Anatomy & Physiology Chapter 13 The Brain And Cranial Nerves F ‘12 The Brain Four major regions of the brain: 1.Cerebrum 2.Diencephalon 3.Cerebellum – contains 50% of neurons in brain 4.Brainstem – ends at foramen magnum Directional Terms of Brain Quadripedal vs Bipedal : 1. Rostral – toward the nose or anterior 2. Caudal – toward the tail or caudal Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Central sulcus Frontal lobe Parietal lobe Gyrus Sulcus Cerebrum Occipital lobe Lateral sulcus Temporal lobe Pons Brainstem Cerebellum Medulla oblongata Spinal cord (a) Left lateral view © The McGraw-Hill Companies, Inc./Photo and Dissection by Christine Eckel Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Anterior Posterior Central sulcus Parietal lobe Frontal lobe Diencephalon Parieto-occipital sulcus Corpus callosum Interthalamic adhesion Thalamus Occipital lobe Pineal gland Tectal plate Hypothalamus Cerebral aqueduct Pituitary gland Fourth ventricle Temporal lobe Midbrain Cerebellum Brainstem Pons Medulla oblongata Spinal cord Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cerebral hemispheres Anterior Eye Frontal lobe Olfactory bulb Olfactory tracts Optic chiasm Optic nerve Pituitary gland Optic tract Temporal lobe Cerebrum Mammillary bodies Midbrain Pons Brainstem Medulla oblongata Cranial nerves Cerebellum Occipital lobe Posterior Development of the Brain 1. Neurulation a. Formation of the neural tube b. Neural tube becomes the central nervous system c. Failure of neuropores to close results in neural tube defect, Ex. Spina bifida 2. Brain develops from cranial neural tube 3. Spinal cord develops from caudal neural tube Neurulation Neural Tube Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. INTEGRATE Neural Tube Defects (a) Spina bifida cystica (top): © OJ Staats/Custom Medical Stock Photo; (bottom): © NMSB/Custom Medical Stock Photo Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Rhombencephalon Prosencephalon Mesencephalon Mesencephalon Prosencephalon Rhombencephalon Spinal cord Spinal cord 4 weeks 5 Secondary Brain Vesicles Myelencephalon Telencephalon Metencephalon Mesencephalon Diencephalon 5 Mesencephalon Diencephalon Telencephalon Metencephalon Spinal cord Myelencephalon Spinal cord 5 weeks Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cerebrum Outline of diencephalon Cerebrum Outline of diencephalon Mesencephalon Cerebellum Mesencephalon Cerebellum Pons Medulla oblongata Pons Medulla oblongata Spinal cord Spinal cord (c) 13 weeks (d) 26 weeks Cerebrum Diencephalon Midbrain Pons Medulla oblongata Cerebellum Spinal cord (e) Birth Table 13.1 Brainstem Gray & White Matter 1. Gray matter a. Composed of neuron cell bodies, dendrites, and synapses b. Forms surface cortex over cerebrum and cerebellum c. Deeper masses of gray matter = nuclei 2. White matter a. Lies deep to cortical gray matter b. Composed of tracts, as in spinal cord Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Gray matter White matter Inner white matter Cortex Corpus callosum Cerebral nuclei Internal capsule Lateral ventricle (a) Coronal section of cerebrum and diencephalon (a) Cortex (gray matter) Inner gray matter Cerebrum Cerebellum (b) Cerebellum (c) Medulla oblongata Fourth ventricle Inner gray matter Brainstem Outer white matter Spinal cord (b) Cerebellum and brainstem Fourth ventricle Inner gray matter Outer white matter (d) Central canal Outer white matter (c) Medulla oblongata Inner gray matter (d) Spinal cord Protection & Support 1. Bony Cranium – rigid support 2. Cranial Meninges – protective connective tissue membranes a. Septa – Extensions of dura that partition 3. Cerebrospinal Fluid – physical protection and chemical stability 4. Blood-brain Barrier – helps prevent exposure to some potentially harmful substances in blood Cranial Meninges Three connective tissue membranes 1. Dura mater 2. Arachnoid mater 3. Pia mater Dura Mater 1. Two layers: a.Outer periosteal layer forms periosteum on internal surface of cranial bones b.Inner meningeal layer i. Fused to periosteal layer except at dural sinuses ii. Folds form partitions = dural septa iii. Continues as dural sheath around spinal cord Cranial Meninges Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Skin of scalp Periosteum Arachnoid granulation Bone of skull Arachnoid villus Periosteal layer Meningeal layer Dural venous sinus Dura mater