Neuroanatomy Flashcards

1
Q

Central Nervous System

A

Brain and spinal cord

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2
Q

Peripheral Nervous System

A

Part of the nervous system outside of the brain and spinal cord

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3
Q

Meninges

A

Protective covering of the nervous system composed of three layers: Dura Mater, Arachnoid, Pia Mater

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4
Q

Dura Mater

A

Tough outer layer of the meninges

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5
Q

Arachnoid

A

Middle web-like layer of the meninges

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6
Q

Pia Mater

A

Delicate inner layer of the meninges

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7
Q

Cerebrum Lobes

A

Frontal Lobe, Parietal Lobe, Temporal Lobe, Occipital Lobe

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8
Q

Frontal Lobe Function

A

Personality and motor cortex

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9
Q

Temporal Lobe Function

A

Speech, language, olfactory, auditory

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10
Q

Parietal Lobe Function

A

Sensory function

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11
Q

Occipital Lobe Function

A

Vision

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12
Q

Central Sulcus

A

Separates the motor and sensory cortices

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13
Q

Pre-Central Gyrus

A

Motor cortex

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14
Q

Post-Central Gyrus

A

Sensory cortex

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15
Q

Homunculus

A

Visual representation of the central sulcus devotion to the various parts of the body with feet medial and hands, etc. more lateral.

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16
Q

Grey Matter

A

Outer layer of the cerebral cortex and inner layer of the spinal cord. Contains unmyelinated neurons.

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17
Q

White Matter

A

Inner layer of the cerebral cortex and outer layer of the spinal cord. Contains myelinated axons for nerve communication.

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18
Q

Cerebellum

A

Important part of the hindbrain associated with motor function/coordination

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19
Q

Thalamus

A

Sits between brainstem and brain, acts as a relay station for processing of incoming and outgoing signals.

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20
Q

Brainstem

A

Sits between brain and spinal cord. Contains 10 of the 12 cranial nerves as well as autonomic cardiac and respiratory centers.

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21
Q

Parts of the Brainstem with Cranial Nerves

A

Midbrain (Upper Brainstem): CN III-IV
Pons (Middle Brainstem): CN V-VIII
Medulla (Lower Brainstem): CN IX-XII

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22
Q

Cranial Nerve I

A

Olfactory Nerve
Modality: Sensory
Function: Smell
Monitored: NA

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23
Q

Cranial Nerve II

A

Optic Nerve
Modality: Sensory
Function: Vision
Monitored: VEP

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24
Q

Cranial Nerve III

A

Oculomotor Nerve
Modality: Motor
Function: Eye movement, pupillary constriction
Monitored: EMG from extraocular muscles (inferior rectus)

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25
Q

Cranial Nerve IV

A

Trochlear Nerve
Modality: Motor
Function: Eye movement
Monitored: EMG from superior oblique

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26
Q

Cranial Nerve V

A

Trigeminal Nerve
Modality: Both
Function: Facial sensation, mastication
Monitored: EMG from masseter and/or temporalis

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27
Q

Cranial Nerve VI

A

Abducens Nerve
Modality: Motor
Function: Eye movement
Monitored: EMG from lateral rectus

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28
Q

Cranial Nerve VII

A

Facial Nerve
Modality: Both
Function: Facial expression, autonomic input to salivary glands, taste to anterior 2/3 of tongue
Monitored: EMG from frontalis, o. oculi, o. oris, mentalis

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29
Q

Cranial Nerve VIII

A

Vestibulocochlear Nerve
Modality: Sensory
Function: Hearing and balance
Monitored: BAER

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30
Q

Cranial Nerve IX

A

Glossopharyngeal Nerve
Modality: Both
Function: Motor to stylopharyngeus, sensation to tonsils and pharynx, taste to posterior 2/3 of tongue, input to parotid gland
Monitored: EMG from soft palate

