Health assessment: Neurologic system

Frontal Lobe

area concerned with personality, behavior, emotions and intellectual function

Parietal Lobe

postcentral gyrus is the primary center for sensation

Occipital Lobe

is the primary visual receptor center

Temporal Lobe

Behind the ear has the primary auditory reception center

Wernicke's area

in the temporal lobe is associated with language comprehension

Receptive aphasia

person can hear, but is has no meaning. results from damage to the dominant hemisphere

Broca's area

in the frontal lobe and mediates motor speech

Expressive aphasia

person can not talk. result from injured dominant hemisphere

Basal Gangila

control automatic associated movements of the body

Thalamus

is the main relay station for the nervous system

Hypothalamus

major control center

controls: temp, heart rate, BP, sleep center, anterior & posterior pituitary gland regulator and coordinator of autonomic nervous system activity and emotional status

Hypothalamus

Cerebellum

motor coordination of voluntary movements, equilibrium and muscle tone. Does not initiate movement, but coordinates and smooths it.

Spinal Cord

main highway for ascending and descending fiber tracts that connect the brain to the spinal nerves and it mediates reflexes.

Left cerebral cortex

receives sensory info from and controls motor function to the right side of the body. Know as Cross representation

Right cerebral cortex

interacts with the left side of the body

Spinothalamic tract

sensations of pain, temperature and crude or light touch

Posterior (Dorsal) Columns

these fibers conduct the sensations of position, vibration and finely localized touch

organs absent from the brain map

heart, liver, spleen

Corticospinal or Pyramidal tracts

Motor nerve fibers originate in the motor cortex and travel to the brain stem, where they cross to the opposite or contralateral side and then pass down in the lateral column of the spinal cord

Extrapyramidal tracts

subcortical motor fibers maintain muscle tone and control body movement, especially gross automatic movements, such as walking

Upper motor neurons

located completely within the CNS
convey impulses from motor areas of the cerebral cortex to the lower motor neurons in the anterior horn cells of the spinal cord

Corticospinal, Corticobulbar, Extrapyramidal tracts

examples of Upper Motor Neurons

Upper motor neuron diseases

cerebrovascular accident, cerebral palsy, multiple sclerosis

Lower motor neurons

located in the PNS
is the "final common pathway" because it funnels many neural signals here and provides the final direct contact with the muscles.

cranial nerves and spinal nerves of the PNS

examples of Lower Motor Neurons

Lower motor neuron diseases

spinal cord lesions, poliomyelisis, amyotrophic lateral sclerosis

sensory afferent, efferent

The peripheral nerves carry input to the CNS via their _____ fibers and deliver output fromt he CNS via the _____ fibers

Reflexes

are the basic defense mechanisms of the nervous system

help the body maintain balance and appropriate muscle tone

Reflexes

Deep tendon reflexes

(Myotatic) patellar or knee jerk

Superficial

corneal reflex, abdominal reflex

Visceral

(organic) pupillary responses to light and accommodation

Pathologic

(abnormal) babinski's or extensor plantar reflex

Deep tendon

an intact sensory nerve (afferent)
functional synapse in the cord
intact motor nerve fiber (efferent)
neuromuscular junction
competent muscle

Cranial Nerves

12 pairs.
supply primarily the head and neck except the vagus.

Vagus Nerve

travels to the heart, respiratory muscles, stomach. gallbladder

Spinal Nerves

31 pairs.
"mixed" nerves because they contain both sensory and motor fibers.

CN I: Olfactory

Type: Sensory
Function: Smell

CN II: Optic

Type: Sensory
Function: Vision

CN III: Oculomotor

Type: Mixed
Function: Motor-most EOM movement, opening of eyelids. Parasympathetic-pupil constriction, lens shape

CN IV: Trochlear

Type: Motor
Function: Down and inward movement of eye

CN V: Trigeminal

Type: Mixed
Function: Motor-Muscle mastication, Sensory-Sensation of face and scalp, cornea, mucous membranes of mouth and nose

CN VI: Abducens

Type: Motor
Function: Lateral movement of eye

CN VII: Facial

Type: Mixed
Function: Motor-Facial muscles, close eyes, labial speech, close mouth. Sensory-Taste on anterior two thirds of tongue. Parasympathetic-saliva and tear secretion

CN VIII: Acoustic

Type: Sensory
Function: Hearing and equilibrium

CN IX: Glossopharyngeal

Type: Mixed
Function: Motor-Pharynx (phonation and swallowing).
Sensory-taste on posterior one third of tongue, pharynx (gag reflex). Parasympathetic-parotid gland, carotid reflex.

CN X: Vagus

Type: Mixed
Function: Motor-Pharynx and larynx (talking & swallowing). Sensory-General sensation from carotid body, carotid sinus, pharynx, viscera. Parasympathetic-Carotid reflex

CN XI: Spinal

Type: Motor
Function: Movement of trapezius and sternomastoid muscles

CN XII: Hypoglossal

Type: Motor
Function: Movement of tongue

Dermal segmentation

is the cutaneous distribution of the various spinal nerves

Dermatome

is a circumscribed skin area that is supplied mainly from on spinal cord segment through a particular spinal nerve

Somatic fibers

innervate the skeletal (voluntary) muscles

Autonomic fibers

innervate smooth (involuntary) muscles, cardiac muscle, and glands

Autonomic nervous system

mediates unconscious activity

aging process

causes general atrophy with a steady loss of neurons in the brain and spinal cord.

decrease

Aging has a progressive _____ in cerebral blood flow and oxygen consumption.