Nervous System Flashcards

1
Q

What does the nervous system do?

A

master communicator of the body
works with endocrine system
maintains homeostasis

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2
Q

Divisions of the nervous system

A
  1. Central Nervous System (CNS)
    - Brain and spinal cord
    - Integration and command center
  2. Peripheral Nervous System (PNS)
    - Divided into sensory (afferent) and motor (efferent) divisions
    - Includes 12 pairs of cranial nerves and 31 pairs of spinal nerves
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3
Q

pheripheral nervous system divisions?

A

somatic nervous system
autonomic nervous system
enteric nervous system

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4
Q

Somatic Nervous System

A
  • “Voluntary” Nervous System
  • Sensory neurons throughout the body convey information to the CNS
  • All somatic sensory neurons (touch, pressure)
  • Includes the special senses (vision, hearing, smell, taste, and equilibrium)
  • Motor neurons conduct impulses from the CNS to skeletal muscles only
  • Voluntary movements
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5
Q

Autonomic Nervous system

A
  • sensory neurons from viscerl organs (lungs, heart, kidneys) to CNS
  • Motor neurons from CNS to cardiac, smooth, muscle and glands - involuntary
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6
Q

2 main divisions of the motor nuerons?

A
  1. Sympathetic Division
    - Supports exercise or “Fight or Flight” response
  2. Parasympathetic Division
    - Rest and Digest activities
    The effectors receive innervation from both branches and have opposite actions
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7
Q

Enteric Nervous System

A
  • Sensory neurons monitor chemical changes and stretching of the walls of the GI tract
  • Motor neurons control contractions
    (peristalsis and segmentations), and
    secretions (acid in stomach, hormones, etc.) - Involuntary
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8
Q

Nervous system function

A
  1. sensory; monitor changes from inside/outside the body; retrieve stimulus/sensory input
  2. integration function; interpret sensory info and make decisions
  3. motor function; generate a response; activate effectors (muscle to contract or organ to secrete)
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9
Q

Neurons

A
  • generate and propagate nerve impulses
  • do not replicate like other cells in the body
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10
Q

Neuroglia

A
  • smaller and more plentiful than neurons (25x)
  • continually divide throughout life
  • cannot transmit nerve impulses
  • support, nourish and protect neurons
  • “glue” that holds the nervous tissue together
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11
Q

parts of a neuron?

A
  1. cell body - contains the nucleus
  2. dendrites - multiple “little trees”; receiving or input part of neuron
  3. Axon - propagates nerve impulses to another neuron, muscle or gland
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12
Q

what is a functional classification of neurons?

A

classified according to the direction of nerve impulses (action potentials) travel with respect to the CNS

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13
Q

What are the functional classifications of neurons?

A
  1. sensory (afferent) neurons - away from extremity - nerve impulses travel towards the CNS
  2. motor (efferent) neurons - effect action of extremity - nerve impulse is carried away from CNS
  3. Interneurons - within the CNS (between sensory and motor); 90% of neurons - decision makers (integration)
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14
Q

what are the 4 types of neuroglia of the CNS?

A
  1. Astrocytes
  2. Oligodendrocytes
  3. Microglia
  4. Ependymal Cells
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15
Q

What are the 2 types of neuroglia in the PNS?

A
  1. Schwann Cells - form the myelin sheath; nerve fiber regeneration
  2. Satellite Cells - surround the neuron cell bodies in the ganglia
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16
Q

Myelin sheath

A
  • protect and electrically insulate the fiber
  • increase the transmission rate of the nerve impulse
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17
Q

Myelin sheath in CNS?

A

Oligodendrocytes

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18
Q

Myelin sheath in PNS?

A

Schwann Cells
- nodes of ranvier
- electrical impulses “jump” from node to node

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19
Q

what causes Multiple Sclerosis (MS)?

A

demyelination

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20
Q

Cell Bodies group together (CNS and PNS)?

