Neuro Anatomy and Embryology Flashcards
Limbic System Cortex
What 4 things make up the central nervous system (CNS)?
Brain
Spinal cord
Retina
CNII
What 3 things make up the peripheral nervous system?
Spinal and cranial nerves (except CNII)
Autonomic nervous system (sympathetic and parasympathetic)
Somatic sensory and somatic motor nerves
Name the 2 main cell types in the nervous system
Neurons (nerve cells)
Neuroglia (Glial cells)
Describe 3 things about nerve cells
Structural and functional units of the body
Afferent (sensory), efferent (motor), interneurons (e.g. reflex)
Rapid communication across synapses by neurotransmitters
Describe the basic structure of a nerve cell
Dendrite –> cell body (soma) –> axons –> axon terminal
Describe 3 things about neuroglia (glial cells)
5x more abundant
Support, nourish, insulate the neurons
Non-neural/non-excitable cells
Name the 4 types of neuroglia in the central nervous system
Oligodendrocytes
Astrocytes
Microglia
Ependymal cells
Name the 2 types of neuroglia in the peripheral nervous system
Satellite cells
Schwann cells
What is the function of oligodendrocytes?
Help myelinate nerve and provide structural framework
What is the function of astrocytes?
Maintain the blood brain barrier
Recycle neurotransmitter
What is the function of microglia?
Remove waste and pathogens by phagocytosis
What is the function of ependymal cells?
Line the ventricles (spaces) in the brain and spine
Help produce CSF
What is the function of satellite cells?
Help regulate nutrient and neurotransmitter levels around the nerves
What is the function of Schwann cells?
Myelinate axons in the peripheral nervous system
Match these 4 words together: Sensory Motor Efferent Afferent
Sensory - Afferent
Motor - Efferent
What are the 3 types of afferent (sensory) input into a spinal nerve?
Somatic sensory (somatic tissues)
Visceral sensory (organs and vessels)
Special visceral sensory (e.g. taste)
What are the 3 types of efferent (motor) output from a spinal nerve?
Somatic motor (skeletal muscle)
Branchio-motor (pharyngeal arch muscle)
Visceral/Autonomic motor (organs and vessels)
In embryology, what forms the nervous system?
Ectodermal neural plate
When does the ectodermal neural plate appear?
Week 3
Briefly describe neural tube folding
Edges of neural plates fold and lift away from the ectoderm to approach the midline.
The cervical region folds first, then moving up to cranial and caudal ends.
Open ends form caudal and cranial neuropores
The closed neural arches form the neural tube
Which supplement prevents 70% of neural tube defects?
Folic acid
What 2 birth defects can be caused by incomplete closing of the cranial neuropore?
Anencephaly
Meroanencephaly
What birth defect can be caused by incomplete closing of the caudal neuropore?
Spina bifida
What are the 3 primary brain vesicles (week 4)?
Prosencephalon
Mesencephalon
Rhombencephalon
What are the 5 secondary brain vesicles (week 6)?
Telencephalon
Diencephalon
Mesencephalon
Metencephalon
Myelencephalon
How are the primary and secondary brain vesicles related?
Prosencephalon
- ->telencephalon
- -> diencephalon
Mesencephalon
–>mesencephalon
Rhombencephalon
- ->metencephalon
- ->myelencephalon
In the adult brain, what is formed out of the telencephalon and diencephalon?
Cerebral hemispheres
Thalamus (telencephalon)
Hypothalamus (diencephalon)
In the adult brain, what is formed out of the mesencephalon?
Midbrain
In the adult brain, what is formed out of the metencephalon and myelencephalon?
Cerebellum and pons (metencephalon)
Medulla (myelencephalon)
What is a gyrus?
Raised part of the cerebrum
What is a sulcus?
Sunken part of the cerebrum
What is the corpus callosum?
White matter tract that links the right and left hemispheres
What is the corona radiata?
White matter structure that comes off the corpus callosum
Which 2 lobes does the central sulcus separate?
Frontal and parietal
Name the 5 lobes of the brain
Frontal
Parietal
Occipital
Temporal
Insula
Where is the pre-central gyrus?
Immediately anterior to the central sulcus
Why is the pre-central gyrus important?
Where does it sit?
