Functional Antaomy of the Brain and Neural System Flashcards
What are the major components of the Nervous System, and what are they comprised of?
The Nervous System
-Central Nervous System (CNS)
-Brain
-Spinal cord
Peripheral Nervous System (PNS)
-Cranial Nerves
-Spinal Nerves
-Autonomic Nervous system,
What are the directioal terms used in Anatomy ?
Directional Terms in Anatomy:
- Dorsal < > Ventral
Dorsal (front)
-Rostral < > Caudal
rostral (front)
-Anterior< > Posterior
refer to long axis of body (do not change)
-Medial < > Lateral
3 planes: Axial (cut off by bridge) , Saggital (slice through nose) and Coronal (MRI; cut through ears)
What are the 4 principle regions of the brain?
Principle regions of the brain:
-Cerebrum
-cerebellum
-Diencephalon
-Brainstem
spinal cord
What are the unique features of the cerebrum, including its functions?
Cerebrum
-LARGEST, most developed part of the human brain
-makes up 83% of brain mass
-Has 2 hemispheres (left, right) that are separated by Longitudinal fissure
-Responsible for complex actions of consciousness
-Memory
-Personality
-Intelligence
(motor movement, perception)
Describe the components of the Cerebral cortex (that’s a part of cerebrum) and also the type of folds it has,
Cerebral cortex (part of Cerebrum) 2.4 m thick
-Grey Matter (neuronal cell bodies); nuclei gives it the dark color
-White Matter (myelinated axons)-
contains Myelin, a specialized lipid-rich layer that covers neuronal axons (myelin give matter its white color)
Folds and cerebral cortex
-Gyri (s. gyrus) (ridges of fold)
-Sulci (s. Sulcus) ) (indentations)
-fissures used to designate area of hemispheres
What are the cerebral hemispheres that are located in cerebral cortex? What are the Areas that these hemispheres correspond to?
Cerebral Hemispheres :
-Frontal
-Parietal
-Occipital
-Temporal
Areas:
SENSORY areas that deal with the perception of sensory information (occipital)
- MOTOR areas that control voluntary movement execution (frontal)
-Association areas that integrate complex functions (frontal, temporal cortex)
What are the subcortical structures of the cerebrum and what are their roles ?
Cerebrum: subcortical structures
-Thalamus: “gatekeeper” of the cortex
-Basal Ganglia: intention motor movement
-Amygdala: emotional balance (moods)
-Hippocampus- memory (memory formation, recall)
-Hypothalamus- neuroendocrine function (like stress response)
What occurs in the Ventral Pathway?
Ventral pathway:
System of brain cavities containing cerebral spinal fluid CSF)
-CSF- the supporting medium (milieu) of electrolytes sugars, that keep brain alive and keep it structurally together
-CSF- flushing waste products out the brain (known as lymphatic system)
Describe the flow of CSF in the brain
Flow of CSF (cerebral spinal fluid) :
1. CSF is extracted from blood and generated in choroid plexus
2. This CSf flows through intraventricular foramen, through the Third ventricle.
3. CSF then moves from third ventricle, through the cerebral acqueduct, to fourth ventricle
4. CSF then moves to the central canal of spinal cord, up and around to subarachnoid space and released back into blood stream.
Discuss the features of the cerebellum and its functions
Cerebellum:
aka “Little Brain”
-second largest part of the brain
-11% of brain mass
-Folds increase surface area and allow for greater number of neurons
Functions:
coordinates skeletal muscle contractions
-Regulates balacne and posture (hence first region to be affected by alcohol )
-May have a role in language processing and recognition
inferior and poster to cranial cavity
What are the three components of the Brainstem?
Principle Region of Brain: Brainstem
Composed of 3 parts;
- Midbrain
-Pons
-Medulla Oblongata
Discuss the features of the spinal cord and the different regions involved. What is the conus megularis? Filum terminale?
Spinal Cord
-45 cm in length
-Passes through the foramen magnum
-Extends from the brain to L1(first. lumbar)
Consists of:
Cervical region (C1-C8)
Thoracic region (T1-T12)
Lumbar region (L1-L5)
-region between L1 and L2 is the Conus megualris
Sacral region (S1- S5)
Coccygeal region (Co 1)
Filum terminale fiber t hat- anchors spinal cord and dural sac to coccyx (holds spinal cord to gether)
caudal equina (aka horse tail) - contain the rest of fibers from spinal cord called (from cona medularis to coccyx); contain lumbar and sacral nerve roots
Is the spinal cord shorter or longer than the vertebrate? why?
Spinal cord is much shorter than vertebrate, because when you are born they are same length. However as you grow, only nerves from lumbar and sacral region, and coccyx region extend to support growth. The spinal cord does NOT grow or get longer, as you are growing
What are meninges and what is the role of each component ?
