Chapter 14: The Brain and Cranial Nerves Copyright 2009, John Wiley & Sons, Inc. 1 Development of the Brain Brain and spinal cord Ectoderm neural tube Three to four-week embryo: Prosencephalon Mesencephalon Rhombencephalon Copyright 2009, John Wiley & Sons, Inc. 2 Development of the Brain Five-week embryo: telencephalon (cerebrum) diencephalon (thalamus, hypothalamus and epithalamus) mesencephalon (midbrain) metencephalon (pons and cerebellum) myelencephalon (medulla oblongata). Copyright 2009, John Wiley & Sons, Inc. 3 Development of the Brain Copyright 2009, John Wiley & Sons, Inc. 4 14_28 Major Parts of the Brain Brain stem - continuation of the spinal cord; consists of the medulla oblongata, pons and midbrain. Cerebellum - second largest part of the brain. Diencephalon - gives rise to thalamus, hypothalamus and epithalamus. Cerebrum - largest part of the brain. Copyright 2009, John Wiley & Sons, Inc. 6 The Brain Copyright 2009, John Wiley & Sons, Inc. 8 Protective Coverings of the Brain The cranium - skull The cranial meninges (similar to spinal cord): dura mater ( 2 layers) Venous sinuses No epidural space Dense, irregular connective tissue Subdural space contains interstitial fluid arachnoid mater Avascular, web arrangement of delicate collagen and elastic fibers Subarachnoid space contains CS pia mater Thin transparent connective tissue adheres to brain and spinal cord Interlacing bundles of collagen, elastic fibers, and network of blood vessels providing oxygen and nutrition to brain Copyright 2009, John Wiley & Sons, Inc. 9 14_02 a. b. c. Three extensions of the dura mater separate parts of the brain: Falx cerebri separate the two cerebral hemispheres. Falx cerebelli separate the two cerebellar hemispheres. Tentorium cerebelli separate the cerebrum from the cerebellum. Copyright 2009, John Wiley & Sons, Inc. 11 Extensions of the Dura Mater Copyright 2009, John Wiley & Sons, Inc. 12 Brain Blood Flow and the Blood-Brain Barrier Brain receives approximately 20% of the total blood supply. Internal carotid and vertebral arteries carry blood to the brain. Internal jugular veins return blood from the brain. Blood-brain barrier (BBB) protects brain from harmful substances. Copyright 2009, John Wiley & Sons, Inc. 13 Brain Blood Flow and the Blood-Brain Barrier Carbohydrate storage limited in brain, glucose supply must be continuous Glucose deficiency may result in confusion, dizziness, convulsion, and unconsciousness Injury from trauma, inflammation or toxins can cause breakdown of BBB Passage of harmful substances may occur Copyright 2009, John Wiley & Sons, Inc. 14 21_19abc Cerebrospinal Fluid (CSF) Clear fluid Circulates through cavities in the brain (ventricles) and the spinal cord (central canal) and also in the subarachnoid space Absorbs shock and protects the brain and the spinal cord Helps transport nutrients and wastes from the blood and the nervous tissue Copyright 2009, John Wiley & Sons, Inc. 16 Cerebrospinal Fluid (CSF) Total volume 80 – 150 mL (3 – 5 oz) Glucose, proteins, lactic acid, urea, cations and anions Rarely is ever any cells (maybe a couple of WBC) Copyright 2009, John Wiley & Sons, Inc. 17 Ventricles CSF – fills 4 cavities within the brain. Lateral ventricles: cerebral hemispheres. Third ventricle: diencephalon. Cerebral aqueduct: midbrain. Fourth ventricle: brain stem and the cerebellum. Copyright 2009, John Wiley & Sons, Inc. 18 14_03 Formation and Circulation of CSF in the Ventricles CSF formed by filtration from network of capillaries called choroid plexus located in walls of ventricles CSF circulates through subarachnoid space, ventricles, and central canal Ventricles are lined by ependymal cells. Plasma is drawn from the choroid plexuses through ependymal cells into the ventricles to produce CSF. Copyright 2009, John Wiley & Sons, Inc. 20 14_04a Formation and Circulation of CSF in the Ventricles Copyright 2009, John Wiley & Sons, Inc. 22 14_04c Circulation of CSF Copyright 2009, John Wiley & Sons, Inc. 14_05 Medulla Oblongata Continuous with upper spinal cord Both motor and sensory tracts Nuclei of cranial nerves VIII – XII Pyramids – anterior aspect of the