A

PNS - Ganglion
CNS - nucleus

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21
Q

Axons are bundled together (CNS and PNS)?

A

PNS - nerve
CNS - tract

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22
Q

Gray matter

A
  • contain neuronal cell bodies, dendrites, unmyelinated axons, axon terminals, neuroglia
  • gray because no myelin sheath and Nissl bodies in the cell body are gray
  • decision makers
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23
Q

white matter

A

myelinated axons
- high speed travel

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24
Q

resting membrane potential

A
  • build up of negative charges inside membrane
  • build up of positive charges outside membrane
  • typically -70mV
  • cells are “polarized” when they have a membrane potential
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25
Q

potential difference (volts)

A
  • resting is usually negative; excess of positive charges on the outside and negative on the inside
  • due to cell being more permeable to potassium than sodium; potassium passes from intercellular fluid to extracellular (leak channels) more readily than sodium from outside to inside
  • sodium-potassium pump maintains balance
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26
Q

Ions Channels

A
  • Openings in the membrane that allow specific ions to move across according to the electrochemical gradient
  • Channels have “gates” to control the movement of ions
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27
Q

What are the 4 types of ion channels?

A
  1. leak channels
  2. Chemically-gated (or ligand-gated) channels
  3. mechanically-gated channels
  4. voltage-gated channels
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28
Q

leak channels

A
  • more potassium leak channels compared to sodium
  • membrane more permeable to potassium
  • dendrites, cel bodies and axons of all types of neurons
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29
Q

Chemically-gated (ligand-gated) channels

A
  • gates open or close due to a chemical stimulus
  • neurotransmitters (acetylcholine) opens channels to allow sodium and calcium ions in and potassium ions out
  • dendrites of some sensory neurons (pain receptors)
  • dendrites and cell bodies of interneurons and motor neurons
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30
Q

What is the axon hillock?

A

where the cell body meets the axon

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31
Q

Mechanically-gated channels

A
  • gates open or close channels due to vibrations, stretching and pressure
  • found in auditory receptors, internal organ stretch receptors, pressure receptors in skin
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32
Q

If a neuroglia cell doesn’t start with S where is it located?

A

Central nervous system

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33
Q

cells you need to know functions of are?

A

schwann cells and oligodendrocytes
- responsible for myelination of axons

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34
Q

study diagram on slide 245

A

No really go look at it!

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35
Q

Voltage-gated channels

A
  • gates open in response to a change in the resting membrane potential
  • these channels participate in the generation and conduction of action potentials in the axons of all types of neurons
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36
Q

where is grey matter located in the brain and spinal cord?

A

inside of spinal cord, outside of brain

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37
Q

Electrical signals in neurons?

A

like muscle fibers, neurons are electrically excitable. They communicate with one another using 2 types of electrical signals

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38
Q

what are the 2 types of electrical signals in neurons?

A
  1. graded potentials
  2. action potentials
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39
Q

graded potentials

A
  • Small deviation from the resting membrane potential
  • Can cause the cell to be more or less polarized
  • Stimulus causes mechanically-gated and chemically-gated channels to open or close
  • Graded means the signal varies in size
  • Occur mainly in the dendrites and cell bodies
  • Localized…only travel for short distances
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40
Q

Action Potentials

A
  • Graded potentials are most often the stimulus for the action potential
  • Action potentials can travel long distances without losing the strength of the signal
  • Called propagation
  • Trigger zone is often the axon hillock
  • Nerve impulses travel along an axon
  • rapidly occuring in sequence of evets that decrease and reverse the membrane potential and then restore it back to normal
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41
Q

thresholds for action potentials

A
  • needs a threshold level
  • According to the all-or-nothing principle, if a stimulus reaches threshold, the action potential is always the same. – A stronger stimulus will not cause a larger impulse, it will just increase the frequency
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42
Q

types of synapses?

A

chemical and electrical

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43
Q

What is a synapse?