Primary motor cortex of the cerebrum
Posterior portion of the frontal lobe
Why is the post central gyrus important?
Where does it sit?
Primary somatosensory cortex
Anterior portion of the parietal lobe
What is the fissure superior to the temporal lobe?
Lateral sulcus
Sylvian Fissure
Where can you find the superior, middle and inferior temporal gyri?
Temporal lobe
Where is the insula?
Hidden deep in the lateral sulcus
What is the insula responsible for?
Higher pain processing
Language processing
Emotion
Where would you find the primary visual cortex
In the occipital lobe
Above and below the calcarine sulcus
What is the cingulate gyrus responsible for?
Higher autonomic control e.g.:
Bladder control
Respiratory rate
Heart rate
Which Brodmann area is the primary motor cortex?
4
Which Brodmann area is the pre-motor cortex?
6
What does the primary motor cortex do?
Brodmann 4
Controls contralateral body motor functions
What does the pre-motor cortex do?
Brodmann 6
Motor programme retrieval
Which Brodmann area is the primary somatosensory cortex?
1
What does the primary somatosensory cortex do?
Brodmann 1
(Post-Central Gyrus)
Receives contralateral sensory input from the body (including taste)
Which Brodmann area is the primary visual cortex?
17
What does the primary visual cortex do?
Brodmann 17
Receives contralateral visual field information from both eyes
Which Brodmann area is the primary auditory cortex?
41
What does the primary auditory cortex do?
Brodmann 41
Receives bilateral auditory sensory input
What 4 functions are specific to the left side of the brain?
Bilateral audio
Speech
Writing
Language
What 3 functions are specific to the right side of the brain?
Bilateral audio
Spatial perception
Facial recognition
What is contained in the cortex of the brain (in terms of cells)?
Cell bodies
It is an outer covering of grey matter
What is white matter?
Myelinated axons that connect to other regions of the brain/spinal cord
Sits deeper in the brain
What are ventricles?
Cerebrospinal fluid filled chambers within the subcortical regions of the brain.
Situated in proximity to multiple nuclei and functional regions of the brain.
Produce CSF via choroid plexus.
What is a nucleus in the CNS?
A collection of neuronal cell bodies at a point of synapse
that share a similar function and projection
Describe the thalamus
(Left and right) is a collection of nuclei with multiple functions
Name the 3 basal ganglia (nuclei)
Putamen
Caudate
Globus pallidus
What makes up the lentiform nucleus?
Putamen and Globus pallidus
basal ganglia
What makes up the striatum?
Putamen and caudate nucleus
basal ganglia
What is synaesthesia?
A combination of senses that provides an unusual interpretation
What is prosopagnosia?
The inability to recognise faces
Where are association fibres found?
Within a hemisphere
Where are commissural fibres found?
Between hemispheres
Where are projection fibres found?
To the brainstem/spinal cord
Give an example of commissural fibres
Corpus callosum
What does Wernicke’s area do?
Brodmann 22
Understanding/interpreting heard, spoken and written word
What is a fasciculus?
bundle of fibres sharing a similar function and route of travel
Where do CN I and CN II arise from?
The forebrain
Where do CN III - CNX, CN XII arise from?
The brainstem
Where does CN XI arise from?
Brainstem
Spinal cord (C1-5)
What 3 regions make up the brainstem?
Midbrain
Pons
Medulla
Which 2 vessels are the major blood supply to the brain?
Internal carotid arteries
Vertebral arteries
What are the 2 dural layers in the brain?
Periosteal layer (thick, on top)
Meningeal layer
What are the 3 meningeal layers of the CNS?
Dura
Arachnoid
Pia mater
Where is the dural venous sinus?
Between the 2 layers of dura
Describe 2 things about the dural venous sinus
Blood from CNS drains to these sinuses
Sinuses are valveless and endothelial lined
What is the role of the posterior parietal cortex?
To integrate sensory input
Control perception of contralateral body/environment
How can damage to the posterior parietal cortex present?
Hemispatial neglect
Which cortices are located in the medial occipital/temporal lobe?
Facial recognition
Colour recognition
Shape recognition
What is prosopagnosia?
Inability to recognise faces
What is the inability to recognise faces known as?
Prosopagnosia
What is achromatopsia
Inability to recognise colours
What is the inability to recognise colours known as?
