Name Function Origin Olfactory Nerve (I) S: smell Cerebrum Optic nerve (II) S: vision Cerebrum Oculomotor nerves (III) Trochlear Nerves (IV) Trigeminal Opthalmic branch (V1) Maxillary branch (V2) Mandibular Branch (V3) Abducens Nerves (VI) Facial Nerves (VII) Vestibulocochlear Nerves (VIII) Glossopharyngeal Nerves (IV) Vagus Nerves (X) M: 4 eye muscles S: PA from 4 muscles P: constrictor papillary muscles (pupil) & ciliary muscles (lens thicken) M: Superior Oblique Muscle S: PA from SOM S: upper eyelid, eye surface, lacrimal glands, nose, scalp & forehead S: Upper teeth, gum, lip, palate, skin of cheek, & lower eyelid M: mastication S: lower teeth, gum, lip, skin of jaw, & part of scalp M: Lateral Rectus Muscles S: PA from LRM M: facial expression S: Taste from anterior 2/3 P: parasympathetic of salivary glands (submandibular & sublingual) Ventral midbrain (near its junction with pons) Dorsal midbrain S: Cochlear: sound Vestibular: equilibrium Ponsmedulla border M: pharynx for swallowing S: taste from posterior 1/3 Tonsils, Eustachian tubes Carotid arteries (B.P., chem.) P: parotid salivary glands M: pharynx & larynx S: posterior tongue, pharynx, thoracic, & abdominal viscera P: heart, lungs, smooth muscles of pharynx, larynx, thoracic, & abdominal viscera Medial Pons Tract Olfactory nerves->olfactory bulb-> olfactory tract-> mammillary body-> Primary olfactory Cortex Retina-> Optic nerves-> optic canal of the sphenoid bone -> optic chiasma (just above the pituitary gland) [Decussation] > optic tracts-> lateral geniculate bodies of thalamus-> visual cortex of the occipital lobe Fissure Cribriform plate of the ethmoid bone Optic canal of sphenoid bone [instead of lateral geniculate bodies, it may go to superior Colliculi] Midbrain -> Superior orbital fissure -> 4 eye muscles (inferior oblique, superior rectus, inferior rectus, medial rectus) Midbrain->superior orbital fissure-> Eye muscles Superior orbital fissure Pon->trigeminal ganglion->superior orbital fissure->(supraorbital foramen) Superior orbital fissure Pon->trigeminal ganglion->Foramen rotundum->(infraorbital foramen) Foramen rotundum Superior orbital fissure Pon->trigeminal ganglion->Foramen ovale->(mandibular foramen & mental foramen) Pon -> superior Orbital fissure -> eye muscle Pon -> internal acoustic meatus -> geniculate ganglion -> stylomastoid foramen -> face muscles (Temporal, Zygomatic, Buccal, Mandibular, Cervical) Cochlea or semicircular canals -> Vestibular ganglia -> separated -> Internal acoustic meatus -> VIII -> Primary auditory cortex of Temporal lobe [VIII -> Inferior Colliculi] Internal acoustic meatus (stylomastoid foramen) Lateral Medulla Medulla -> jugular foramen -> throat Jugular foramen Lateral medulla Medulla -> Jugular foramen -> neck & heart, lung, abdominal viscera Jugular foramen Inferior Pons Pons (lateral to abducens) Foramen ovale Superior orbital fissure Internal acoustic meatus Spinal Accessory Nerves(XI) Hypoglossal nerves (XII) M: shoulder, neck Lateral Spinal root -> foramen magnum -> (sternocleidomastoid, medulla emerges with cranial root -> jugular trapezius) pharynx, larynx (C1-C5, foramen -> joins with Vagus nerve-> S: PA from same muscles too) accessory nerve M: in & extrinsic tongue Medial muscles (move the tongue) Medulla -> hypoglossal canal -> tongue Medulla S: PA from the same muscles M=Motor, S=Sensory, P=Parasympathetic, PA=proprioceptive Afferent LR6SO4O3 Lateral Rectus muscle = Abducens (VI) nerve Superior Oblique muscle = Trochlear (IV) nerve Other 4 muscles = Oculomotor (III) nerve Origin 2 cerebrums + 2 midbrains + 3pons + 5 medullas 2 cerebrums + 2 midbrains + 3pons + 1 pons-medulla + 4 medullas Fissure [(1, 1), (4, 2, 2), (3, 1)] = 1 CP of EB, 1 OC of SB, 4 SOFs (2Foramens=V2, V3), 2 IAMs, 3 JF, 1 HC Sensory [1, 2, 1, 2, 8] = 1, 2, 5(V1, V2), 8 Parasympathetic 3+7=10, 9 Motor Rest of all: 4, 5(V3), 6, 11, 12 Jugular foramen (foramen magnum) Hypoglossal canal Name Precentral gyrus (primary motor cortex) Premotor area Broca’s area Prefrontal lobe Post central gyrus (primary Somatosensory cortex) Somatosensory association area Primary Auditory Cortex Auditory association area Wernicke’s area Primary Olfactory cortex Visual cortex Visual association area Limbic Insula Function Location Skeletal muscle movements Contralateral innervation Frontal Controls learned, repetitious motor skills Movement of muscles involved in speech (lips, tongue, throat) Emotion & Logical Brain Receives input from sensory receptors in skin muscles Identify where body region input is from (proprioceptors) Integrates and analyzes sensory input Evaluates size, texture, relationship Receives info from organ of Corti in cochlear in inner ear for sound Uses memories of sounds for sound recognition Understanding written and spoken language Sounding out unfamiliar words Frontal Smell from Olfactory bulb Receives input from retina Surrounds visual cortex Interprets visual inputs Uses past experiences Visual recognition Emotional brain (related with smell) Memory processing Extensive link to lower and higher brain areas Visceral responses (consciously aware) May be involved with autonomic & somatic activities Frontal Frontal Parietal Parietal Superior temporal gyrus Temporal Posterior Temporal Deep to inferior to temporal Occipital (calcarine sulcus) Occipital Limbic Deep to lateral sulcus Hypothalamus Cingulate gyrus(emotion) Hippocampus Amygdala (memory) Name Thalamus Hypothalamus Infundibulum Pituitary gland Mammilary body Supraoptic nucleus Paraventricular nucleus Epithalamus (pineal body) Basal nuclei Cerebral Peduncle Midbrain Superior Colliculi Inferior Colliculi Pons Medulla Oblongata Description & Function Contains many nuclei Projects fibers to & from the cortex Sorts and edits info for the cortex Directs info to proper cortical region Initiates physical expression of emotions (linked to the limbic system) Autonomic center (B.P, D.R, R.R) Connection of Hypothalamus & pituitary Neuroendocrine gland regulation of gonads, thyroid, adrenal cortex, lactation, and water balance Relay station for olfactory pathways Contains neurons that produce ADH (antidiuretic hormone) Contains neurons that produce oxytocin (stimulate uterine during labor & milk ejection for nursing) Secretes melatonin Regulate sleep/wake cycles influenced by light (intensity & length) Project messages through thalamus(memory) to premotor & prefrontal areas Monitors & regulate movements from motor cortex (intensity of movements) (inhibit unnecessary movements) Stalks (cerebellum to the brainstem) Containing Corticospinal tract Cerebral peduncles, cerebral aqueduct, corpora quadrigemina, substantia nigra Visual reflex centers Coordinate head and eye movements Act in reflexive responses to sound Mostly contains the tracts Autonomic relay center B.P., R.R., Hiccup, vomit, sallow, cough Nucleus Cuneatus & Gracilis Olivary Nuclei (stretch of muscles & joint) Location Related Diencephalon (makes up 80% of Diencephalon) Intermediatemass Diencephalon Thirst, food, temp, feeling, sexual behavior Diencephalon Diencephalon Diencephalon Diencephalon (hypothalamus) Diencephalon (hypothalamus) Diencephalon Part of parietal and temporal Caudate -nucleus Putamen Globus pallidus Midbrain Bet. diencephalon & Pon III & IV Midbrain Midbrain Under Midbrain Under Pon V, VI, VII Cardio center Respi Center VIII, IX, X, XI, XII Corticospinal tracts Pyramids Anterior bulges containing white matter Decussation of pyramids Medulla oblongata Reticular Formation Filter for flood of sensory inputs Disregard 99% of all sensory stimuli RAS (govern arousal of the brain) Central core of the medulla oblongata, pons, and midbrain Reticulospinaltract Hypo Thalamus Cerebellum Spinal cord Cerebellum 2 hemi. Separated by the falx cerebelli Vermis: worm-like structure