AP notes: Nervous System: Brian and Cranial Nerves

the adult brain is composed of

100 billion neurons and 1000 billion neuroglia

the brain consists of _____ major parts

four

parts of the brain

1. brain stem (control center)
2. diencephalon
3. cerebrum
4. cerebellum

the brain accounts for ____% of body weight

2

how long can neurons be deprived of oxygen before there is brain damage?

4 minutes

what protects the brain?

1. cranium
2. meninges (three membranes that surround brain and spinal cord)
3. cerebrospinal fluid

meninges

1. dura mater
2. arachnoid
3. pia mater

dura mater

tough fibrous membrane

arachnoid

middle membrane. Contains CSF.

pia mater

inner delicate membrane, cradles brain.

what is between the skull and duramater

epidural space

what is between duramater and arachnoid space?

subdural space

the area between the arachnoid and pia mater is called...

subarachnoid space
contains CSF

CSF

produced by choroid plexes

choroid plexes

ependymal cells, supportive tissue, and associated blood vessels
contains glucose, proteins, ions, WBCs

what are the duties of the CSF?

1. deliver nutrients to brain and remove waste
2. allow brain to float in cranium
3. shock absorber

choroid plexus is located in

ventricles

ependymal cells

line CSF circulatory pathway and help with movement

Arachnoid Villi

finger like extentions of the arachnoid that pass the CSF back into the blood through the superior sagittal sinus

hydrocephalus

CSF pathway is blocked due to tumor or inflammation
can result in expansion and brain damage
Treat with shunt

Blood supply of the brain...

trace path

circle of willis

at base of brain
branches of internal carotid artery and vertebral artery join to form

what can pass rapidly from blood into brain cells?

glucose, O2, CO2, water, and most lipid soluble substances like alcohol, caffeine, nicotine, anesthesia, and heroin

Blood Brain Barrier

prevents substances from entering brain. Formed by capillaries that are less permeable than others. Endothelial cells are tight. Astrocytes selectively pass substances

what can't pass the BBB?

proteins and many antibiotics

what areas lack BBB

3rd and 4th ventricles
HIV and meningitis get into brain here b/c there is no tight junction

brain stem

medulla oblongata
pons
midbrain (cerebral peduncles, corpora quadrigemina, nuclei)

medulla oblongata

continuation of spinal cord forming the inferior portion of the brain stem. all ascending tracts (sensory) and decending tracts (motor) connect the spinal cord and brain

the medulla oblongata is where ______ of the tracts occur

decussation
crosses over from right to left and vice versa to allow for contralateral control of the body

the medulla oblongata (m.o.) is involved with ________ functions

involuntary

gray matter

contains nuclei

pyramids on m.o. contain

descending nerve tracts

loives

protrude from anterior surface of nerve tracts on m.o.
contain nuclei of cranial nerves V, IX-XII
regulate balance, coordination, and modulation of the sound from the inner ear

involuntary controls of the m.o.

1. cardiovascular center (regulates force and diameter of vessels)
2. medullary rhythmicity center (adjusts rhythm of breathing)
3. vomiting, coughing, sneezing, hiccuping center

pons means

bridge

pons

area that connects medulla to other portions of the brain as well as connecting cerebrum to cerebellum. Composed of ascending and descending tracts

the pons is the ______ and ______ center

sleep/respiratory

midbrain

contains cerebral peduncles, corpora quadragemina, and nuclei

cerebral peduncles

descending fiber tracts which are motor tracts

corpora quadragemina

four bodies on posterior side of brain
2 superior coliculi and 2 inferior coliculi

superior coliculi

involved with reflex movement of eyes, head, and neck in response to visual stimuli

inferior coliculi

involved with reflex movment of head in response to auditory stimuli

nuclei

red and substantia nigra

red nuclei

involved with unconscious regulation and coordination of motor activityes

substantial nigra

involved with maintaining muscle tone and coordination movments

major pathology associated with nuclei

parkinsons

what occurs with parkinsons

tremor of extremities and head, rigidity of muscle
dopamine is inhibitory neurotransmitter that is produced by substantia nigra and decreases with parkinsons because nuclei degenerate

how do we treat parkinsons?

administer precursor of dopamine: L dopa

why don't we administer dopamine to treat parkinsons?

it can't pass the BBB
L dopa can, and then it converts to dopamine by the CNS neurons

diencephalon

areas surrounding third ventricle
includes thalamus and hypothalamus as well as pineal gland

thalamus

principal relay area for sensory input going to cerebral cortex for interpretation
Important in learning awareness and emotions like fear, rage, mood

hypothalamus

maintains homeostasis
centers deal with rage, aggression, thirst, hunger, temperature, pleasure, fullness

pineal gland

size of a pea
secretes melatonin

the pineal gland is a/an __________ gland

endocrine

the pineal gland is involved with

the wake and sleep cycle and possibly the onset of puberty

cerebellum

lower posterior of brain
lateral hemispheres
contains flocculonodular lobes and vermis

flocculonodular lobes

balance and eye movement
lobes are connected by vermis

vermis

area in the center that resembles a worm.