medulla formed by the large corticospinal tracts Inferior olivary nucleus – relay impulses from proprioceptors to cerebellum site for decussation of ascending and descending tracts Copyright 2009, John Wiley & Sons, Inc. 26 14_06 Centers of the Medulla Oblongata Vital centers contain nuclei that are reflex centers for regulation of: Heart rate Respiratory rate Vasoconstriction Nonvital centers vomiting, swallowing, sneezing, coughing and hiccupping Copyright 2009, John Wiley & Sons, Inc. 28 Pons superior to medulla Connects spinal cord to brain Links parts of brain Relay related to voluntary skeletal movements from cortex to cerebellum Pneumotaxic and apneustic areas – help control respiratory center cranial nerve nuclei: V - VII Copyright 2009, John Wiley & Sons, Inc. 29 Midbrain or Mesencephalon Extends from the pons to the diencephalon Surrounds cerebral aqueduct Conveys motor impulses from cerebrum to cerebellum and spinal cord Cerebral peduncles axons of the corticospinal, corticopontine and corticobulbar tracts. Sensory impulses from spinal cord to thalamus Cranial nerve nuclei III and IV Copyright 2009, John Wiley & Sons, Inc. 30 Midbrain or Mesencephalon Tectum – situated posteriorly and contains four rounded elevations two superior ones called superior colliculi Reflex centers for certain visual activities two inferior ones called inferior colliculi Part of auditory pathway relaying impulses from receptors for hearing in the ear to the thalamus Startle reflex Copyright 2009, John Wiley & Sons, Inc. 31 Midbrain or Mesencephalon 32 Midbrain Substantia nigra: large area with dark pigments – dopamine help control subconscious muscle activities loss of neurons here is associated with Parkinson disease. Red nucleus: Axons from cerebellum and cortex form synapses here Help control voluntary movements of the limbs. Copyright 2009, John Wiley & Sons, Inc. 33 Midbrain Copyright 2009, John Wiley & Sons, Inc. 34 Reticular formation Extends from the upper part of the spinal cord throughout the brain stem and into the lower part of the diencephalon Part of the reticular formation called the reticular activating system (RAS) consists of sensory axons that project to the cerebral cortex The RAS helps maintain consciousness Copyright 2009, John Wiley & Sons, Inc. 35 The Cerebellum Second largest part of the brain The central constricted area is the vermis The anterior and posterior lobes control subconscious aspects of skeletal movement The flocculonodular lobe on the inferior side contributes to the equilibrium and balance Copyright 2009, John Wiley & Sons, Inc. 36 The Cerebellum Copyright 2009, John Wiley & Sons, Inc. 37 The Cerebellum Cerebellar cortex – gray matter in the form of parallel folds called folia Arbor vitae – tracts of white matter Cerebellar peduncles – three pairs: superior, middle and inferior Attach cerebellum to the brain stem Functions – coordinate movements, regulate posture and balance. Copyright 2009, John Wiley & Sons, Inc. 38 Diencephalon Surrounds 3rd ventricle Thalamus Hypothalamus Epithalamus Copyright 2009, John Wiley & Sons, Inc. 39 Thalamus Superior to midbrain – intermediate mass Contains nuclei that are relay stations for sensory impulses to cortex Crude appreciation of pain, temperature, and pressure Helps mediate motor activities Copyright 2009, John Wiley & Sons, Inc. 40 Hypothalamus Copyright 2009, John Wiley & Sons, Inc. 41 Functions of the Hypothalamus Control of the ANS Connects nervous and endocrine systems Rage and aggression Body temperature Regulates food and fluid intake Circadian rhythms Production of hormones that control pituitary Production of antidiuretic and oxytocin hormones Copyright 2009, John Wiley & Sons, Inc. 42 Epithalamus Small region superior to the thalamus Consists of pineal gland which secretes a hormone called melatonin Melatonin thought to promote sleep and set body’s biological clock and circadian rhythms May be responsible for jet-lag and SAD Copyright 2009, John Wiley & Sons, Inc. 43 Circumventricular organs monitor chemical changes in blood since lacks BBB Hypothalamus, pineal gland, pituitary gland Site of entry of HIV Coordinate