Arachnoid trabeculae Pia mater Cerebral cortex White matter (superior sagittal sinus) Falx cerebri Dura Mater 2. Dural sinuses a. Spaces between two layers of dura Collect blood that circulates through brain a. Triangular cross section, no valves 3. Epidural space a. Potential space between dura and bone of skull b. May become real space of blood or fluid collects within it. 4. Subdural space b. Separates dura mater from arachnoid mater c. Also potential space Cranial Dural Septa 1. Falx cerebri – largest of the septa a. Vertical fold that dips into longitudinal fissure and separates cerebral hemispheres b. Anterior end attaches to crista galli of ethmoid bone c. Posterior end attaches to internal occipital crest 2. Falx cerebelli a. Runs along vermis of cerebellum b. Partially separates right and left cerebellar hemipsheres Cranial Dural Septa 3. Tentorium cerebelli a. Horizontal fold that separates cerebrum and cerebellum b. Forms a “tent” over cerebellum 4. Diaphragma sellae a. Forms roof over sella turcica b. Separates hypothalamus and pituitary gland Dural Septa Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cranium Dura mater Falx cerebri Diaphragma sellae Tentorium cerebelli Falx cerebelli Midsagittal section Posterior view (left): © The McGraw-Hill Companies, Inc./Photo and Dissection by Christine Eckel Arachnoid Mater 1. Middle layer of meninges 2. Arachnoid trabeculae a. Web of collagen & elastic fibers b. Extend through subarachnoid space to pia 3. Subarachnoid space a. Separates arachnoid from pia b. Filled with CSF c. Contains large cerebral blood vessels, but poorly protected – “supported” by fibers & CSF 4. Arachnoid villi a. Cauliflower-like extensions of arachnoid mater that protrude through dura b. Absorb CSF into venous blood of sinus Pia Mater 1. “Gentle mother” 2. Innermost meninx 3. Thin vascular layer of areolar connective tissue 4. Tightly adhered to surface of brain and follows contours of brain closely – “shrink wrap” 5. Rich with blood vessels Cranial Meninges Skin of scalp Periosteum Bone of skull Arachnoid villus Dural venous sinus Arachnoid mater (superior sagittal sinus) Subarachnoid space Arachnoid trabeculae Pia mater White matter Falx cerebri Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The Meninges of the Brain Ventricles 1. Internal chambers of the brain 2. Derived from neural canal of embryonic neural tube 3. All are lined with ependymal cells and contain cerebrospinal fluid 4. Cerebrospinal fluid circulates through ventricles and communicating passageways. 5. Four ventricles in brain Ventricles 1 & 2. Two Lateral ventricles a. Large arc in each cerebral hemisphere b. Interventricular foramen – connects lateral ventricles to 3rd ventricle c. Septum pellucidum - “transparent wall” 3. Third Ventricle a. Inferior to c. callosum b. Cerebral (Mesencephalic) aqueduct– connects 3rd and 4th ventricle Ventricles 4. Fourth ventricle a. Between pons & cerebellum b. Apertures i. Connect ventricles to subarachnoid space (median and paired lateral apertures) ii. From this subarachnoid space, CSF is returned to blood in sinus by arachnoid villi c. Fourth ventricle merges with central canal of spinal cord Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Posterior Anterior Interventricular foramen Third ventricle Lateral ventricles Cerebral aqueduct Fourth ventricle Lateral aperture Median aperture Central canal of spinal cord (a) Lateral view Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cerebrum Lateral ventricle Interventricular foramen Third ventricle Cerebral aqueduct Fourth ventricle Central canal of spinal cord (b) Anterior view Cerebrospinal Fluid 1. Clear, colorless fluid that bathes exposed surfaces of CNS 2. Brain produces 500 ml CSF daily 3. Is constantly reabsorbed, so ventricles contain only about 150 ml (half cup) 4. CSF circulates, not static a. Driven by pressure b. Pulsations due to heartbeat c. Ciliated ependymal cells Cerebrospinal Fluid Three important functions: 1. Buoyancy a. Brain neither sinks nor floats, is suspended b. Prevents pressure necrosis due to weight 2. Protection – fluid cushion 3. Chemical stability a. Transports nutrients and rinses wastes from CNS b. Regulates environment to prevent chemical fluctuations Cerebrospinal Fluid 1. Produced by choroid plexus a. Layer of ependymal cells and capillaries of pia mater b. Ependymal