Unit 5: The Nervous System Unit 5 The Nervous System (4 hours LEC/6 hours LAB) Introduction This unit describes one of the very complex organ systems of the body – the nervous system. This begins in looking at an overview of the structures of the nervous system to understand how many of these functions are possible. It presents its two major divisions, namely the central nervous system and peripheral nervous system. Though each subdivision is also called a "nervous system," all of these smaller systems belong to the single, highly integrated nervous system where each subdivision has structural and functional characteristics that distinguish it from the others. Learning Outcomes At end of this unit, you are expected to: a. discuss the division of the Nervous System; b. identify the gross structure and function of the Central Nervous System; c. identify the gross structure and function of the Peripheral Nervous System; d. list the cranial nerves in order of anatomical location and provide the central and peripheral connections; e. list the spinal nerves by vertebral region and by which nerve plexus each supplies; f. correlate the problems of the nervous system with its effect on the respiratory system; g. enumerate the neurotransmitters and their function; and h. describe the neuronal pathway Presentation of Contents It is probably difficult for us to understand how possible it is for us to think, feel, control our body movements and even control the things you don’t think about, like the beating of your heart, and breathing. So let us take a snapshot of the nervous system which tries to control these things. And, eventually it will make it easier for us to understand the whole complex system. The nervous system is generally characterized as the body’s communication network that consists of all nerve cells. Also, it is a major controlling and regulatory system of the body and the center of all mental activity. 28 Unit 5: The Nervous System The nervous system is intricate with numerous parts and various new vocabulary words. It might even seem overwhelming at first but you can get it through the figures and a little study reading VanPutte, Regan & Russo (2019); Marieb E. & Keller (2019) or Rizzo D. (2016). Figure 1. Major division and subdivision of the nervous system. Figure 2. Organization of the nervous system Application: 1. Identify five general functions of the nervous system. Explain these functions and give examples each. 29 Unit 5: The Nervous System 2. Discuss briefly each component of the nervous system as presented in Figure 1. 3. Explain the communication between the central nervous system and peripheral nervous sytem as presented in Figure 2. Your readings might have introduced you already of the different structures making up the nervous system. And though the nervous system has been characterized as a complex system it only composed of two main types of cells in nerve tissue, specifically; the neuron (nerve cell) and the neuroglia (glial cell). The former is the "conducting" cell and has three significant parts; the cell body, the dendrites and the axon, and are further classified as multipolar, bipolar and pseudo-unipolar. While the latter is the “supporting” cells because it carry out different functions that enhance the functions of the neurons. They are also classified according to type based on location, for the CNS we have the astrocytes, ependymal cells, microglia and oligodendrocytes and for the glial cells of the PNS, we have the Schwann cells. A localized collection of neuron cell bodies in the CNS is referred to as a nucleus. In the PNS, a cluster of neuron cell bodies is referred to as a ganglion. A bundle of axons, or fibers, found in the CNS is called a tract whereas the same thing in the PNS would be called a nerve. The cells in the nervous system communicate through electrical signals and neuronal pathways. All cells exhibit electrical properties. Neuron as described are similar to a light switch being turned on, but, “what flips the light switch on?” This change is a result of resting membrane potentials, action potentials a nd communication in between synapse. Moreover, within the CNS are organized to form pathways. The simplest are the converging and diverging pathways. Within the CNS and in many PNS synapses, it takes more than a single action potential to have an effect. The reflex arc on the other hand, is the neuronal pathway by which reflex occurs and generally has five basic components, to be exact are the sensory receptor, sensory neuron, interneuron, motor neuron and the effector organ. To understand further these processes, read and appreciate the illustrations presented in VanPutte, Regan & Russo (2019); Marieb E. & Keller (2019) or Rizzo D. (2016). 30 Unit 5: The Nervous System 1. Describe the neuron as a “conducting cell”. Define its structures. 