Item 6 Flashcards
The _NS is ultimately responsible for everything we perceive, do, feel and think
CNS
The CNS contains approx 100 _ neurons and 100 _ synapses, all contained within the brain and spinal cord
billion (10^11)
trillion (10^14)
CNS is protected by
glial cells
_
connective tissue
cerebrospinal fluid
bone (the skull!)
_% of the CNS is composed of glial cells (or neuroglia)
75 - 90
Glial cells are un_, and support neurons through neural communication. Humans have the most glial cells of any organism (highest on the evolutionary chain)
UNexcitable
Five types of glial cells:
astrocytes
_
Schwann cells
oligodendrocytes
ependymal
microglia
_ are the most diverse and numerous of glial cells, surrounding neurons with 20 nm gaps between that do not overlap another
astrocytes - sim to stars in the universe?
Astrocytes form a structural and functional link between neurons and non-nervous tissue and _ fluid
extracellular fluid
Astrocytes DIRECT THE DEVELOPMENT of special _ that restrict the movement of certain molecules between blood and the CNS, called the blood-brain barrier
capillaries
Astrocytes guide developing neurons, esp _, to their correct destination and regulate the development and maintenance of synapses
neurites
T or F: astrocytes may support the regeneration of damaged axons
true - astros help axons!
Astrocytes help the _cellular enviro of neurons and in maintaining normal potassium levels in the _cellular [same] environment. This also means they help remove certain neurotransmitters in the interstitial environment between synapses
EXTRAcellular (around the neurons - esp at synapses)
In efferent neurons, are they covered in oligodendrocytes or Schwann cells?
Efferent axons begin in the CNS, so they have oligodendrocytes initially, but when in the PNS they only have Schwann cells
High levels of _ are toxic and contribute to the spread of neurological damage during a stroke or other types of brain damage
glutamate
yet it’s crucial for long-term potentiation. Go figure
Astrocytes synthesize glutam_, which is then released into the interstitial fluid and picked up by other neurons to form glutam_, an excitatory neurotransmitter
Glutamine;
Glutamate
The gap between synapses is considered _ space
interstitial
Astrocytes can store _, which can be broken down to lactate; the lactate is then transported to neurons where it serves as an important energy source for active areas of the brain
lactate / orig lactic acid??
T or F: microglia are the body’s way to protect neurons from toxic substances
false - microglia and astrocytes do. Astrocytes protect neurons from oxidative stress and help remove cellular debris
Glial cells may contribute to the development of neurodegenerative diseases such as
multiple sclerosis
_ disease
Parkinson’s disease
Alzheimer’s
MS results from the loss of myelin in the CNS. It is an autoimmune disease, meaning that the immune system attacks a part of the body, in this case, _ (myelin-type cells). The loss of myelin (and some axons) in the CNS slows down or stops communication along certain neural pathways
oligodendrocytes (if it was PNS it would be Schwann cells, but it’s not)
Alzheimer’s disease is caused by the loss of cholinergic neurons in certain brain areas and the replacement of the lost neurons with scar tissue called plaques. During the degeneration of cholinergic neurons, a_ and _ become overly active. These types of cells release inflammatory chemicals that enhance further de- generation of cholinergic neurons. Thus a vicious cycle takes place.
astrocytes and microglia
Early signs of Alzheimer’s disease include
loss of memory and confusion
…
loss of communication skills
decrease in cognitive functions
motor dysfunction
Early stages of _ disease may be treated with acetylcholinesterase inhibitors (they prevent the enzymes from dissolving acetylcholine in the synaptic cleft)
Alzheimer’s
Parkinson’s disease is a degenerative disease involving the loss of dopaminergic neurons. As in Alzheimer’s disease, glial cells are thought to enhance neural degeneration through the pro- duction of _ agents.
inflammatory -
In Alzheimer’s and Parkinson’s disease, glial cells produce inflammatory agents to enhance neural degeneration, whereas in MS…
oligodendrocytes aren’t able to create myelin - they are not part of the problem
T or F: Alzheimer’s disease is associated with oligodendrocytes, MS with astrocytes and microglia, and Parkinson’s with glial cells in general
false - Parkinson’s are dealing with glial cells, but MS is a CNS-based disease that deals only with oligodendrocytes, whereas Alzheimer’s disease is with microglia and astrocytes
_ disease main symptoms involves
- Tremor in hands, arms, legs, jaw, or head
- Muscle stiffness, where muscle remains contracted for a long time
- Slowness of movement
- Impaired balance and coordination, sometimes leading to falls
Parkinson’s disease
Of MS, Parkinson’s and Alzheimer’s, which is associated with blurred vision?
