Health Assessment - Neurologic System

CNS

central nervous system

PNS

peripheral nervous system

central nervous system : includes

brain and spinal cord

peripheral nervous system : includes

all nerve fibers outside the brain and spinal cord

afferent messages

messages carried by the PNS to the CNS from sensory receptors

efferent messages

messages from the CNS out to muscles and glands, as well as autonomic messages that govern internal organs and blood vessels

cerebral cortex

-is the cerebrum's out layer of nerve cell bodies, which look like "gray matter" due to lack of myelin
-center for human's highest functions: thought, memory, reasoning, sensation, voluntary movement

myelin

the white insulation of the axon that increases the conduction velocity of nerve impulses

hemisphere

half of the cerebrum; each with 4 lobes

left hemisphere

dominant in 95% of people

frontal lobe

concerned with personality, behaviors, emotions, intellectual functions

frontal lobe : precentral gyrus

initiates voluntary movement

parietal lobe : postcentral gyrus

primary center for sensation

occipital lobe

primary visual receptor center

temporal lobe

behind the ear has the primary auditory reception center with functions of hearing, taste, smell

Wernicke's area

in temporary lobe: associated with language comprehension
-if damaged receptive aphasia results

receptive aphasia

the person hears sounds, but it has no meaning, like hearing a foreign language

Broca's area

in frontal lobe: mediates motor speech
-if damaged expressive aphasia results

expressive aphasia

the person cannot talk, person can understand language and knows what he wants to say, but can produce only garbled sound

basal ganglia

-buried deep within the two cerebral hemispheres
-help to initiate movement and control automatic associated movements e.g. swinging arms while walking

thalamus

main relay station where the sensory pathways of the spinal cord, cerebellum & brainstem form synapses

hypothalamus

major respiratory center, basic vital functions: temperature, appetite, sex drive, heart rate, BP control, sleep center, anterior and posterior pituitary gland regular, coordinator of ANS activity, stress response

cerebellum

-located under occipital lobe
-concerned with motor coordination of voluntary movements, equilibrium, muscle tone

brainstem

-central core of brain consisting of nerve fibers
-CN III through XII originate here
-three areas: midbrain, pons, medulla

midbrain

-anterior of brainstem
-merges into thalamus / hypothalamus
-contains many motor neurons & tracts

pons

-contains ascending sensory and descending motor tracts
-respiratory centers: pneumotaxic and apneustic

medulla

-continuation of spinal cord
-vital autonomic centers: respiration, heart, GI function
-nuclei for CN VIII through XII

spinal cord

mediates reflexes of posture control, urination, pain

spinothalamic tract

contains sensory fibers that transmit the sensations of pain, temperature, light touch

spinothalamic tract: posterior (dorsal) columns

conduct sensation of position, vibration, localized touch

proprioception

without looking you know where your body parts are in space in relation to each other

vibration

feeling vibrating objects

stereognosis

without looking, you can identify familiar objects by touch

pyramidial decussation

motor nerve fibers original in the motor cortex and travel to the brainstem, where they cross to the contralateral side and then pass down into the lateral column of the spinal cord

corticospinal tract

permits humans to have skilled and purposeful movements

extrapyramidal tracts

include all the motor nerve fibers originating in the motor cortex, basal ganglia, brainstem, spinal cord OUTSIDE the pyramidal tract

cerebellar systems

coordinates movement, equilibrium and posture, proprioception
-processes are subconscious

upper motor neurons

a complex of all the descending motor fibers that can influence the lower motor neurons e.g. corticospinal, corticobulbar, extrapyramidal tracts
-located in CNS

lower motor neurons

final common pathway" - funnels many neural signals here and privides the final direct contact with the muscles
-located in PNS

nerve

bundle of fibers OUTSIDE the CNS