A
  • The site of communication between 2 neurons or between a neuron and an effector cell
  • Most synapses between neurons are
    axodendritic
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44
Q

Chemical Synapses

A
  • Neurons are close but do not touch
  • Space between neurons is called synaptic cleft
  • Action potential cannot jump across
  • Presynaptic neuron releases a
    neurotransmitter
  • Neurotransmitter diffuses through cytoplasm and binds with the membrane of the postsynaptic neuron
  • Chemical stimulus causes the chemically gated channels to open and produces an electric signal in the postsynaptic neuron
  • Synaptic delay is approx. 0.5 msec
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45
Q

Electrical synapses

A
  • Action potentials conduct directly between adjacent neurons via channel proteins - tubular connexons
  • Common in the brain, visceral smooth muscle, and cardiac muscle
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46
Q

What are the 2 main advantages of electrical synapses?

A
  1. faster communication
  2. synchronization - heart beat, peristalsis
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47
Q

What are the phases of action potential?

A

depolarizing phase followed by repolarizing phase

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48
Q

What is a synapse?

A

the site of communication between 2 neurons or between a neutron and an effector cell
most are ago dendritic
1. chemical synapse
2. electrical synapse

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49
Q

chemical synapse

A
  • neurons are close but do not touch
  • presynaptic neuron releases a neurotransmitter
  • nuerotransmitter diffuses through cytoplasm and binds with the membrane of the postsynaptic neuron
  • chemical stimulus causes the chemically gated channels to open and produces an electric signal in the postsynaptic neuron
  • synaptic delay of 0.5 ms
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50
Q

what is the synaptic cleft?

A

space between neurons

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51
Q

electrical synapse

A
  • action potentials conduct directly between adjacent neurons via channel proteins - tubular connexions
  • common in the brain, visceral smooth muscle and cardia muscle
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52
Q

what are the 2 main advantage of electrical synapse?

A

faster communication
synchronization - heartbeat peristalsis

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53
Q

Spinal cord

A

continuation from the medulla oblongata to the conus medullar is at the disc space between L1 and L2
- filum terminale arises from the conus medullar is and anchors the spinal cord to the coccyx
- contains the major reflex center

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54
Q

where is the cervical enlargement of the spinal cord?

A

C4-T1

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55
Q

Where is the lumbar enlargement of the spinal cord?

A

T9-T12

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56
Q

spinal cord protection

A

cord is completely surrounded by the vertebra
meninges; 3 layers; CSF acts as a shock absorber
intervertebral discs

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57
Q

meninges

A

spinal meninges are continuous with the cranial meninges
Extend to the level of S2

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58
Q

what is the innermost layer of the meninges?

A

pia mater

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59
Q

What is the middle layer of the meninges?

A

arachnoid mater

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60
Q

what is the outermost layer of the meninges?

A

dura mater

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61
Q

what is the epidural space?

A

between the dura mater and vertebra
epidural injection - local anaesthetic

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62
Q

what is the subdural space?

A

between the dura and arachnoid maters
interstitial fluid

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63
Q

what is the subarachnoid space?

A

between the arachnoid and pia maters
contains CSF (shock absorber)

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64
Q

diagrams slide 285-288

A

don’t be lazy go look

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65
Q

What vertebral level is a spinal tap performed at in an adult patient?

A

L3 and L4
avoid spinal cord - go below it
- would insert lower on a child
- prefer L3/4 in an adult as there is less tissue than L4/5

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66
Q

What layer does a spinal tap go to?

A

subarachnoid space - to access CSF

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67
Q

spinal nerves

A

31 pairs
- where the nerves exit the spine through the intervertebral foramina

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68
Q

How many nerve pairs in C-spine?

A

8

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69
Q

How many nerve pairs in T-spine?

A

12

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70
Q

How many nerve pairs in L-spine?

A

5

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71
Q

How many nerve pairs in Sacrum?

