Nervous System Flashcards
Number of Cranial Nerves
12
CN I
Olfactory
CN II
Optic
CN III
Oculomotor
CN IV
Trochlear
CN V
Trigeminal
CN VI
Abducens
CN VII
Facial
CN IX
Glossopharyngeal
CN X
Vagus
CN XI
Accessory
CN XII
Hypoglossal
CN VIII
Vestibulocochlear
Cranial nerve pairs originating from cerebrum
Olfactory
Optic
Cranial nerve pairs originating from midbrain
Oculomotor
Trochlear
Cranial nerve pairs originating from hindbrain
Trigeminal
Abducens
Facial
Vestibulocochlear
Glossopharyngeal
Vagus
Accessory
Hypoglossal
CN I route of exit from skull
Cribriform plate of mesethmoid bone
CN II route of exit from skull
Optic canal
CN III route of exit from skull
Orbital fissure
CN IV route of exit from skull
Orbital fissure
CN V route of exit from skull
V1 by orbital fissure and round foramen
V2 by round foramen
V3 by oval foramen
CN VI route of exit from skull
Orbital fissure
CN VII route of exit from skull
Stylomastoid foramen
CN VIII route of exit from skull
Internal auditory meatus
CN IX route of exit from skull
Petrobasilar fissure/jugular foramen/temporo-occipital fissure
CN X route of exit from skull
Petrobasilar fissure/jugular foramen/temporo-occipital fissure
CN XI route of exit from skull
Petrobasilar fissure/jugular foramen/temporo-occipital fissure
And foramen magnum
CN XII route of exit from skull
Hypoglossal foramen/canal
Purely sensory cranial nerves
CNs I, II and VIII
Purely motor sensory cranial nerves
CNs III, IV, VI, XI and XII
Mixed sensory and motor cranial nerves
CNs V, VII, IX and X
Mixed sensory and motor spinal nerves
ALL spinal nerves are mixed
CN III Innervation
General Somatic Motor (GSM) Innervating extraocular muscles
General Visceral Motor (GVM) Innervating circular muscles of the iris (parasympathetic)
CN IV Innervation
General Somatic Motor (GSM) Innervating extraocular muscles
CN VI Innervation
General Somatic Motor (GSM) Innervating extraocular muscles
Order of CN nuclei midline to lateral
GSM (III, IV, VI, XII)
SVM (V, VII, IX, X, XI)
GVM (III, VII, IX, X)
GVS (IX, X)
SSS/SVS (VII, VIII, IX, X)
GSS (III, IV, V, VI)
3 branches of trigeminal nerve
V1 - Opthalmic
V2 - Maxillary
V3 - Mandibular
Composition of trigeminal nerve
Sensory component (V1-3) innervates most of face skin and ear canal
Motor component (V3) innervates muscles of mastication
Composition of facial nerve
Motor innervation to all face muscles (except raising upper eyelid), stapedius muscle in ear and digastricus in equines
Parasympathetic innervation of lacrimal gland and mandibular salivary gland
Special sense innervation - gustatory cranial 2/3 of tongue
Sensory innervation of ear skin
Only cranial nerves with major extracranial distribution
X - Vagus
XI - Accessory
Accommodation
Ability of the lens to change shape in order to change the eye’s focal length
Conjunctiva
Stratified squamous epithelium
Continuous with eyelid skin
Contains goblet cells
Cornea
Transparent
Avascular
First stage of refraction
Aqueous humour
Provides nutrients for lens and cornea
Produced in ciliary body
Maintains intraocular pressure
Replaced multiple times per day
Vitreous humour
Water, hyaluronic acid and collagen in addition to aqueous humour composition
Produced in ciliary body
Lens
Derivative of the optic placode
Softer cortex, firmer nucleus
Cuboidal epithelium
Avascular and aneural, bathed in aqueous humour
Fovea
Caudal part of the retina, with nothing overlying the rods and cones
4 layers of retina (inner to outer)
Ganglion cells
Bipolar cells
Photoreceptors (rods and cones)
Retinal pigment epithelium
Tapetum lucidum
Innermost layer of choroid, directly underlying retina
Most important in nocturnal animals
Reflects light around eye, increasing light hitting photoreceptors
Functions of ciliary body
Production of aqueous humour
Production of aqueous humour
Accommodation
Sclera
Vascular, unlike the cornea
Continuous with the cornea at the limbus
Continuous with the dura at the optic stalk
3 layers of tear film
Mucous - Adheres tears to conjunctiva
Aqueous - IgA, cleansing, oxygenating, filling optical defects
Oily - Prevents evaporation of tear film
Flow of aqueous humour
Ciliary body
Posterior chamber
Anterior chamber
Irido-corneal angle
Canal of Schlemm
Episcleral venous system
CN III deficit eye position
Eye pulled ventrolaterally
Dorsal, medial, ventral rectus and ventral oblique affected
CN IV deficit eye position
Eye pulled dorsolaterally
Dorsal rectus affected
CN VI deficit eye position
Eye pulled medially
Lateral rectus affected
Strabismus
Abnormal eye position caused by damage to nerves supplying eye muscles
How do rods and cones work?