cells connected by tight junctions 2. CSF formed by modification of plasma from capillaries a. Forms as filtrate containing glucose, O2, vitamins, and some ions b. Contains very little protein, Ca2+ or K+ Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Ependymal cells Capillary Pia mater Section of choroid plexus Cavity of ventricle CSF forms and enters the ventricle (b) Choroid plexus CSF Circulation 1. Arachnoid villus – extensions of arachnoid mater project through dura mater into dural sinuses a. One way flow of excess CSF into blood of dural sinuses 2. Arachnoid granulation – collection of arachnoid villi 3. Pressure gradient and long cilia of ependymal cells help move CSF Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Dura CSF mater flow (periosteal layer) Arachnoid villus Superior sagittal sinus (dural venous sinus) Dura mater (meningeal layer) Arachnoid mater Subarachnoid space Pia mater Cerebral cortex (b) Arachnoid villus Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 1 CSF is produced by the choroid plexus in the ventricles. 2 CSF flows from the lateral ventricles, through the interventricular foramen to the third ventricle, and then through the cerebral aqueduct into the fourth ventricle. 3 CSF in the fourth ventricle flows into the subarachnoid space by passing through the paired lateral apertures or the single median aperture, and into the central canal of the spinal cord. 4 As the CSF flows through the subarachnoid space, it removes waste products and additional fluid from the brain, and provides buoyancy to support the brain. 5 Excess CSF flows into the arachnoid villi, then drains into the dural venous sinuses. The greater pressure on the CSF in the subarachnoid space ensures that CSF moves into the venous sinuses without permitting venous blood to enter the subarachnoid space. CSF flow Arachnoid villi 5 Superior sagittal sinus (dural venous sinus) 4 Venous fluid flow Pia mater Choroid plexus of third ventricle 1 Choroid plexus of lateral ventricle Interventricular foramen 2 Cerebral aqueduct Lateral aperture Choroid plexus of fourth ventricle 3 Median aperture Dura mater Subarachnoid space Central canal of spinal cord (a) Midsagittal section Blood-Brain Barrier System 1. Brain only 2% of body weight, but receives 15% of blood and 20% of O2 and glucose 2. Blood supply critical to brain 10 second interuption - lose consciousness 2 minutes – impaired neural function 4 minutes – irreversible brain damage 3. Blood also source of potentially harmful substances Antibodies Macrophages Proteins/amino acids Fluctuating ion concentrations Formation of Barrier 1. Perivascular feet of astrocytes 2. Extra thick, continuous basement membrane of endothelial cells 3. Tight junctions between endothelial cells of capillaries a. Anything leaving blood must pass through endothelial cells, not between them b. Least permeable capillaries of the body Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Astrocyte Nucleus Perivascular feet Erythrocyte inside capillary Capillary Continuous basement membrane Tight junction between endothelial cells Nucleus of endothelial cell (a) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Capillary Basement membrane Endothelial cells Lipid-soluble substances freely pass through the blood-brain barrier. Lipid Perivascular feet of astrocyte Glucose Astrocytes selectively allow certain substances to cross the blood-brain barrier. (b) Erythrocyte Blood-Brain Barrier 1. Selective barrier, not an absolute barrier a. Highly permeable to glucose, water, and some electrolytes via facilitated diffusion through transport proteins in ependymal cell membranes b. Nonessential amino acids, Ca2+ and K+ are actively pumped back into blood c. Barrier ineffective against lipid-soluble substances such as alcohol, nicotine, anesthetics, O2 and CO2 2. Is obstacle to delivery of some drugs Nasal spray – delivery up olfactory nerve Blood-Brain Barrier 3. Trauma/inflammation can damage barrier 4. Barrier incomplete in newborns a. Toxic substances can cause problems not seen in adults, i.e. honey 5. Barrier missing or reduced in some areas: a. Choroid plexus – tight junctions between ependymal cells provide protection b. Vomiting center of medulla – monitors blood for poisonous substances c. Pineal gland – must be able to secrete hormones into blood Blood-Brain Barrier 5. Barrier missing (continued) d. Hypothalamus i. Samples chemical composition of blood to control osmolarity, regulate body temperature, etc. ii. Also secretes hormones 6. Important to allow exchange between blood and brain a. Missing barrier provides route for HIV The Cerebrum 1. Gyri – extensive folding increases surface area a. More cell bodies, more processing capabilities b. One of greatest differences between humans and many other mammals 2. Cerebral hemispheres divided by longitudinal fissure. a. Difficult to assign precise function to specific region of cerebrum due to considerable overlap and indistinct boundaries within cortex. b. Generally both hemispheres control opposite side of the body. c. Cerebral lateralization – some functional specialization The Cerebrum 5 lobes of cerebrum: See Table 13.3 1. Frontal – voluntary motor control, decision making, concentration, verbal communication 2. Parietal – sensory interpretation of textures and tastes, understanding and forming speech 3. Occipital – principal visual center 4. Temporal – Interpretation of hearing & smell 5. Insula – not well understood, taste &memory Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. (a) Lobes of the Brain and Their Functional Areas Central sulcus Frontal lobe (retracted) Parietal lobe Prim ary m otor cortex (in precentral gyrus) Prem otor cortex Prim ary somatosensory cortex (in postcentral gyrus) Som atosensory association area Frontal eye field Motor speech area (Broca area) Parieto-occipital sulcus Wernicke area Insula Occipital lobe Prim ary gustatory cortex Prim ary visual cortex Gnostic area Lateral sulcus Visual association area Tem poral lobe (retracted) Prim ary auditory cortex Auditory association area Prim ary olfactory cortex Functional Areas of Cerebrum • Higher mental functions of cerebrum are dispersed over large areas. • Distinct motor and sensory functions located in specific structural areas: 1.Motor Areas 2.Sensory Areas 3.Association Areas Motor Areas of Cerebral Cortex 1. Primary motor cortex in frontal lobes a. Axons project contralaterally, so left primary cortex controls right side skeletal muscle b. Distribution mapped as motor homunculus 2. Motor Speech Area (Broca Area) a. Usually in left frontal lobe b. Controls muscular movements for speech and regulates breathing patterns for speech. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Primary motor cortex (within precentral gyrus) Trunk Hip Knee Ankle Toes Pharynx Lateral Medial (a) Primary motor cortex (somatic motor area) Sensory Areas of Cerebral Cortex 1. Primary somatosensory cortex a. Located in parietal lobes b. Receives general somatic sensory information c. Mapped in sensory homunculus Primary visual cortex – Occipital lobe Primary auditory cortex – Temporal lobe Primary olfactory cortex – Temporal lobe Primary gustatory cortex - Insula Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Hip Leg Neck Primary somatosensory cortex (within postcentral gyrus) Trunk 2. 3. 4. 5. Foot Toes Genitals Intra-abdominal Medial Lateral (b) Primary somatosensory cortex Association Areas 1. The primary motor and sensory cortical regions are connected by association areas. 2. Function to process and interpret incoming sensory data or coordinate motor response. 3. Integrate new sensory input with memories of past experiences. Association Areas (See pg. 501) 1. Premotor cortex - coordinates learned skilled motor activities, like playing piano 2. Functional Brain Regions – act as multiassociation areas between lobes a. Wernicke Area – recognizing & understanding spoken & written communication b. Gnostic Area – integrates all somatosensory, visual and auditory information being processed by association areas to provide understanding of current activity, i.e. The Big Picture Central White Matter 1. Lies deep to cerebral cortex 2. Composed of myelinated axons 3. Axons grouped into bundles called tracts. (No nerves in CNS) Cerebral White Matter Tracts 1. Projection tracts a. Link cerebral cortex to brain stem, cerebellum, and spinal cord b. Example – corticospinal tract 2. Comissural tracts a. Cross from one cerebral hemisphere to other b. Usually through corpus callosum 3. Association tracts a. Connect different regions of same hemisphere b. Long tracts (longitudinal fasciculi) connect different lobes c. Short tracts (arcuate fibers) connect different gyri within