A

5

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72
Q

How many nerve pairs in coccyx?

A

1

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73
Q

spinal nerve positioning

A

not all segments are aligned with their respective vertebra
roots of lumber, sacral, and coccygeal nerves descend on an angle to exit their respective foramina - cauda equina

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74
Q

spinal nerves formed by 2 roots?

A
  1. Posterior (dorsal) root - sensory
  2. Anterior (ventral) root - motor
    all spinal nerves are MIXED
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75
Q

What is the Dorsal root made up of?

A

contain only axons of sensory neurons

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76
Q

What is the dorsal root ganglion?

A

collection of cell bodies of sensory neurons
- swelling

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77
Q

diagram slide 296

A

epidural space
subarachnoid space

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78
Q

Internal anatomy of spinal cord?

A

white matter - anterior median fissure; posterior median sulcus
Gray matter - “H” or butterfly

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79
Q

what is the difference between a fissure and a sulcus?

A

fissure is deeper than a sulcus

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80
Q

gray matter in the spinal cavity

A

posterior dorsal horn
lateral horn
anterior ventral horn
Commissure - cross bar of “H”
Central canal - small hole in the middle of the commissure - extends the entire length go the spinal cord - filled with CSF

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81
Q

Posterior (dorsal) horn (gray matter)

A

incoming sensory neurons
cell bodies and unmyelinated axons of interneurons

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82
Q

Anterior (ventral) horn (gray matter)

A

contain somatic motor nuclei
- nerve impulses for contraction of skeletal muscles

83
Q

what are nuclei of the spinal cord?

A

clusters of cell bodies in the CNS

84
Q

Lateral horn (gray matter)

A

present only in T and L segments
autonomic and enteric motor nuclei
- clusters of cell bodies of motor neurons that regulate the heart, glands and smooth muscle

85
Q

What is white matter?

A

myelinated axons
sensory tracts are ascending
motor tracts are descending

86
Q

What columns are white matter divided into?

A

posterior (dorsal) column
lateral column
anterior (ventral) column
- these columns contain tracts - bundles of axons in CNS

87
Q

Posterior column (white matter)

A

ascending tract (sensory)

88
Q

Lateral and anterior columns (white matter)

A

both ascending and descending (sensory and motor)

89
Q

Study slide 304 and 305 diagrams

A

good diagram

90
Q

Nerve plexus

A
  • spinal nerves branch into rami after passing through the intervertebral foramina
  • branches of the spinal nerves (anterior rami) do not go directly to the area they supply (except for the intercostal nerves)
91
Q

what are the different plexus networks?

A

cervical
brachial
lumbar
sacral
coccygeal

92
Q

cervical plexus

A

C1 TO C5
- head, neck, superior part of chest and shoulders
- phrenic nerves arise from the cervical plexus at the levels of C3, C4 and C5
- sternocleidomastoid
- erector spine
- levator scapulae

93
Q

What do phrenic nerves do in cervical plexus?

A

supply motor neurons to the diaphragm

94
Q

C3 to C5 keeps what alive?

A

the diaphragm

95
Q

What is referred pain distribution?

A

C 3, 4, 5
- sensory stimuli from diaphragm often interpreted as pain over shoulder and lower neck

96
Q

Brachial plexus

A
  • formed by the anterior rami of C5-C8 and T1
97
Q

what are the major nerves supplied by the brachial plexus?

A
  • musculocutaneous
  • axillary
  • radial
  • median
  • ulnar
  • long thoracic
98
Q

wrist drop is damage to what nerve?

A

radial nerve

99
Q

what does median nerve damage cause?

A

median nerve palsy

100
Q

what does damage to the ulnar nerve cause?

A

ulnar nerve palsy - last 2 fingers stuck partially bent

101
Q

What is the lumbar plexus?

A
  • roots from L1-L4
  • anterior part of lower limbs
  • femoral, obturator, saphenous nerves
102
Q

What causes winging of the scapula?