Rhodopsin split by light to opsin and retinine. Conformation change from cis-retinine to trans-retinine causes signal transduction to optic nerve
Rods
Low light
No colour
Cones
Bright light
Colour
Pupillary reflex
Constriction:
Bright light via CN II induces reflex through CN III to constrict pupil.
Dilation:
Low light via CN II induces a response through sympathetic fibres to dilate pupil
Palpebral reflex
Eyelid touch via opthalmic branch of CN V causes eye closure via CN VII and eyeball retraction via CN VI
Corneal reflex
Touch of the cornea transmitted via ophthalmic branch of CN V induces closure of eye via CN VII
Menace response
Input via CN II invokes CN VII to close eye
Nictating reflex
Touch of third eyelid while eyelids are forced open transmitted via ophthalmic branch of CN V causes retraction of eyeball via CN VI
Fixating response
Stimulation of extraocular muscles by CN III, IV and VI to move eye to track a stationary object
Oculocardiac response
Gentle pressure to eyeballs transmitted via ophthalmic branch of CN V sends input to cardiac centres in medulla to slow heart rate
Signs of Horner syndrome
Miosis (decreased sympathetic innervation of iris)
Ptosis (decreased sympathetic innervation to smooth muscles of eyelid)
Reduced intraocular pressure (due to vasodilation)
Third eyelid protrusion (mechanical consequence of eyeball retraction)
Enopthalmia (eye sunken due to reduced intraocular pressure)
Conjunctival vascular engorgement
Increased sweating of one side of the face in horses for some reason
Causes of Horner syndrome
Deficit of vagosympathetic innervation to the eye
Brainstem, spinal cord, vagosympathetic trunk, cranial cervical ganglia or postganglionic sympathetic fibres
Causes of unilateral miosis
Horners syndrome
Uveitis
Pilocarpine (drug)
Causes of bilateral miosis
Lesion of optic tectum causing both Edinger-Westphal nuclei to lose their ability to inhibit CN III
Causes of unilateral ptosis
Lesion of CN III to levator palpebral superioris
Lesion of CN VII
Horner syndrome
Causes of bilateral ptosis
Brainstem lesion of CN VII nucleus
Causes of unilateral mydriasis
Glaucoma
Atropine (drug)
Causes of bilateral mydriasis
Brainstem lesion to both Edinger-Westphal nuclei cuts off parasympathetic innervation to eye
Which germinal layers is the eye formed from?
Ectoderm
Mesoderm
Components of eye development
Formation of optic sulcus, optic vesicle, optic cup and optic/lens placode
Development and differentiation of lens
Formation of iris and ciliary apparatus, choroid, sclera and cornea
Development of adnexa
Adnexa
Tissues and glands surrounding eye
When is the optic sulcus formed?
