Lecture 9 - drcink.net

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Lecture 9

Nervous Tissue and the Spinal Cord

Neurons – nerve cells

Universal properties of neurons o Excitability – all neurons have the ability to respond to environmental changes o

Conductivity – Neurons produce traveling electrical signals that quickly reach other cells at distant locations o Secretion – when the electrical signal reaches the end of a nerve fiber, the neuron usually secretes a chemical called a neurotransmitter that stimulates the next cell

Functional classes of neurons o Sensory (afferent) neurons – neurons specialized to detect stimuli such as light, temperature, or pressure and to transmit information about them towards the CNS o

Interneurons (association neurons) – neurons located entirely within the brain or spinal cord

These neurons carry out the integrative function of the nervous system – they process, store and retrieve information, and “make decisions” about how the body responds to stimuli o Motor (efferent) neurons – neurons that send signals to muscle or gland cells, sending signals away from the central nervous system

Structure of a neuron o

Soma (cell body) – control center of the neuron

Has a nucleus and cytoplasm containing organelles like other cells o Dendrites - processes of a neuron that receives information from other cells or from environmental stimuli

It conducts signals toward the soma

Dendrites are usually shorter, more branched, and more numerous than the axon o Axon – process of a neuron that conducts action potentials away from the soma

Each neuron has only one axon

The distal end of an axon usually has termina arborization

Terminal arborization is an extensive complex of fine branches

Each branch ends in a synaptic knob

Synaptic knob (terminal button) o Swollen tip of the distal end of an axon; the site of synaptic vesicles and neurotransmitter release

Neuronal variety o

Multipolar neurons – Have one axon and two or more dendrites

This type is common in the brain and spinal cord o Bipolar neurons – have one axon and one dendrite

Includes olfactory cells and sensory cells of the inner ear o

Unipolar neurons – have only one process leading away from the soma

Also called pseudounipolar neurons

Includes neurons that carry signals to the spinal cord o

Anaxonic neurons – have multiple dendrites but no axon

This type is found in the brain and retina

Supportive Cells

Types of Neuroglia o Oligodendrocytes – Forms a myelin sheath around nerve fibers in the central nervous system o Astrocytes – form the blood-brain barrier that controls which substances are able to get from the bloodstream into the brain tissue o Ependymal Cells – produce cerebrospinal fluid and help to circulate cerebrospinal fluid

o Microglia – develop from white blood cells and phagocytize dead nervous tissue, microorganisms, and other foreign matter o Schwann Cells – envelop peripheral nervous system fibers with myelin and assist in the regeneration of damaged fibers

Myelin o

Insulating layer around a nerve fiber o Formed by oligodendrocytes in the CNS and Schwann cells in the PNS o Axons are covered in segments

Gaps between segments are called nodes of Ranvier

Myelin-covered areas between nodes of Ranvier are called internodes

Myelin and signal conduction o In an unmyelinated nerve fiber, the signal spreads by diffusion of sodium and potassium ions through the plasma membrane at every point along the fiber

The ion movement creates a sudden voltage change called an action potiential at each point

Each action potential triggers another one just ahead of it

The nerve signal consists of a wave of action potentials traveling down the axon

This signal travels at about .5 to 2 m/sec o In a myelinated nerve fiber, the ion movements through the membrane occur only at the nodes of Ranvier (gaps between segments of myelin)

In the internodes (myelin covered portions), signals travel by a much faster process of ion diffusion along the length of the nerve fiber immediately under the plasma membrane

Since most of the fiber is covered with myelin, the signal can travel as fast as

120 m/sec

Synapses and Neural Circuits

Synapses – the meetings between neurons and any other cells o

Chemical synapses – junctions in which the presynaptic neuron releases a neurotransmitter to stimulate the postsynaptic cell

At a chemical synapse, a terminal branch of a presynaptic fiber ends in a swelling called the synaptic knob

Between the synaptic knob and the next cell there is a 20-40 nm gap called the synaptic cleft

A nerve signal arrives at the end of the presynaptic neuron and triggers the release of neurotransmitters that either excite or inhibit the postsynaptic cell o

Electrical synapses – junctions in which adjacent cells are joined by gap junctions

Ions diffuse directly from one cell to the next for quick transmission

The Spinal Cord

Functions o Conduction – the spinal cord contains fibers that conduct information up and down the body

It enables sensory information to reach the brain

It enables motor commands to reach the receptors

Input received at one level of the spinal cord can affect output at another level o Locomotion – the simple repetitive muscle contractions that put one foot in front of another are controlled by central pattern generators in the spinal cord

The spinal cord does not control the speed or direction of locomotion (those are under control of the motor neurons in the brain) o Reflexes – the spinal cord is responsible for involuntary stereotyped responses to stimuli