A

damage to the long thoracic nerve

103
Q

What is the sacral plexus?

A
  • L4 - S4
  • sciatic nerve
  • posterior part of lower limbs
104
Q

where does the sciatic nerve branch?

A

branches into tibial and common fibular nerves at the knee

105
Q

What are dermatomes?

A
  • area of skin supplied by sensory neurons form a single spinal nerve
  • useful to determine neurological levels
106
Q

What are reflexes?

A

spinal cord is the integration centre for some reflexes

107
Q

what are 2 examples of reflexes?

A
  1. patellar reflex
  2. plantar reflex; babinski sign - toes fan out and great toe moves upwards, normal for infant but abnormal for adults
108
Q

How do you best demonstrate the intervertebral foramina of C-spine?

A

45 oblique C-spine with 15-20 degree angle (Caudad or Cephalic dependant on AP/PA)

109
Q

How do you best demonstrate the intervertebral foramina of T-spine?

A

True lateral

110
Q

How do you best demonstrate the intervertebral foramina of L-spine?

A

True lateral

111
Q

How do you best demonstrate the intervertebral foramina of sacrum?

A

AP Axial Coccyx

112
Q

What are the parts of the brain?

A
  1. cerebrum
  2. diencephalon
  3. brain stem
  4. cerebellum
113
Q

What are the parts of the diencephalon?

A
  1. thalamus
  2. hypothalamus
  3. epithalamus
114
Q

What are the parts of the brain stem?

A
  1. midbrain (mesenceohalon)
  2. pons
  3. medulla oblongata
115
Q

Diagrams slides 329-332

A

Go learn the parts of the brain

116
Q

What is the protection of the skull?

A

skull and meninges

117
Q

what are the meninges?

A
  1. pia mater
  2. arachnoid mater
  3. dura mater
118
Q

what is Pia mater?

A

adheres tightly to the surface of the brain
- including the gyro and sulci

119
Q

what is the arachnoid mater?

A

subarachnoid space
does not adhere tightly to the Pia mater at all times
- forms cisterns
arachnid villi
- finger like extensions that project into the dural venous sinuses
- one way valves that allow CSF into the blood

120
Q

What sits anterior to the Pons?

A

clivus - sella turcica - pituitary gland

121
Q

what is dura mater?

A

2 layers (spine only has 1)
- periosteal layer (outer)
- meningeal layer (inner)
fused together except where they surround venous sinuses
no epidural space in the brain - there is in the spinal cord

122
Q

what are the extensions of the dura mater?

A

falx cerebri
falx cerebelli
tentorium cerebelli

123
Q

what is the falx cerebri?

A
  • separates the 2 cerebral hemispheres
  • in longitudinal fissure
  • attaches anteriorly to the crista galli
124
Q

What is the falx cerebelli?

A

separates the 2 hemispheres of the cerebellum

125
Q

what are cisterns of the arachnoid mater?

A

pockets of CSF

126
Q

what is tentorium cerebelli?

A

separates the cerebrum from the cerebellum

127
Q

Which brain bleed it he most life threatening? subdural, epidural or subarachnoid?

A

Subarachnoid is most life threatening as it is a ruptured brain aneurism
epidural is arterial is more dangerous than subdural as subdural is venous

128
Q

Diagrams slide 338 and 339

A

study them so you don’t fail

Seriously go now

129
Q

what is located within the sinuses of the brain?

A

venous blood

130
Q

What is located within the sinuses of the facial bones?

131
Q

Brain blood flow

A

the brain represents only 2% of total body weight but receives about 20% of the body’s blood supply and consumes 20% of the O2 and glucose (even when resting)

132
Q

Where does the internal carotid artery supply the brain?

A

supplies the anterior and middle parts of the brain

133
Q

Where does the vertebral artery supply the brain?

A

supplies the posterior part of the brain

134
Q

Where does the internal jugular vein drain blood from?

