Section 2: Internal anatomy of the brain Flashcards

1
Q

Describe the forebrain

A

q

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the amygdala?

What is its role in the limbic system

A

q

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The large C shaped structures in each hemisphere is

A

lateral ventricles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The anterior horn of the lateral ventricle lies in the

A

frontal lobe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The body extends across the

A

frontal and parietal lobe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The inferior horn lies in the

A

temporal lobe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What lies at the midline where you identified the thalamus

A

3rd ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The 3rd ventricle is punctured by

A

massa intermedia (thalamic adhesion)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

the lateral ventricles commuicate with the third ventricle by

A

interventricular foramen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The 3rd ventricle communicates with the 4th ventricle by way of the

A

cerebral aqueduct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

the cerebral aqueduct passes through the____ under the _____

A

midbrain; superior and inferior colliculi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

the fibers of the corpus callosum form the ventricular roof on the

A

dorsal surface of the lateral ventricles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

the head of the caudate lies on the floor of the ______, it creates

A

anterior horn; creates a cavity in the ventral lateral surface of the anterior horn of the lateral ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

a hollow on the ventral medial surface of the inferior horn is produced by the

A

hippocampus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

the massa intermedia is not a

A

commisure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

the 3rd ventricle extends

A

ventrally to a point, like a bird beak

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

the point on the 3rd ventricle extends to the bottom of the brain where it is surrounded by the

A

hypothalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

the medial surface of the posterior horn normally abuts the

A

calcarine sulcus where the sulcus extends inward from the medial surface of the occipital lobe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

the tectum lies ____ to the aqueduct;

A

dorsal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

the structure below the aqueduct is

A

the tegementum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

the tectum is made up of

A

superior and inferior colliculus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

the cerebellum lies above the

A

4th ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what forms the floor of the 4th ventricle?

A

continuation of the tegmentum into the pons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the function of the blood brain barrier?

A

maintain a stable environment for neurons to function effectively; protecting the CNS from severe fluctuations in ionic concentrations;

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How is the capillary epithelium specialized for the blood brain barrier?

A

tight junctions between capillary endothelial cells
endocytic vesicles for intracellular transport
high number of mitochondria indicative of high levels of oxidative metabolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

How is passage across the blood brain barrier acheived?

A
  • diffusion of lipid soluble substances related to their oil and water partition coefficient
  • facilitative and energy dependent transport of specific water soluble substances
  • ion channels
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is the reverse pump in the brain? What mediates it?

A

intracellular transporters within astroglia that move lipophilic molecules of the brain into the blood; likely processes of astroglial cells that encase the capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

why does the 4th ventricle not have BBB?

A

it needs to detect changes in the blood chemistry; can detect poisons in the blood and initiate the vomit response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Can leukocytes enter the BBB? Why is this problematic?

A

yes lymphocytes and marcrophages; can allow HIV infected macrophages and myelin-reactive lymphocytes of MS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What causes the BBB to breakdown?

A

tumor, ischemia, and bacterial infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Stroke is harmful beyond its ischemic effects. WHy?

A

ischemia can induce breakdown of the BBB and allow toxins and ionic channel influxes which could lead to increased intracranial pressure due to edema and ultimately to death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What are the functions of the CSF

A

maintains constant external environment for the brain, decreases the weight of the brain on the skull and serves as a cushion to protect the brain from mechanical damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

The CSF is in equilibrium with

A

brain extracellular fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

The CSF is turned over

A

3-4 times per day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

The average volume of CSF is

It’s rate of production is

A

140 mL

500 mL per day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

CSF is secreted by

A

choroid plexus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

the choroid plexus is

A

a specialized capillary network that is surrounded by cuboidal or columnar epithelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

The choroid plexus aims to maintain

A

chemical stability of CSF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

The epithelial cells of the choroid plexus form a

A

barrier that is responsible for carrier mediated transport that is bidirectional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

The epithelial barrier made by the CSF

A

accounts for the contiuous production of CSF and transport of metabolites out of the CSF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

How does CSF differ from blood plasma?

A

glucose and protein are lower and CSF is more acidic; it is also clear and normally has no RBCs or and few if any WBCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Where is choroid plexus found?

A

In the floor of the inferior horn and in body of the lateral ventricle
roof of the third ventricle
inferior part of the lateral ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What structure in the spinal cord is vestigial in adults

A

central canal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

How does the CSF exit the 4th ventricle?