same lobe Arcuate fibers (Short tracts) Corpus callosum Longitudinal Fasciculi (Long tracts) Parietal lobe Occipital lobe Frontal lobe Anterior commissure Temporal lobe (a) Sagittal view Arcuate fibers Longitudinal fasciculi Commissural tracts Projection tracts Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cerebral Lateralization 1. Petalias – Shape asymmetries of frontal and occipital lobes a. Right-handed people have right frontal petalias 2. Each hemisphere tends to be specialized for different tasks = cerebral lateralization 3. Higher order centers in each hemisphere have different but complementary functions Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Left eye Right eye Left Right visual visual field field Left Right visual visual field field Left hand Right hand Right hemisphere (representational hemisphere) Left hemisphere (categorical hemisphere) Verbal memory Memory for shapes (limited language comprehension) Corpus callosum Speech (motor speech area) Left hand motor control Right hand motor control Feeling shapes with left hand Feeling shapes with right hand Musical ability Recognition of faces and spatial relationships Superior language and mathematic comprehension (Wernicke area) Right visual field Left visual field Primary visual cortex (b) Cerebral lateralization Basal Nuclei 1. Also called Cerebral nuclei 2. Masses of gray matter buried deep within white matter of cerebrum 3. Generally, help regulate movement and inhibit unwanted movements 4. Each component has specific functions 5. Caudate nucleus and Lentiform nucleus collectively referred to as Corpus striatum Basal Nuclei 1. Caudate nucleus – produces pattern of movement in arms & legs associated with walking 2. Amygdala – expression of emotion and development of moods 3. Lentiform Nucleus a. Putamen – subconscious control of movement b. Globus pallidus – adjust muscle tone 4. Claustrum – subconscious visual processing Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cortex Corpus callosum Lateral ventricle Septum pellucidum Thalamus Internal capsule Lateral sulcus Insula Third ventricle Optic tract Hypothalamus Cerebral nuclei Caudate nucleus Putamen Globus pallidus Lentiform nucleus Corpus striatum Claustrum Amygdaloid body Coronal section Cerebrovascular Accidents 1. Single most common nervous system disorder & 3rd leading cause of death in U.S. 2. Blood circulation is blocked and brain tissue dies 3. Most common cause is blockage of cerebral artery by blood clot 4. Other causes – compression by hemorrhage or edema, narrowingof vessels by atherosclerosis Cerebrovascular Accidents 5. Typically, survivors are paralyzed on one side of body 6. < 35% of CVA survivors are alive 3 years later 7. Not all strokes are “completed” a. Transient ischemic attacks (TIA’s) b. Last 5 – 50 minutes c. Temporary paralysis, but red flags of potential impending more serious CVA’s Cerebrovascular Accidents 7. Initial vascular blockage or ischemia doesn’t cause most damage a. Damaged neurons release “buckets” of glutamate (excitatory neurotransmitter) b. Acts as excitotoxin – changes ion transport, allows unregulated Ca+2 influx into neuron c. Generates free radicals that damage or kill thousands of surrounding healthy neurons d. Activates microglia and triggers inflammation which compounds damage The Diencephalon 1. Epithalamus a. Pineal gland – secretes melatonin b. Habenula – relay signals from limbic system, visceral & emotional response to odors 2. Thalamus - bulk of diencephalon a. Two oval masses connected by interthalamic adhesion b. Each mass divided into multiple nuclei c. “Gateway” to cerebrum – final relay point for ascending sensory information, except smell 3. Hypothalamus The Diencephalon Corpus callosum Diencephalon Septum pellucidum Thalamus Habenular nucleus Pineal gland Interthalamic adhesion Hypothalamus Cerebral aqueduct Optic chiasm Infundibulum Cerebellum Pituitary gland Fourth ventricle Midsagittal section Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Medial group Interthalamic adhesion Lateral group (a ) Location of thalamus within brain Pulvinar nucleus Lateral geniculate nucleus Posterior group Anterior group Ventral anterior nucleus Ventral lateral nucleus Ventral posterior nucleus Ventral group (b) Thalamus, superolateral view Roles of Hypothalamus 1. 2. 3. 4. 5. 6. 7. 