A

blood drains from the dural venous sinuses and deeper veins into the internal jugular vein

135
Q

What is the blood brain barrier?

A
  • Tight junctions are formed between the brain tissue and capillaries
  • Astrocytes are thought to have an important function
  • Semi-permeable membrane
136
Q

What is the BBB permeable and impermeable to?

A
  • Allows O2, CO2, steroid hormones, alcohol, caffeine, water, and glucose to cross
  • Prevents proteins, toxins, most antibiotics from crossing
137
Q

What may breakdown the BBB?

A
  • Trauma, inflammation, certain toxins may cause a breakdown of the BBB, permitting the passage of normally restricted substances into the brain tissue
138
Q

What is the BBB’s purpose?

A
  • The BBB protects brain cells from harmful substances and pathogens by serving as a selective barrier to prevent passage of many substances from the blood into the brain
139
Q

What is the CSF?

A
  • Fluid that continually circulates through the cavities in the brain (ventricles) and spinal cord (central canal) and around the brain and spinal cord in the subarachnoid space
  • Mainly water (clear, colourless)
  • Contains small amounts of oxygen, glucose, proteins, ions
140
Q

what are the functions of the CSF?

A
  1. Mechanical protection – shock absorber
  2. Homeostatic Function – pH of CSF affects cerebral blood flow and pulmonary ventilation
  3. Circulation – minor exchange of nutrients and wastes between the blood and adjacent nervous tissue
141
Q

where is the CSF produced?

A

Produced in Choroid Plexus (network of capillaries) in walls of the ventricles

142
Q

where is the CSF found?

A

CSF is found in the ventricles, cisterns, subarachnoid space of the brain and spinal cord, and central canal of the spinal cord

143
Q

where is the CSF reabsorbed

A

Reabsorbed in the arachnoid villi (stick into the dura venous sinuses)

144
Q

reabsorption to production ratio

A

Typically, reabsorption and production are equal
- About 500 ml of CSF produced daily
- About 125 ml of CSF present in the body at any given time

145
Q

What happens if reabsorption is affected of CSF?

A

If reabsorption is affected…hydrocephalus
- Infants, the fontanels are open so the skull enlarges
- Adults, the skull is fused, so this becomes a life-threatening condition

146
Q

What are the lateral ventricles of the brain?

A
  • Lateral Ventricles (2)
  • Largest of the ventricles
  • C-shaped structures containing CSF
  • One in each hemisphere passing through frontal, parietal, temporal, and occipital lobes
  • Anterior (Frontal) horn, body, posterior (Occipital) horn, inferior (Temporal) horn
  • Anterior/Frontal horns communicate with the Third Ventricle through the interventricular foramina
  • Play a crucial role in cushioning the brain
147
Q

What is the Third ventricle?

A
  • Mid-line, slit-like structure within the diencephalon
  • Communicates with the Fourth Ventricle via the Cerebral Aqueduct
148
Q

What is the Fourth Ventricle?

A
  • Posterior to the Pons (anterior part of the cerebellum)
  • Communicates with the subarachnoid space via 3 openings in the roof; Median aperture (1); Lateral apertures (2)
  • Becomes the central canal of the spinal cord
149
Q

diagrams slide 353-358

A

go look silly, like right now

150
Q

where does a vp shunt drain to?

A

ventriculoperitoneal space
- dumps fluid into peritoneal space in the abdomen to be resorbed into the body

151
Q

How do you obtain image of slide 350

A

RPO
180 SID
Grid
Small focal spot
75 kVp

152
Q

Diagram 355 - describe flow of CSF through brain and spinal cord

A

**** VERY IMPORTANT ******

153
Q

what does the 4th ventricle become?

A

central canal of spinal cord

154
Q

When you are viewing a CT scan you are always viewing it from?

A

the foot end

155
Q

what is a cistern?

A

extra CSF stored

156
Q

what is the cerebrum (cerebral hemispheres)?