MS
_ protect the central nervous system from foreign matter, such as bacteria and remnants of dead or injured cells. They carry out this function through phagocytosis and the release of cytokines in a manner similar to certain blood cells. _ [same] also protect neurons against oxidative stress
microglia
T or F: astrocytes and microglia can protect neurons from oxidative stress
true
What serves as protection against impact between the skull or spine with the soft nervous tissue within?
_
cerebrospinal fluid
meninges
The meninges are _ [number] connective tissue membranes that separate the soft tissue of the CNS from the surrounding bone
three
The cranium is the name for the
skull
The vertebral column is another name for the
spine
The order of the three meninges surrounding the soft tissue of CNS going outward (i.e., closest to the brain to farther from the brain are:
arachnoid mater
dura mater
pia mater
pia mater
arachnoid mater
dura mater
T or F: there isn’t space between the dura mater and the arachnoid mater
true - if a blood vessel passing through the dura ruptures, then blood can accumulate in both maters
if a blood vessel passing through the dura ruptures, then blood can accumulate in both maters, this is called a subdural _
hematoma
The _ mater contains a weblike structure
arachnoid
The _ mater is closest to the bone
dura - it is hard and durable (tough, fibrous tissue), and has the consistency of leather
T or F: there is no space between the arachnoid and pia maters
false - it is the subarachnoid space
Where is cerebrospinal fluid contained within the CNS?
in the meninges, specifically between the pia mater and arachnoid mater, coined the subarachnoid space
Cerebrospinal fluid (CSF) is a clear, watery fluid that bathes the CNS; it is similar (but not identical) in composition to _
plasma
T or F: CSF completely surrounds the CNS and is also otherwise found filling a number of cavities located within the brain
false - it is also found within the spinal cord
The brain contains _ ventricles/cavities that are continuous with one another
four
The two C-shaped ventricles are called _ ventricles
lateral - they flank each other
kinda look like fallopian tubes
The two C-shaped lateral ventricles are connected in the middle with a third ventricle by the interventricular f_
foramen
kinda like the opening to the uterus (in shape)
The third ventricle (in the middle of the underside of the brain) is connected to the fourth ventricle by the cerebral _
aqueduct
(sim to the vagina in shape, and this and the lower fourth ventricle looks like an inverted Diva cup)
The fourth ventricle is connected to the long line of fluid that goes into and throughout the spinal cord, namely the _ _ [composed of cerebrospinal fluid]
central canal
The lining of the ventricles and central canal is composed of epithelial cells called _ cells
ependymal
Vascular is another term for _ system
circulatory
T or F: The vascularized lining of the ventricles forms a tissue called the choroid plexus, which consists of the pia mater, capillaries, and ependymal cells, and functions in the synthesis of CSF.
true
T or F: the total volume of CSF is 125 - 150 mL, and the choroid plexus recycles 400 - 500 mL three times per day
true
As CSF is produced, it circulates through the ventricular system and enters the subarachnoid space through openings of the _ ventricle
fourth ventricle - the one closest to the spinal cord
The CSF in the subarachnoid space is eventually reabsorbed into venous blood through special struc- tures in the arachnoid mater called arachnoid v_ located at the top of the brain
villi (singular: villus)
Hydrocephalus occurs when an increase in cerebrospinal fluid causes the ventricles to become enlarged. Which structure increases CSF levels
Too much of this fluid is produced by the CHOROID PLEXUS or too little drainage of it occurs
CSF has several functions in the brain:
shock absorber, allowing CNS to ‘float’ in it
the _ fluid that bathes neurons and glial cells, providing them with nutrients and removing waste products
contributes to the maintenance of normal ionic composition around neurons
interstitial fluid
Which of the following statements about cells in the central nervous system is TRUE?