arbor vitae

Resembles a tree
arrangement of white and gray matter
involved with balancing and receives input from receptors in muscles, tendons, joints, and eyes

injury to cerebellum results in...

clumsy, disorganized movement

signs of cerebellar disease

intention tremors, dysdiadochokinesia, nystagamus, dysarthria, ataxia

cerebrum

composes most of brain
two hemispheres connected by fiber tracts.
contains gyri and sulcus

largest fiber tract is called

corpus callosum

gyri

increases surface area of brain to allow for more space for neurons
only found in higher animals

sulcus

increases surface area of brain to allow for more space for neurons
only found in higher animals

the cerebrum is mostly _____ matter with thin layer of ______ matter on the surface

white/grey

cerebral cortex

contains billions of unmyelinated neurons that are associated with a higher thinking an performance (reading and speaking)

the cerebrum can be anatomically divided into ____ different lobes

five

lobes of cerebrum

1. frontal (knowledge-when you protect your head with your hands you instinctively protect this portion of your brain!)
2. parietal (sensory center)
3. temporal (auditory center)
4. occipital (vision center)
5. insula (internal) inside temporal

limbic system

includes amygdala and hippocampus which are involved with memory, reproduction, nutrition, survival instinct

basal ganglia

composed of caudate, lentiform, subthalamic and substantia nigra nuclei
involved in action selection, reinforcement, and reward learning

the most widely studied part of the brain by neurologists and neuroscienists is the...

basal ganglia

the limbic system and basal ganglia are ____ ______ entities

two different

cerebral fissure

separates cerebrum longetudinally

central sulcus

divides brain into anterior (motor) and posterior (sensory)

lateral fissure

divides frontal and parietal from temporal and occipital lobes

cranial nerves

there are 12 pairs that arise from the base of the brain and innervate the facial region
some are sensory or motor and others are mixed (both)

nervous system is involved with most body functions and receives _____ input through _____ in the ______

sensory/receptors/PNS

sensory input from PNS travel through _____ neurons to the _____

sensory/CNS

sensory input is then processed in the CNS at the _____ ____ and/or _____ level

spinal cord/brain

motor outflow

originate in the CNS
taken by motor neuronsto the PNS

sensory input stimultes

reasoning, memory, planning, emotional response

sensation

conscious awareness of stimuli received by sensory receptors
received from external and internal receptors in PNS

sensory receptors generate ____ _____ when stimulated that will travel along neurons to the _____

action potential/CNS

types of sensory receptors

1. mechanoreceptors
2. chemoreceptors
3. thermoreceptors
4. photoreceptors
5. nocioceptors

mechanoreceptors

respond to mechanical stimuli such as compression, bending, stretching
Ex. merkel's disks: superficial touch and pressure
Ex. Pacinian: deep pressure

chemoreceptors

respond to chemical molecules that become attached to receptors on membranes
ex. smell McDonalds nearby

thermoreceptros

respond to changes in temperature

photoreceptors

respond to light

nocioceptors

pain receptors:
respond to overstimulation (and sometimes understimulation) of mechanical, chemical, thermal, or light stimuli
work with others to maintain homeostasis

The only sensory receptor that can respond to more than one type of stimulus is ________

Nocioceptors

types of recpetors based on location

three thpes:
exteroreceptors
viceroreceptors
proprioceptors

exteroreceptors

associated with skin
outside of body: hair and skin

viceroreceptors

associated with organs
refer pain to different location

proprioceptors

associated with joints and tendons
ex. golgi tendon organ associated with a tendon and these receptors respond to increased tension on it

response to a sensory receptor

interaction of a sensory receptor with its specific sensory stimulus will cause the receptor to establish an action potential. AP travels along sensory neurons toward CNS
CNS interprets the sensory stimulus and a motor response is produced

accomodation

decrease in sensitivty to a stimulus
ex. jump in pool and your thermoreceptors eventually stop telling you it's too cold because you have adjusted to the stimulus

what is the only sensory receptor that doesn't accomodate?

nocioreceptors

sensory nerve tract

pathways that go from spinal cord to the brain, carrying specific information
names indicate where they begin and end

spinothalamic tract

begins at different levels inside the spinal cord. AP that enter this tract will go to the thalamus. Neurons will synapse and the information will be taken to the cortex for interpretation

anterior spinothalamic tract

LST: carries info regarding pain and temperature
AST: carries info regarding light touch, tickle, itching
tracts involve four neuron sequence from PNS receptors to cortex

Decussation occurs at the _______ tracts, meaning sensation is found on the opposite side of the body

spinothalamic tract

two point discrimination test

pins on different areas of body and tell where they are
if wrong, could be nervous system problems

sensory areas of the cerebral cortex

from the thalamus the sensory AP goes through sensory pathways to primary sensory areas located in postcentral gyrus

homunculus

organized: each sensation has a specific place in the brain

mechanoreceptors=touch receptors
what are the types of touch receptors?