A
  • “Seat of intelligence” - Read, write, speak, make calculations, remember the past, plan for the future
  • Superior portion of the brain
  • Makes up over 80% of brain mass
  • Divided into equal right and left hemispheres by the Longitudinal Fissure
  • Each hemisphere acts on sensory and motor functions of the opposite side of the body
  • Further divided into Lobes by the bones that cover it; Frontal, Parietal, Temporal, Occipital
157
Q

cerebrum landmarks in the gray matter?

A

Gyri, Sulci and fissures

158
Q

Gyri

A

Convolutions
- Precentral - anterior central sulcus
- Postcentral - posterior central sulcus

159
Q

Sulci

A

Shallow grooves
- lateral
- central

160
Q

Fissures

A

Deep grooves
- longitudinal

161
Q

Diagram 361-362

A

understand the sulci, gyri and fissures

162
Q

What is the cerebral cortex?

A

billions of neurons - gray matter
- gyri, fissures and sulci can be identified on the cortex

163
Q

what is the basal nuclei?

A

gray matter deep within the cerebrum
1. caudate nucleus
2. lentiform nucleus
- Subconscious control of skeletal muscle tone
- Coordination of learned movement
- Important in starting, stopping and monitoring movement
- Plays a role in initiating and terminating cognitive processes

164
Q

where do you find the caudate nucleus?

A

follows the curve of the lateral ventricle

165
Q

where do you find the lentiform nucleus?

A

posterior and lateral to caudate nucleus

166
Q

Slide 364 identify caudate nucleus and lentiform nucleus

A

Go - important

167
Q

What is the white matter of the cerebrum?

A

Deep to the cortex is white matter composed of tracts of neurons that connect parts of the brain to each other and the spinal cord

168
Q

what is the corpus callosum?

A

A bundle of white matter tracts that connects the right and left hemispheres of the cerebrum

169
Q

what is a tract?

A

a bundle of axons - CNS

170
Q

what is a bundle of axons in PNS?

171
Q

slide 366 and 368 - be able to label diagram

A

don’t give up silly

172
Q

What are the lobes of the cerebrum?

A
  • frontal
  • parietal
    -occipital
    -temporal
  • insula
173
Q

What is the frontal lobe?

A
  • Primary motor area is located at the “precentral gyrus” - consciously move skeletal muscle
  • Premotor cortex: Learned motor skills
  • Broca’s speech area
  • Reasoning
174
Q

What is the Broca’s speech area?

A
  • Typically only on left side
  • Speaking
175
Q

What is the Parietal lobe?

A

Primary somatic sensory area
- Postcentral gyrus
- Integrate and interpret senses
- Can recognize pain, temperature or a light touch
Area for taste
Wernicke’s Area

176
Q

What is the wenicke’s area?

A

Only on left side
General interpretive area
- Interprets the meaning of speech

177
Q

What is the temporal lobe?

A
  • Also contains Wernicke’s area (left side only)
  • Primary olfactory area*
  • Primary auditory area
178
Q

What is the occipital lobe?

A

primary visual area

179
Q

What is the insula?

A

additional area of gustation (taste)

180
Q

What is the Thalamus?

A
  • relay system*
  • The thalamus is located superior to the midbrain and contains nuclei that serve as relay stations for all sensory impulses (except smell) to reach the Primary Sensory Area
  • Also transmits information from the cerebellum to the Primary Motor Area
181
Q

What is the diencephalon?

A
  • Sits on top of brain stem - enclosed by hemispheres
    Major structures
  • Epithalamus
  • Pineal gland
  • Thalamus (80%)
  • Hypothalamus
  • Pituitary Gland
    Surrounds the 3rd Ventricle
182
Q

Hypothalamus

A
  • Projecting from the hypothalamus is the hypophysis (or Pituitary Gland)
  • It controls the Autonomic Nervous System (ANS).
  • It coordinates between nervous and endocrine systems.
  • It controls body temperature (measured by blood flowing through it).
  • It regulates hunger/thirst
  • It regulates circadian rhythms (24-hour clock)
  • It regulates emotional and behavioural patterns: Rage, aggression, pain, and pleasure
183
Q

Epithalamus

A

Superior and posterior to the thalamus
Superior to the 3rd ventricle
Pineal gland - Secretes melatonin - Promotes sleepiness
habenular nuclei - emotional responses to odours

184
Q

What is the limbic system?