2. Differentiate the types of neurons and give examples for each. 3. Discuss the structure and function of the four glial cells. 4. Explain the resting membrane potential. Describe the role of the potassium leak channel and the sodium- potassium pump. 5. Put in a diagram the events that generate an action potential. 6. Describe the events that happen in between synapse. Start with an action potential in the presynaptic neuron and end with the generation of an action potential in the postsynaptic neuron. 7. List the different neurotransmitters. Describe their primary function. 8. Compare and contrast the converging and diverging pathways. Give an example for each. One easy approach to activate your understanding of the structure of the nervous system is to start with the large divisions and then going through a more in-depth learning of its specific structures. The Central Nervous System consists of the brain and spinal cord, which are located in the dorsal body cavity. The brain is surrounded by the cranium, and the spinal cord is protected by the vertebrae. The brain is continuous with the spinal cord at the foramen magnum. In addition to bone, the CNS is surrounded by connective tissue membranes, called meninges, and by cerebrospinal fluid. The brain is divided into the cerebrum, diencephalons, brain stem, and cerebellum. The largest and most obvious portion of the brain is the cerebrum, which is divided by a deep longitudinal fissure into two cerebral hemispheres and is connected by an arching band of white fibers, called the corpus callosum. Each cerebral hemisphere is divided into five lobes, four of which have the same name as the bone over them: the fontal lobe, the parietal lobe, the occipital lobe, and the temporal lobe. A fifth lobe, the insula or Island of Reil, lies deep within the lateral sulcus. The diencephalon is centrally located and is nearly surrounded by the cerebral hemispheres. It includes the thalamus, hypothalamus, and epithalamus. The brain stem is the region between the diencephalons and the spinal cord. It consists of three parts: midbrain, pons, and medulla oblongata. The cerebellum, the second largest portion of the brain, is located below the occipital lobes of the cerebrum. Three paired bundles of 31 Unit 5: The Nervous System myelinated nerve fibers, called cerebellar peduncles, form communication pathways between the cerebellum and other parts of the central nervous system. A series of interconnected, fluid-filled cavities are found within the brain. These cavities are the ventricles of the brain, and the fluid is cerebrospinal fluid (CSF). The spinal cord extends from the foramen magnum at the base of the skull to the level of the first lumbar vertebra. The cord is continuous with the medulla oblongata at the foramen magnum. Like the brain, the spinal cord is surrounded by bone, meninges, and cerebrospinal fluid. The spinal cord is divided into 31 segments with each segment giving rise to a pair of spinal nerves. At the distal end of the cord, many spinal nerves extend beyond the conus medullaris to form a collection that resembles a horse's tail. This is the cauda equina. In cross section, the spinal cord appears oval in shape. The spinal cord serves as a conduction pathway for impulses going to and from the brain. Sensory impulses travel to the brain on ascending tracts in the cord. Motor impulses travel on descending tracts. On the other hand, the Peripheral Nervous System consists of the nerves that branch out from the brain and spinal cord. These nerves form the communication network between the CNS and the body parts. It is further subdivided into the somatic nervous system and the autonomic nervous system. The somatic nervous system consists of nerves that go to the skin and muscles and is involved in conscious activities. While the autonomic nervous system consists of nerves that connect the CNS to the visceral organs such as the heart, stomach, and intestines which mediates unconscious activities. A nerve contains bundles of nerve fibers, either axons or dendrites, surrounded by connective tissue. Sensory nerves contain only afferent fibers, long dendrites of sensory neurons. Motor nerves have only efferent fibers, long axons of motor neurons. Mixed nerves contain both types of fibers. Twelve pairs of cranial nerves emerge from the inferior surface of the brain. The cranial nerves are designated both by name and by Roman numerals and most of the nerves have both sensory and motor components. There are thirty-one pairs of spinal nerves emerge laterally from the spinal cord. Each pair of nerves corresponds to a segment of the cord, specifically; there are 8 cervical nerves, 12 thoracic nerves, 5 lumbar nerves, 5 sacral nerves, and 1 coccygeal nerve. The autonomic nervous system is a visceral efferent system, which means it sends motor impulses to the visceral organs. It functions 32 Unit 5: The Nervous System automatically and continuously, without conscious effort, to innervate smooth muscle, cardiac muscle, and glands. It is concerned with heart rate, breathing rate, blood pressure, body temperature, and other visceral activities that work together to maintain homeostasis. The autonomic nervous system has two parts, the sympathetic division and the parasympathetic division. To add up to this knowledge, complement this by reading VanPutte, Regan & Russo (2019); Marieb E. & Keller (2019) or Rizzo D. (2016). 