1. meissners corpuscles
2. pacinian corpuscles
3. merkels disks
4. hair follicle receptors

meissners corpuscles

dendrites in connective tissue in dermal papillae of skin
concentrated in fingertips, tongue, soles of feet
help determine texture of objects
respond to SOFT DEEP TOUCH
Fast adaptation

pacinian corpuscles

oval, composed of dendrites in connective tissue
deep in subcutaneous layer under dermis
respond to DEEP PRESSURED TOUCH
fast adaptation

merkels disks

detect LIGHT SUPERFICIAL TOUCH and PRESSURE
located superficially in epidermis

Hair follicle receptors

respond to LIGHT TOUCH
extremely sensitive

thermal receptor

free nerve endings in skin
separate for hot vs. cold
fast adaptation

pain receptors

two kinds:
1. somatic: from receptors in skin, skeletal muscle, joints, tendons. Easily placed where pain and injury are.
2. visceral: results from receptors in viscera. Referred pain makes finding actual source of pain hard. Ex. heart attack

phantom pain

amputees
neuron pathway that carried AP still present carry AP to cerebral cortex and is interpreted as originating in the lost limb.
Spontaneously occurring after surgery by fade with time.

taste area

inferior end of postcentral gyrus
receives info from tongue

olfaction

inferior frontal lobe

auditory

superior temporal lobe

visual

occipital lobe

two sensory areas in cortex

primary and association

primary sensory area

perception, identification of stimulus and localization

association sensory areas

Rely on former experiences with stimulus and pass judgement important or can it be ignored
ex. face in crowd

motor areas of cerebral cortex

1. precentral gyrus in primary motor cortex
2. premotor area
3. motor tracts
4. motor neurons

the motor areas control...

control effector organs
ex. muscles, tendons, joints, glands, organs

precentral gyrus

primary motor cortex
AP coming from this area of the brain will control many voluntary movements
influence from premotor area of brain offers organization to movement

premotor area is present in the ____ of the ____ _____

front/precentral gyrus
responsible for organization of movement

apraxia

difficulty or hesitncy in movement
pathology of precentral gyrus

what are the two types of motor nerves?

1. upper motor neuron: connects cerebrum to lower motor neuron (brain stem or spinal cord)
2. lower motor neuron (runs from brain stem or spinal cord to the skeletal muscles through the PNS)

broca's area

motor speech area located in inferior part of frontal lobe and is in charge of complex movements of mouth and throat necessary for speech to occur.

wernicke's area

sensory speech area in nearby parietal lobe that is responsible for understanding and formulating speech

aphasia

absence or defective speech
lesion in speech cortex

prefrontal

cerebral cortex
most anterior portion of the frontal lobe
appears where much of the personality is
qualities such as motivation, intelligence, abstract ideas, judgement, empathy, conscience
leison changes personalithy

electroencephalogram (EEG)

there is electrical activity in skeletal muscle, nerves, heart, and brain
records electrical activity in the brain. AP sensed by electrodes placed on the scalp and brain waves are generated

aging of the nervous system

as we age there is a decline in sensory and motor function
size and weigh of the brain is decreased that leads to slower reflexes, decrease in short term memory and changes in sleep patterns
long term memory is not affected and is actually improved

alzheimer's disease

mental deterioration. Loss of number of acetylcholine neurons resulting in decrease in size of brain and collections of granular structures (amyloid plaques) on the cortex
decreases intelligence, memory, and mood changes seen

left hemisphere

important for speech, written language, numerical and scientific skills and reasoning

right hemisphere

more important for musical and artistic awareness, space perception, insight, analytical, and imagination

usually one hemisphere will _____ and will lead to right or left handedness

dominate

can you have a brain without a dominate side?

Yes. But it causes learning problems.

Cerebrovascular accident (CVA/Stroke)

neurons of a portion of the brain will die due to lack of blood flow and therefore lack of oxygen to that area.
Caused by blockage within vessels going to the area (thrombosis or embolism) or a hemorrhage

infarct

death of cells due to lack of blood supply
symptoms: paralysis of side of body, opposite the cerebral infarct

is there prevention for clots?

Yes: a daily dose of aspirin may decrease risk of developing clots in blood

concussion

slight milk brain injury
bleeding and tearing of verve fibers
recovery likely with some memory loss

contusion

more severe TBI
nervous tissue destruction (doesn't regenerate)

cerebral edema

swelling from inflammatory response
may compress and kill brain tissue

subdural hematomoa

blood beneath dural space

CVA

stroke
ruptured blood vessel
damages tissue

alzheimers disease

progressive degenerative brain disease: microglial cells
abnormal protein deposits and twisted fibers within neurons
memory loss, irritability, confusion, hallucinations, and death