Uploaded by lilalou52

Central Nervous System Summary Notes

advertisement
The Brain
Major Landmarks
The brain is made of the 1) forebrain, 2) cerebellum, and 3) brainstem
1) Cerebrum is the largest part of the forebrain (83% of volume)
-
Cerebral hemispheres
-
Gyri: thick folds
-
Sulci: grooves
-
Longitudinal cerebral fissure
→ Corpus callosum: thick nerve bundle at bottom of longitudinal fissure that connects
hemispheres
2) Cerebellum is the second-largest part of the brain
-
Located in posterior cranial fossa
-
Also divided into two halves
-
Transverse cerebral fissure: separates cerebrum from cerebellum
-
Contains fissures, sulci, gyri
3) Brainstem
-
Midbrain
-
Pons
-
Medulla
Gray and White Matter
Gray Matter
-
Cell bodies, dendrites, synapses/ axon terminals
-
Myelin sheath
-
Cortex: the cerebrum and cerebellum have a surface of gray matter on the outside; thought
processing occurs here in cerebrum
-
Nuclei: pockets of gray matter deep in the brain, surrounded by white matter
White Matter
-
Composed of tracts; bundles of nerve fibers (axons)
-
Deep to cortical gray matter
-
Connect parts of the brain and to the spinal cord
Gray matter is on the outside of the brain, white matter is on the inside of the brain
-
However, this flips when we get to the spinal cord because of processing/receiving differences
Meninges
Meninges are protective layers of connective tissue in the brain and are continuous all the way down
the spinal cord
1) Dura Mater - tough, anchors, has connections to arachnoid mater
-
Outer periosteal layer: like periosteum
-
Inner meningeal layer: continues into vertebral canal and forms dural sheath around
spinal cord
→ Dural sinuses: spaces between the separation of periosteal and meningeal layers that
collect blood circulating through the brain; constantly producing CSF, part of vascular
system
1) Superior sagittal sinus - return of CSF along median line
2) Transverse sinus - return of CSF from rear of head to each ear; between
cerebellum and cerebrum
Folds of Dura Mater
-
Falx cerebri: separate two cerebral hemispheres
-
Tentorium cerebelli: separate cerebrum from cerebellum
-
Falx cerebelli: separate right and left halves of cerebrum
2) Arachnoid Mater - transparent membrane over brain surface
-
Subarachnoid space separates it from the pia mater below; filled with CSF and blood
vessels
3) Pia Mater - extremely thin membrane
-
Follows brain contours
-
Follows arteries as they penetrate into the cerebrum
Ventricles
-
Aqueducts for CSF to flow
●
Lateral ventricles: one in each cerebral hemisphere
-
CSF generated here; lined with ependymal cells
●
Third ventricle: narrow medial space beneath corpus callosum
●
Fourth ventricle: small chamber between pons and cerebellum
Ventricles connected by…
●
Interventricular foramen: pore connecting lateral ventricles to third ventricle
●
Cerebral aqueduct: tube running through midbrain connecting third and fourth ventricles
●
Central canal: tube connecting fourth ventricle and runs through spinal cord center
-
Largest passageway
CSF leaves 4th ventricle to go through the central canal, to the spinal cord, to the pia and arachnoid
mater, then flows back up
Cerebrospinal Fluid
-
Clear, colorless fluid that fills ventricles of the CNS and bathes its external surface
-
Production of CSF begins with filtration of blood plasma through brain capillaries
-
Continuously flows CNS, driven by pressure, cilia, brain pulsations from heartbeat
Choroid Plexus: spongy mass of blood capillaries on the floor of each ventricle
Ependymal cells: neuroglia that line ventricles and cover the choroid plexus
-
Modify filtrate
CSF has more Na+ and Cl- than blood plasma and less K+, Ca2+, glucose, and little protein
Functions of CSF
1) Buoyancy
-
Brain attains size without being impaired by weight
2) Protection
-
Protects brain from striking cranium when head is jolted
3) Chemical Stability
-
Flow of CSF rinses away metabolic wastes from nervous tissue and regulates chemical
environment
The Hindbrain and Midbrain
Medulla Oblongata
