Peripheral Nervous System and the Spinal Cord Flashcards
Autonomic nervous system functions
Involuntary responses
Cranial nerve II
Optic. Sensory. Sight
How can the BBB potentially be opened or weakened?
high blood pressure, microwaves, ultrasonic waves, radiation, infection, injury (stroke, inflammation, pressure)
Blockage of CSF flow usually at narrow points in the passage
Hydrocephalus
How is blood supplied to the brain anteriorly?
Carotid arteries
Spinal nerve regions for sympathetic and parasympathetic
Sympathetic = thoracic/lumbar Parasympathetic = cranial/sacral
Cranial nerve VIII
Vestibulocochlear/auditory. sensory. inner ear
Same side of the midline
ipsilateral
What does the blood brain barrier do?
Excludes some molecules from passing easily
Far from the center
Distal
Opposite sides of the midline
contralateral
CSF path of flow
Ventricles down the spinal cord and up and around the cortex
What molecules are allowed through the BBB via passive diffusion?
water, some gasses like O2 and CO2, and lipid soluble molecules
What are the cerebral ventricles filled with?
CSF
Why is there left arm pain during a heart attack and who does it occur in?
Its linked to a spinal nerve and is pretty much only in males
How much CSF is replenished and how often?
100-150 mL at a time, replenished 3x a day
What are the 4 cerebral ventricles?
Lateral ventricles, third ventricle and fourth ventricle
What molecules are allowed through the BBB via active transport (protein channel)?
glucose and amino acids
Cranial nerve condition causing temporary paralysis of one side of face
Bell’s palsy
Where does CSF exit into the bloodstream?
Superior sagittal sinus
How is the BBB related to Alzheimer’s?
Research is showing that the BBB is leaky in Alzheimer’s
How is blood supplied to the brain posteriorly?
Vertebral arteries at base of skull
What do the sympathetic and parasympathetic pathways use at targets
Sympathetic uses NE and parasympathetic uses ACh
Functions of the somatic nervous system
Voluntary movement
Fight or flight response
Sympathetic division
What procedures are done on the meninges?
Spinal tap and epidural
Towards the midline
Medial
2nd synapse NT of sympathetic and parasympathetic
NE in sym and ACh in parasym
NTs of autonomic nervous system
ACh and NE
Cranial nerve VI
Abducens. Motor. external rectus muscle (eye)
Divides the brain into two relatively equal halves
Midsagittal section
Tight junction between endothelial cells and actroycyte end feet along capillaries
Blood brain barrier
Cranial nerve X
Vagus. both. motor heart, lungs, bronchi, GI tract. sensory heart lungs, bronchi, trachea, larynx, pharynx, GI tract, external ear
Ventral horn
motor output for voluntary movement or spinal reflexes
Examples of spinal reflexes
patellar reflex, flexor-withdrawal, Babinski reflex
Constricts pupils to baseline and stimulates digestion
Parasympathetic
Divisions of autonomic nervous system
Sympathetic and parasympathetic
Where is there a ganglion chain and what does it do?
sympathetic to improve timing
Cranial nerve III
Oculomotor. Motor. Eye muscles
Structures of somatic nervous system
Motor neurons, neuromuscular junctions
Why is the patellar reflex sort of monosynaptic?
While you only excite one muscle group, you must inhibit its counterpart
Maintains constant internal environment
BBB
How many peripheral spinal nerves?
31
NTs of the somatic nervous system
ACh
Posterior of body
Bottom
What is the gray matter?
Cell bodies
1st synapse of sympathetic and parasympathetic
sympathetic = short with light myelination parasympathetic = long with light myelination
Toward the back and higher in the brain
Superior or dorsal
Sun sneezing caused by overstimulation of trigeminal nerve
ACHOO syndrome
Close to the center
Proximal
Structures close to the midline
medial
How is Bells palsy caused
Usually following a sinus infection, inflammation/infection of facial nerve
Challenges of medicine and the BBB
how can we make a medicine that works and gets past the BBB