Achromatopsia
What is associative agnosia?
Sees object but does not recognise/distinguish
What is apperceptive agnosia
Fail to perceive/see and object
Which are of the cortex is damage if the patient presents with associative and apperceptive agnosia?
Brodmann area 18 (anterior to the primary visual cortex)
What cerebral artery supplies hearing, speech, and language areas?
Middle cerebral artery
Draw out the blood supply to the brain
Draw
Draw out the blood supply to the brain with CN nuclei
Draw
Where is the zone of aphasia?
Left sided dominant function, each side of the Sylvian fissure
What is Broca’s area responsible for?
Motor speech
How would damage to Broca’s area present?
Content correct, but slow or missing words, can be slow or disjointed speech
What is Wernickes area responsible for?
Comprehension of speech
How would damage to Wernicke’s area present?
Receptive aphasia
Content incorrect, but speech fluent.
Motor in tact, but speech makes no sense
What is the angular gyrus responsible for?
Reading and writing
Where is the angular gyrus located?
Angle of posterior lateral fissure
What is a fasciculus?
Bundle of fibres sharing a similar function and route of travel
Describe the somatic organisation of the internal capsule, from anterior to posterior
Anterior - descending fibres
Genu - motor to the head
Posterior limb - Motor to arm + leg
Posterior portion of posterior limb - sensory, vision and hearing
What arteries supply the striatum and internal capsule?
Lateral and medial striate, and anterior choroidal artery
Comes of the ICA before the Circle of Willis
Where do the anterior and posterior choroidal arteries come from?
Anterior - branch off the ICA at/just before the circle of willis
Posterior - branch off the PCA
What does the anterior choroidal artery supply?
Thalamus
Caudate nucleus
Putamen
Globus pallidus (internal and external)
Optic tract
Lateral geniculate body
Posterior limb of internal capsule
Limbic system
Describe the limbic system
Many of the structures form a ring around the diencephalon (thalamus + hypothalamus)
Involved in sensations of emotions, visceral responses to emotion, memories
What is the Papez circuit?
The route of the flow of information within the limbic system
Write out the Papez circuit
Cingulate gyrus –> Hippocampus –> fornix –> mammillary bodies –> anterior thalamic nucleus –>cingulate gyrus
What would happen if the Papez circuit was disrupted?
Affect memory, response to memory or emotions
What is the function of the hippocampus?
Memory formation and recall
Where is the hippocampus located?
Inferomedial temporal lobe
Near the brainstem
What is the blood supply to the hippocampus?
Posterior cerebral artery
How might damage to the hippocampus present?
Anterograde amnesia
No new memory formation
Still able to recall long term memories
What are the 2 types of long term memory?
Declarative/explicit
Procedural/implicit
Describe Korsakoff’s Psychosis
Mammillary and thalamic damage due to thiamine (Vit B1) deficiency
Metabolic damage/alcohol abuse
How would Korsakoff’s Psychosis present?
Antegrade amnesia
Often retrograde amnesia
Confabulation - insertion of fabricated memories of long term events into current conversation
Hallucinations
What is the anterior portion of the cingulate gyrus responsible for?
Autonomic area: Cardiorespiratory and digestion, visceral response to emotion
Bladder control
Emotional modulation of pain
What is the posterior portion of the cingulate gyrus responsible for?
Vocal area controlling appropriate sentence construction
Memory, cognition
What is the role of the amygdala?
Controls emotions, responses and systems
Name some inputs to the amygdala
Visual and auditory
Sensory from body
Solitary tract
Olfactory and limbic system
Hypothalmic
Name some outputs from the amygdala
Hypothalamus
Hippocampus
Multiple areas of the cortex
Which branch of CN VII detects taste from the anterior 2/3rds of the tongue?
Chorda tympani
Branch given off in the facial canal
What is Kluver-Bucy syndrome?
What are some of its symptoms?
Bilateral damage to the amygdala
Docile Lack of fear Increased appetite Hypersexual Exploratory behaviour with hands/mouth
Visual agnosia
Which areas of the limbic system are associated with sexual and orgasm sensations?
Septal and Accumbens Nuclei
Apart from sexual pleasure, what also stimulates the septal and accumbens nuclei?
Amphetamine and cocaine