The Meninges: Three membranes that surround all of the CNS
1) Dura Mater- “tough mother”, strong (outer layer of meninges)
2) Arachanoid Meninx- spidery looking, carries blood vessels, etc
- has subarachnoid space-
3) Pia mater- “delicate Mother”, adheres tightly to surface of brain and spinal cord.
these meninges create a barrier and protect the system of the body
Explain what occurs in the embryonic development of Neural Tube. what are the two sections that divide the Neural Tube?
Embryonic Development if Neural Tube:
Nervous System is generated from neural tube
-Neural Tube divided into two sections of transverse section, midsaggital section; and dorsal view (exterior)
Notocord drives formation of neural plate; that will then go through cell proliferation, which drives formation of neural groove and a neural fold which extends from top to bottom. This fold fuses into neural tube creating completion of Neuralation
What are the detailed steps of Neural tube formation?
Steps of Neural Tube formation:
1a SHAPING of the neural plate
1b. FOLDING of the neural plate by Notochord
2. ELEVATION: Notochord will enhance cell proliferation and form a neural groove and later form neural crest
3. CONVERGENCE- As cell proliferation continues, neural crest will fuse together with neural plat and complete Neural tube formation
4. Closure- Neural tube complete fold, all parts of neural plate close up on each other.
What are two medical conditions that result from Neuropore closure failure ?
Neuroppore closure failure:
1. Anencephaly- failure of the neural tube to close at ANTERIOR end
-birth defect, where part of skull is missing, fatal condition (babies die before birth or few days, weeks after)
2. Spina- Bifida- failure of the neural tube to close at POSTERIOR end
-spinal cord does not form properly; treatable
Describe what occurs during Brain development, by comparing what occurs 5 weeks after conception vs 7 weeks. Include the new structures that are made
Brain development:
-Once neuropore forms, Expansion and Differentiation occurs.
-5 weeks after conception: 3 primary vesicles
1. Prosencephalon (forebrain)
2. Mesencephalon (midbrain)
3. Rhombencephalon (hindbrain)
also have spinal cord
-7 weeks after conception: cell proliferation and differentiation and have 5 secondary vesicles
1.Lateral ventricles form from prosencephalon
and they are part of telencephalon; optic vesicle
2. Third ventricle forms
3. Fourth ventricle form
4. Medulla forms from Rhombencephalon
5. Diencephalon
also formation of cerebral aqueduct and pons
-myencephalon- medulla
-metencephalon- pons
What kind of model does neural tube formation resemble?
Brain development;
When Neural tube forms and grows, it resembles the Ram horns model
-as the neural tube grows, it will fold in upon itself and continue to curl around and around, (until forming isocorteox, which invaginates and we see the cerebrum)
What are the segments and nerves that are in spinal cord?
Which spinal nerves exit below their corresponding vertebrae?
Spinal Cord
-31 segments/pairs of spinal nerves
-8 cervical
-12 thoracic
-5 lumbar
-5 sacral
-1 coccygeal
-ALL spinal nerves Except First, exit below their corresponding vertebrae
(ex: T1 spinal nerve exits below T1 vertebrae)
as body grows, spinal cord must accommodate by elongating spinal nerves from T12-lumbar-saccral
What are Spinal Segment Dermatomes and where are they located in the body?
Spinal Segment Dermatomes: patches of skin (each supplied by spinal nerve)
cervical regions- arms, hands
thoracic- abdomen, chest area
lumbar- legs
saccral- posterior side of legs
What is the benefit of Dermatomes in the Quadruped Position?
Dermatomes in Quadruped Position:
- you can see more clearly how spinal segments are related to dermatomes
-cervical- dermatomes in nose all the way to hand
-Thoracic- dermatomes from hands to belly button
Lumbar- legs
sacral- backside and legs
What are spinal segments and what do they all comprise of?
Spinal Segments; repeating architecture/organization; section of spinal cord)
Spinal segments contain;
1. Central canal
-CSF (cerebrospinal fluid) from 4th ventricle
2. Gray matter
-H shaped (butterfly)
-SENSORY and MOTOR nuclei (soma), unmyelinated processes and neuroglia
3. White matter
-OUTSIDE of gray matter
-Myelinated and unmyelinated fibers
-
What is the orientation of gray and white matter in the spinal cord vs brain?
Spinal cord:
gray matter: interior
-white matter- Exterior
Brain (opposite way)
-gray matter: Exterior
White matter: interior
What are the two branches of spinal nerves?