between the 2 hemispheres Processes info Sends output regarding timing & coordination of skeletal muscle contraction Makes movements smooth & coordinated Behind pons and medulla Arbor vitae Folia & Fissures Superior Cerebellar Peduncle Middle Cerebellar Peduncle Inferior Cerebellar peduncle ……………………………. Lateral ventricles (1st and 2nd) 3rd ventricle 4th ventricle Filum Terminale Conus Medullaris Cauda Equina Carries axons between midbrain & cerebellum Carries axons between the pons and cerebellum Carries axons between the medulla and cerebellum ……………………………………………………………. Midbrain Pons Medulla …………………………. ……………………… Anterior, inferior and posterior horns Within diencephalon Dorsal to pons and medulla Opens into central canal of spinal cord and subarachnoid space around brain Extension of pia mater attaching the cord to the coccyx Caudal end of spinal cord Nerves from the lower cord running inferior before exiting the vertebrae B.P.=Blood Pressure, D.R.=Digestive Rate, R.R.=Respiration Rate Cerebral aqueduct Name Description Epidural space Space between bone and the dura Double-layered One layer is Fused to skull (periosteum) The other deeper one is the true external covering brain and extends to Dural sheath of the spinal cord collect venous blood from the brain and direct it into the internal jugular veins of the neck Space below dura and above arachnoid layer Web-like extensions down to pia mater Filled with CSF Numerous blood vessels Dura mater Dural space Subdural space Arachnoid mater Subarachnoid space Arachnoid villi (granulation) Pia mater Hydrocephalus Meningitis Encephalitis TIA (Transient ischemic Attacks) Alzheimer’s Disease Parkinson’s Disease Huntington’s Disease Related structures Dural Septa Falx Cerebri Tentorium cerebelli Falx Cerebelli 4th ventricle Drain CSF into Dural sinuses Adheres to brain and spinal cord Follows folds of brain Very vascular Buildup of CSF due to blockage or obstruction Exerts pressure on the brain Can cause permanent brain damage Inflammation of the meninges caused by a viral or bacterial infection May spread to nervous tissue of CNS Brain tissue inflammation Fatal 50% of the time Temporary blood deprivation(5~50min)=> numbness, paralysis, impaired speech Usually warning of an impending, more serious stroke Progressive degeneration of brain function Deficit of Ach Memory loss, shortened attention span, disorientation, possible language loss Degeneration of dopamine releasing neurons Basal ganglia become deprived of dopamine Persistent tremors, forward bent posture when walking and shuffling gait Hereditary Massive degeneration of the basal ganglia & eventually the cerebral cortex Causes spastic, abrupt, jerky movements Mental deterioration & death Filum terminale: Small extension of pia It fastens the spinal cord down to the coccyx bone Arachnoid villi Dural sinuses Tumor Name Pathway Function Contralateral /Decussation Muscle spindle (proprioceptor) -> [Axon of 1st order neuron] Posterior: X Dorsal horn of gray matter-> Spinocerebellar Posterior spinocerebellar tract [axons of 2nd order neurons]–> Medulla oblongata-> Impulses from trunk & lower limb subconscious proprioceptors (Merkel’s discs) Pons-> Anterior: X Contains crossed fibers that cross back to the opposite side in the pons Cerebellum Touch receptor -> Fasciculus Gracilis or Cuneatus [axon of 1st sensory neuron] -> Fasciculus Gracilis & Cuneatus Nucleus Gracilis or Cuneatus (medulla oblongata)-> Medial lemniscal tract [axons of 2nd order neurons]-> Pons-> General sensory receptors of skin & proprioceptors (discriminative touch, pressure, position) Cuneatus: upper limb, upper trunk, and neck C1~T6 Midbrain-> Thalamus [axons of 3rd order neurons]-> Somatosensory cortex (Cerebrum) Gracilis: lower limb, inferior body trunk Cross to opposite side at medulla oblongata Name Pathway Function Contralateral /Decussation Temperature or pain receptors [axon of 1st sensory neuron] -> Dorsal horn of gray matter-> Medulla oblongata-> Spinothalamic pathway Lateral spinothalamic tract [axons of 2nd order neurons]-> Lateral: Pain (skin, not by dead cell)& temperature Anterior: crude touch (Pacinian & Ruffini’s) & pressure Pons-> Midbrain-> Cross to opposite side before ascending (goes from dorsal horn to ventral horn and ascend) Thalamus [axons of 3rd order neurons] -> Somatosensory cortex (Cerebrum) Primary motor area (cerebral cortex) [Upper motor neurons] -> Internal capsule -> Cerebral peduncle (Midbrain) -> Lateral: decussate in pyramids of medulla Pons-> Corticospinal Medulla oblongata-> skeletal muscles Pyramids-> Decussation of pyramid (Lateral)-> Lateral Corticospinal tract-> Skeletal muscle [lower motor neurons] Pg. 476 Anterior: Cross over at spinal cord Name Pathway Quadriceps tendon stretched-> Monosynaptic reflexes (patellar reflex Stretch reflex) Muscle spindles send impulse (muscle stretching)-> Spinal cord -> Motor neuron -> Quadriceps muscle contracts Pain receptors -> Spinal cord -> Polysynaptic reflexes Association neuron -> (Withdrawal reflex Crossed extensor reflex) Motor neurons (to muscles for contraction)-> Integration -> Flexors contract -> Extensors extend for balance Name Exteroceptors [Free 4 friends MMPR) Description & Function Near the body surface Pick up messages from the external environment Pick up Tough, Pressure, Pain, Temperature, Special senses Interoceptors (Visceroreceptors) [Free pacinain] Detect stimuli originating from within the body Pain, discomfort, stretching tissue, temperature Proprioceptors [Free Pat & Ruff have gorgeous muscle] Respond to internal stimuli In muscles, tendons, ligaments, joints Monitor degree of stretch Mechanoreceptors [Mark, Mason & Pat have gorgeous muscle] Send impulses when tissues deformed by mechanical forces Touch, pressure, vibrations, itching Chemoreceptors Detect dissolved chemicals Photoreceptors thermoreceptors Detect changes in light Detect changes in temperature Detect pain or potentially damaging stimuli It is stimulated by noxious stimuli Damaged body tissues release chemicals bind to pain receptors (ATP released from injured cells may stimulate some pain receptors) Visceral pain and somatic pain follow the same neural pathway, visceral pain may be perceived as somatic pain Nociceptors Pain receptors (free nerve endings) Referred pain Examples Free nerve endings: Pain, temp., and pressure Merkel’s Discs: In deep dermis, Light touch Meissner’s Corpuscles: In dermal papillae of hairless skin (lips, nipples, fingertips) Light pressure & discriminative touch Pacinian corpuscles: In hypodermis of skin, periosteal, ligaments, joint capsules, fingers, soles of feet, external genitalia & nipples deep pressure & stretch Ruffini’s corpuscles: deep dermis, hypodermis & joint capsules, like Pacinian Free nerve endings Pacinian corpuscles Free nerve endings Pacinain’s corpuscles Ruffini’s corpuscles Golgi tendon organs Muscle spindles Merke’s discs Meissner’s corpuscles Pacinian corpuscles Golgi tendon organs Muscle spindles Olfactory receptors Taste receptors Retina of the eye Free nerve endings Free nerve endings All receptor types may function in this Somatic Pain: from skin, muscle, joints Visceral Pain: From receptors in organs in the body cavities, results from stretching tissue, muscle spasms, or chemicals Cheek: Heart R Neck: liver L Neck: lungs & diaphragm Center: liver, stomach Draw these tables as many as you can. To find the root of branches, trace back from cords to Roots. Root of Muculocutaneous (C5~C7). Median (C5~T1), Ulnar (C8, T1), Radial (C5~T1), Axillary (C5, C6 exception) Illiohypogastric Illioinguinal L1 Genitofemoral L2 Lateral femoral cutaneous L3 Femoral,Obturator (L2~L4) Lumbosacral L4 L5 Common fibular S1 Tibial Sciatic S2 S3 S4 Superior gluteal Inferior gluteal Posterior femoral cutaneous Pudendal