neuroanatomy - divisions of NS Flashcards

1
Q

CNS

A
  • integration and coordination of information
  • brain: forebrain/pros, midbrain/mes, hindrain/rhomb)
  • brainstem: midbrain, pons, medulla
  • spinal cord: afferent and efferent, innor core of gray matter and superficial of white matter
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2
Q

CNS characteristics

A
  • integration and coordination of NS info
  • gray matter: consists of unmyelinated nurons and contains capillaries, glial cells, cell bodies, dendrites
  • white matter of SC divded into 3 funiculi – anterior, lateral, and dorsal columns
  • brain hemispheres: frontal, temporal, parietal, occipital
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3
Q

myelinating cells in CNS

A

oligodendrocytes

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4
Q

myelinating cells in PNS

A

Schwann cells

but realitively unprotected

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5
Q

PNS

A
  • 12 pairs CNs
  • 31 pairs spinal nerves - 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal

cervical exit above (C2 n above C2 v), everything else exits below

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6
Q

each spinal nerve has

A
  • anterior root: carrying motor info away from CNS (efferent)
  • posterior root: carries info about sensation to CNS (afferent)
  • ganglia are clusters/swelling of cells that give rise to periph and central nerve fibers – divided into sensory and autonomic ganglia
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7
Q

autonomic nervous system (ANS)

A
  • sympathetic: prepares body for emergency response, norepinephrine - stimulating
  • parasympathetic: conserving and restoring energy, acetylcholine - inhibitory
  • characteristics
  • anatomically contains CNS and PNS portions
  • innervation for involuntary process, glands, internal organs, smooth muscles
  • impulses often do not reach consciousness
  • automatic responses
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8
Q

somatic nervous system

A
  • peripheral and motor fibers
  • characteristics
  • periph nerve fibers send sensory info to CNS
  • mtoor nerve fibers send info to skeletal muscles
  • somatic motor neurons travel directly to skeletal muscles without intervening synapses
  • all nerve fibers myelinated
  • controls voluntary movements and provides ability to sense touch, smell, taste, sight, sound
  • all 5 senses influnced by SNS
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9
Q

limbic system

A
  • corpus callosum, olfactory tract, mammillary bodies, fornix, thatlmic nuclei, amygdala, hippocampus, parahippocampal gyrus, cingulate gyrus, hypothalamic nuclei
  • involves in control and expression of mood and emotion
  • processing and storing recent memory
  • olfaction
  • control of appetite
  • emotional responses to food
  • lesions -> aggression, extreme fearfulness, altered sexual behavior, changes in motivation
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10
Q

outer surface of brain is ____ and interior is ____

A

outer surface of brain is gray matter and interior is white matter

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11
Q

impo

important fissues

A
  • interhemispheric (medial longitudinal): separates two hemisphers
  • sylvian (lateral): anterior portion separates frontal and temporal lobes, posterior separates temporal and parietal
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12
Q

important sulci

A
  • central/Rolando: separates frontal and parietal lobes lateral
  • parieto-occipital: spearates parietal and occipital lobes
  • calcarine: separations occipital lobe into superior and inferior halves
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13
Q

hemisphere dominance

A
  • left
  • language
  • sequence and perform movements
  • analytical, controlled, logical, rational
  • math equations
  • right
  • nonverbals
  • holistic processing
  • art, hand-eye coordination, music
  • math reasoning
  • negative emotions
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14
Q

hippocampus

A
  • in lower temporal lobe
  • process, form, store new memories of personal history and declarative memory (facts)
  • memory indexer
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14
Q

basal ganglia

A
  • caudate, putamen, substantia nigra, subthalamic nuclei
  • collectively responsible for voluntary movement, regulation of autonomic movement, posture, muscle tone, control of motor response
  • dysfunction associated with PD, HD, Tourette’s, ADD, OCD, addictions
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15
Q

amygdala

A
  • in temporal lobes
  • functions in emotional and social processing
  • involved with fear and pleasure response, arousal, memory processing, formation of emotional memories
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16
Q

frontal lobe

A
  • function
  • voluntary movement
  • broca’s area - speech, concentration
  • personality
  • impairment
  • contralateral weakness
  • perseveration, inattention, personality change, apathy
  • broca’s aphasia – expressive deficits
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17
Q