Adult brain region that develops from the embryonic myelencephalon
-
Begins at foramen magnum
-
Basic functions; sends information to the heart
Features:
●
Pyramids: ridges on anterior surface; separated by anterior median fissure
●
CN 8, 9, 10, 12 begin or end in medulla
●
Olives: prominent bulges lateral to each pyramid
●
Gracile (medial) and cuneate (lateral) fasciculi continue as two pairs of ridges on the posterior
medulla
-
●
Contains sensory fibers
Ascending and descending fibers connecting the brain and spinal cord pass through the medulla
Ex:
-
Medial lemniscus: axons of gracile and cuneate nuclei decussate (cross over) and form
ascending (sensory) tracts to the thalamus for communication
-
Corticospinal tracts: descending motor tracts in pyramids; carry signals to skeletal
muscles
●
Contains many nuclei
-
Inferior olivary nucleus: relay center for signals to cerebellum
-
Reticular formation: loose network of nuclei extending through entire brainstem;
contains cardiac center, vasomotor center, and respiratory center; more posterior
Cross Section of Brain Stem:
Pons
Adult brain region developed from embryonic metencephalon
-
Posteriorly, consists of thick stalks; cerebellar peduncles
-
Last area for finite control and communication
Features:
●
Cerebellar peduncles connect the pons and midbrain to the cerebellum on posterior side
●
CN 5, 6, 7, 8
-
Sensory roles: hearing, equilibrium, taste, facial sensation
-
Motor roles: eye movement, facial expression, chewing, swallowing, urination,
secretion of saliva and tears
●
Reticular formation in pons contains additional nuclei concerned with sleep, respiration, &
posture
Midbrain
-
Brain region that develops from the embryonic mesencephalon
-
Connects hindbrain to forebrain
Anatomical Features:
●
Cerebral aqueduct; surrounded by central (periaqueductal) gray substance involved in pain
awareness
●
Continuations of medial lemniscus and reticular formation
●
Motor nuclei of CN III and IV that control eye movements
●
Tectum: roof-like; posterior to cerebral aqueduct with four bulges:
1) Two superior colliculi: visual, tracking moving objects
2) Two inferior colliculi: relay signals from ear to thalamus and other parts of brain
●
Cerebral peduncles: two anterior midbrain stalks that anchor the cerebrum to the brainstem
1) Tegmentum
-
Red nucleus
-
Inside
-
Connections run to and from cerebellum for motor control
2) Substantia Nigra
-
Nucleus within peduncle; dark, melanin
-
Relays inhibitory motor signals to thalamus and basal nuclei, suppressing
unwanted body movement
-
Degeneration = Parkinson’s Disease
3) Cerebral Crus
-
Bundle of nerve fibers connecting communication from cerebrum to pons
-
Carries corticospinal tracts
Reticular Formation
-
Loose web of gray matter running vertically through all levels of the brainstem and into the
upper spinal cord
-
Occupies space between white fiber tracts and brainstem nuclei
-
Connects to many areas of cerebrum
-
Basic functions: heart rate, respiration
-
Sensory input and output; visual sent in from eye to the reticular formation
Functions of Reticular Formation Nuclei
1) Somatic motor control
-
Adjusting muscle tension for tone, balance, posture
-
Relay signals from eye and ears to cerebellum
-
Integrate visual, auditory, balance, and motion stimuli into motor coordination
-
Gaze centers: allow eyes to track and fixate on objects
-
Central pattern generators: neural pools producing rhythmic signals to muscles of
breathing and swallowing
2) Cardiovascular Control
-
Cardiac and vasomotor centers of medulla
3) Pain modulation
-
Some pain signals ascend through
-
Some descending analgesic pathways begin in the reticular formation and end in the
spinal cord where they are blocked
4) Sleep and Consciousness
-
Crucial role
-
Injury = irreversible coma
5) Habituation
-
Reticular activating system modulates activity in the cerebral cortex; ignores repetitive,
unimportant stimuli
The Cerebellum
The cerebellum is the largest part of the hindbrain, the second-largest part of the brain, contains more
than half of the brain's neurons.