a. Astrocytes are considered glial cells but oligodendrocytes are not
b. Microglia function with astrocytes to protect neurons
c. There are more neurons than there are synapses
d. Astrocytes provide additional neurotransmitter at the synaptic cleft
b. Microglia function with astrocytes to protect neurons
What is the correct order of physical support elements of the CNS, from the OUTside to the inside?
i) Pia mater
ii) Cranium
iii) Arachnoid mater
iv) Dura mater
a. iv, iii, ii, i
b. i, iii, ii, iv
c. i, ii, iii, iv
d. ii, iv, iii, i
d. ii, iv, iii, i
cranium - skull, NOT the brain
dura mater
arachnoid mater
pia mater
Which statement about the brain and central nervous system is CORRECT?
a. The brain consumes 20% of the body’s oxygen at rest
b. All of the statements are correct
c. The central nervous system receives 15% of the blood supply
d. The brain consumes 50% of the body’s glucose at rest
b. all of the statements are correct
Which one of the following is NOT a lobe of the cerebral hemisphere?
a. occipital
b. cranial
c. temporal
d. parietal
b. cranial
In the topographical organization of the motor cortex…
a. The fingers occupy a larger area than the neck
b. The tongue occupies a larger area than the hand
c.The eye occupies a larger area than the mouth
d. The face occupies a smaller area than the trunk
a. The fingers occupy a larger area than the neck
dexterity is much more important than moving the head
… is an event in which blood flow becomes interrupted because of a blocked or ruptured blood vessel in the brain
a stroke
The CNS is particularly sensitive to interruptions in blood flow because cells in the CNS contain very little gl_ (com- pared to muscle and liver) [considered the stored version of the proceeding usable form] and, therefore, must obtain gl_ [the usable form that is stored as the first option] di- rectly from the blood
glycogen;
glucose
T or F: most cells in the CNS have access to fatty acids for energy
false - no. where would fatty acids be? since they don’t, they require more glucose, hence needing 50% of all consumed
When the meninges are around the brain they are called _, whereas around the spine they’re called _l
cranial meninges;
spinal meninges
What is the space under the dura mater in the space between the cerebral hemispheres wherein arachnoid villi (sing villus) reabsorb CSF into venous blood?
sinus - it doesn’t make sense, but since the nose splits in two columns, then i’ll think of the sinus splitting the two hemispheres
it looks like a big blue lake (sinus) that is surrounded by land (dura mater) with peninsulas (arachnoid villi) that push out but are covered with a guard rail (arachnoid mater), and covered in a deck (subarachnoid space)
In a metaphor for the top of the brain, what would be the missing items:
it looks like a big, blue lake shaped in an inverted triangle (sinus) that is surrounded by land (dura mater) with peninsulas (arachnoid villi) that push out but are covered with a guard rail (arachnoid mater), and covered in a deck (_ _ )
subarachnoid space
Taking a dorsal view is viewing a section from the _
bottom
Plasma is typically higher in glucose, proteins, potassium and calcium, but not… [2 ions]
sodium and chloride
The brain and spinal cord cannot obtain energy from _ _ during periods of reduced oxygen depletion, therefore an uninterrupted supply of oxygen and glucose is required to stay alive
anaerobic metabolism
During starvation or _ _, CNS tissues can use ketones to supply up to 2/3 of its needs, despite being a process of lipid catabolism
diabetes mellitus - issues with glucose
The exchange of oxygen, glucose and other materials between blood and CNS cells occurs across the walls of _
capillaries
T or F: choroid plexus is found in every ventricle
true - it’s a wee thing, but it is the TISSUE that surrounds the ventricles, prime for circulation, and which produces CSF
The capillary walls are composed of a single layer of _l cells, a type of epithelial cell
endothelial
- endo-within the tissue
Much like along cell walls, hydro_ molecules diffuse across membranes of endothelial cells (lining the vesicles, i.e., choroid plexus, i.e., maker of CSF), whereas hydro_ molecules diffuse through relatively large gaps (pores) between the endothelial cells
hydrophobic (loves fat - easily moves within membrane);
hydrophilic (hates fat - needs pores to move through, otherwise repelled by fatty membrane)
_cytosis involves the ACTIVE movement of a macromolecule such as a protein across an endothelial cell by endocytosis into the cell followed by exocytosis out of the cell
transcytosis
the movement of hydro_ molecules across capillary walls is restricted by the blood-brain barrier, the interstitial fluid in the CNS
hydrophilic - molecules that hate fat cannot move through the fatty membrane of the capillary walls to get into the blood-brain barrier
What maintains the strict distinction of the blood-brain barrier, i.e., between the blood and CSF, and avoiding capillary pores for hydrophilic molecules to move in/out? _ junctions
tight junctions
T or F: astrocytes develop and maintain tight junctions
false - astrocytes stimulate endothelial cells which then develop and maintain tight junctions - astrocytes are supportive, but don’t produce things
How do select hydrophilic solutes passively move through the blood-brain barrier?
