exam 1 Flashcards
where does the spinal cord end?
L1-L2
how many total pairs of spinal nerves are there?
31
how many pairs of cervical spinal nerves?
8
how many pairs of thoracic spinal nerves?
12
how many pairs of lumbar spinal nerves?
5
how many pairs of sacral spinal nerves?
5 + 1 coccygeal nerve
what is gray matter composed of?
nerve cell bodies, dendrites, portions of unmyelinated nerve axons, neurogial cells
what is white matter composed of?
myelinated nerve cell axons, unmyelinated axons
filum terminale
long ligament extending from tip of conus medullaris, attaches to coccyx, composed of pia mater, becomes coccygeal ligament, restricts longitudinal movement of cord
CNS
composed of brain and spinal cord
PNS
cranial nerves and spinal nerves
Are spinal nerves sensory, motor, or mixed?
mixed
denticulate ligaments
composed of pia mater, extend from lateral surface and laterally fuse with dura, restrict lateral movement of the cord
subarachnoid space
filled with CSF
purpose of spinal meninges
physical stability and shock absorption for cord and tissue
dura extends to
S2
dorsal or posterior ramus
smaller nerve branch, mixed, sensory fibers carry info from skin of back, motor fibers innervate dep muscles of back
anterior or ventral ramus
motor fibers innervate muscles of and skin of body wall, muscles and skin of upper and lower limbs
spinal rootlets form where?
subarachnoid space
afferent
carries sensory info to the CNS; sensory
efferent
carries impulses away from the CNS; motor
dorsal root ganglia
contain cell bodies of sensory neurons
dorsal roots
axons of sensory neurons, bring sensory info into spinal cord, afferent
ventral roots
contain axons of motor neurons that extend into periphery to control somatic and visceral effectors, efferent
nuclei
clusters of cell bodies with a similar function, masses of gray matter
posterior (dorsal) gray horn
contains somatic and visceral sensory nuclei,
anterior (ventral) gray horn
contain somatic and visceral motor nuclei
lateral gray horns
located only in thoracic and lumbar, contains visceral motor nuclei
gray commissure
contains axons that cross from one side of the cord to another
ascending tracts
carry sensory info toward brain
descending tracts
convey motor commands to spinal cord
layers of spinal nerves
(from outside) epineurium, perineurium, endoneurium
dermatome
specific bilateral region of the skin surface monitored by a single pair of spinal nerves
cervical plexus
C1-C5, innervate muscles of neck and trunk
phrenic nerve
part of cervical plexus, innervates the diaphragm
brachial plexus
C5-T1, innervates pectoral girdle and upper limb
musculocutaneous nerve
motor to muscles in upper limb, flexors of arm (brachialis and biceps brachii), part of brachial plexus
axillary nerve
sensory of skin of the shoulder, deltoid and teres minor, part of brachial plexus
radial nerve
part of brachial plexus, extensors of arm and forearm
ulnar nerve
part of brachial plexus, “funny bone”, in forearm
median nerve
part of brachial plexus, compressed by carpal tunnel, begins at shoulder
lumbar plexus
T12-L4, femoral nerve innervates quads
sacral plexus
L4-S4, sciaric nerve is largest nerve in the body and braches into tibial and fibular nerve
divergence
spreading stimulation to multiple neurons or neuronal pools in the CNS
convergence
providing input to a single neuron from multiple sources
serial processing
neurons or pools work sequentially
parallel processing
neurons or pools process same info simultaneously
reverberation
positive feedback
reflexes
rapid, autonomic responses to specific stimuli
steps of a reflex arc
- arrival of stimuli and activation of a receptor
- activation on sensory neuron
- information processing
- activation of motor neuron
- responce of peripheral effector
innate reflexes
born with it, genitically determined (ex. swallowing)
somatic reflexes
skeletal muscle contractions, most are concious
visceral (autonomic) reflexes
control actions of smooth and cardiac muscles, glands, adipose tissue
monosynaptic reflex
one synapse, minimized delay
polysynaptic reflex
multiple synapses, longer delay between stimulus and response, usually more complex and can control several muscles
spinal vs cranial reflexes
processing centers differ (spine for spinal, brain for cranial)
stretch reflex
monosynaptic, provides automatic regulation of skeletal muscle length, patellar reflex is example
- stimuls is increasing muscle length
- sensory receptors are muscle spindles
- motor response of muscle contraction of stretched muscle
tendon reflex
