Nervous System Divisions • Central Nervous System (CNS) – Brain and Spinal Cord • Peripheral Nervous System (PNS) – All other nervous tissue throughout the body Central Nervous System (CNS) • Nerve Tissue: – White Matter or Gray Matter The Brain • One of the largest organ of the body – Physical and mental activity – Memory, emotion, thought, judgment, reasoning and consciousness • Four major structures – – – – Cerebrum Cerebellum Diencephalon Brainstem Cerebrum • Sensory, perception and interpretation, language, voluntary movement, memory, emotional behavior Corpus Callosum • Communicate right & left Lobes of the Cerebrum Cerebellum • Functions involve movement, equilibrium and balance Diencephalon • Thalamus: – Receives all sensory stimuli except olfactory • Hypothalammus – Regulates the autonomic nervous system (ANS) Brainstem • 3 Structures: Midbrain, Medulla, Pons • Controls respirations, blood pressure, and heart rate Spinal Cord • Ascending tracts: Sensory nerve • Descending tracts: Motor nerve Meninges • 3 layers: Dura mater, arachnoid, pia mater Important Word Roots • • • • • Cerebr/o Crani/o Encephal/o Mening/o, meningi/o Thalam/o Peripheral Nervous System (PNS) • All nervous tissue located outside of the spinal column and brain • Consists of 12 pairs of cranial nerves • 31 pairs of spinal nerves • Subdivided: Somatic nervous system(SNS) and Autonomic Nervous System (ANS) Somatic Nervous System (SNS) • Nerve Fibers that – Transmit sensory info to the brain, spinal cord, and nerve fibers – Transmits impulses from brain and spinal cord to muscles Autonomic Nervous System (ANS) • Nerve Fibers that – Control involuntary movement: digestion, heart contractions, vasoconstriction, regulation of secretions by glands – Subdivided: • Sympathetic • Parasympathetic Sympathetic • Fight or Flight Parasympathetic • Rest and Digest Autonomic Nervous System Cranial Nerves • May be sensory, motor or mixed – Sensory: ascending (afferent) – Motor: descending (efferent) 12 Pairs of Cranial Nerves I Olfactory: smell II Optic: Vision III Oculomotor: eyelid/eyeball motor IV Trochlear: Turns eye V Trigeminal: Chewing, face & mouth touch, pain • VI Abducens: Turns eye laterally • • • • • 12 Cranial Nerves • VII Facial: facial expressions, tears, saliva, taste • VIII Vestibulocochlear: Hearing equilibrium • IX Glossopharyngeal: Taste, senses carotid blood pressure • X Vagus: senses aortic blood pressure, slows heart, stimulates digestive organs, taste 12 Cranial Nerves • XI Spinal Accessory: controls trapezius & sternocleidomastoid, controls swallowing • XII Hypoglossal: Controls Tongue movements Spinal Nerves • 31 pairs • Emerge from the intervertebral spaces in the spinal column • 2 points of attachment – Anterior: contains motor fibers – Posterior: contains sensory fibers Spinal Nerves • • • • • C1-C8 = Cervical Nerves T1-T12 = Thoracic Nerves L1-L5 = Lumbar Nerves S1-S5 = Sacral Nerves C0 = Coccygeal nerve Medical Word Elements • • • • • Kinesi/o Myel/o Neur/o -Phasia -plegia Cerebrovascular Disease • Functional abnormality caused by disorders of the blood vessels of the brain • Stroke: Cerebr/o/vascul/ar accident (CVA) (#3 & #1) Cerebrovascular Disease • Ischemic Stroke: narrowing of the arteries of the brain Cerebrovascular Disease • Intra/cerebr/al Hem/o/rrhage: (#1/ #2) sudden rupture of an artery within the brain Cerebrovascular Disease • Sub/arachnoid Hem/o/rrhage: (#2) Blood is released into the space surrounding the brain Cerebrovascular Disease • Transient Ischemic Attack (TIA): mild CVA characterized by blackouts, blurred vision or dizziness • F.A.S.T Signs of Stroke • Hemi/paresis: weakness in one half of the body • Hemi/plegia: paralysis in one half of the body • A/phasia: inability to speak • A/taxia: lack of muscle coordination Seizure Disorders • Any medical condition characterized