Very early, before neural plate closure
Location of motor cortex
Location of auditory cortex
Location of somatosensory cortex
Cerebral cortex
Location of occipital cortex
Location of olfactory cortex
Sensory pathways of the medial lemniscal system
Dorsal columns
Spinothalamic tracts
Spinocervicothalamic tracts
Dorsal columns information
Hindlimb (Gracile tract)
Forelimb (Cuneate tract)
Touch
Pressure
Kinaesthesia
Spinothalamic tracts information
Superficial pain and temperature of skin and viscera
Well developed in domestic species
Spinocervicothalamic tracts information
Touch
Pressure
Some superficial pain in skin
Medial lemniscus
Ribbon of heavily myelinated axons of dorsal columns, spinothalamic tract and spinocervicothalamic tract in medulla oblongata
Route of dorsal columns
3 axon relay
Decussates
First axon passes via grey matter of spinal cord to medulla
Second axon passes from medulla across midline via medial lemniscus to thalamus
Third axon passes from thalamus to somatosensory cortex
Route of spinothalamic tract
Any number of neurons
Perceived by both sides of brain
Tract passes via grey matter, medial lemniscus and thalamus to somatosensory cortex
The side that decussates does so in grey matter of spinal cord
Route of spinocervicothalamic tract
4 axon relay
Decussates
First axon passes to grey matter of spinal cord
Second axon passes from grey matter of spinal cord to C1/C2 lateral cervical nucleus
Third axon passes from C1/C2 lateral cervical nucleus across midline via medial lemniscus to thalamus
Fourth axon passes from thalamus to somatosensory cortex
Species differences of spinocervicothalamic tract
Well developed in fast, agile carnivores
Very different in humans to veterinary species
Information carried by ascending reticular formation/spinoreticular tracts
“True pain” of all intensities from superficial to visceral tissues
Arousal
Route of ascending reticular formation/spinoreticular tracts
Many neurons
Perceived bilaterally
First axon passes to deep grey matter of spinal cord
Middle axons pass from spinal cord to thalamus
Final axon passes from thalamus to somatosensory cortex
Information carried by spinocerebellar tract
Subconscious proprioception
Co-ordination
Fine-tuning movement
Route of spinocerebellar tract
2 axon relay
Decussates
First axon passes to spinal cord
Second axon passes from spinal cord to cerebellum
2 pathways of pain transmission
Spinothalamic tract (fast, initial or pinprick)
Spinoreticular tract (slow, delayed or true)
Hyperalgesia
Tissue damage releases chemicals making even a light touch painful
Location of cervical intumescence in the dog
C6-T2
Location of lumbar intumescence in the dog
L3-S2
Principles of lesion localisation
What? - presence or absence of sensory deficits
Where? - functional regions of CNS, decussation
Why? - etiology
Gamma motor neuron
Fusimotor
Thin axon
Slow conducting
Myelinated
Alpha motor neuron
Skeletomotor
Thick axon
Fast conducting
Myelinated
Functions of somatic motor systems
Anti-gravity
Stable posture
Starting, controlling and stopping voluntary movement
Functions of pyramidal system
Voluntary, detailed movement
Present only in mammals
Functions of extrapyramidal system
Automatic or semi-automatic
Postural or rhythmic activity
Location of primary motor cortex
Frontal lobe
Route of pyramidal system
Decussates
3 axon relay
Upper motor neuron passes from motor cortex via pyramid (ventral midbrain -> medulla oblongata) where it decussates to spinal cord
Interneuron passes through spinal cord
Lower motor neuron passes from spinal cord to NMJ
Feeback on pyramidal system
Projections from higher motor centres to cerebellum tell it of intended action
Cerebellum “fine tunes” movement via feedback back to higher motor centres
Decussates (ipsilateral to muscle activity)
Upper motor neuron lesion sequelae
Lack of control from higher centres eg reflexes present but exaggerated
No paralysis
Lower motor neuron sequelae
Paralysis
Muscle atrophy
Extrapyramidal system tracts
Rubrospinal
Reticulospinal (pontine & medullary)
Vestibulospinal
Tectospinal
Function of rubrospinal tract
Conscious movement of flexors
Function of reticulospinal tract
Arousal
Extensors
Function of vestibulospinal tract
Balance and postural movement of extensors
Function of tectospinal tract
Turns neck in response to AV stimuli
Cause of extensor rigidity
Lesion to upper motor neurons causes loss of extensor inhibition
Archicerebellum
Flocculus/nodulus
Balance and posture
Receives brainstem inputs (vestibular, visual etc)
Neocerebellum
Caudal hemispheres
Voluntary motor
Receives cortical inputs
Palaeocerebellum
Vermis/rostral
Tone & posture
Receives spinal cord inputs eg muscle spindles, golgi tendon organs
Sequelae of cerebellar lesion
Loss of co-ordination
Tremors
Loss of subconscious proprioception
NOT PARALYSIS
Clinical Signs of CN I Disfunction
Clinical Signs of CN II Disfunction
Clinical Signs of CN III Disfunction
Clinical Signs of CN IV Disfunction
Clinical Signs of CN V Disfunction
Clinical Signs of CN VI Disfunction
Clinical Signs of CN VII Disfunction
Clinical Signs of CN VIII Disfunction
Clinical Signs of CN IX Disfunction
Clinical Signs of CN X Disfunction
Clinical Signs of CN XI Disfunction
Clinical Signs of CN XII Disfunction