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31
Q

Cranial Nerve X

A

Vagus Nerve
Modality: Both
Function: Motor to vocal cords, parasympathetic to thoracic and abdominal viscera
Monitored: EMG from vocal cords (RLN)

32
Q

Cranial Nerve XI

A

Spinal Accessory Nerve
Modality: Motor
Function: Motor to trapezius and sternocleidomastoid
Monitored: EMG from trapezius and/or sternocleidomastoid

33
Q

Cranial Nerve XII

A

Hypoglossal Nerve
Modality: Motor
Function: Motor to tongue
Monitored: EMG from tongue

34
Q

Circle of Willis

A

Interconnecting blood vessels that supply blood to the brain. Contains communicating arteries to cover for other arteries if they are blocked.

35
Q

Arteries for Anterior Brain Perfusion

A

Internal Carotid Arteries (ICA), composed of two branches:
Middle Cerebral Arteries (MCA)
Anterior Cerebral Arteries (ACA)

36
Q

Internal Carotid Arteries (ICA)

A

Supplies blood from the common carotid artery to the anterior portion of the brain via the middle and anterior cerebral arteries

37
Q

Middle Cerebral Arteries (MCA)

A

Supplies blood from the Internal Carotid Arteries to the lateral cortex of the brain (includes upper extremity SSEPs)

38
Q

Anterior Cerebral Arteries (ACA)

A

Supplies blood from the Internal Carotid Arteries to the medial cortex and frontal lobe (includes lower extremity SSEPs)

39
Q

Arteries for Posterior Brain Perfusion

A

Vertebrobasilar System:
Supplied by Vertebral
Arteries (VA), which combine to form the Basilar Artery (BA). BA terminate into the Posterior Cerebral arteries (PCA).
Cerebellar Arteries (CA), Superior Cerebellar Arteries (SCA), Anterior Inferior Cerebellar Arteries (AICA), and Posterior Inferior Cerebellar Arteries (PICA, arise from VA)

40
Q

Vertebral Arteries (VA)

A

Travel up the transverse foramina of the cervical vertebrae, enter the foramen magnum, head anteriorly, and join together to form the Basilar Artery (BA)

41
Q

Basilar Artery (BA)

A

Formed by the Vertebral Arteries (VA). Travels up the ventral surface of the pons and branches off to the cerebellum, pons, midbrain, and thalamus. Terminates into the Posterior Cerebral Arteries (PCA).

42
Q

Posterior Cerebral Arteries (PCA)

A

Arise from the terminal tip of the Basilar Artery (BA). Perfuse the posterior cortex (occipital lobe)

43
Q

Cerebellar Arteries (CA)

A

Perfuse the cerebellum and parts of the brainstem

44
Q

Superior Cerebellar Arteries (SCA)

A

Arise from the superior portion of the Basilar Artery (BA). Perfuse the superior portion of the cerebellum.

45
Q

Anterior Inferior Cerebellar Arteries (AICA)

A

Arise from the lower part of the Basilar Artery (BA). Perfuse the inferior portion of the cerebellum and feeds into the internal auditory artery of the inner ear.

46
Q

Posterior Inferior Cerebellar Arteries (PICA)

A

Arise from the Vertebral Arteries (VA) near the vertebrobasilar junction. Perfuses inferior portion of the cerebellum and parts of the medulla oblongata

47
Q

Communicating Arteries

A

Serve to connect the vasculature of the Circle of Willis. Provide a means of collateral circulation.
Anterior Communicating Artery (Acomm)
Posterior Communicating Arteries (Pcomm)

48
Q

Spinal Cord

A

Extends from the skull down to L2. Carries all information from the body to the brain (afferent, sensory) and from the brain to the body (efferent, motor). Terminates into the Cauda Equina.

