Nerve 2 (Anatomy) Flashcards

1
Q

Describe the anatomy of the brain

A
  • The brain can be divided into three portions known as the cerebrum, cerebellum, and brainstem.
  • The cerebrum is about 83% of the brain’s volume and consists of a pair of half globes called the cerebral hemispheres.
  • Each cerebral hemisphere is marked by thick folds called gyri which are separated by grooves called sulci.
  • A deep median groove called the longitudinal fissure separates the two cerebral hemispheres.
  • At the bottom of the longitudinal fissure the cerebral hemispheres are joined together by a thick bundle of nerve fibres called the corpus callosum.
  • The cerebellum occupies the posterior cranial fossa inferior to the cerebrum, separated from it by the transverse cerebral fissure.
  • The cerebellum constitutes about 10% of the brain’s volume but contains over 50% of its neurones.
  • The brainstem is all of the brain except the cerebrum and cerebellum.
  • The major components of the brainstem are the diencephalon, midbrain, pons, and medulla oblongata.
  • The brainstem sits inferior to the cerebrum.
  • The grey matter in the brain forms a surface layer over the cerebrum and cerebellum called the cortex, and deeper masses called nuclei.
  • White matter lies deep to the cortical grey matter and is composed of bundles of axons which connect one part of the brain to another and to the spinal cord.
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2
Q

Describe the major lobes, gyri and sulci of the brain

A

Frontal lobe

  • Involved in decision making, problem solving, deliberate movement, and emotions.
  • Lies immediately behind the frontal bone, superior to the eyes.
  • Extends caudally to the central sulcus.

Parietal lobe

  • Involved in processing sensory information, body orientation, and attention.
  • Forms the uppermost part of the brain and underlies the parietal bone.
  • From the central sulcus it extends caudally to the parieto-occipital sulcus.

Occipital lobe

  • Involved in visual processing and object recognition.
  • At the rear of the head, caudal to the parieto-occipital sulcus and underlying the occipital bone.

Temporal lobe

  • Involved in auditory processing, language comprehension, and speech.
  • A lateral, horizontal lobe underlying the temporal bone.
  • Separated from the frontal and parietal lobes above it by the lateral sulcus.

Insula

  • Involved in taste, pain, visceral sensation, and cardiovascular homeostasis.
  • Small mass of cortex under the lateral sulcus.
  • Only made visible by retracting some of the overlying cerebrum.
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3
Q

Name the major components of the brain and relate specific areas to their function

A

Cerebrum
- Different lobes and functions

Diencephalon
- Consists of the thalamus, hypothalamus, and the pineal gland.

Thalamus

  • Consists of at least 23 nuclei.
  • Relays sensory information between brain regions.
  • Serves in motor control by relaying signals from the cerebellum to the cerebrum and providing feedback loops between the cerebral cortex and the basal nuclei.
  • Involved in the memory and emotional functions of the limbic system.

Hypothalamus

  • Links the nervous system to the endocrine system via the pituitary gland.
  • Controls body temperature, hunger, thirst, sleep, and circadian rhythms.

Pineal gland
- Produces melatonin which regulates sleep patterns in both circadian and seasonal cycles.

Cerebellum

  • Important role in motor control.
  • Contributes to coordination, precision, and accurate timing
  • The two dominant neurones are purkinje cells and granule cells.

Midbrain (or mesencephalon)
- Associated with vision, hearing, motor control, circadian rhythm, alertness, and temperature regulation.

Pons

  • Relays sensory information to cerebellum and thalamus.
  • Involved in subconscious somatic and visceral motor centres.

Medulla oblongata
- Contains the cardiac, respiratory, vomiting, and vasomotor centres and therefore deals with the autonomic functions of breathing, heart rate, and blood pressure.

Corpus callosum

  • A large white matter tract that connects the two cerebral hemispheres.
  • Forms the floor of the longitudinal fissure and part of the roof of the lateral ventricles.
  • Has four main parts that are individual nerve tracts which connect different parts of the hemispheres.
  • The four nerve tracts are the rostrum, the genu, the trunk/body, and the splenium. (Rostrally to caudally).

Circle of Willis

  • Is the arterial supply of the brain.
  • Internal carotid and vertebral arteries.
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4
Q

Describe the three meningeal layers of the brain

A

The meninges refer to the membranous coverings of the brain and spinal cord. The meninges provide a supportive framework for the cerebral and cranial vasculature, and act with the cerebrospinal fluid to protect the CNS from mechanical damage.

Dura mater
- Layer of dense connective tissue continuous with the periosteum of the the skull.

Arachnoid mater

  • Transparent membrane over the brain surface, underlying the dura mater.
  • Has a layer in contact with the dura mater and a system of trabeculae connecting the layer with the pia mater.
  • The cavity between the trabeculae is called the subarachnoid space which is filled with cerebrospinal fluid and contains the largest blood vessels of the cerebral surface.

Pia mater

  • Loose connective tissue containing many blood vessels and covered by squamous cells.
  • Very thin and tightly adhered to the surface of the brain and spinal cord.
  • The only covering to follow the contours of the brain (gyri and fissures).
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5
Q

Describe the structure of the choroid plexus and its role in producing cerebrospinal fluid

A
  • There are four choroid plexuses in the brain, one in each of the ventricles.
  • Each choroid plexus is a spongy mass of blood capillaries covered by modified ependymal cells.
  • The ependymal cells produce the cerebrospinal fluid.
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6
Q

Describe the anatomy of the spinal cord

A
  • Consists of 31 segments, each of which give rise to a pair of spinal nerves: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal.
  • Begins at the base of the medulla oblongata (arises from the foramen magnum) and travels inferiorly within the vertebral canal, surrounded by the spinal meninges containing cerebrospinal fluid.
  • At the L2 vertebral level the spinal cord tapers off, forming the conus medullaris.
  • The spinal nerves arising from the end of the spinal cord bundle together to form the cauda equina.
  • The spinal nerves are mixed nerves originating from the spinal cord to form the peripheral nervous system.
  • Each spinal nerve begins as and anterior/ventral (motor) and a posterior/dorsal (sensory) nerve root.
  • These nerve roots arise from the spinal cord and unite at the intervertebral foramina, forming a single spinal nerve.
  • The single spinal nerve leaves the vertebral canal via the intervertebral foramina and divides into the posterior rami and the anterior rami.
  • The posterior rami supplies nerve fibres to the synovial joints of the vertebral column, deep muscles of the back, and the overlying skin.
  • The anterior rami supplies nerve fibres to much of the remaining areas of the body, both motor and sensory.
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7
Q

What is a lumbar puncture

A
  • A diagnostic test for bacterial meningitis, viral encephalitis, and idiopathic intracranial hypertension.
  • Usually performed between L3/L4 in adults and L4/L5 in children.
  • If performed wrong can cause paralysis and death.
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8
Q

What is the purpose of cerebrospinal fluid

A

Buoyancy, protection, prevention of brain ischemia, homeostasis, and clearing waste.

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9
Q

What is the term given for abnormal accumulation of cerebrospinal fluid on the brain

A

Hydrocephalus

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10
Q

What is the term given for lack of oxygen to the brain

A

Brain ischemia

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