8. Control of Autonomic effects – (ANS) Center for emotional response Hormone secretion Body temperature regulation Regulation of appetite Regulation of water intake and thirst Regulation of wake-sleep cycles Memory Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Paraventricular nucleus Dorsomedial nucleus Preoptic area Posterior nucleus Anterior nucleus Supraoptic nucleus Mammillary body Suprachiasmatic nucleus Ventromedial nucleus Arcuate nucleus Optic chiasm Infundibulum Pituitary gland Sagittal section of Hypothalamus The Brainstem 1. Midbrain 2. Pons 3. Medulla oblongata Midbrain 1. Cerebral peduncles – contain axons of corticospinal tracts 2. Substantia nigra a. Pigmented with melanin b. Produce dopamine, neurotransmitter important in movement, emotional response, pleasure and pain c. Degeneration of these cells involved in Parkinson’s disease Midbrain 3. Tegmentum a. Integrates information from cerebrum and cerebellum for involuntary control of posture b. Contains red nuclei (iron pigment) c. Reticular formation projects through tegmentum 4. Tectum a. “Roof” over cerebral aquaduct b. Cerebral aquaduct extends through midbrain to reach 4th ventricle c. Contains Corpora Quadrigemina (visual & auditory reflex centers) Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Posterior Superior colliculus Tectum Cerebral aqueduct Tegmentum Reticular formation Nucleus for oculomotor nerve Red nucleus Substantia nigra Oculomotor nerve (CN III) Cerebral peduncle Anterior Midbrain Pons 1. “Bridge” chiefly composed of conduction tracts (white matter) 2. Connects cerebrum to cerebellum and medulla 3. Many diverse functions: a. Contains autonomic centers, including pontine respiratory center which helps regulate diaphragm. b. Sound localization c. Houses nuclei of Cranial Nerves V - VII Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Pontine respiratory center Pons Fourth ventricle Superior olivary nucleus Medulla oblongata Olive Inferior olivary nucleus Reticular formation (a) Longitudinal section (cut-away) Medulla oblongata 1. Physically connects spinal cord to brain 2. All communication between brain and spinal cord involves ascending & descending tracts passing through medulla 3. Pyramids a. Ridges of corticospinal tracts (pyramidal) b. Taper at ends – “baseball bats” c. Decussation of pyramids – axons cross over for contralateral control 4. Sensory & motor nuclei associated with cranial nerves IX – XII. Medulla oblongata 5. Important autonomic centers (often called vital centers) located in medulla: a. Cardiac center – rate & force of heartbeat b. Vasomotor center i. Vasoconstriction/vasodilation ii. Regulates blood pressure c. Medullary respiratory centers i. Control rate and depth ii. Dorsal & Ventral Respiratory Groups work with pontine respiratory center Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Medulla oblongata Cardiac and Vasomotor Centers Ventral respiratory group Dorsal respiratory group Respiratory Center Pyramid Anterior Posterior Reticular formation Cerebellum 1. Cerebellar hemispheres a. Bilaterally symmetrical b. Bridged by vermis 2. Folia – slender folds 3. Divided into 3 regions: a. Thin outer cortex of gray matter b. Arbor vitae – deep layer of white matter c. Four deep cerebellar nuclei 4. Peduncles - three thick nerve tracts that connect cerebellum to brainstem Cerebellum 5. Cerebellum does not initiate skeletal muscle movement, it coordinates and fine tunes movement 6. Stores memories of learned movement patterns, like playing a musical instrument 7. Receives proprioception data for body awareness and to plan movements The Complex Cerebellum • Only 10% of brain mass, but more than 50% more surface area than cerebral cortex • Contains more than half of all brain neurons, approx. 