A

forms the emotional brain - pleasure, pain, anger, fear and affection
- Encircles upper part of brain stem, inner border of cerebrum, and floor of diencephalon
- Links the conscious, intellectual functions of the cerebral cortex with the unconscious and autonomic functions of the brain stem
- Memory storage and retrieval
- “motivator”

185
Q

Brain stem

A

midbrain, pons and medulla oblongata

186
Q

Midbrain

A
  • Most superior part of brain stem (between Pons and Diencephalon)
  • Controls the reflex center for eye movement
  • Coordinates head and neck movement in response to visual and auditory stimulus
  • The cerebral aqueduct passes through the midbrain connecting the 3rd ventricle with the 4th ventricle
187
Q

Pons

A
  • Together with the medulla, areas in the pons help control breathing
  • Anterior to the 4th Ventricle
188
Q

White matter in the medulla oblongata?

A
  • Contains ascending and descending tracts to spinal cord
  • It has two external bulges called the pyramids formed by the largest motor and sensory tracts in the body.
  • Decussation of the pyramids occur (means crosses over) - Right side of the brain controls voluntary movements on the left side of the body
189
Q

What cranial nerves are associated with the midbrain?

189
Q

Gray matter of the medulla oblongata

A

Functions
- Cardiac center adjusts rate & force of heartbeat
- Vasomotor center adjusts blood vessel diameter
- Respiratory centers control rate & depth of breathing
- Reflex centers for coughing, sneezing, gagging, swallowing, vomiting, salivation, sweating, hiccupping, movements of tongue & head

190
Q

What cranial nerves are associated with the pons?

191
Q

What cranial nerves are associated with the gray matter of the medulla oblongata?

192
Q

What is the cerebellum?

A
  • occupies the posterior cranial fossa
  • cerebellar hemispheres
193
Q

Are nerves 1 and 2 associated with the brainstem?

194
Q

cerebellum gray matter?

A

Folia - slender, parallel folds
Cerebellar Nuclei - deep within the white matter

195
Q

Cerebellum functions

A
  • Regulates posture and balance
    Smooths and coordinates contractions of skeletal muscles
  • Skilled muscular activities
  • May have a role in cognition and language processing
196
Q

What is ataxia?

A
  • Loss of the ability to coordinate movements
  • MS, Parkinson’s, tumours,
  • ALCOHOL
197
Q

Cranial Nerves

A

12 pairs
Part of the PNS
Each has a name and a roman numeral
The number indicates the order from which they arise from the brain, going from anterior to posterior
Some are special sensory nerves only, some are motor nerves only, and some are mixed (both)

198
Q

Cranial nerve acronyms

A

Oh, Oh, Oh, To Touch And Feel Very Good Velvet, AH!
Some Say Marry Money But My Brother Says Big Brains Matter Most

199
Q

What is nerve 1?

A

Olfactory nerve - sensory

200
Q

What is nerve 2?

A

optic nerve - sensory
- Retina - optic foramen- optic nerve - optic chiasm - optic tract - thalamus - visual cortex.

201
Q

What is nerve 3?

A

Oculomotor nerve - motor
Midbrain - orbit (superior orbital fissure) - eye
- innervates 4 of 6 intrinsic muscles of eye
- rotates eyes superiorly, inferiorly, or inward, raises eyelid

202
Q

which cranial nerves control eye movement? where do they pass through?

A

3, 4 and 6 - they all pass through the superior orbital fissure