2 branches of spinal nerves:
1. Ventral root: (Outputs)
-contains axons of MOTOR neurons
2. Dorsal root: (Inputs)
-contain axons of SENSORY neurons (ex; touch, pain)
Dosal Root ganglia:
-contain cell bodies of sensory neurons
-called Psuedounipolar neurons
-these cell bodies in ganglion extends fibers to spinal segments or medulla
What are the two enlargements that occur in the spinal cord? Why does this happen?
Two enlargements:
-Cervical enlargement
-C3 to T1
(cervical 3 is enlarged compared to T1)
-Lumbar enlargement
L1 to S2
Gray matter is expanded (during enlargement) to incorporate more sensory input from limbs, and more cell bodies for motor control of limbs
Desceibe the neuronal organization that can be seen in the spinal cord, including what the role Laminal region, II, III, IV, VII, VIII, and IX in the gray matter of spinal cord? What neurons do they have?
Neuronal Organization: made up of 10 zones of cells in the gray matter called renga Lamina
10 Laminas
Lamina I, and II: have cell bodies that process pain inputs coming from dorsal root ganglia
Lamina III, IV- process info related to Touch: temperature, crude touch and pain
Lamina VII, VIII, IX : process info related to motor outputs
Lamina VII: have Renchal cells which are inhibitory neurons in the cell
Lamina VIII ; motor neurons that innervate distal musculature (legs)
Lamina IX: have alpha motor neurons innervate core musculature, intercostal, ribcage and diaphragm
What are Reflexes?
Reflexes: fast, stereotypical, inborn, protective actions
-occur at spinal cord or brainstem levels
-May be either monosynaptic or polysynaptic
What do all reflexes require ?
Reflexes all require:
1. Stimulus at receptor
2. sensory information relay
3. processing at CNS level
4. activation of motor response
5. response of peripheral effector
Describe the mechanism of patellar stretch and how synapses occur to activate muscle groups and neurons
Patellar stretch by hitting of hammer, causes stretch of quadriceps muscle
The activation of muscle spindle fibers will cause a synapse on monosynaptic synapse that innervates and activates that muscle group
The stretch activates the muscle spindle and 1A fiber which synapses into lamina 7 (contain renchal neurons which are inhibitory interneurons)
when these inhibitory neurons are activated, they inhibit the motor neurons that are heteronomous innervating opposing muscle group (try to inhibit opposing muscle group
(hence heel kicks up as reflex when hit knee with hammer)
What are the 2 principle Somatic Sensory Pathways?
Principle Sensory Pathways (dependent on sensory modality)
1. Fine Touch Pathway (ex: run fingers through paper)
Sensory information comes in through dorsal root, does not synapse. Those fibers enter fasciculus gracilla and Fasciculus cuneatus and ascends into the medulla.
-neruons in the Fine Touch pathway do NOT synapse until they reach medulla.
As you ascend the spinal column, as more fibers come in through dorsal root, they continue pack in, pushing all fibers medially (hence why leg to neck across fasiculus)
-Fasiculus gravilla and Cuneatus- have fibers inne
Side Note: Normally, fibers innervating leg- medial
upper trunk, arm and neck- lateral
- Pain pathways
-Sensory info comes from C fiber and A delta fiber through the dorsal root
-However they will synapse on Laminas I- IV (unlike in fine touch pathway)
The second neuron in pathway sends fiber that desiccate, or CROSS to other side at that spinal segment. Once crossed, the fibers ascend through neuralspinal thalamotract or anterior lateral system of tracts. Either neurospinal tract or paleo tract will make tertiary synapse cerebral cortex
Differentiate between Paleospinal Thalamotract and Neurospinal Thalamotract in terms of where they synapse and what. kind of pain signals there transmit
Paleospinal thalamotract- synapses at Brainstem reticular formation
Neuralspinal thalamotract- ascend directly into thalamus
Both paleo and neuralspinal thalamotract make tertiary synapse to cerebral cortex
.
Neurospinal thalamotract: fast pain signals elicited by mechanical or normal stimuli (ex; if you cut yourself)
Paleospinal thalamus- slow, chronic pain signals being transmitted by slow, C- fibers. (ex: throbbing, dull pain)
-older version
Discuss the clinical presentation of lesions and how the synaptic mechanism is affected by the lesion
Clinical presentation of lesions (patient)
-T11 injury
-Dorsal column lesion
-Loss of all proprioception and vibration sensation below lesion (belly button)
-pain sensation and motor remain intact
Process:
Level of T11 corresponds to belly button; the Fine touch comes into dorsal roots, which immediately ascends through dorsal columns;, at that level of lesion and below brain, there is no proprioreception
hence that’s why the information will not ascend into brain, hence proprioreceptor, vibration below lesion does not exist, so you have lost that sensation.
Pain synapses in Lamina I-IV, desiccates and then ascends toward more ventral area; where pain is ascending is spared (hence individual can feel pain and temp below region site, not fine touch)
motor regions will descend in ventral region (which are spared)
Is the patellar region intact with the T11 lesion?
