The Human Brain Flashcards
What does failure of the spinal cord closing cause?
Spina bifida or anencephaly
What prevents most neural tube defects?
Folic acid
What are the primary brain vesicles?
Prosencephalon
Mesencephalon
Rhombencephalon
Spinal cord
What are the secondary brain vesicles?
Telencephalon Diencephalon Mesencephalon Metencephalon Myelencephalon Spinal cord
What does a dorsal fold in the rhombencephalon make?
Metencephalon
Myelencephalon
What does the prosencephalon become?
Telencephalon
Diencephalon
What are the adult derivatives of the telencephalon?
Olfactory lobes
Hippocampus
Cerebrum
What are the adult derivatives of the diencephalon?
Retina (optic vesicle)
Epithalamus
Thalamus
What are the adult derivatives of the mesencephalon?
Midbrain
What are the adult derivatives of the metencephalon?
Cerebellum
Pons
What are the adult derivatives of the myelencephalon?
Medulla
Meninges of the spinal cord
Dura mater (outermost) Arachnoid Pia mater (innermost)
Where is most of the cerebrospinal fluid formed?
Cerebral ventricles
Sites of origin of CSF?
Choroid plexus
Ependyma
Parenchyma
What is the function of CSF?
To act as a buffer/cushion for the brain’s cortex providing basic mechanical and immunological protection to the brain
Where does CSF occupy?
Subarachnoid space
Ventricular system around the inside of the brain and spinal cord
What does it mean if CSF pressure is elevated?
Cerebral blood flow may be constricted
What is hydrocephalus?
Abnormal accumulation of CSF in the brain ventricles
What causes hydrocephalus?
Impaired flow of CSF
Impaired reabsorption or excessive production of CSF
What is a lumbar puncture?
CSF is extracted through a needle between the 3rd and 4th lumbar vertebrae
What is aqueductal stenosis?
Narrowing of the aqueduct of Sylvius which blocks the flow of CSF in the ventricular system
Life threatening in a short period of time
Restricts blood flow to the brain
What is an ependymal cell?
A type of neuronal support cell that forms the epithelial lining of the ventricles of the brain and central canal of the spinal cord
Structure of a ependymal cell
Have cilia on their surface
Influence the flow of CSF, bringing nutrients to neurons and filtering harmful molecules
What is the function of the layer of ependymal-derived cells surrounding the blood vessels of the choroid plexus?
To produce CSF through selective uptake of water and other molecules from blood into cells
Then transported across cells
Secreted into lateral ventricles as CSF
Where are tanycytes found?
The lining of the floor of the third ventricle of the brain
Structure of tanycytes?
No cilia
Long processes and large end feet that connect to brain capillaries and neurons distant from ventricle
Connected to one another by tight junctions
What do tanycytes do?
Facilitate transport of hormones and other substances in the brain
What is the blood-brain barrier?
A highly selective, semi-permeable membrane barrier which separates circulating blood from the brain extracellular fluid in the CNS
What forms the BBB?
Endothelial cells connected by tight junctions
What does the BBB allow to pass through passive diffusion?
Water
Some gases
Lipid-soluble molecules
What does the BBB allow selective transport of?
Glucose
Amino acids crucial to neural function
What cells are necessary to create the BBB?
Astrocytes
Where does the BBB occur?
Across all capillaries
What is the average rate of cerebral blood flow in adults?
750ml per minute
About 15% cardiac output
How is cerebral blood flow safeguarded?
Autoregulation
Small arteries - arterioles - constrict and dilate under complex physiological control systems
What is metabolic regulation?
Negative feedback system which balances cerebral blood flow to demand
What is myogenic regulation?
Transmural blood pressure changes are detected by vascular smooth muscles in arterioles
Calibres are then adjusted to maintain blood flow
What is neurogenic regulation?
Vascular smooth muscle in the resistance arterioles are controlled via sympathetic innervation, input from the appropriate brainstem autonomous control centre
Nitric oxide released by parasympathetic fibres may also play a part
What is the brainstem composed of?
Medulla oblongata
Pons
Mesencephalon
What does the brainstem do?
Regulates vital cardiac and respiratory functions
Ascending and descending tracts travel through the brainstem
What does the cerebellum do?
Muscle tone
Co-ordination
Motor error
Learning
What is cerebellar ataxia?
Loss of cerebellar neurons
Jerky imprecise movements
What does the diencephalon do?
Links midbrain to cerebrum
Contains the thalamus, hypothalamus and pineal
What is the cerebrum?
2 cerebral hemispheres
6 lobes
What are the lobes of the cerebrum?
Frontal Parietal Occipital Temporal Central Limbic
Function of the medulla oblongata?
Regulates breathing Heart and blood vessel functions Digestion Sneezing and swallowing Large lesions = death
Functions of the pons?
Bridges the sides of the cerebellum
Connects to cerebellum via peduncles
Functions of the thalamus?
Processing and relay centre
All special sense except smell
Arousal/emotion
Higher functions
Functions of the pineal?
Endocrine organ
Produces melatonin and serotonin
Functions of the hypothalamus?
Eating
Drinking
Sexual behaviour
Stress
What is Broca’s Aphasia?
Damage to the left frontal lobe Impaired speech (grammar, syntax and word structure)
What is Wernicke’s Aphasia?
Posterior temporal lobe damage
Superficially fluent speech but the inability to understand more than the most basic words
Types of modern brain mapping
PET scans
fMRI
Regional blood flow
What is lateralisation?
Right hand controlled by the left side of the brain and vice versa
What makes up the limbic system?
Limbic lobe Hippocampus Amygdala Thalamus Hypothalamus
What is the limbic system involved in?
Memory
Emotions
Motivation
Where is the basal ganglia located?
Deep within the hemispheres
What diseases is the basal ganglia implicated in?
Parkinson’s
Huntington’s
What do association fibres do?
Link areas within a hemisphere
What do commissural fibres do?
Connect between hemispheres
What do projection fibres do?
Link to non-cortical areas
What is the role of the upper motor neurons?
Taking impulses from the relevant part of the brain down to the synapses with the lower motor neurones.
What is the role of the lower motor neurons?
Connect with the target muscle
They run between the UMN synapse and the final action point
What is the role of the lower motor neurons?
Connect with the target muscle
They run between the UMN synapse and the final action point