NEURO Flashcards
Hydrocephalus
Enlarged ventricles due to increased CSF produced in choroid plexus.
Lateral third and fourth ventricles swell
Hypoxia
The brain becomes acidic. Acidosis in the brain causes necrotic changes secondary to hypoxemia.
Cerebral infarction/Stroke
When I don’t have enough oxygen in the tissues around the brain.
Causes two types of pathologies:
Thombotic from atherosclerosis
Embolic stroke from cardiac thrombi to middle cerebral arteries.
Cranial nerves
Numbers, names, and classification.
CN1 - Olfactory - sensory CN1 - Optic - sensory CN3 - Ocular motor CN4 - Trochlear - motor CN5 - Trigeminal - mixed CN6 - Abducens - motor CN7 - Facial - mixed CN8 - Vestibulocochlear - sensory CN9 - Glossopharangeal - mixed CN10 - Vagus - mixed CN11 - Accessory - motor CN12 - Hypoglossal - motor
What does the olfactory nerve do?
Smell
There are CN2 and CN3 reflexes
Like strikes -> Afferent fibers of CN2 -> Synapse in Edinger-Westphal Nuclei (midbrain) -> Efferent Parasympathetic fibers of CN3 travel to Sphincter Pupillae muscle in the iris, causing contraction.
Remember - visual fields are going to be the inverse retinal fields
When you look at something projected into the retina, it is the opposite of what the person is looking at. When you look at something from in the medial aspect of your nose, it is projected towards the lateral aspect of the eye.
What happens to this information to the retina when it goes to the brain?
The temporal or lateral activity or lateral receptive fibers stay on the same side of the brain. The medial fibers cross. 50% of visual information crosses over at the optic chiasm.
The pituitary gland is below the two fibers that cross medially. If there is a tumor then there is a loss of visual fields.
What are cones for?
COLOR vision. Lower sensitivity, higher activity. The cones make color vision. They have 1:1 with bipolar cells. Cones are tunes into three color categories.
Hence: C for C
What are rods for?
Nigh vision. Higher sensitivity, lower activity.
What is the function of CN4?
Superior oblique = movement of the eye down and out.
CN6 - Abducens
Lateral rectus - abducts the eyes.
What gives sympathetic activity to the ciliary, pterygopalatine, submandibular, and otic muscles?
The superior cervical ganglion.
It gives sympathetic activity to the eyes, nose, ear, and throat area.
Where does the thoracic area get its parasympathetic activity from?
Vagus nerve. Upper portion
When we get to the urogenital and lower digestive part of the body where do we get our innervation?
Sympathetic - inferior mesenteric.
Parasympathetic - pelvic splanchnic nerves.
POINT AND SHOOT
Parasympathetic = arausal Sympathetic = Climax
How is the nervous system divided?
Into the central nervous system and peripheral nervous system.
What makes up the CNS?
Spinal cord and the brain.
What is the peripheral nervous system divided into?
Somatic and autonomic.
Somatic Nervous System
- heavily myelinated
- singular
- acetylcholine
- deliberates motion
- always stimulatory
Autonomic Nervous System
- two neuron chain
- pre and postganglionic ganglions
- acetylcholine or norepinephrine
- Stimulatory and inhibitory
What is the autonomic nervous system divided into?
Sympathetic and parasympathetic nervous systems.
Sympathetic Nervous System
- raising heart rate
- blood vessels constrict
- glucose release
- fight and flight
- fibers originate in the thoracic and lumbar regions of the spinal cord
- Short preganglionic and long postganglionic fibers
- regulates sweating, influences metabolism and kidney activity
Parasympathetic Nervous System
- digestion of food
- expulsion of waste
- general maintenance
- rest and digest
- fibers originate in the brain and sacral region
What are the types of cells in the Nervous System?
Neurons
- main cells of NS
- composed of cell body
- groups of cell bodies in CNS -> nucleus
- group of cell bodies outside CNS -> ganglion
Dendrites and ganglions
Dendrites receive information and axons pass information on
What is it called (space) when two neurons come together
Synapse
What cells are found in the grey matter?
Cell bodies of neurons, neuropils( dendrites and unmyelinated axons), glial cells (astrocytes and oligodendrocytes), synapses, and capilaries.
How is the cerebral cortex divided?
Into the parietal lobe, temporal lobes, frontal lobe, and occipital lobe.
What does each part of the cortex control?
Frontal lobe - movement and executive function.
Parietal - sensory information, guides movements in 3D.
Temporal lobe - hearing, smell, memory, visual recognition, and languages.
Occipital - vision.
What is the resting membrane potential?
-70 mV
What ions are mostly found outside of neurons?
Sodium, chloride, and calcium ions.
What ions are mostly found inside neurons?
Potassium and negatively charged anions
Polar
Negative
Depolarization
Becoming positive
Repolarization
Becoming negative
What is the threshold potential?
-55 mV
What happens after the threshold potential value is achieved?
The neuron becomes less negatively charged thus causing voltage-gated sodium channels to open at the start of the axon called axon Hillock.
A chain reaction of having multiple voltage-gated sodium channels to open
What is the depolarization value during an action potential?
+40 mV
What unique feature do the voltage-gated sodium channels have?
It has the inactivation gate
Voltage-gated potassium channels
They do not open until sodium channels have opened and are inactivated.
Fatty myelin
Allows action potential to propagate faster.
Where does it come from?
From Schwan cells or oligodendrocytes
Saltatory conduction
Conducting action potential from nodes of Ranvier to the next through the fatty myelin sheath.
What are the impacts of oxygen deprivation on the brain?
Strokes, seizures, coma, or death.
Blood supply to the brain
Aorta - aortic arch
Dual circulation to the brain
Anterior - carotid arteries
Posterior - vertebral arteries