A

Foramen of Magendie and the 2 foramina of luschka

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Where is the foramen of magendie?

A

opening at he midline at the caudal end of the 4th ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

where are the foramina of luschka?

A

at the lateral edges of the ventricle; at the widest extent where CN 8 lies, adjacent to the flocculus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

CSF flows over the whole brain and spinal cord beneath the

A

subarachnoid space

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

The absorption of the majority of the CSF into the venous system occurs where

A

in the arachnoid vili or granulations in the walls of the dural sinuses (superior sagittal is the most important for this)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

An obstructive or non-commicative hydrocephalous is caused by

A

an obstruction or tumor in the arrows where the ventricular system narrows (intraventricular foramen, cerebral aquaduct, and outlet of the 4th ventricle; blockage of flow occurs here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Communicating hydrocephalous occurs when

A

there is no blockage of flow but arachnid vili are diseased and absorption fails

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Increased build up of CSF in a communicating hydrocephalous causes

A

increased intracranial pressure which can be seen by inspecting the fundus of the brain

52
Q

What is papilledema?

A

retinal vessels of the optic nerve become engorged and dilated due to the increased intracranial pressure

53
Q

Some of the symptoms of increased intracranial pressure are

A
  • headache
  • nausea
  • vomitting
  • cognitive impariment
  • decreased level of consciousness
  • impaired vision and sixth nerve palsy
54
Q

increased intracranial pressure can affect the

A

frontal lobe function

55
Q

would you have long tract (descending white matter pathway) signs with intracranial pressure elevation? What are the symptoms

A

yes; magnetic gait and incontinence

56
Q

Why is the composition of the CSF important?

A

it is altered in many disease states

57
Q

A white cell count of more than ___ indicates pathology

A

4/mm^3

58
Q

In what case would protein content be increased in CSF?

A

protein content may be increased by many pathological processes due to changes in vascular permeability or CSF dynamics

59
Q

The presence of blood in the CSF may indicate

A

hemmorhagic stroke

60
Q

what are the 3 types of white matter

A

association fibers, commisural fibers, and projection fibers

61
Q

What are association fibers

A

connect different regions of the cortex in the same hemisphere

62
Q

What are commisural fibers?

A

connect homologous regions of the cortex of the two hemispheres

63
Q

What are projection fibers?

A

connect areas of the cortex to areas lower in the neuraxis

64
Q

damaging the white matter (axons) produces

A

many of the same symptoms as damaging the cortex itself.

65
Q

the superior longitudinal fasiculus (arcuate fasiculus) connects the

A

frontal lobe arcing to the temporal lobe

66
Q

the arcuate fasiculus interconnects

A

Broca’s area, Wernicke’s , area and the auditory cortex

67
Q

the inferior longitudinal fasiculus extends from

A

occipital lobe to the temporal lobe along the occitpitotemporal gyrus

68
Q

the uncinate fasciculus runs

A

deep to the limen insulae connecting the frontal and temporal cortices

69
Q

what is the limen insulae?

A

anterior border of the insula

70
Q

the uncinate process is thought to associate the

A

orbital frontal cortex based reward and punishment centers with the temporal lobe based memory representations

71
Q

the cingulum is found

A

on the medial aspect of the hemisphere deep to the cingulate gyrus

72
Q

the cingulum interconnects structures of the

A

limbic system like the subcallosal gyrus, cingulate gyrus and parahippocampal gyrus and uncus

73
Q

it is suspected that the cingulum is involved with

A

the process of learning to avoid painful stimuli

74
Q

association fibers are NOT

A

oneway, direct paths; they are like an interstate highway

75
Q

what are U fibers?

A

short association fibers that travel only a short distance perhaps to an adjacent gyrus or nearby gyrus

76
Q

Reciprocal connections are the

A

rule, not exception

77
Q

The largest of the commisural fibers is the

A

corpus callosum

78
Q

the corpus callosum interconnects

A

homologous areas of the hemispheres in a spatially oriented fashion

79
Q

the frontal lobes are connected via the

A

genu of the corpus callosum

80
Q

the parietal lobes are connected via the

A

body of the corpus callosum

81
Q

the occipital lobes are connected via the

A

splenium of the corpus callosum

82
Q

the anterior commisure connects

A

the anterior poles of the two temporal lobes

83
Q

what do the lobes connected by the anterior commisure contain?