parietal lobe

A
  • function
  • sensation of touch, kinesthesia, vibration, temperature
  • sensory interpretation
  • interprets language and words
  • spatial and visual processing
  • impairment
  • dominant hemisphere (L) - agraphia, alexia, agnosia
  • non-dom hemisphere (R) - dressing apraxia, anosognosia
  • impaired language comprehension
18
Q

temporal lobe

A
  • function
  • auditory processing and olfaction
  • Wernicke’s area - ability to understand and produce meaningful speech
  • rear of temporal enables interpretation of other’s emotions and reactions
  • impairment
  • learning deficits
  • wernicke’s aphasia - receptive deficits
  • difficulty with facial recognition, memory, STM/LTM
  • rely on dmeonstration to learn - can learn but may be unable to recall steps around new skill
18
Q

occipital lobe

A
  • function
  • main processing for visual info
  • impairment
  • homonymous hemianopsia
  • impaired reading and writing
  • cortical blindness
19
Q

diencephalon

A
  • beneath cerebral hemispehres, where major motor and sensory tracts synpase
  • thalamus: relay/processing station for into to cortex, coordination of sensory perception and movement
  • hypothalamus: receives and integrates info from ANS, FFF, sleeping
  • subthalamus: subthalamic nucleus - regulates movements produced by skeletal muscle, associaton with basal ganglia and ubstantia nigra
  • epithalamus: represented by pineal gland, circadian rhythm, associated with limbic system and basal ganglia
20
Q

thalamic pain syndrome

A

spontaneous pain on contralatera side of body to hypothalamic lesion

21
Q

midbrain

A
  • relay for info
  • also has tectum and tegmentum
  • tectum: superior and inferior colliculi
  • tegmentum: cerebral aqueduct, periaqueductal gray, reticular formation, substantia nigra, red nucleus
22
Q

hindbrain/rhom

A
  • cerebellum: coordinates movement, balance, fine tuning movement –> ataxia, nystagmus, tremor, poor coordination
  • pons: regulate respiration rate, orientated of head
  • medulla: cone-shaped, WM surface, reflex centers for vomiting, coughing, sneezing –> damage to motor tracts crossing in medulla produce contralateral impairment
23
Q

brainstem

A
  • relay station between body and cortex
  • primitive functions - regulation of HR, RR
24
Q

anterior cerebral artery (ACA)

A
  • supplies anterior frontal lobe, medial frontal and parietal lobes
  • expected impairment
  • contralateral LE motor and sensory involvement
  • loss of B/B
  • significant mental change
  • neglext, aphasia, apraxia, agraphia
25
Q

ACA occlusion patterns of impairment

A
  • bilateral occlusion - paraplegia
  • incontinunence, abulic aphasia
  • frontal lobe symptoms - personality changes, potential akinetic mutism
26
Q

middle cerebral artery (MCA)

A
  • supplies most of outer cerebrum, basal ganglia, putamen
  • expected outcomes
  • most common site of a CVA
  • Wernicke’s aphasia
  • flat affect impaired spatial relationships
  • contralateral weakness and sensory loss of face and UE, less involvement in LE
27
Q

MCA occlusion patterns of impairments

A
  • bilateral occlusion of MCA at stem: contralateral hemiplegia, sensory impairment
  • dominant hemisphere impairment includes global, wernick’s, broca’s aphasia
  • MCA supplies larger portion of cortex, so other impairments can be lobe dependent
28
Q

posterioral cerebral artery (PCA)

A
  • supplies portion of midbrain, subthalamic nucleus, basal nucleus, thalamus, inferior temp lobe, occipital cortices
  • expected impairments
  • contralateral pain and temp loss
  • ataxia, choreiform movement,thalamic pain syndrome
  • anomia
  • prospagnosia
  • hemisballismus
  • visual agnosia
  • alexia
29
Q