by carrier mediated transport, NOT by simple diffusion
How do select hydrophobic molecules and gases move through the blood-brain barrier?
they move by simple diffusion
e.g., alcohol can move freely, which depresses CNS function by several mechanisms
GLUT-_ carriers transport glucose across the blood-brain barrier
1 - not to be confused with GLUT-4 carriers which are found in membranes of most other cells
Insulin actions in the CNS regulate …
food intake! not glucose metabolism, therefore it is considered a satiety hormone that decreases hunger
makes sense, with those having Type II diabetes with low insulin may overeat causing them to be obese
T or F: grey matter in the CNSs composed of cell bodies, dendrites, and axon terminals
TRUE - and its axons are covered in myelin from oligodendrocytes which is considered the white matter
Cerebral cortex is composed of a thin layer of _ matter that covers the brain, and beneath it is the cerebrum (fibers) which is composed of _ matter, and embedded within it is the nuclei which is composed of _ matter
TOP: grey - CEREBRAL CORTEX (6 LAYERS)
MIDDLE: white - CEREBRUM FIBRES
BOTTOM: grey - NUCLEI
what the hell, right? I mean, i thought things were more simple than this. suffice it to say, the brain is covered in grey white grey
In the spinal cord, the white matter (fibers) is on the _side, and the grey matter is on the _side, opposite to the brain
outside;
inside
i mean, the spinal cord does look white with a grey ‘steak’ shape within it, so it’s opposite to the brain. what a joke
_ fibers/tracts connect the cerebral cortex with lower levels of the brain or the spinal cord, with corticospinal tracts connecting regions of the cortex with grey matter in the spinal cord
projection
T or F: association fibers connect one area of cerebral cortex to another area of the cortex on the same side of the brain, with the arcuate fasciculus being an example on the left lateral side. However, commissural fibers connect cortical regions on one side of the brain with corresponding cortical regions on the other side
true
associate on the same side, while you commiserate altogether, on both sides
The arcuate fasciculus connects _ area and _ area
Broca’s and Wernicke’s
Most of the _ fibers are found in the corpus callosum, which separates the two cerebral hemispheres
commissural
bringing the body public together (‘corpus’) allows them to commiserate (‘commissural’)
Nuclei can also be called _ nuclei since they are found in smaller areas of grey matter embedded within the cortex
subcortical
NOT BASAL NUCLEI - A SPECIFIC STRUCTURE
The _ _ is typically 44 cm long and ranges in diameter from 1 to 1.4 cm
spinal cord
There are 31 _ _, with each pair exiting the vertebral column between two adjacent vertebrae
spinal nerves
The spinal nerves (formed in pairs) ascending to descending are from this list:
cervical 8
lumbar 5
sacral 5
thoracic 12
cervical nerves
thoracic nerves
lumbar nerves
sacral nerves
The cervical nerves emerge from the neck region, and there are _ pairs of them
8
how do i remember that? cervical has 8 letters
The thoracic nerves emerge in the chest region and there are _ pairs of them
12
- the chest is the tallest part of the spine, so i just have to remember tall 12
The lumbar nerves emerge in the region of the lower back and there are _ pairs of them
5
it’s a small part of the spine, and there are 5+1 letters in lumbar
The sacral nerves emerge in the region of the tailbone or coccyx and there are _ pairs of them, and a single coccygeal nerve (C0) which emerges from the tip of the coccyx
5 pairs
sacral is 5 pairs + 1 coccygeal. I don’t know, I’ll just have to remember this shit
Although spinal nerves emerge along the whole length of the vertebral column, the spinal cord itself extends for only two-thirds of the column’s length. Therefore, some of the spinal nerves actually travel _ within the vertebral column before exiting it.