homeostatic activities of endocrine and nervous systems 44 14_table_02 The Cerebrum “seat of intelligence” Cerebral cortex – gray matter (2-4 mm) Gyri Sulci Fissures Longitudinal fissure – right and left lobes called Cerebral hemispheres Corpus callosum Copyright 2009, John Wiley & Sons, Inc. 46 The Cerebrum Copyright 2009, John Wiley & Sons, Inc. 47 The Cerebrum White matter deep to cortex Primarily myelinated axons extending to other regions as fibers for – Basal ganglia – several groups of nuclei Association Commissural Projection Help initiate and terminate movements Suppress unwanted movements Regulate muscle tone Limbic system encircles upper part of brain stem and corpus callosum Copyright 2009, John Wiley & Sons, Inc. 48 Cerebrum Association fibers connect and transmit nerve impulses between gyri in the same hemisphere. Commissural fibers connect gyri in one cerebral hemisphere to the corresponding gyri in the opposite hemisphere. Projection fibers form ascending and descending tracts that transmit impulses from the cerebrum to other parts of the brain and spinal cord 49 Cerebral white matter Copyright 2009, John Wiley & Sons, Inc. 50 Lobes of the Cerebrum Four lobes: frontal lobe, parietal lobe, temporal lobe and occipital lobe Central sulcus – separates the frontal and parietal lobes Precentral gyrus – primary motor area Postcentral gyrus – primary somatosensory area Copyright 2009, John Wiley & Sons, Inc. 51 Basal Ganglia Three nuclei deep within each cerebral hemisphere make up basal ganglia. They are globus pallidus, putamen, and caudate nucleus. Help initiate and terminate movements, suppress unwanted movements and regulate muscle tone. Copyright 2009, John Wiley & Sons, Inc. 52 Basal Ganglia Copyright 2009, John Wiley & Sons, Inc. 53 The Limbic System A ring of structures on the inner border of the cerebrum and floor of the diencephalon. Includes cingulate gyrus, hippocampus, dentate gyrus, amygdala, mammillary bodies, thalamus, and the olfactory bulb. “emotional brain” as it governs emotional aspects of behavior. Also involved in olfaction and memory. Copyright 2009, John Wiley & Sons, Inc. 54 The Limbic System Copyright 2009, John Wiley & Sons, Inc. 55 Functional Organization of the Cerebral Cortex: Sensory Areas Primary somatosensory area – postcentral gyrus. Primary visual area – occipital lobe Primary auditory area – temporal lobe Primary gustatory area – base of the postcentral gyrus Primary olfactory area – temporal lobe Copyright 2009, John Wiley & Sons, Inc. 56 Functional Organization of the Cerebral Cortex: Sensory Areas Sensory areas allow perception of information Motor areas for execution of voluntary movements Association areas for complex integrative functions of memory, personality, and intelligence Copyright 2009, John Wiley & Sons, Inc. 57 Functional Organization of the Cerebral Cortex: Sensory Areas Copyright 2009, John Wiley & Sons, Inc. 58 Primary Somatosensory Area Post-central gyrus Primary somatosensory areas 1, 2, and 3 Receives from somatic sensory receptors of touch, pressure, vibration, itch, tickle, temperature, pain, and proprioception Perception of these sensations Each point receives input from specific part of face or body 59 Other primary sensory areas Visual area 17 Auditory areas 41 and 42 Gustatory area 43 Olfactory area 28 60 Functional Organization of the Cerebral Cortex: Motor Areas 61 Motor Areas Primary motor area 4 Voluntary contractions of specific muscles or groups Broca’s speech areas 44 and 45 62 Functional Organization of the Cerebral Cortex: Association Areas 63 Functional Organization of the Cerebral Cortex: Association Areas Somatosensory association area – posterior to primary somatosensory areas 5 & 7 Determine shape and texture by touching Sense relationship of one body part to another Stores memories of past somatic experiences Copyright 2009, John Wiley & Sons, Inc. 64 Functional Organization of the Cerebral Cortex: Association Areas Visual association areas 18 & 19 – occipital lobe Relates present to past visual experiences Essential for recognizing and evaluating what has been seen Facial recognition areas 20, 21, and 37 