by sudden changes in behavior or consciousness as a result of uncontrolled electrical activity in the brain Seizure Disorders • Epi/lepsy: chronic or recurring seizure disorders Aura • Premonitory awareness of an approaching physical or mental disorder, peculiar sensation that precedes seizures Convulsion • Any sudden and violent contraction of one or more muscles Parkinson Disease • Progressive neurological disorder affecting the portion of the brain responsible for controlling movement Parkinson’s Symptoms • Brady/kinesia & Hypo/kinesia: decreased speed of movement • http://www.youtube.com/watch?v= ECkPVTZlfP8 Multiple Sclerosis (MS) • A progressive, degenerative disease of the central nervous system Alzheimer Disease (AD) • A progressive neurological disorder that causes memory loss and serious mental deterioration Dementia • Broad Term that refers to cognitive deficit, including memory impairment Mental Illness • Includes an array of psychological disorders, syndromes, and behavioral patterns that cause alterations in mood, behavior, and thinking Mental Illness • Psychosis: serious mental disorder commonly characterized by – False beliefs despite overwhelming evidence to the contrary: delusions – Hearing voices and seeing visions in the absence of an actual stimuli: Hallucinations Mental Illness • Neurosis: caused by an emotion experienced in the past that overwhelmingly interferes or affects a present emotion – Phobias: irrational fears – Hysterias: exaggerated emotional and reflexive behaviors – Obsessive compulsive disorders: uncontrolled ritualistic actions Careers in Mental Illness • Psych/iatr/ist: (#1) Medical specialist in the diagnosis and treatment of serious mental disorders • Clinical Psych/o/log/ist: (#2) individuals trained in evaluating human behavior, intelligence, and personality Medical Word Elements & Abbreviations • • • • • • • • -kinesia -paresis -taxia CVA TIA PNS SNS ANS Psych/o R/O CSF Ataxia • Lack of muscle coordination in the execution of voluntary movement Autism • Developmental disorder characterized by extreme withdrawal and an abnormal absorption in fantasy Coma • Abnormally deep unconsciousness with absence of voluntary response to stimuli Closed Head Trauma • Injury to the head in which the dura mater remains intact and brain tissue is not exposed Concussion • Injury to the brain, occasionally with transient loss of consciousness as a result of injury or trauma to the head • http://www.youtube.com/results?se arch_query=NFL+helmet+to+helm et Dyslexia • Inability to learn and process written language despite adequate intelligence, sensory ability and exposure Lethargy • Abnormal inactivity or lack of response to normal stimuli, sluggish Cerebral Palsy • Type of paralysis that affects movement and body position and, sometimes, speech and learning ability Paralysis • Loss of voluntary motion – Hemiplegia: paralysis of one side of the body – Paraplegia: paralysis of both lower limbs – Quadriplegia: paralysis of both arms and legs Sciatica • Severe pain in the leg along the course of the sciatic nerve felt at the base of the spine, down the thigh, and radiating down the leg due to a compressed nerve Syncope • Temporary loss of consciousness due to the sudden decline of blood flow to the brain (fainting) Diagnostic & Therapeutic • Lumbar Puncture: Needle puncture of the spinal cavity to extract spinal fluid for diagnostic purposes • https://www.youtube.com/watch?v= R2_0gOI8uV0 Diagnostic & Therapeutic • Cerebrospinal Fluid (CSF) Analysis: a series of lab test used to diagnose disorders of the CNS, including bacterial and viral infections Diagnostic & Therapeutic • Angiography: Radiography of the blood vessels after introduction of a contrast medium Diagnostic & Therapeutic • Cryosurgery: Technique that exposes abnormal tissue to extreme cold to destroy it