Surface Anatomy o 31 pairs of spinal nerves over five regions

8 Cervical (C1-C8)

12 Thoracic (T1-T12)

5 Lumbar (L1-L5)

5 Sacral (S1-S5)

1 Coccygeal o Enlargements

The diameter of the spinal cord is relatively constant except for the cervical enlargement and lumbar enlargement o

Conus medullaris

Location in which the cord tapers to a point below the lumbar enlargement o Cauda equina

 Bundle of nerves resembling a horse’s tail that innervates the pelvic organs and lower limbs

Meninges of the Spinal Cord o Dura mater – outermost meninx that forms a dural sheath around the spinal cord

Epidural space is found between the sheath and the vertebral bone

It is a space filled with blood vessels, loose connective tissue, and adipose tissue

It is a site where anesthetics are sometime introduced to block pain signals o Arachnoid- middle meninx that adheres to the inside of the dura mater composed of a loose mesh of collagenous and elastic fibers

Subarachnoid space is the gap between the arachnoid and the pia mater

Filled with cerebrospinal fluid

Lumbar cistern is a (subarachnoid) space occupied by the cauda equina below the medullary cone o Pia mater – innermost layer of the meninges that closely follows the contours of the spinal cord

Cross-Sectional Anatomy o Gray matter – has a dull color because it contains very little myelin

Contains the somas, dendrites, and proximal parts of the axons of neurons o

White matter – has a pearly white color because it contain myelin

Composed of axons that carry signals from one part of the CNS to another

Spinal Tracts o Ascending tracts o Descending tracts

The Spinal Nerves

General Anatomy of Nerves and Ganglia o

Nerve – cordlike organ composed of axons bound together by connective tissue

Mixed nerve – consists of both sensory and motor fibers and transmits signals in two directions (but any one fiber transmits in only one direction)

Sensory nerve – consists of sensory axons, including those of the olfactory and optic nerves

Motor nerve – consists of motor fibers only

Many motor nerves are actually mixed nerves because they also carry sensory signals from muscles back to the CNS o

Ganglion – a cluster of cell bodies outside the CNS (resembling a knot).

Spinal Nerves o Proximal Branches

Dorsal root- afferent signals

Ventral root- efferent signals o Distal Branches

Dorsal ramus – innervates the muscles and joints in that region fo the spine and the skin of the back

Ventral ramus – innervates the ventral and lateral skin and muscles of the trunk and gives rise to the nerves of the limbs

In the thoracic region, it forms the intercostals nerve

Nerve Plexuses

o Except in the thoracic region, the ventral rami form web-like nerve plexuses which carry signals from bones, joints, muscles, and the skin o Cervical Plexus (C1-C5) –

Great Auricular nerve (sensory nerve of skin of and around the ear)

Transverse Cervical nerve (sensory nerve of skin of ventral and lateral neck)

Ansa Cervicalis (motor nerve of omohyoid, sternohyoid, and sternothyroid)

Phrenic nerve (motor nerve of the diaphragm) o Brachial Plexus (C5-T1)

Axillary nerve

Radial nerve

Musculocutaneous nerve

Median nerve

Ulnar nerve o

Lumbar Plexus (L1-L4)

Ilioinguinal nerve

Lateral femoral cutaneous nerve

Femoral nerve

Obturator nerve o Sacral Plexus (L4-S4)

Superior gluteal nerve

Inferior gluteal nerve

Sciatic nerve

Tibial nerve

Common fibular (peroneal) nerve

Cutaneous Innervation and Dermatomes o Each spinal nerve receives sensory input from a specific area of skin called a dermatome o Dermatomes overlap at their edges by as much as 50%, so severing one sensory nerve root does not entirely deaden sensation from a dermatome

Somatic Reflexes

Reflexes have 4 properties o They require stimulation – they are responses to sensory input o

They are quick – they involve few if any interneurons and minimal synaptic delay o

They are involuntary – they occur without intent, often without our awareness, and they are difficult to suppress o They are stereotyped – they occur in essentially the same way every time, in a predictable manner

Visceral vs. Somatic o Visceral reflexes are responses of smooth muscle, cardiac muscle, or glands o Somatic reflexes are responses of skeletal muscle, such as the quick withdrawal of your hand from a hot stove

Somatic reflexes use simple neural pathways called reflex arcs that send signals from the sensory nerve ending to the spinal cord or brainstem and back to a skeletal muscle

Monosynaptic reflex arc – simplest type of reflex arc, consisting only of a sensory neuron and a motor neuron (with just one synapse between neurons)

Polysynaptic reflex arc – reflex arc containing one or more association neurons

Ipsilateral reflex – CNS input and output are on the same side of the body

Contralateral reflex – sensory input enters the spinal cord on one side of the body and the motor output leaves from the opposite side

Intersegmental reflex – Sensory signal enters the spinal cord at one level, and the motor output leaves the cord from a higher or lower level. o Example – stepping on something sharp influences trunk muscles that flex the waist, so that as the foot is lifted, the center of gravity is shifted, so that you don’t fall over

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