A

olfactory cortexes

84
Q

the hippocampal commisure connects

A

two hippocampi

85
Q

the posterior commisure interconnects the

A

two sides of the rostral midbrain

86
Q

the corona radiata is a type of

A

projection fibers

87
Q

an important component of the corona radiata are

A

the thalamic radiations, which are interconnections of the thalamic nuclei and their cortical targets

88
Q

the corona radiata becomes the internal capsule when

A

it passes medially to the lenticulate nucleus

89
Q

what is the crus cerebri?

A

axons whose targets are in the brainstem and spinal cord descend onto the anterior aspect of the midbrain and the crus cerebri

90
Q

name the 3 types are fibers found in the internal capsule and the crus cerebri

A

corticospinal, corticobulbar, and corticopontine fibers; axons from the moti

91
Q

the head of the caudate nucleus lies behind a bulge in the

A

anterior horn of the lateral ventricle

92
Q

the roof of the anterior horn of the lateral ventricle houses crossing fibers of the

A

corpus callosum

93
Q

the hippocampus lies on the medial part of the floor of the

A

inferior horn of the lateral ventricle

94
Q

the inferior horn of the lateral ventricle lies in the

A

temporal lobe

95
Q

the parahippocampal gyrus terminates as the

A

hippocampus

96
Q

hippocampus is involved in memory of

A

spatial relationships

97
Q

axons of hippocampus form a large fiber tract called the

A

fornix

98
Q

the fornix connects

A

the hippocampus and hypothalamus in the temporal lobe

99
Q

the fornix curves ventrally at

A

the anterior end of the 3rd ventricle near the anterior commisure

100
Q

the large cluster of cell bodies that is part of the basal ganglia and follows the path of the lateral ventricle similar to the fornix is

A

the caudate nucleus

101
Q

the caudate nucleus has

A

motor and cognitive functions

102
Q

a major function of the thalamus is to

A

relay motor and sensory info to their respective cortices

103
Q

the anteriro tubercle of the thalmus is on its

A

dorsal surface anteriorly

104
Q

the pillow shaped bulge on the posterior side of the thalamus is the

A

pulvinar

105
Q

the anterior tubercle and the pulvinar each mark

A

nuclear groups within the thalamus

106
Q

the medial and lateral geniculate nuclei are part of the

A

thalamus

107
Q

the medial geniculate nucleus relays ____info to the

A

auditory to the Heschl’s/transverse gyrus

108
Q

the lateral geniculate nucleus recieves info from the ___ and projects to ___

A

optic tract; visual cortex in and arounf the calcarine fissure

109
Q

you can find the lateral geniculate nucleus by

A

following the optic tract to its end

110
Q

the medial geniculate nucelus has fibers that connect it to the___. this bundle is the ___

A

inferior colliculus; brachium of the inferior colliculus

111
Q

the large nuclear structure located near the uncus at the anterior medial part of the temporal lobe is called the

A

amygdala

112
Q

the ____ communicates visceral information such as hunger, thirst, anger, fear, and sexual feeling between the brainstem, hypothalamus and cortex

A

amygdala

113
Q

bilateral damage of the amygdala causes

A

flattened/blunted emotional and sexual behavior

114
Q

the ____ is a very deep infolding of the cortical tissue

A

insula

115
Q

the ___ is separated from the caudate by the internal capsule. the 2 structures are called the ___

A

putamen; striatum

116
Q

the ____ is a fiber tract of huge significance

A

internal capsule

117
Q

the neck of the corona radiata is called the

A

internal capsule

118
Q

the anterior limb of the internal capsule carries information to and from

A

the frontal lobes

119
Q

the posterior limb of the internal capsule carries

A

somatosensory and motor information from each side of the central sulcus

120
Q

a lesion in the anterior limb is

A

often silent

121
Q

a lesion in the posterior limb of the IC

A

dramatic symptoms of sensory loss and paralysis

122
Q

the posterior limb carries visual information via the and auditory info via the

A

visual radiations; auditory radiations

123
Q

the globus pallidus and the putamen together form the; are they functionally connected?

A

lenticulate nucleus; no

124
Q

the caudate and putamen send projections to the ___ which sends info to ____

A

globus pallidus; thalamus

125
Q

at the level of the optic tract the ____and ___ have fused forming the_____

A

putamen and caudate; ventral striatum

126
Q

the ventral striatum receives info from the ____ and is part of the _____ which controls _____

A

amygdala, limbic system, emotions