Neuro Physiology Flashcards
Autoregulation of CBF
Myogenic
Local
Neural
Costant between CPP of 60- 160 mmHg
Hyperbaric oxygen and cerebral blood flow
Although PaO2 has a far lesser effect on CBF vs PCO2
Hyperbaric oxygen can reduce cerebral blood flow by ~20%
Total volume CSF
130 -150 ml
100ml spinal cord
40ml in ventricles
Normal CSF pressure
0.5-1 kPa
Production of CSF
Choroid plexus in lateral, third and fourth ventricles
L, 3rd and 4th
~500ml / day
Foramin of Luschka
Lateral
Foramin of Magendie
Medial
Areas in which blood-brian barrier is permeable - fenestrated endothelium
Third and fourth ventricles
-Chemoreceptor trigger zone at floor of fourth ventricle
-Angiotensin II passes to the vasomotor centre in this region to increase sympathetic outflow and causes vasoconstriction of peripheral vessels
Posterior pituitary
-Allows production of ADH and oxytocin into circulation
Hypothalamus
-this allows the release of releasing or inhibitory hormones into the portal– hypophyseal tract (to anterior pituitary)
Consequences of rising ICP
Hydrocephalus
-Seen in posterior fossa lesions due to ocmpression of aqueduct
Ischaemia
-Rising ICP reduces CPP and therefore CBF
Herniation
-Compression of brain via herniation
Pupilly dilatation and raised ICP
–> oculomotor nerve compression
= Transtentorial herniation
Cortical blindess and raised ICP
= Transtentorial herniation
Resting membrane potential of axon
negative 70mV
-70mV
Depolarisation
Axon membrane potential goes form -70 –> +50mV
Absolute and relative refractory
During action potential = absolute refraction
During repolarisation = relative refraction, larger stimulus can cause another action potential
Mechanism of depolarisation and repolarisation
The Na+ channel activates much faster than the K+
channel.
This explains the rapid influx of Na+; the
channel also closes much faster; the K+ channel
remains open over a longer period than the Na+
channel and is responsible for repolarisation as K+
is released and the membrane potential falls back
to its negative value
Nodes of Ranvier
Gaps in between myelinated axons
Points of depolarisation
Increases speed of transmission as between nodes the axon depolarises quickly and entriely
= saltatory conduction
Aα axons
Motor
Propioception
Aβ axons
Touch
Pressure