Structure of the Nervous System (Cranial Nerves) Flashcards

1
Q

What components is the CNS composed of?

A

Brain

Spinal Cord

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2
Q

What are the 3 major brain regions?

A

Forebrain:

  • Cerebrum
  • Diencephalon

Brainstem:

  • Medulla
  • Pons
  • Medulla Oblongata

Cerebellum

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3
Q

What anatomical references are used to identify portions of the brain?

A

Dorsal (top half) and ventral (bottom half) curves along the body as we are bipedal - same as inferior and superior

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4
Q

How do we describe features in relation to the midline?

A

Ipsilateral is same side of midline

Contralateral is on different sides of the midline

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5
Q

What is an afferent?

A

where the neuron is projecting to

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6
Q

What is an efferent?

A

where the neuron is projecting from

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7
Q

Give an example of an efferent and afferent

A

A neuron projecting from the thalamus to the cortex is both a thalamic efferent and cortical afferent

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8
Q

How many cranial nerves are there?

A

12 bilateral cranial nerves (a pair of each nerve - one on either side)
Numbered from anterior to posterior

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9
Q

Describe the efferent and afferent fibres of the cranial nerves

A

Afferent sensory fibres - sensory information from periphery to brain

Efferent motor fibres - motor instructions from brain to periphery

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10
Q

Outline the 12 cranial nerves

A
  1. Olfactory I
  2. Optic II
  3. Oculomotor III
  4. Trochlear IV
  5. Trigeminal V
  6. Abducens VI
  7. Facial VII
  8. Vestibulocochlear VIII
  9. Glossopharyngeal IX
  10. Vagus X
  11. Accessory XI
  12. Hypoglossal XII

Oh Oh Oh To Touch And Feel Very Good Velvet A H

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11
Q

What is the role of the olfactory nerve CN1?

A

purely sensory - olfaction (smell)

olfactory epithelium sends signal to olfactory bulb which outputs to:

Hippocampus
- odour memory

Hypothalamus Amygdala
- motivational and emotional aspects of smell

Olfactory Cortex
- conscious perception of smell

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12
Q

What is the function of the optic nerve CN2?

A

purely sensory - vision

carries info from retinal ganglion (rods/cone cells) to lateral geniculate nucleus in thalamus which projects to the visual cortex (occipital lobe)

Palpebrae muscles - controlled by CN II for eyelid opening

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13
Q

What are the roles of the 3, 4, and 6 cranial nerves??

A

Occulomotor, trochlear and abducens
Motor - eyeball and eyelid movement

Parasympathetic - pupillary constriction and accomodation

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14
Q

Outline the eyeball movements mediated via cn3?

A

CN3 mediates eyeball movement up & down via superior/inferior rectus muscles
Also mediates downward & outward movement via inferior oblique muscle, inward movement via medial rectus

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15
Q

What eye movements is cn4 responsible for?

A

CN4 moves eye upwards & inwards via superior oblique

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16
Q

What is the role of cn6 in eye movements?

A

CN6 moves eye laterally via lateral rectus muscle

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17
Q

Explain which muscles are involved in moving the eye side to side

A

To move eye outwards and back in again, need more than just relaxation of lateral rectus
Medial rectus has to contract also to pull eye in

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18
Q

How can we assess cranial nerve function affecting a patients vision?

A

To test CN for someone’s vision we ask patient to move eye, up, down, side to side, and to corners to figure out which cranial nerve is causing the problem

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19
Q

What is the function of the trigeminal nerve cn5?

A

Face sensation

Trigeminal nerve receives somatosensory input from the 3 facial regions:

  • Ophthalmic
  • Maxillary
  • Mandibular

Input travels from (periphery) each of the three regions via the trigeminal nerve efferent to the somatosensory cortex

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20
Q

What is the role of the facial nerve CN7?

A

sensory - sensations of taste from ant. 2/3 of tongue

Motor - muscles for facial expression and stapedius muscle

Parasympathetic - salivary, lacrimal, nose and palate gland secretions

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21
Q

What is the stapedius muscle function?

A

Stapedius muscle is smallest in the body - contracts to block out certain noises

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22
Q

What does the Cn8 vestibulocochlear nerve regulate?