monitors external tension during a muscle contraction and prevents tearing or breaking of the tendons. polysynaptic
withdrawal reflex (flexor reflex)
move affected parts of the body away from a painful stimulus. flexor reflex contracts flexors or a limb and relaxes extensors (reciprocal inhibition)
reciprocal inhibition
when one set of motor neurons is stimulated, neurons that control antagonistic muscles are inhibited
crossed extensor reflex
withdrawal from painful stimulus on one limb while other limb extends and straightens to support body (usually lower limb), polysynaptic
ipsilateral
sensory stimulus and motor response occur on same side of the body
contralateral
sensory stim and motor response happen on opposite ides of the body
characteristics of polysynaptic neurons
- pools of interneurons
- intersegmental in distribution
- reciprocal inhibition
- reverberating circuits
- several reflexes may combine into one
diencephalon
composed of the thalamus and hypothalamus
cerebrum
conscious thought processes, intellectual functions, memory storage and processing, conscious and subconscious control of skeletal muscle
thalamus
relay and processing centers for sensory info
hypothalamus
emotion, autonomic functions, hormone production, coordination of nervous and endocrine activities, subconscious skeletal muscle contractions, circadian rhythms, body temp
midbrain
processing of visual and auditory data, generation of reflexive somatic motor responses, maintenance of consciousness
pons
relay sensory info to cerebellum and thalamus, subconscious visceral and somatic motor centers, modify respiration centers in medulla
medulla oblongata
relay sensory info to thalamus and other portions of the brain stem, autonomic centers for regulation of visceral function, attachment of 5 cranial nerves
what is the brain stem composed of?
medulla, pons, midbrain
cerebellum
coordinates complex somatic motor patterns, adjusts output of other somatic motor centers in brain and spinal cord
septum pellucidum
membrane separating the 2 lateral ventricles
interventricular foramen
small connection between the lateral ventricles and the third ventricle
cerebral aquaduct
connects third ventricle with fourth ventricle
where is CSF located?
subarachnoid space
falx cerebri
projection of dura into the longitudinal fissure
tentorium cerebri
separates cerebellum from cerebrum
functions of CSF
- cushioning delicate neural structures
- supporting the brain
- transporting nutrients, chemical messengers, and waste products
how is CSF formed?
choroid plexus turns blood plasma into CSF
how does CSF reach subarachnoid space?
through 2 lateral apertures and a median aperture in the roof of the fourth ventricle.
arachnoid granulations
CSF is absorbed into venous circulation
blood-brain barrier
formed by capillary epithelial cells that are connected by tight junctions, only lipid soluble solutions (gases, alcohol) can diffuse into barrier, astrocytes control permeability
superior colliculi
reflex movements of the eye, head, neck in response to visual stimuli
inferior colliculi
reflex movements of the head, neck, and trunk in response to auditory stimuli
substantia nigra
darkly pigmented nucleus, controls movements, damage results in parkinson’s disease, secretes dopamine
pineal glan
secretes melatonin, important in the sleep-wake cycle and reproduction
basal ganglia
produce pattern of movement
association fibers
interconnect areas of cerebral cortex within a single cerebral hemisphere
arcuate fibers
type of association fiber, connect one gyrus to another, short
longitudinal fasciculi
connect frontal lobe to other lobes of the same hemisphere , longer bundles
commissural fibers
interconnect and permit communication between cerebral hemispheres, prominent at corpus callosum and anterior commissure
projection fibers
link the cerebral cortex to diencephalon, brain stem, cerebellum, and spinal cord. must pass through diencephalon
internal capsule
entire collection of ascending and descending projection fibers, often involved in strokes
functions of basal nuclei
subconscious control of skeletal muscle tone and coordination of learned movements
precentral gyrus
anterior border of central sulcus, contains primary motor cortex
primary motor cortex
direct voluntary movements by controlling somatic motor neurons in the brain and spinal cord
postcentral gyrus
posterior border of central sulcus, contains primary sensory cortex
primary sensory cortex
recieve somatic sensory info for touch, pressure, pain, vibration, taste, or temp.
