Section 2 Part 1: General Features, Anatomy of the Ventricles, CSF and BBB Flashcards

1
Q

What does the forebrain do?

A

Receive information from our sensors and send controlling signals out to motor and visceral systems

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2
Q

What are the complex computations of the forebrain called?

A

Higher cognitive processes

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3
Q

Within the forebrain, what is the principle structure involved in the higher cognitive processes?

A

The cerebral cortex is the principle area, but subcortical structure also play a role

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4
Q

What do cognitive deficits signal?

A

Forebrain lesion, usually a cortical pathology

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5
Q

What are the three subcortical nuclei that are part of the basal ganglia?

A

1- Caudate
2- Putamen
3- Globus Pallidus

**Together are known as Basal Ganglia with Substantia nigra and subthalamic nucleus

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6
Q

What two subcortical nuclei compose the stratum?

A

Caudate and Putamen

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7
Q

What are the subcortical nuclei involved in?

A

Motor control

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8
Q

What do diseases of the basal ganglia result in?

A

a variety of motor symptoms, including difficulty initiating movement, abnormalities of muscle tone or the development of various involuntary motor movements

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9
Q

What is akinesia?

A

Difficulty initiating movements

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10
Q

What is rigidity?

A

Abnormalities in muscle tone

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11
Q

Does the basal ganglia have a role in cognitive functions?

A

Yes

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12
Q

What is the amydgala?

A

a subcortical nucleus

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13
Q

What is the role of the amygdala?

A

It is onvolved in conrolling emotional behavior and is an important component of the limbic system

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14
Q

What does the limbic system include?

A

1- amygdala
2- anterior portion of the cingulate gyrus
3- orbital and medial prefrontal gyri of the cerebral cortex
4- ventral parts of teh basal ganglia
5- hippocampus
6- parts of the thalamus that project into these cortical regions

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15
Q

What does the limbic system interact?

A

Portions of the limbic system interact with the hypothalamus and autonomic area of the brainstem

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16
Q

Where do the lateral ventricles reside?

A

They are large “C” shaped structures that reside in each hemisphere

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17
Q

What does each lateral ventricle consist of?

A

Anterior horn, body, posterior horn, inferior horn

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18
Q

Where does the anterior horn of the lateral ventricle lie?

A

Frontal lobe

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19
Q

Where does teh body of teh lateral ventricle lie?

A

Extends across the frontal and parietal lobe

20
Q

Where does the posterior horn lie?

A

occipital lobe

21
Q

Where does the inferior lobe lie?

A

Temporal lobe

22
Q

Where is the third ventricle located?

A

The third ventricle is located at the midline (near the thalamus)

23
Q

What punctures the third ventricle?

A

Thalamic adhesion/ massa intermedia

24
Q

Do the lateral ventricles communicate with one another, if so, how?

A

No they do not

25
Q

Do the lateral ventricles interact with the third ventricle?

A

Yes they do, via the intraventricular foramen

26
Q

What is another name for the intraventricular foramen?

A

Foramen of Monro

27
Q

Where is the fourth ventricle located?

A

It is located below the cerebellum (the cerebellum forms the roof) and the pons region forms the floor the ventricle

28
Q

Does the third ventricle interact with the fourth ventricle, if so, how?

A

Yes it does, via the cerebal aqueduct

29
Q

Where doe the cerebral aqueduct lie?

A

The midbrain (under the superior and inferior colliculi

30
Q

What ventricle is the foramen of magendie an extension of?

A

The fourth ventricle, it extends caudally

31
Q

What ventricle is the foramen of luschka an extension of?

A

The fourth ventricle, they extend anteriorly

32
Q

What produces a hollow on the ventral medial surface of the interior horn?

A

The hippocampus

33
Q

What does the medial surface of the posterior horn normally abut?

A

The calcarine sulcus

34
Q

What is the tectum?

A

The superior and inferior colliculi. It is dorsal to the aqueduct

35
Q

What is below the tectum?

A

The tegument

36
Q

What is the main function of the Blood Brain Barrier (BBB)?

A

Maintains a stable environment for neurons to function effectively, protecting the CNS from severe fluctuations in ionic concentrations and circulating hormones and neurotransmitters released from other parts of the body

37
Q

Does the BBB allow for the entry of many ionic compounds to the CNS?

A

No, it tends to be exclusionary to many ionic compounds

38
Q

Where is the actual location of the BBB?

A

The capillary endothelium

39
Q

What are the specializations of the BBB/ capillary endothelium?

A

1- Tight junctions between capillary endothelial cells
2- few endocytotic vesicles for intracellular transport
3- a high number of mitochondria (indicative of high levels of oxidative metabolism)

40
Q

What can enter the brain through the BBB and how do they cross?

A

1- lipid soluable substances (O2 and CO2 gases)

2- Facultative and energy- dependent transport of specific water soluble substances ( glucose and amino acids)

3- ion channels allow particular ions to cross

41
Q

How do substances leave the brain through the BBB?

A

There is a reveres pump (intracellular transporters) within the astroglia that move lipophilic molecules of the brain into the blood

42
Q

Can whole cells migrate across a healthy BBB?

A

Yes– especially lymphocytes and macrophages– but they enter by opening tight junctions

43
Q

Do all regions of the brain have a BBB?

A

No, several regions do not have a BBB

44
Q

Why do some regions of the CNS not have a BBB?

A

Regions that need to sense fluctuation in the blood, because they are part of the circuitry for regulating these fluxes

45
Q

What pathologies are usually associated with a breakdown of the BBB?

A

Brain tumors, bacerial invasions, ischemia

46
Q

What is the most common cause of BBB breakdown?

A

Ischemia

47
Q

Describe the pathology of a stroke:

A

Loss of tissue oxygenation, introduction of toxins to the brain, ionic fluxes, damaged Na/ K pumps— the latter two cause the cells to fill with water

Eventually edema results and there can be an increase in intracranial pressure that can lead to coma and death.