-
Granule cells: found in cerebellum; most abundant neuron in the brain
-
Purkinje cells: large cerebellar neurons; axons project deep into nuclei to synapse with neurons
that lead to the brainstem; huge input side, small output side
Anatomical Features:
●
Right and left cerebellar hemispheres connected by the vermis
●
There is a superficial cortex of gray matter with folia (folds), arbor vitae (branching white
matter)
●
Input to the cerebellum goes to the cortex, output comes from the deep nuclei
●
Cerebellar peduncles: three pairs of stalks that connect the brainstem and cerebellum; their
fibers carry signals to and from the cerebellum
1) Inferior peduncles: connect to the medulla, most spinal input enters the cerebellum
through here
2) Middle peduncles: connected to pons, most input from rest of the brain enters through
here
3) Superior peduncles: connected to midbrain, carries cerebellar output
Functions:
1) Motor coordination and locomotor ability
2) Sensory, linguistic, emotional, and other nonmotor functions, including:
●
Comparing textures of objects
●
Perceiving space (as tested by pegboard puzzles)
●
Recognizing objects from different views
●
Keeping judge of elapsed time and maintaining tapping rhythm
●
Directing eye movements to compensate for head movement
●
Judging pitch of tones; distinguishing between spoken words
●
Helping in verbal association tasks
●
Planning, scheduling, and emotion control
The Forebrain
Two parts:
1) Diencephalon
-
Encloses third ventricle, most rostral part
2) Telencephalon
-
Develops into the cerebrum
Diencephalon
1) Thalamus
-
Ovoid mass each side of brain
-
Joined by interthalamic adhesion
-
⅘ of diencephalon
-
23 nuclei in five groups: anterior, posterior, medial, lateral, ventral
-
Major TRANSMISSION area
-
Gateway to cerebral cortex; nearly all input to cerebrum synapses in thalamic nuclei
-
Not all information is passed along; screens out most of information
-
Motor control
-
Relays signals from cerebellum to cerebrum
-
Memory and emotion
-
Some of limbic system
2) Hypothalamus
-
Major CONTROL center
-
Extends anteriorly to optic chiasm, and posteriorly to mammillary bodies; each
containing 3-4 mammillary nuclei that relay signals from the limbic system to thalamus
-
Infundibulum: stalk-like structure where the hypothalamus attaches to the pituitary
-
Contains many nuclei with a variety of visceral, emotional, and behavioral functions
→ Hormone secretion
-
Anterior pituitary: growth, metabolism, reproduction, stress response
-
Posterior pituitary: labor contractions, lactation, water conservation
→ Autonomic nervous system
-
Major integrator
-
Heart rate, BP, GI secretions
→ Thermoregulation
-
Hypothalamic thermostat monitors body temps
→ Food and water intake
-
Regulates hunger and satiety
-
Osmoreceptors; blood, ADH to conserve water
→ Sleep and circadian rhythms
-
Suprachiasmatic nucleus
→ Memory
-
Mammillary nuclei relay signals from hippocampus to thalamus
→ Emotional behavior and sexual response
3) Epithalamus
●
Pineal gland - endocrine gland
●
Habenula - relay info from limbic system to midbrain
The Cerebrum
●
Develops from the telencephalon and is the largest part of the brain
●
Sensory perception, memory, thought, judgment, voluntary motor actions
Anatomy
●
Two hemispheres w/ longitudinal fissure
●
Connected by corpus callosum; white fibrous tract
●
Gyri and sulci increase amount of cortex for more information-processing
Lobes
●
Frontal
-
Voluntary motor, motivation, foresight, planning, memory, mood, emotion, social
judgment, aggression
●
●
●
●
-
Cognition and conscious thought
-
Rostral to central sulcus
Parietal
-
Between central sulcus and parieto-occipital sulcus
-
Integrates general senses, taste, and some visual
-
Where we receive sensory information/ somatosensory (coming in from periphery)
Occipital
-
Caudal to parieto-occipital
-
Primary visual center
Temporal
-
Below lateral sulcus
-
Broca and Wernicke’s areas
-
Hearing, smell, learning, memory, some vision and emotion
Insula
-
Deep to lateral sulcus
-
Understanding spoken language, taste, pain, integration from visceral receptors
Cerebral white matter is most of the volume of the cerebrum
-
Glia and myelinated fibers that transmit signals
-
Tracts: bundles of nerve fibers in CNS
1) Projection: vertically between higher and lower brain and spinal cord centers; dive
down and in