1. Name the three layers of meninges around the brain and spinal cord. Describe each layer. 2. Elaborate the function of the brain structures. a. Cerebrum - right and left hemispheres - lobes: frontal, parietal, temporal, occipital, insula b. Diencephalon - thalamus, hypothalamus, and epithalamus c. Brain stem - midbrain, pons, and medulla oblongata d. Cerebellum 3. Discuss the structure of the spinal cord. Explain how the spinal nerve is connected to the spinal cord. 4. Trace the CSF pathway. 5. List the different cranial nerves. Describe the mode of assessment for each. 6. Differentiate the function of the sensory neuron and motor neuron. 7. List the innervation of each spinal nerve. 8. Compare and contrast sympathetic from parasympathetic response. An essential role of sensory receptors is to help us explore and learn about the environment around us, or the state of our internal environment. The senses a re the means by which the brain receives information about the environment and the body. The process initiated by stimulating sensory receptors is termed as sensation, while the conscious awareness of hose stimuli is perception. Stimuli in the environment activate specialized receptor cells in the peripheral nervous system. Different types of stimuli are 33 Unit 5: The Nervous System sensed by different types of receptor cells. Receptor cells can be classified into types on the basis of three different criteria: cell type, position, and function. Ask anyone what the senses are, and they are likely to list the five major senses—taste, smell, touch, hearing, and sight. However, these are not all of the senses. The most obvious omission from this list is balance. A general sense is one that is distributed throughout the body and has receptor cells within the structures of other organs. Mechanoreceptors in the skin, muscles, or the walls of blood vessels are examples of this type. General senses often contribute to the sense of touch, as described above, or to proprioception (body movement) and kinesthesia (body movement), or to a visceral sense, which is most important to autonomic functions. A special sense is one that has a specific organ devoted to it, namely the eye, inner ear, tongue, or nose. Each of the senses is referred to as a sensory modality. Gustation is the special sense associated with the tongue. The receptor cells are sensitive to the chemicals contained within foods that are ingested, and they release neurotransmitters based on the amount of the chemical in the food. Neurotransmitters from the gustatory cells can activate sensory neurons in the facial, glossopharyngeal, and vagus cranial nerves. Like taste, the sense of smell, or olfaction, is also responsive to chemical stimuli. As airborne molecules are inhaled through the nose, they pass over the olfactory epithelial region and dissolve into the mucus. Hearing, or audition, is the transduction of sound waves into a neural signal that is made possible by the structures of the ear. The auricle, ear canal, and tympanic membrane are often referred to as the external ear. The middle ear consists of a space spanned by three small bones called the ossicles. The three ossicles are the malleus, incus, and stapes, which are Latin names that roughly translate to hammer, anvil, and stirrup. The middle ear is connected to the pharynx through the Eustachian tube, which helps equilibrate air pressure across the tympanic membrane. Along with audition, the inner ear is responsible for encoding information about equilibrium, the sense of balance. Somatosensation is the group of sensory modalities that are associated with touch, proprioception, and interoception. These modalities include pressure, vibration, light touch, tickle, itch, temperature, pain, proprioception, and kinesthesia. 