Peripheral Nerves Flashcards

1
Q

Functions of the nervous system

A

> Master command + control system
Monitor internal and external environments
integrate sensory input and motor commands
co-ordinate voluntary + involuntary responses

Sensory receptors——–>CNS———>Muscular system
Input ——————–> Intergration———–> Output
PNS————> Brain + Spinal cord (CNS) ———> PNS

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2
Q

Classification

A

Nervous system is split into CNS + PNS
CNS = brain and spinal cord
PNS = Motor neurones and sensory neurones
Motor neurones = Autonomic and somatic
Autonomic = sympathetic and parasympathetic

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3
Q

Describe the central nervous system

A
Central Nervous System = brain + spinal cord
> Brain
- receives + processes sensory info 
- initiates responses
- stores memories
- generates thoughts + emotions
> Spinal Cord
- conducts signals to and from brain
- controls reflex activities
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4
Q

Describe the Peripheral Nervous system

A

PNS = nerves that leave spinal cord
- split into sensory and motor neurons
> Sensory neurons - from sensory organs to CNS
> Motor neurons - CNS to muscles/glands
- split into ANS + SNS
> Somatic nervous system (SNS) - voluntary movements
> Autonomic nervous system(ANS)-involuntary responses
- split into sympathetic and parasympathetic
> Sympathetic = fight or flight responses (nerves = mainly from thoracic and lumbar regions)
> Parasympathetic = rest or digest responses (nerves = mainly from cranial and sacral regions)

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5
Q

Define upper and lower motor neurons

A

> Upper motor neurons (CNS)
- transmit info from brain to lower motor neurons & interneurons in brainstem and spinal cord
Lower Motor Neurons (PNS)
- cell bodies in spinal cord/brainstem but axons directly innervate skeletal muscle

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6
Q

How many peripheral nerves are there and what types

A

31 peripheral nerves
> 12 cranial nerves
- carry info to and from brain (axon ends outside brainstem/spinal cord)
- Cranial nerve 7 = facial nerve (bells palsy if damaged)
- Cranial nerve 10 = vagus nerve (controls major systems)

> Spinal nerves
- carry info to and from spinal cord e.g sciatic/radial etc

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7
Q

Describe a peripheral nerves path + structure

A

Leaves spinal cord as:
- Dorsal root = generally ascending sensory info
+ dorsal root ganglion which contains cell bodies
- Ventral root = generally descending motor info
- then come together to form mixed nerves (carry both afferent/sensory and efferent/motor fibres)

Structure

  • Nerve = surrounded by epineurium
    - contains blood vessels + smaller bundles
  • Smaller bundles = surrounded by perineurium
    - contain fascicles
  • Fascicles - surrounded by endoneurium
    - with myelinated/unmyelinated fibres
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8
Q

What are the types of neuron

A

> Bipolar - interneuron - within spinal cord
- connects nerves (cell body in middle)
Unipolar - Sensory neurons (receive info from one pole and transmits to other - cell body not in way)
Multipolar - Motor neurones (many sources to receive info from takes through cell body and along axon to terminals
- transmits as AP to cell body, AP to axon and neurotransmitters to next nerve or muscle fibres

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9
Q

Key components of CNS + PNS (cells)

A

> CNS

  • Astrocytes = link cells together (structure)
  • Microglia = immune cells within brain
  • Oligodendrocytes = cover CNS nerves for protection

> PNS

  • Satellite cells = structure
  • Schwann cells = protection + repair (via neurolemma)
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10
Q

Describe how a nerve impulse occurs

A
  1. Rest = negative potential of -70mv (maintained by voltage gated ion channels keeping few K+ inside and many Na+ outside)
  2. Depolarization - stimuli causes Na+ channels to open
    - if membrane potential is reduced enough it opens nearby Na+ channels as well = Action Potential
  3. Repolarization-K+ channels open/Na+ channels close
  4. Hyperpolarization - K+ channels are slow to close so potential goes too far - active ion pumps restore resting potential
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11
Q

Define the all or nothing law and how it is reached

A
  • Threshold level of depolarization to open adjacent Na+ channels
    Requires:
  • Spatial summation (many small signals to many dendrites at same time)
  • Temporal summation (series of signals at same synapse)
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12
Q

What are the methods of conduction

A
  1. Continuous conduction
    - non-myelinated axons
    - slower as has to travel along length
  2. Saltatory conduction
    - myelinated
    - allows impulse to jump = faster
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13
Q

Define chemical synapses and what happens there

A

> Chemical synapses = where nerves meet (synaptic cleft = space between neurones)
Presynaptic neuron has neurotransmitters in vesicles that are released by arrival of AP
Postsynaptic neuron has receptors for neurotransmitters which will cause/prevent an AP
Neurotransmitters are then removed via diffusion/re-uptake by presynaptic neuron/ enzyme break down
- types of neurotransmitters:
Acetylcholine/dopamine/norepinephrine/serotonin/ GABA

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14
Q

Describe neurons ability to repair (CNS+PNS)

A

CNS - no ability to repair
- neuroplasticity is creation of new pathways which may bypass damage
PNS - myelinated cells (neurolemma provides structure)
- only if schwann cells and cell body are intact

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15
Q

Describe process of neuron regeneration

A

PNS Degeneration

  1. Chromatolysis - shortly after axon damage
  2. Wallerian degeneration - distal portion degrades to nearest intact myelin gap
  3. Wallerian regeneration - neurolemma cells divide
    - regeneration tube = formed
    - new axon reforms
  4. Re-myelination - myelin reforms around axon
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16
Q

What are the types of injury to a peripheral nerve

A

> Transient Ischaemia - lack of O2
Neuropraxia - compression of nerve (6-8 week recovery)
Axonotmesis - axon = damaged but not severed (endoneurium and perineurium are intact)
Neurotmesis - completely severed nerve
- surgery may allow regeneration but depends on time