2) Commissural: crossover cerebral hemispheres; most pass through corpus callosum
3) Association: contact different regions with the same cerebral hemisphere; long
association fibers connect different lobes, short association connect gyri in a lobe; move
laterally (ex: putting together words and processing them as a language)
The cerebral cortex is a layer of gray matter covering the hemispheres
-
Billions of neurons
-
40% of brain mass
-
Stellate cells: spheroidal cell bodies with short axons, and dendrites; receive sensory input and
process information locally
-
Pyramidal cells: tall, conical with axons that project into white matter below, output neurons
that connect cortex to other CNS parts
-
90% is the neocortex: six-layered tissue that is evolutionary recent
-
Many dendrites at top and more axons towards bottom
The limbic system is an important center of emotion and learning, sensation of joy; contains
components in each hemisphere:
-
Cingulate gyrus: arches over corpus callosum in frontal and parietal lobes
-
Hippocampus: in medial temporal lobes
-
Amygdala: rostral to hippocampus
Connected by fiber tracts for circular feedback patterns
Reward and aversion
Basal nuclei are masses of cerebral gray matter buried deep in white matter, lateral to the thalamus
-
Motor control
-
Processing and storage of information
-
Include: caudate nucleus, putamen, globus pallidus, collectively called corpus striatum
-
Putamen and globus are called lentiform nucleus
Processing
Cognition
●
Sensory perception
●
Thought
●
Reasoning
●
Judgment
●
Memory
●
Imagination
●
Intuition
Cognition is accomplished by association areas of the cerebral cortex, which is 75% of all brain tissue
-
Parietal: perceive and attend to stimuli
→ Lesions = Contralateral neglect syndrome: unaware of objects on opposite side of the body
-
Temporal: identify stimuli
→ Lesions = Agnosia: inability to recognize or identify familiar objects (ex: prosopagnosia - faces)
-
Frontal: think about world; plan and execute appropriate behaviors
→ Lesions = Personality disorders and socially inappropriate behaviors
Memory
Information management in the brain requires
1) Learning - acquiring info
2) Memory - info storage + retrieval
3) Forgetting - eliminating trivial info
Anterograde amnesia: unable to store new information
Retrograde amnesia: unable to recall known information before the injury
The hippocampus is an important limbic system area for memory
→ Memory consolidation: teaching the cerebral cortex until a long term memory is established
there; does not hold the memory, but organizes cognitive information into a unified long-term
memory
The cerebellum is involved in learning motor skills
The amygdala is involved in emotional memory
Emotion
-
Emotional feelings and memories involve interactions between the prefrontal cortex and
diencephalon
→ Prefrontal cortex: judgment, intent, and control over emotional expression
-
Feelings arise from deep brain regions; hypothalamus and amygdala
Amygdala
-
Fear
-
Food intake
-
Sexual behavior
-
Drawing attention to new stimuli
-
Receives input from sensory systems
-
Outputs to hypothalamus, influencing somatic and visceral motor systems
→ Heart races, blood pressure increases, hair stands, vomiting ensues
-
Outputs to prefrontal cortex, controlling expression of emotions
→ Expressing love, controlling anger, overcoming fear
-
Behavior shaping by learned associations between stimuli, our responses, and reward or
punishment that results
Sensation
The primary sensory cortex is where sensory input is first received and when one becomes conscious of
a stimuli
-
Association areas near the primary sensory areas process and interpret the sensory information
Ex: primary visual cortex is boarded by visual association areas
→ Multimodal association areas: receive input from multiple senses and integrate into overall
perception of surroundings
Ex: orbitofrontal cortex receives taste, smell, and visual to provide desirability of food
Our special senses are…
●
Vision
→ Primary visual cortex: far posterior region of occipital lobe; receives visual signals
→ Visual association area: borders primary cortex anteriorly and occupies all the remaining
occipital lobe
→ Temporal lobe deals with recognizing faces and familiar objects
●
Hearing
→ Primary auditory cortex: superior region of temporal lobe; receives auditory signals
