is thin and delicate, and its tightly attached to the surface of the brain and spinal cord. it is so tightly bound to the brain that it cannot be removed without damaging the surface.
Channels of Web like fibers exist between the meninges for the fluid circulation
The brain stem
The brain stem consist of the midbrain, the pons, and the medulla. It’s lower end is a continuation of the spinal cord. The diencephalon is above the brain stem, and consist of the thalamus and hypothalamus. The cerebrum is about 7/8 of the total weight of the brain and spreads over the diencephalon. The cerebellum is inferior to the cerebrum.
Subdural
Means below, or beneath the dura mater, so it refers to the area between the dura mater and the arachnoid.
subdural space
The potential space between these two membranes ( dura mater & the arachnoid)
The brain
Consists of several parts:
Cerebrum
Diencephalon
Brainstem
Cerebellum: lies just under the cerebrum, the largest portion of the brain
thalamus and
hypothalamus
Are parts of the diencephalon
Midbrain
Pons
Medulla
Are parts of the brain stem
Medulla
Is continuous with the spinal cord at an opening in the skull called the foreman magnum.
Foramen magnum
The opening in the occipital bone through which the spinal cord passes from the brain
Cerebrum
Is the largest and upper most portion of the brain. The cerebrum is concerned with interpretation of impulses and all voluntary muscle activities. It is the center of high mental faculties.
Cerebral
Means pertaining to the cerebrum.
Craniocerebral
refers to the brain and cranium (skull)
Means pertaining to the cranium(skull) and the cerebrum
Cerebral hemispheres
Longitudinal fissure almost completely divides the cerebrum into two cerebral hemispheres. The surface of each hemisphere (right and left) is covered with a convoluted layer of gray matter called the cerebral cortex
Cerebral cortex
Convoluted layer of gray matter, which is the covering of each hemisphere. division of the cortex into lobes provides useful reference points.
Frontal lobe (thought process, personality, emotion, voluntary movement, behavior, intellectual functions)
The load that is located near the front of the cerebrum
Temples
The regions of the head in front of the ears are known as
Temporal lobes (hearing, speech, memory, learning)
The parts of the cerebrum that are located in the areas of the temples
Occipital
Is an adjective that means concerning the back part of the head
Occipital lobes (vision)
The lobe that is located at the back of the head, just behind the temporal lobe
Parietal lobe (language, 3 dimensional perception, general function of the body sensations)
Lobe just above the occipital lobe,
Insula (projected to surface)
The lobe deep within the brain
Spinal nerves
31 pairs of spinal nerves
8 Cervical
12 thoracic
5 lumbar
5 sacral
1 coccygeal
Spinal cord
Is a cylindric structure located in the canal of the vertebral column. 31 pairs of spinal nerves arise from the spinal cord and are named and numbered according to the region and level of the spinal cord from which the emerge.
1)intrathecal
2)intrathecal injection
1) Means within a sheath (such as the spinal canal)
2) Is an injection into the subarchnoid space ( between the arachnoid and pia mater membranes
Cerebrospinal
Means pertaining to the brain and the spinal cord.
Cerebral ventricles
Cavities in the brain that produce CSF
Cerebellar
Pertains to the cerebellum
Peripheral nervous system PNS
Is that portion of the nervous system that is outside the CNS (central nervous system)
Is located away from the nervous system control center
*The PNS forms the communication networks between the CNS and the rest of the body
* the PNS connects with both somatic and autonomic tissues.
The PNS consists of the nerves that branch out from the brain and spinal cord, which communicate with the rest of the receptors, muscles, and glands. It is further divided into the sensory (afferent) and motor (efferent) systems. Special sense organs (for example, the eyes, ears, and nose.) have receptors that detect sensations, and then sensory neurons transmit the information to the CNS. Motor neurons carry impulses that initiate muscle contraction.
Peripheral
Means located away from the center.
The peripheral nervous system forms the communication between the CNS and the rest of the body
Sciatic nerve
Is actually two nerves bound together by a common sheath of connective tissue, collectively called the sciatic nerve. It is often considered to be the largest nerve in the body arising from spinal nerves on either side.
It’s supplies, the entire musculature of the leg and foot. Irritation or injury to this nerve causes pain, often from the thigh down its branches into the toes. Neuralgia along the course of the sciatic nerve is called sciatica.
Neuralgia
Along the course of the sciatic nerve is called
Receptors
Are sensory nerve endings that respond to various kinds of stimulation. That awareness that results from the stimulation is what we know as sensation. The major senses are sight hearing smell, taste, and touch.
somatic
The PNS consists of nerves that connect with somatic tissues, (skin and muscles that are involved in conscious activity) and also nerves that link the CNS to autonomic tissues.
The PNS connects with both somatic and autonomic tissues
autonomic tissues
Self-controlling; functionally independent
The visceral organs, such as the stomach and heart, which function without conscious effort.