100 billion Functions of Cerebellum Much more extensive functions than originally thought: 1. Coordination and locomotor ability 2. Timekeeping center of brain, rhythm 3. Hearing and language output 4. Planning and scheduling Many children with ADHD have abnormally small cerebellums Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Anterior Cerebellar hemisphere Anterior lobe Vermis Posterior lobe Primary fissure Folia Posterior (b) Cerebellum, superior view Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cerebral aqueduct Tectal plate White matter (arbor vitae) Midbrain Fourth ventricle Pons Medulla oblongata Folia Gray matter (a) Midsagittal section Motor Control 1. Intention of voluntary movement - begins in motor association (premotor) area of frontal lobes 2. Primary motor Cortex send signals to brain stem and spinal cord through upper motor neurons a. Result in muscle contractions 3. Basal nuclei – feedback circuit involved in planning and execution of movement a. Dyskinesia – movement disorders due to lesions in basal nuclei, Ex. Parkinson’s Ds. 4. Cerebellum – important in motor coordination and learning motor skills Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Primary motor cortex Voluntary movements The primary motor cortex and the basal nuclei in the forebrain send impulses through the nuclei of the pons to the cerebellum. Cerebral hemisphere Assessment of voluntary movements Proprioceptors in skeletal muscles and joints report degree of movement to the cerebellum. Integration and analysis The cerebellum compares the planned movements (motor signals) against the results of the actual movements (sensory signals). Corrective feedback The cerebellum sends impulses through the thalamus to the primary motor cortex and to motor nuclei in the brainstem. Thalamus Cerebellar cortex Corpus callosum Pontine nucleus Pons Direct (pyramidal) pathway Sagittal section Functional Brain Systems 1. The Limbic System a. Process and experience emotions b. Plays an important role in memory 2. The Reticular Formation a. Has motor and sensory components b. Reticular Activating System (RAS) responsible for mental alertness The Limbic System 1. Prominent components: a. Cingulate gyrus b. Hippocampus c. Amygdala d. Olfactory bulbs, olfactory tracts & center 2. Involves gratification and aversion centers 3. Interaction with frontal lobes gives important connection between thoughts and emotions – emotions can override reason, or vice versa. The Limbic System 1. Cingulate gyrus – recieves input from other parts of limbic system, important in expressing emotions through gestures and resolving conflict 2. Hippocampus – Important in long-term memory 3. Amygdala – recognizes fearful or angry facial expressions, assesses danger, and elicits fear response. Also stores and codes memories based on emotional perception. 4. Olfaction – emotions & memories deeply connected to sense of smell The Limbic System The Limbic System Components of the limbic system Cingulate gyrus Corpus callosum Fornix Anterior commissure Mammillary body Hippocampus Amygdaloid body Olfactory tract Olfactory bulb Midsagittal section Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. The Reticular Formation 1. Gray matter that runs through brainstem and projects to cerebrum 2. Consists of 100 small neural networks with different functions: a. Assists with somatic motor control b. Assists medulla and pons with cardiovascular and respiratory control c. RAS - Filters out repetitive, weak & familiar signals but passes along unusual or significant impulses to prevent sensory overload of brain. Do you have socks on? Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. RAS output to cerebral cortex Visual impulses Reticular formation Motor tracts to spinal cord Auditory impulses General sensory tracts (touch, pain, temperature) Sensory input to RAS Motor output from RAS RAS output to cerebrum Consciousness Levels of consciousness exist on continuum 1. Alert = highest level of consciousness 2. Sleep = temporary absence of consciousness 3. RAS is inhibited by sleep centers in hypthalamus, alcohol, and some other drugs. 4. Severe injury of RAS can result in irreversible coma 5. Pathological states of unconsciousness include syncope, stupor, coma and persistent vegative state. Memory 1. Sensory memory a. Form important associations based on sensory input, but lasts only few seconds. 2. Short-term memory (STM) a. Limited capacity and short duration (few hours) 3. Long-term memory (LTM) a. Encoding - Conversion of STM to LTM utilizes amygdala and hippocampus. b. Can exist for limitless periods as long as occasionally retrieve information. Loss of Memory 1. Memory processing and storage involves many regions of brain. a. Type of memory loss and severity depends upon area of brain damaged. b. Damage to thalamus & hippocampus most serious 2. Amnesia a. Anterograde amnesia – unable to store new information b. Retrograde amnesia – unable to recall things known previously That’s All Folks!