→ Auditory association area: temporal lobe, inferior to primary cortex; recognize spoken words,
music, voices
●
Equilibrium
→ Signals from inner ear project to cerebellum and brainstem nuclei
●
Taste
→ Primary gustatory cortex: inferior end of postcentral gyrus; receives taste signals
●
Smell
→ Primary olfactory cortex: medial cortex of temporal lobe; receives smell signals
Our general (somatosensory, somesthetic, somatic) senses are…
●
Touch
●
Pressure
●
Stretch
●
Movement
●
Heat & Cold
●
Pain
They are distributed over the entire body and involve simple receptors
-
Signals from head pass through CNs to brain
-
Signals from body ascend sensory tracts of spinal cord
The thalamus processes input from the contralateral side
-
Relays signals to postcentral gyrus of parietal lobe
→ Primary somatosensory cortex: cerebral fold caudal to the central sulcus; processes
awareness of stimuli
→ Somatosensory association area: caudal to the postcentral gyrus and in the roof of the
lateral sulcus; makes cognitive sense of stimuli
Sensory homunculus: diagram of sensory inputs to the primary somesthetic cortex in parietal lobe
-
Upside down sensory map of contralateral side of body
Somatotopy: correspondence between an area of the body and an area of the CNS
-
Receptors in lower limbs projecting to superior and medial parts of the gyrus
-
Receptors from face projecting to the inferior and lateral parts of the gyrus
Motor Control
Voluntary motor control involves
1) Motor association (premotor) area
-
Intention/plan to contract muscle; found in frontal lobes
-
Neurons compile program required for action
2) Precentral gyrus (primary motor area)
-
Most posterior gyrus of frontal lobe
-
Send signals to brainstem and spinal cord for muscle contraction
-
Exhibits somatotopy, diagrammed as a motor homunculus
-
Neurons for toe movement are deep in the longitudinal fissure of the medial side of the
gyrus
-
The summit of the gyrus controls the trunk, shoulder, and arm
-
The inferolateral region controls the facial muscles
-
Homunculus looks distorted because the amount of cortex devoted to a given body
region is proportional to the number of muscles and motor units in that body region
(not body region size)
-
Boundaries of cortical areas controlling body regions overlap, not sharply defined—a
muscle is controlled by neurons at several points within a general area of gyrus
Neurons involved in motor control:
●
●
Upper motor neurons: pyramidal cells of the precentral gyrus
-
Synapse with lower motor neurons whose axons innervate skeletal muscles
-
End in nuclei of brainstem and/or form lateral corticospinal tracts
-
Decussate in medulla
Basal nuclei
-
Onset and ceasing intentional movements
-
Hip and shoulder movements in walking
-
Practiced/learned behaviors; writing, typing, driving
-
Feedback circuit:
Cerebrum & substantia nigra → basal nuclei → thalamus → back to cerebrum and
substantia nigra
●
Dyskinesias: movement disorders caused by lesions in basal nuclei (ex: Parkinson’s)
Cerebellum
-
Learning motor skills
-
Muscle tone and posture
-
Smooths muscle contraction
-
Eye and body movements
-
Coordinates motions of joints
-
Lesions = ataxia: clumsy, awkward walking
Language
Wernicke Area: posterior to lateral sulcus, left hemisphere; recognition of spoken and written language
-
Fromulates phrases and transmits plan of speech to Broca
Broca Area: inferior prefrontal cortex, left hemisphere; generates motor program for speech production
-
Transmits plan/program to primary motor cortex for commands to lower motor neurons
supplying relevant muscles
Emotional language aspects controlled by regions in opposite hemisphere
-
Affective language area: right
-
Lesions = prosody: flat, emotionless speech
-
Aphasia: language deficit from lesions in Wernicke or Broca areas
Cerebral Lateralization
Difference in structure and function between the two hemispheres; specialized for tasks and equally
used
Left
-
Categorical
-
Spoken and written language
-
Math and science
-
Information as fragments
Right
-
Integrates information
-
Imagination and insight
-
Music and art
-
Patterns and spatial relationships
-
Comparison of sights, sounds, smells, taste
Cerebral lateralization correlated with handedness, age, and sex
-
Lateralization develops with age, so children are more resilient to lesions on one side
-
Males exhibit more lateralization than females and suffer more functional loss with damage
Download