*The PNS connects with both somatic and autonomic tissues
Autonomic system
Regulates and coordinates visceral activities without our conscious effort. This helps maintain a stable internal environment. The autonomic system has two divisions, the sympathetic and parasympathetic nervous system’s.
In general, impulse is transmitted by the nerve fibers of one division, stimulate an organ, whereas impulses from the other division, either decrease or halt organ activity
sympathetic division
Activation of the sympathetic division causes a series of psychological responses, called the fight or flight response.
These a little bit better I would say a little bit more do a minute yet responses increase the heart and breathing rates and prepare the body for fighting off danger.
parasympathetic system
When dangerous past this system would counteract these responses.
Sympathetic and parasympathetic, nerve fibers
Like other accents of the nervous system, release neural transmitters, and are classified on the basis of the substance produced.
Cholinergic
Fibers release acetylcholine
Adrenergic
fibers release epinephrine also called adrenaline
Adrenaline is also called Epinephrine
hence the term adrenergic
Adrenergic fibers release epinephrine.
consciousness
The various stages of response of the mind to stimuli are called the levels of consciousness.
Is responsiveness of the mind to the impressions made by the senses.
A change in the level of consciousness may be the first indication of it decline in CNS function.
Levels of consciousness are a cognitive function involving arousal mechanisms of the brain. The levels of consciousness include alert wakefulness (normal); Response to stimuli, although it may be slow; drowsines; stupor (patient is vaguely aware of the environment); and coma (patient does not appear to be aware of the environment
memory
Another means of assessing neurologic function, is classified as long-term, recent, and immediate memory.
Loss of memory is often an early sign of neurological problems.
Glasgow coma scale
It’s a standardized system of assessing the degree of conscious impairment in the critically ill (especially those with head injuries) especially those with head injuries, and for predicting the duration and ultimate outcome of coma.
The system involves determination of the degree of eye-opening, verbal response and motor response.
X-ray studies of the skull and spine
Are often helpful in diagnosing fractures, abnormal curvature’s, or other bony abnormalities.
Assess structural changes of the brain and spinal cord
Computer tomography (CT)
magnetic resonance imaging (MRI)
CT is particularly helpful and detecting, intracranial, bleeding, lesions, and cerebral edema.
Encephalography
Is radiography of the brain. It is accomplished by withdrawal and replacement of the CSF by a gas. Because of the risks involved, it is generally used only when results of CT and MRI are not definitive.
sleep apnea
Sleep studies are not invasive and are used to diagnose sleep orders such as.………. Which is a sleep order characterized by short periods in which respiration is absent.
These tests are performed in a sleep laboratory where the patient is monitored electronically, including (electroencephalography) (EEG) and heart and respiration rates while sleeping.
Positron emission tomography (PET)
is a computerized nuclear medicine technique that uses radioactive substances to assess the function of various body structures, particularly the brain.
The PET equipment
constructs color-coded images that indicate the intensity of metabolic activity.
The patient either inhales or is injected with radioactive material. The positrons of the injected material are absorbed by body cells, and the equipment constructs color-coded images of the gamma rays that result. The radioactivity used in PET is short-lived, so patients are exposed to only small amounts of radiation.
PET positron emission tomography
An important advantage of PET is that it assesses functions, whereas most radiographic imaging studies of the brain assess structure.
superficial reflex
Is evaluated By stimulation of the skin, such as stroke in the sole of the foot to evaluate the response
Superficial plantar reflex is tested by stroke in the lateral side of the foot from the heel to the ball, and then curving across the ball of the foot to the medial side. Plantar flexion of all toes, should occur.
Lumbar puncture LP
The pressure of the CSF can be measured and a sample of fluid may be withdrawn for analysis, (measurement of protein, glucose, and other chemicals, RBCs, WBS’s, or detection of microorganisms, as well as tumor cells)
CSF
cerebrospinal fluid
Brain scans
Imaging of the brain using radioisotopes
Include CT, MRI, and PET scans.
Using contrast materials, both CT and MRI provide images of the brain and spinal cord.
PET scans are especially helpful in detecting malignancies and evaluating brain abnormalities.
Doppler ultrasound studies
Are helpful in starting blood flow in the intracranial arteries, as well as the carotids, which supply blood to the head and neck
cerebral angiography
Visualization of blood vessels of the brain
A radiographic procedure used to visualize the vascular system of the brain after injection of a radiopaque contrast medium; not used as often as less invasive CT, but can be used to diagnose abnormalities, such as an aneurysm, which is a ballooning out of the wall of a vessel.
is used to study intracranial circulation, and is especially helpful in visualizing, aneurysms and vascular occlusions. A contrast medium is used that outlines the vessels of the brain.
Aneurysm
Is a ballooning out of the wall of a vessel
Echoencephalography
Use of ultrasound to study brain structure
The use of ultrasound to study intracranial structures. The record produced is an encephalogram.