visual cortex
in occipital lobe, receives visual info
auditory and olfactory cortex
in temporal lobe, receives hearing and smell info
gustatory cortex
receives info from tongue and pharynx
somatic sensory association area
monitors activity in primary sensory cortex
visual association area
monitors patterns of activity in visual cortex and interprets the results
auditory association area
monitors sensory activity in auditory cortex, word recognition
premotor cortex or somatic motor association area
responsible for coordination of larned movements, includes frontal eye field
integrative centers
areas that receive info from many association areas and direct very complex motor activities and analytical funtions
prefrontal cortex
in frontal lobe, integrates sensory info, perform abstract intellectual functions, feelings and consequences
general interpretive area
wernicke’s area, receives info from all sensory association areas, present in one hemisphere, plays role in personality and coordinating access to visual or auditory memories
speech area
broca’s area, regulates patterns of breathing and vocalization needed for normal speech
left hemisphere of the cerebrum
reading, writing, speaking, analytic tasks, and logical decision making
right hemisphere of the cerebrum
relates the body to sensory info, recognizing and associating senses and emotions
Olfactory nerve
N I, sensory only, only cranial nerve attached to the cerebrum, responsible for the sense of smell
optic nerve
N II, sensory, carry visual info to eye and allow vison
occulomotor nerve
N III, motor, innervates 4 of the 6 muscles of the eye and levatator palpebrae superioris,
cerebellar peduncles
bundles of axons that bring info in from spinal cord. inferior-from spinal cord/ middle- from pons/ superior- cerebellum to thalamus
trochlear nerve
N IV, motor, innervates the superior oblique
trigeminal nerve
N V, mixed, three branches
opthalmic branch of trigeminal nerve
sensory to cornea, skin of forehead, eyebrow.
maxillary branch of trigeminal nerve
sensory to lower eye, upper lip, cheek, upper teeth and hard palate.
mandibular branch of trigeminal nerve
mixed; sensory to lower teeth and lip, anterior 2/3 of tongue, palate. motor to muscles of mastification
abducens nerve
N VI, motor, innervate lateral rectus muscles
facial nerve
N VII, mixed. sensory taste to anterior 2/3 of tongue and salivary glands. motor to muscles of mastification and facial expression
vestibulocochlear nerve
N VIII, sensory, balance and equilibrium (vestibular branch) and sense of hearing (cochlear branch)
glossopharyngeal nerve
N IX, mixed. sensory to posterior one thirs of tongue, pharynx and palate, carotid arteries of neck. motor to muscles for swallowing. innervates parotid salivary glands and is responsible for the gaga reflex
vagus nerve
N X, mixed. sensory to pharynx, visceral organ in thoracic and abdominopelvic cavity (respiratory, cardiac, mucous glands in respiratory). motor to muscles of gag reflex and swallowing (soft palate) and the vocal cords.
accessory nerve
N XI, motor, innervates sternocleidomastoid and trapezius muscles, voluntary swallowing muscles
hypoglossal nerve
N XII, motor to muscles that move the tongue
mnemonic for the cranial nerves
Oh, Oh, Oh, To Touch A Female’s Vagina Gives Vinny A Hard-on
mnemonic for classification of cranial nerves
Some Say Marry Money, But My Brother Says Big Brains Matter Most
subdural hematoma
ruptured venous channels
ependymal cells
produce, circulate, and monitor csf
astrocytes
maintain BBB