downward
In fact, the bottom third of the vertebral column contains individual nerves, but no spinal cord proper. Because the nerve bundle in this region resembles a horse’s tail, it is called the cauda _
equina
When physicians administer drugs spinally (give an epidural) or take a sample of cerebrospinal fluid (perform a spinal tap), they do so in the _ _ region to avoid potential damage to the spinal cord itself
caudal equina - they are individual nerves, so their injury wouldn’t necessarily impact the spinal cord itself
The numerous axons that travel within a single spinal nerve generally travel to adjacent regions of the body. Thus it is possible to map out the body’s surface into different sensory regions called d_s, each of which is served by a particular spinal nerve
dermatomes
The _ is not mapped into dermatomes because it is innervated by cranial nerves, which emerge from the brain rather than from the spinal cord.
face
The CI dermatome is not mapped because the first _ nerve does not provide sensory innervation of the skin.
cervical
Numbness in the Tl dermatome on left right side would indicate damage to the first thoracic spinal nerve on the _ side, whereas numbness in the Tl dermatome and all lower dermatomes would indicate damage to the spinal cord between the levels of C8 and Tl
same
The gray matter within the butterfly-shaped region in the interior of the spinal cord contains interneurons, cell bodies and dendrites of _erent neurons, and the axon terminals of _erent neurons
efferent;
afferent
I guess I just think of effector cell bodies and dendrites coming from the BRAIN ITSELF, when in actuality it’s within the spinal cord, which is still the CNS!
The projection fibers are shown as _ing
crossing - as though from one portion of the brain to the contralateral side, which makes sense since injury to the left side of my brain will likely show difficulties on my right side
A coronal section of the brain would separate…
the front from the back (like a headband)
A midsagittal section of the brain would separate…
equally the left side from the right, much like the two hemispheres split down the middle
There’s actually more vertebrae mass on the _ side of the body than the _
ventral (front) than the dorsal (posterior)
The dorsal horn encompasses the _ half of the grey matter, whereas the ventral horn passes the _ half
posterior/back;
anterior/front
Histology of the spinal cord is typically viewed with the _ horn at the top and the _ horn at the bottom
dorsal;
ventral
Afferent fibers originate in the periphery as sensory receptors and terminate in the _ horn, where they synapse on interneurons or efferent neurons
dorsal
The cell bodies of these afferent fibers are not located in the spinal cord itself; they are located outside the spinal cord in clusters called _ _ _
dorsal root ganglia (sing ganglion)
what the hell. I thought they originate closer to the receptors, but I guess not. so they’re technically not in the spinal cord, but very close to it
Numbness in C6 dermatome would be found in the _ [body part]
thumb, top of the forearms, tops of the shoulders
Numbness in C7 dermatome would be found in the _ [body part]
pointer or middle fingers/palm close to the thumb, back of the arms and along the upper back
Numbness in C8 dermatome would be found in the _ [body part]
ring or pinkie fingers or the palm near the pinkie
C3 and C4 dermatomes are separated by the _ [body part]
clavicle
The nipples are typically found close to dermatome _[letter] _[number]
T4
T4 slips are used at tax time which are like putting on unwanted nipple clamps
The belly button is typically found close to dermatome _[letter] _[number]
T10
I don’t know. the belly button is a ring that looks like a zero, so T10
S2 - 4 dermatomes would deal with issues with the …, whereas S5 would be issues with the _
genitals [male and female?];
anus
If I had numbness in my big toe or next 2 toes, top of the foot (internal) or my shins I would suspect the physican would be checking out my _[letter] _[number] dermatome
L5
If my ankles, calves, or the outer back of my legs were numb, I’d suspect the physician would be checking out my _[letter] _[number] dermatome
S1
If I had numbness at the top of my head, I would suspect the physician would be checking out my _[letter] _[number] dermatome
trick question! the face, ears and top of the head are mapped by the cranial nerves which are found closer to the brain
Some people with peripheral neurological damage may lose sensory function from a specific spinal level, but not motor function. Where must the damage have occurred?