Electroencephalography EEG
Is the process of recording that electrical activity of the brain using an electroencephalograph.
The record produced is an electroencephalogram and is sometimes required for the diagnosis of brain death, generally defined as loss of brain function.
This procedure is painless, but the patient must be quiet during the procedure
Myelography
Radiography of the spinal cord
radiography of the area around the spinal cord after injection of a contrast medium into the subarachnoid spaces; record produced is a myelogram; can be useful in studying, spinal lesions, spinal injuries, or disc disease
polysomnography
Recording and measurement during sleep of a number of functions, Recording and measurement during sleep of a number of functions, (e.g., cardiac, brain, muscular, ocular, and respiratory); to assess sleep disorders.
Insula
The lobe deep within the brain
Dyslexia
impairment of the ability to read, spell, and write, despite recognizing letters. It is caused by a variety of pathologic conditions.
Condition of difficulty with reading
In ability to read, spell, and write words
is an impairment of the ability to read, spell, and write words; it results from a variety of pathologic conditions, some of which are associated with the nervous system dyslexic persons often reverse letters, and words, cannot adequately distinguish the louder sequences, in written words, and have difficulty determining right from left.
sciatica
Is inflammation of the sciatic nerve, they marked by pain and tenderness along the course of the nerve through the thigh and leg. This may arise from problems in the lower back as a result of a herniated intervertebral disk or arthritis, and is accompanied by lower back pain (LBP)
alges/ia
algesia
Pain/pertaining to
refers to sensitivity to pain and is also used as a suffix
hyper/alges/ia
Hyperalgesia
Increased/pain/pertaining to
Is increased sensitivity to pain
Hypalgesia or hypoalgesia
Hyp/ages/ia hypo/alges/ia
decrease/pain/pertaining to
means a decrease in sensation in response to stimulation of the sensory nerves
dyskinesia
dys/kines/ia
bad or difficult/movement/pertaining to
impairment of the ability to execute voluntary movements
Impairment of voluntary movement
neur/algia
neuralgia
nerve/pain
Pain of a nerve
poly/neur/algia
polyneuralgia
many/nerve/pain
Is a type of neuralgia that affects many nerves simultaneously
Par/esthesia
paresthesia
abnormal/feeling
subjective sensation, experienced as numbness, tingling, or pins and needles feeling, often in the absence of an external stimulus
poly/neuro/pathy
polyneuropathy
many/nerve/disease
A condition in which many peripheral nerves are affected. An example is poly/neur/itis
Polyneuritis
many/nerve/inflammation of inflammation of many nerves simultaneously
pseud/esthes/ia
pseudesthesia
is a sensation occurring in the absence of a stimuli (an imaginary sensation)
false/feeling or sensation/condition of
imaginary or false sensation; a sensation occurring in the absence of the appropriate stimulus, which can occur in a lost arm or leg after amputation; also known as pseudoesthesia
Three types of headache
muscle contraction headache
cluster headache
Migraine headache
headache
Which is a pain in the head from any cause, it’s a symptom. Most headaches do not indicate serious disease.
cephalagia shortened to cephalgia
Is the synonym for headache?
Most common types of headache or pain related to the eyes, ears, teeth, and paranasal structures for example, sinus headache
Other kinds of headaches include tension headaches ( muscle contraction headaches), cluster headaches, and migraine headaches
muscle contraction headaches (tension headaches)
Result from the long sustained contraction of skeletal muscles around the scalp, face, neck, and upper back
cluster headaches
Characterized by intense, unilateral pain; very painful, occurring in clusters, and do not last long
migraine headaches
Characterized by recurrent, throbbing headaches, often accompanied by loss of appetite, photophobia, fear; abnormal sensitivity, to light, and nausea, with or without vomiting; vascular disorder
occur more often in females than males, and sometimes begin in childhood.
The classic migraine Begins with depression, irritability, restlessness, and perhaps loss of appetite. There may also be a transient neurologic disturbances, including visual problems, (flashes of light, distorted, or double vision, seeing spots), dizziness, and nausea. The headache increases in severity until it becomes intense and may last a few hours or up to several days, if not treated.
Cephalalgia
cephal/algia
Head/pain
Headache
Photophobia
Sensitivity to or fear of light
Craniocerebral trauma
is commonly called head trauma or head injury. It is a traumatic insult to the brain caused by an external physical force that may produce a diminished or altered state of consciousness. It may result in impairment of cognitive abilities, (perception, reasoning, judgment, and memory) or physical functions and may be temporary or permanent. Head trauma is either open or closed.
Head trauma is either opened or closed
Open head trauma: skull fractures or gunshot wounds that disrupt the integrity of the skin
Blunt trauma as seen in motor vehicle accidents, or athletic injuries, can lead to concussions, contusions, (bruises), or tearing of the brain