Store information Allow recognition Copyright 2009, John Wiley & Sons, Inc. 65 Functional Organization of the Cerebral Cortex: Association Areas Auditory association area 22 – temporal lobe Recognize a particular sound as speech, music, or noise Orbitofrontal area 11 Identify odors Discriminate between odors Copyright 2009, John Wiley & Sons, Inc. 66 Functional Organization of the Cerebral Cortex: Association Areas Wernicke’s area 22 and possibly areas 39 and 40 – left temporal and parietal lobes Interprets meaning of speech by translating words into thoughts Common integrative areas 5, 7, 39, & 40 Integrates sensory interpretation from association areas and impulses from other areas allowing thoughts based on sensory input Copyright 2009, John Wiley & Sons, Inc. 67 Functional Organization of the Cerebral Cortex: Association Areas Prefrontal cortex areas 9, 10, 11, & 12 – anterior portion of the frontal lobe Personality Intellect Complex learning Judgment, reasoning, conscience, intuition, and abstracts Copyright 2009, John Wiley & Sons, Inc. 68 Others Premotor area 6 – specific groups of muscle to contract in specific sequences Memory bank for complex movements Frontal eyelid area 8 – voluntary scanning movements of eyes 69 Hemispheric Lateralization Copyright 2009, John Wiley & Sons, Inc. 70 Cranial Nerves 12 pairs Sensory, motor and mixed nerves Name as well as roman numeric numbers to identify the nerves Copyright 2009, John Wiley & Sons, Inc. 71 Olfactory (I) Nerve Sensory nerve Sense of smell Olfactory cells converge to become olfactory nerve Copyright 2009, John Wiley & Sons, Inc. 72 Optic (II) Nerve Sensory nerve Ganglion cells in the retina of each eye join to form an optic nerve Nerve of vision Copyright 2009, John Wiley & Sons, Inc. 73 Oculomotor (III) Nerve Motor cranial nerve Originates in the midbrain Supply extrinsic eye muscles to control movements of the eyeball and upper eyelid Copyright 2009, John Wiley & Sons, Inc. 74 Trochlear (IV) Nerve Motor cranial nerve Smallest of the 12 cranial nerve Controls movement of the eyeball Copyright 2009, John Wiley & Sons, Inc. 75 Trigeminal (V) nerve Largest cranial nerve Mixed nerve Three branches: 1. opthalmic 2. maxillary 3. mandibular Deal with sensation of touch, pain and temperature Motor axons supply muscles of mastication Copyright 2009, John Wiley & Sons, Inc. 76 Abducens (VI) Nerve Motor cranial nerve Originates from the pons Cause abduction of the eyeball (lateral rotation) Copyright 2009, John Wiley & Sons, Inc. 77 Facial (VII) Nerve Mixed cranial nerve Sensory portion extends from the taste buds of the anterior two-thirds of the tongue Motor portion arises from the pons and deal with facial expression Copyright 2009, John Wiley & Sons, Inc. 78 Vestibulocochlear (VIII) Nerve Sensory cranial nerve Originates in the inner ear Vestibular branch carries impulses for equilibrium Cochlear branch carries impulses for hearing Copyright 2009, John Wiley & Sons, Inc. 79 Glossopharyngeal (IX) Nerve Mixed cranial nerve Sensory axons carry signals from the taste buds of the posterior one – third of the tongue Motor neurons arise from the medulla and deal with the release of saliva Copyright 2009, John Wiley & Sons, Inc. 80 Vagus (X) Nerve 81 Vagus (X) Nerve (see table 14.4) Mixed cranial nerve Distributed from the head and neck into the thorax and abdomen Sensory neurons deal with a variety of sensations such as proprioception, and stretching Motor neurons arise from the medulla and supply muscles of the pharynx, larynx, and soft palate that are involved in swallowing and vocalization Copyright 2009, John Wiley & Sons, Inc. 82 Accessory (XI) Nerve Motor cranial nerve Divided into cranial accessory and spinal accessory nerves Supplies sternocleidomastoid and trapezius muscles to coordinate head movements Copyright 2009, John Wiley & Sons, Inc. 83 Hypoglossal (XII) Nerve Motor cranial nerve Conduct nerve impulses for speech and swallowing Copyright 2009, John Wiley & Sons, Inc. 84 14_table_04a 14_table_04b 14_table_04c 14_table_04d End of Chapter 14 Copyright 2009 John Wiley & Sons, Inc. 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