34 Unit 5: The Nervous System Vision is the special sense of sight that is based on the transduction of light stimuli received through the eyes. Tears are produced by the lacrimal gland. Movement of the eye within the orbit is accomplished by the contraction of six extraocular muscles that originate from the bones of the orbit and insert into the surface of the eyeball. Four of the muscles are arranged at the cardinal points around the eye and are named for those locations. They are the superior rectus, medial rectus, inferior rectus, and lateral rectus. Photoreceptor cells have two parts, the inner segment contains the nucleus and other common organelles of a cell, whereas the outer segment is a specialized region in which photoreception takes place. There are two types of photoreceptors—rods and cones—which differ in the shape of their outer segment. There are three cone photopigments, called opsins, which are each sensitive to a particular wavelength of light. The wavelength of visible light determines its color. The pigments in human eyes are specialized in perceiving three different primary colors: red, green, and blue. VanPutte, Regan & Russo (2019); Marieb E. & Keller (2019) or Rizzo D. (2016). will help you further in understanding the concepts of the special senses. 1. Describe structural receptor types and functional receptor types. 2. Discuss the functional parts of the five senses. Name and identify their specific receptors. 3. Indicate the action of the extrinsic eye muscle. 4. Identify assessment methods for the special senses Unit Summary Here is what you have learned from the Nervous system: - The nervous system is the major controlling, regulatory, and communicating system in the body and the center of all mental activity. - The various activities of the nervous system generally includes; sensory, integrative, and motor function. - Neurons are the nerve cells that transmit impulses. Supporting cells are neuroglia. - A neuron is composed of a cell body or soma, one or more afferent processes called dendrites, and a single efferent process called an axon. 35 Unit 5: The Nervous System - - The central nervous system consists of the brain and spinal cord. The peripheral nervous system consists of cranial nerves, spinal nerves, and ganglia. The afferent division of the peripheral nervous system carries impulses to the CNS; the efferent division carries impulses away from the CNS. There are three layers of meninges around the brain and spinal cord, the dura mater, arachnoid, and the pia mater. The spinal cord functions as a conduction pathway and as a reflex center. Sensory impulses travel to the brain on ascending tracts in the cord. Motor impulses travel on descending tracts. The major senses are taste, smell, touch, hearing, sight and also the sense of balance. Feedback Part 1: Test for Critical Thinking. Read and analyze the problems carefully. From your readings and understanding answer the questions concisely and in no more than 300 words. 1. It had been a busy week for you. You had taken various exams and activities recently, and as if that wasn't stressful enough, plus you spend much of your time helping out at home. By the end of the week, you decided to go for a walk and some genuine relaxation. The day was warm you took off her shoes when at home. Halfway up the stairs, you stepped on something extremely sharp and withdrew your foot in pain. You hopped around on one foot, rubbing the other to ease the pain, and then sat on the sofa. This incident is a simple event and may have happened to you. In terms of the neural pathways, this reaction requires a complex neural net. Explain what happened? 2. Reflex output is initiated by an input stimulus and result in an output response. Reflex activity ranges from simple to complex. In a table format, list the different types of reflex and how to assess these functions. 36 Unit 5: The Nervous System 3. John encountered a motor vehicular accident when returning home from work. Upon assessment he said he has lost his consciousness for quite a while. On the basis of what you learned about the brain function. Discuss the symptoms that would likely to occur if John had cerebellar damage? Part 2: Drawing/Labelling Exercise. Write your answers legibly. 1. Name the following parts of the neuron as indicated. Specify the functions of each part. 2. Illustrate and explain the reflex arc. 3. Illustrate and explain transmission of neuronal impulses across synapse. 4. Label the parts of the brain responsible for control of respiration. 37 Unit 5: The Nervous System References: Textbook/Manual: 1. Tortora & Derrikson (2016). Principles of Anatomy and Physiology, 15th Edition. 2. VanPutte C., Regan J., Russo A. (2019). Seeley’s Essentials of Anatomy and Physiology 10th Edition 3. Gunstream S. (2003), Anatomy & Physiology, 3rd Ed. McGraw Hill 4. Marieb E. & Keller S., (2019). Essentials of Human Anatomy & Physiology,12th Ed, Pearson 5. Rizzo D. (2016). Fundamentals of Anatomy & Physiology, 4th Ed. Pearson 6. Hapan M.F., Domingo J., Sadang M.G. (2015). Human Physiology and Anatomy Laboratory Manual 2nd Edition C&E Publishing Online Sources: https://courses.lumenlearning.com/suny-ap1/ https://training.seer.cancer.gov/anatomy/ 38