YES patellar region is intact (with T11 lesion) because patellar reflex occurs at spinal segment which is intact. so with this lesion, you won’t have fine touch, but reflex are still intact.
Discuss the case with the L1 Hemicord lesion and how it affects the function of patient’s body. what is this lesion an example of ?
L2 Hemicord lesion
-17-year old was stabbed at level T12/L1 in the back
-Significant muscle weakness affecting the whole right Lower extremity
-Impaired vibration and proprioreception sense of the right leg
-Loss of pain and temperature sense of the left leg
The motor tracks running down right hand side exit through ventral root (hence lesion through right side of spinal segment, have deficits in motor movement
-somatosensation from right hand side is lost from lesion side (due to leafing dorsal columns)
pain and temperature is lost on contralateral side b/c pain and temp info below region sit, come in synapse and desiccate
-paralysis , lose proprioeeception and vibration on ispilateral side
This L2 lesions is a reminder of Brown Sequard syndrome- lesionof spinal cord that results in the weakness or paralysis by one side of the body and loss of sensation on other side of body
How many Cranial Nerves are there? What categories do these nerves fall into?
There are 12 cranial nerves (all synapse on nuclei in brain)
-some of these cranial nerves are sensory, motor, or mixed (sensory and motor)
Name each cranial nerve, its function and type
Cranial nerve Nerve Type Functions
1. Olfactory Sensory Smell
2. Optic Sensory Vision
3. Oculomotor Motor Eye Movement (cross eye)
4. Trochlear Motor Eye Movement
5. Trigeminal- Fine touch, temperature, pain, chewing
Ophthalmic Branch Sensory
Maxillary Branch. Sensory
Mandibular Branch Mixed
6. Abducens Motor Eye Movement
7. Facial Mixed. Sense of Taste, Saliva and Tear Secretion, Movement of facial muscles
8. Vestibulocochlear -
Cochlear Sensory Hearing (Auditory Nerve)
Vestibular Sensory. Maintaining Equilibrium of the Body
9. Glossopharyngeal Mixed Swallowing and Secretion of Saliva, Taste
10. Vagus Mixed. Parasympathetic Sensation, Control of Smooth Muscles of Lungs, Viscera. Monitors Blood pressure, Levels of O2 and CO2
11. Accessory Motor Swallowing, Movement of Head and Shoulders
12 Hypoglossal Motor Tongue Movement, Speech and swallowing
Discuss the trigeminal nerve and the three branches it has
Trigeminal nerve has 3 branches:
1. Mandibular Division: as it enters and exits trigeminal nerve, it forms mandibular nerve and innervates the mandible
2. Maxillary nerve- underneath the eye
3. Opthalamic nerve- above Maxillary nerve
all three nerves through trigeminal ganglion, will synapse on trigeminal nerve nuclei
Describe the pyramidal decussation that occurs in the medulla. Distinguish what occurs in Closed vs Open portion of medulla
Medulla- extension of the spinal cord
-Closed part of Medulla: dorsal columns begin to synapse on Nucleus gracillis and Nucleus cuneata; also decussation of descending motor fibers or DECUSSATION OF PYRAMIDS (motor fibers from the medullary pyramids cross the midline)
-axons coming in through dorsal column will synapse first in Nucleus cuneata and gracillus. Those neurons send fibers that will cross at this level, ascend though medial lemniscus into thalamus (seen better in open portion of medulla)
-Open part of Medulla- cerebral canal opens up into fourth ventricle at this point
At open part, you see other structures:
inferior Olivary nucleus (involved in motor coordination, source of climbing fibers to cerebellum, and involved in voluntary movement)
*Trigeminal Nerve Nucleus and Spinal tract
-cranial nerve V- Spinal nucleus
-cranial nerve V- Spinal tract
-also see vagal, hypoglossal, vestibular and trigemninal nuclei (lots of cranial nerves snyapse in medulla)
Where do most of the cranial nerves have their first synapse?
Most cranial nerves have first synapse in the MEDULLA (open part)
What occurs in the pons and how is it related to cerebellum and medulla?
What structures are found in pons?
Pons is connected to middle part of cerebellum called middle peduncle (tract of fibers from Pons into cerebellum)
many of same pathways present in medulla are present in pons such as medial lemniscus tract, Medial longitudinal fasciciulus ( contain oculomotor nerve, trochlear nerve and abducens nerve), and 5th cranial nerve nuclei, motor nucleus, sensory nuclei, spinal portions of nuclei)
-Locus ceruleus- next to cranial nerve 5
this anatomy used to help find different things in the dark (that are a mile away)
- reticular activating system nuclei