49
Q

Conus Medullaris

A

The tapering of the spinal cord at the base, usually occurring from T11 through L2

50
Q

Cauda Equina

A

The nerve roots of the lumbar and sacral spine. Since the nerve roots of this region begin in the conus medullaris, they must travel down for a distance before exiting at their vertebral levels, thus forming the free standing nerve roots of the “horse’s tail”

51
Q

White Matter of the Spinal Cord

A

Surround the spinal cord. Myelinated axons that carry ascending or descending signals to or from the brain.

52
Q

Grey Matter of the Spinal Cord

A

Form the grey butterfly shape when viewing a cross-section of the spinal cord. Unmyelinated interneurons. Spinal cord processes incoming/outgoing signals from the grey matter. Anterior and posterior protrusions of the butterfly pattern are called the anterior and posterior horns.

53
Q

Dorsal Root

A

Mediates all incoming sensory impulses into the spinal cord. The dorsal root ganglion (the “bulge”) contains the sensory cell bodies.

54
Q

Ventral Root

A

Mediates the outgoing motor impulses from the spinal cord. Cell bodies contained in the ventral horn of the grey matter in the spinal cord.

55
Q

Anterior Spinal Artery

A

Runs the entire length of the midline of the spinal cord. Perfuses the anterior 2/3 of the spinal column.

56
Q

Posterior Spinal Arteries

A

Runs the entire length of the spinal cord. Located immediately lateral to the posterior columns. Perfuses the posterior 1/3 of the spinal column.

57
Q

Radicular (Segmental) Arteries

A

Located at the each segment of the spinal cord, supplying blood to the anterior and posterior spinal arteries. Most are underdeveloped and don’t contribute much to perfusion. A few are exceptions, the most important being the Artery of Adamkiewicz, which is usually located around T10

58
Q

Brachial Plexus

A

C5-T1

A network of nerves in the shoulder supplying the upper extremities

59
Q

Median Nerve

A

C5-T1

Innervates the abductor pollicis brevis and several muscles of the forearm.

60
Q

Ulnar Nerve

A

C8-T1

Innervates the abductor digiti minimi as well as other hand and forearm muscles.

61
Q

Radial Nerve

A

Innervates the triceps, brachioradialis, and other wrist flexors in the forearm

62
Q

Axillary Nerve

A

Innervates the deltoid

63
Q

Musculocutaneous Nerve

A

Innervates the biceps

64
Q

Lumbosacral Plexus

A

Branching of nerves from the lumbar and sacral spine

65
Q

Sciatic Nerve

A

Large nerve in the upper leg, formed by the joining of the peroneal and posterior tibial nerves.

66
Q

Posterior Tibial Nerve

A

L4-S3
Branch of the sciatic nerve. Descends through the midline of the popliteal fossa and wraps around the medial malleolus. Innervates the gastrocnemius and foot flexors.

67
Q

Peroneal Nerve

A

L4-S2
Branch of the sciatic nerve. Descends lateral to the fibular head. Innervates the tibialis anterior among other foot dorsiflexors.

68
Q

Femoral Nerve

A

L2-L4

Innervates the quadriceps and femoris muscles

69
Q

Saphenous Nerve

A

Sensory branch of the femoral nerve. Transmits sensory information from the medial portion of the leg and foot.

70
Q

Vertebrae

A
Individual segments making up the spinal column. The human body usually contains 33 vertebrae
Cervical: 7
Thoracic: 12
Lumbar: 5
Sacral: 5 (fused)
Coccygeal: 4 (fused)
71
Q

Vertebral Body

A

Main cylinder of bone that stacks on top of other vertebral bodies.

72
Q

Pedicles

A

Two columns of bone on either side of the vertebral body, connecting it to the lamina

73
Q

Lamina

A

The posterior wall of bone that covers and protects the spinal cord

74
Q

Transverse Process

A

Protrusions of bone that stick out laterally from the pedicles

75
Q

Spinous Process

A

The protrusions of bone that stick out from the posterior portion of each vertebrae

76
Q

Foramen

A

A hole between the anterior and posterior portions of the vertebra through which nerve roots exit the spinal cord