The dorsal root or dorsal root ganglion— the only sites where motor and sensory axons travel in distinct paths
The cell bodies of _fferent neurons are located in the spinal cord. Efferent neurons originate in the _al horn and travel to the periphery, where they form synapses with skeletal muscles
afferent;
ventral
In the _ and upper _ regions of the spinal cord, there is another area of gray matter called the lateral horn, or intermediolateral cell column, which is located between the dorsal and ventral horns on either side
thoracic;
upper lumbar
In the thoracic and upper lumbar regions of the spinal cord, there is another area of gray matter called the lateral horn, or intermediolateral cell column, which is located between the dorsal and ventral horns on either side. They contain the origins of efferent neurons of the _ nervous system
autonomic
T or F: spinal nerves contain both afferent and efferent axons, so they’re actually a mix
true - they’re called mixed nerves
_scending tracts transmit info from the spinal cord to the brain, whereas _scending tracts transmit info from the brain to the spinal cord. They are bilateral (each one is found on both sides of the spinal cord)
ascending (goes up):
descending (goes down)
Descending tracts include the _ tracts that transmit motor commands to efferent neurons on both sides of the spinal cord, found on the lateral and anterior sides, and named as such:
_
Lateral _ tracts
Anterior _ tracts
pyramidal - creating a triangle
lateral pyramidal tracts (found near the dorsal horn)
anterior pyramid tracts (found near the ventral horn)
Descending tracts include the pyramidal tracts (both lateral and anterior) and the v_ tract
vestibulospinal tract
If it ain’t a pyramidal or vestibulospinal tract, then it is _scending
ascending
lateral pyramidal, anterior pyramidal and vestibulospinal tracts are all descending, whereas others are ascending
Ascending tracts include the
d_ _ms
lateral spinothalamic tract
spinotectal tract
anterior spinothalamic tract
dorsal columns
The ascending and descending tracts effectively link the _ nerves to the brain.
peripheral
When afferent neurons are activated by a stimulus acting on a sensory receptor (for example, when a finger touches a thorn), action potentials travel along the nerve fiber from the sensory receptor to the axon terminal, usually in the dorsal horn of the spinal cord. The axon ter- minal releases a neurotransmitter that transmits the signal to an _ (or, in rare cases, directly to an efferent neuron). Some of these _s [repeated word] form the ascending tracts, which transmit the information to the brain so that perception of the stimulus can occur.
interneuron
Controlling efferent neurons is not the only function that descending fibers perform, however. Some descending tracts modulate sensory information, such as _.
pain
Analgesic systems are systems that block the perception of pain during periods of stress. These systems work by blocking synaptic transmission between a pain-transmitting _ neuron and interneurons in the spinal cord. By blocking the transmission of pain information to the brain, perception of a painful stimulus is prevented
afferent
The brain consists of the
forebrain
cerebellum
_
brainstem
The lateral spinothalamic tract is an ascending pathway that originates with sensory receptors in the periphery and travels up the spinal cord, eventually communicating sensory information to the _ and then to the cerebral cortex.
thalamus
The spinothalamic tract moves to the _lateral side in the spinal cord
contralateral
Both pyramidal tracts (lateral and anterior) originate in the primary _ cortex.
motor
The lateral pyramidal tract crosses over in the _ [not pyramidal tracts] whereas the anterior pyramidal tract crosses over in the spinal cord. Both tracts terminate in the ventral horn of the spinal cord, where they communicate to motor neurons innervating skeletal muscle.
medullary pyramids
(medullary pyramids are found in the medulla oblongata)
The forebrain includes the cerebrum and the diencephalon, which includes the thalamus and the _, each of which contains multiple small nuclei
hypothalamus