A

Gets sensory info to mediate hearing and balance

23
Q

How does vestibulocochlear nerve mediate hearing?

A

via cochlea cells signalling to medial geniculate nucleus in thalamus which signals to the auditory cortex in the temporal lobe via cn8

24
Q

How is balance regulated via the vestibulocochlear nerve?

A

via vestibular hair cells send sensory info to ventral postereolateral nucleus in thalamus which signals to the vestibular cortex in temporal lobe
via cn8

25
What is the role of the glossopharyngeal nerve CN9?
sensory - pharynx, auditory tube + middle ear, posterior 3rd of tongue, aortic BP changes motor - swallowing parasympathetic - salivary glands
26
Outline the functions of the vagus nerve CN10
vasovagal response mediated by vagus nerve sensory - sensation of pain associated with viscera motor - muscles for speech and swallowing parasympathetic - smooth muscle in heart, lungs + abdominal organs
27
What is the function of the accessory nerve?
motor info cranial - muscles of the pharynx, larynx and soft palate spinal - head + neck muscles
28
What is the role of the hypoglossal nerve CN11?
motor info tongue movement for swallowing and speech
29
What is the meninges?
membranous coverings of the brain and spinal cord composed of 3 layers
30
What are the 3 membranes of the meninges?
Dura mater: - Tough, in-elastic Arachnoid Membrane - Adheres layers together, anchors Pia Mater: - Thin membrane, adheres closely to the brain
31
What is in the subarachnoid space?
The sub arachnoid space is filled with cerebrospinal fluid (CSF)
32
Where is CSF formed?
CSF is made in the Choroid Plexus
33
How does CSF enter the subarachnoid spaces?
CSF flows from the cerebrum ventricles down to the brainstem and spinal cord CSF enters the subarachnoid space via apertures near the cerebellum
34
What are apertures?
an opening, hole, or gap
35
What happens to the CSF in the subarachnoid space?
CSF is absorbed by blood vessels in the subarachnoid space
36
What is the role of CSF?
CSF protects the brain from physical and chemical injury Regulates intracranial pressure Essential in exchanging nutrients and waste products between the blood and the CNS
37
Describe the cerebrovasculature
Two pairs of arteries supply blood to the brain: The vertebral arteries and the carotid arteries Branches from the arteries supply blood throughout the brain
38
What is the circle of willis?
They also form an interconnected structure called the circle of Willis - vulnerable to stroke due to turbulent blood flow in this area → v. dangerous to have blood clot as will block blood supply to other brain regions
39
Which artery supplies the lateral cerebrum surface?
Most of the lateral surface of the cerebrum is supplied by the middle cerebral artery
40
What supplies the medial cerebral surface?
Most of the medial wall of the cerebral hemisphere is supplied by the anterior cerebral artery
41
What is the role of lymphatics in the brain?
Delivers immune cells to fight infection
42
What is the role of the occipital lobe?
Lies posteriorly Involved in visual processing e.g. colour, orientation, motion
43
What is the role of the parietal lobe?
Superiorly located | sensory processing and proprioception
44
What is the function of the frontal lobe?
Anterior portion of brain invloved in: - decision making - attention - consciousness - emotions - deliberate movement
45
What is the role of the temporal lobe?
Lies laterally involved in language, speech and auditory processing
46
What is the corpus callosum?
A thick band of nerve fibres dividing cerebral cortex lobes into left and right hemispheres allowing info to be passed between them
47
What is the role of the hippocampus?
memory formation and retrieval
48
What is the function of basal ganglia?
collection of nuclei (SCN, STN etc.) in the diencephalon involved in movement, balance and posture
49
What is the thalamus?
Region within diencephalon with over 40 different nuclei | multi-modal functions
50
What is the role of the hypothalamus?
Collection of small nuclei regulating: - temperature - hunger/thirst - neuroendocrine control - circadian rhythms - BP/HR
51
Outline the homeostatic functions of the brainstem
- breathing - HR - BP
52
What are the motor movements regulated via the brainstem?
Reflexes | Fine motor movements of limbs and face in conjunction with cortex
53
What is the role of the cerebellum?
movement precision and coordination