PCA occlusion patterns of impairment

A
  • most significant impairments are:
  • thalamic pain syndrome - pain, temperature, touch, proprioception abnormal sensations
  • cortical blindness: loss of vision d/t damage to occipital cortex
30
Q

vertebral-basilar artery

A
  • supplies lateral midbrain and cerebellum, medulla, pons, occipital cortex
  • expected impairments
  • LOC, comatose, vegetative
  • hemiplegia or tetraplegia
  • inability to speak
  • locked-in syndrome
  • vertigo, nystagmus, dysphagia, dysarthria, syncope, ataxia
31
Q

VBA occlusion patterns of impairment

A
  • wide variety of symptoms and syndrome d/t complex vascularity of VBA systems
  • wallenberg syndrome - secondary to lateral medullary infarct, presents with ipsilat facial pain and ataxia, vertigo, contralateral pain, temp impairment of body
32
Q

3 layers of dura

A
  • dura mater
  • subarachnoid
  • pia matera
33
Q

brudzinski’s sign

A
  • for meningitis
  • flexion of neck facilitates flexion of hips and knees
  • kernig’s sign - pain with hip flexion combined with knee extension

lumbar puncture gold standard for meningitis diagnosis

34
Q

ventrical system

A
  • 4 fluid-filled cavities
  • choroid plexus makes CSF
  • removes matobilte
35
Q

excess fluid in SC known as

A

syringomelia

36
Q

hydrocephalus

A
  • increase of CSF in ventricles due to poor resporption, poor flow, excess production of CSF
  • sun setting sign - downward deviation of eyes
  • treatment: shunt, endoscopic third ventriculostomy (ETV)
37
Q

the largest amount of gray matter in the SC is in the

A

lumbar spine

38
Q

vertebral artery forms _ and _ that surround spinal cord

A

anterior spinal artery and 2 posterior spinal arteries

39
Q

SC runs from _ to _

A

from foramen magnum to conus medullaris (between L1 and L2)

40
Q

each spinal nerve contains a dorsal root for _ and a ventral root for _

A
  • dorsal root for sensory with afferent fibers
  • ventral root for motor with efferent fibers
41
Q

ascending tracts

A
  • sensory tracts in WM of SC
  • from cells of spinal ganglia or intrinsic neurons within gray matter that receive primary sensory input - relay sensory feedback to cerebrum and cerebellum
  • cuneocerebellar - to cerebellum for ipsilateral proprioception of neck and UEs
  • fasciculus cuneatus (post or dorsal) - sensory for trunk, neck, UE proprioception; vibration, 2 point discrim, graphestheia
  • fasciculus gracilis (post or dorsal) - trunk and LE proprioception, vibration, 2 point discrim, graphesthesia
  • spinocerebellar (dorsal and ventral) - to cerebellum, ipsilateral proprioception, tension in muscles, joint sense, trunk and LE posture
  • spino-olivary - to cerebellum, info from cutaneous and proprioceptive organs
  • spinoreticular - reticular formation, influence level of consciousness
  • spinotectal - spinovisial reflexes, assists movement of eyes towards stimulus
  • spinothalamic tract (ant) - crude touch and pressure
  • spinothalamic tract (lat)- temp and pain
42
Q

descending tracts

A
  • involved with voluntary motor function, tone, reflexes, equilibrium, modulation of ascending signals
  • corticospinal tract (largest) originates in cortex, small tracts originate in midbrain, pons, medulla
  • corticospinal (ant): pyramidal tract for ipsilateral, voluntary, discrete, skilled movement
  • corticospinal (lat): pyramidal motor tract for contralateral fine movement –> babinski, absent superficial abdominal reflexes, loss of fine motor or skilled voluntary movement
  • reticuospinal: extrapyramidal, facilitation or inhibition of voluntary and reflex activity through influence on alpha and gamma motor neurons
  • rubrospinal: extrapyramidal, for motor input of gross postural tone, facilitating activity of flexor muscles, inhibit activity of extensor muscles
  • tectospinal: extrapyramidal, for contralateral postural muscle tone associated with auditory/visual stim
  • vestibulospinal: extrapyramidal, ipsilateral gross postural adjustments subsequent to head movements, facilitating activity of extensor muscles, inhibiting activity fo flexor muscles –> paralysis, hypertonicity, exaggerated DTRs, clasp-knife