THE NERVOUS SYSTEM http://www.youtube.com/watch?v=YRwPMICvbT4 I. Introduction A.Functions of N.S. 1.Sensory input 2.Integration 3.Homeostasis 4.Mental activity 5.Control of skeletal muscles I. Introduction B. Divisions of the N.S. Central N.S. Brain Peripheral N.S. Spinal Cord Efferent Afferent Autonomic Parasympathetic Somatic Sympathetic I. Introduction B. Divisions of the N.S. Central N.S. Peripheral N.S. Brain Spinal Cord Made of 12 cranial nerves & 31 spinal No potential for nerves regeneration PNS A.Afferent (sensory) division carries messages toward CNS. B. Efferent (motor) division carries messages away from CNS toward muscles & glands (somatic). Sympathetic NS Fight or Flight • Dilates pupils • Reduces saliva, mucus, peristalsis, intestinal motility, urine secretion • Increases heart rate, glycogen to glucose conversion Parasympathetic NS Digest & Rest • Constricts pupils • Reduces heart rate • Increases mucus production, gastric juice production, digestion, urine production, intestinal tract motility, peristalsis II. Histology of the N.S. 2 types of cells: neurons & support cells (neuroglia) A.Neurons – 1. Are excitable, irritable, & conductive. – nerve cells – functional unit of n.s. Neurons are not nerves! Nerves are bundles of PNS fibers held together by several layers of connective tissue A. Neurons 2. Structure. a. Cell body b. Dendrites receive incoming signals towards cell body A. Neurons 2. Structure c. Axons transmit signals away from cell body 2. Structure c. Axons • Myelin Sheath membrane "insulation" around axons • Nodes of Ranvier - gaps between myelin 2. Structure c. Axons • Nissil bodies rough endoplasmic reticulum... Lots of protein synthesis • Synaptic vesicles stores neurotransmitter at axon terminal Structural Classification of Neurons Regeneration A. Neurons do not reproduce themselves, but they can regenerate new parts sometimes. B. If a neuron is cut through a myelinated axon, the proximal portion may survive if the cell body is not damaged. C. The distal portion will die (degenerate). Macrophages move into the area and remove debris. D. Neuron cell body reorganizes its Nissl bodies to provide proteins necessary for axon growth. E. The Schwann cells form a regeneration tube that helps guide the axon to its proper destination. Regeneration F. New fiber will eventually fill the myelin sheath and innervate the muscle. Growth occurs at 3-5 mm/day. (1 mm = 0.04 inch) G. In the CNS, this repair is unlikely because the neurons lack the neurilemma necessary to form the regeneration tube. Also, the astrocytes quickly fill the damaged area forming scar tissue. Most CNS injuries cause permanent damage. Regeneration H. Crushing and bruising can also damage nerve fibers resulting in paralysis. Inflammation of the injury site damages more fibers. Early treatment with methyprednisolone reduces inflammation and decreases severity of injury. It must be given within 8 hours to be effective. http://www.youtube.com/watch?v=kxVMog4PkYo II. Histology of the N.S. B. Neuroglia – nonexcitable; help & support neurons OF THE CNS 1.Astrocytes - "nurse" cells; nourish & protect neurons; form blood brain barrier 2.Oligodendrocytes - form myelin in CNS II. Histology of the N.S. B. Neuroglia – nonexcitable; help & support neurons OF THE CNS 3.Microglia - provide immune protection in CNS. 4.Ependymal cells –circulate cerebrospinal fluid II. Histology of the N.S. B.Neuroglia – OF THE PNS 5.Schwann Cells - form myelin in peripheral nerves 6.Satellite Cells – surround and support neurons of the ganglia C. Nerves and Ganglia 1.Nerves a.bundles of nerve cell axons and/or dendrites in periphery of body. b.Functional classification • Sensory (afferent) nerves carry incoming signals from sense receptors towards CNS. C. Nerves and Ganglia 1.Nerves b. Functional classification • Motor (efferent) nerves – carry outgoing (away from CNS) signals to muscle & glands. • Interneurons nerves – connect motor and sensory neurons C. Nerves and Ganglia 2.Ganglia. Ganglia are bundles of nerve cell bodies in periphery of body. II. Histology of the N.S. D.Gray & White Matter 1.White Matter • Made of mylinated processes 2.Gray Matter • Unmylinated processes and cell bodies II. Histology of the N.S. D.Gray & White Matter 3. Location Spinal cord gray matter forms H in center surrounded by white matter II. Histology of the N.S. D.Gray & White Matter 3. Location Brain central white matter with a superficial gray matter covering III. Neurophysiology A.Membrane Properties 1. Neurons must be able to transmit their excitable response that started either in the dendrites or the nerve cell body down through the axon. 2. When at rest, the neuron has more + charges outside the cell membrane than inside. 3. This electric imbalance called the resting membrane potential or simply stated the Resting potential is the difference b/w the 2 sides of the neuron’s membrane when the cell is not conducting an impulse Resting Potential A. Membrane Properties 3. Resting Potential ion distribution • Lg # Na+ outside; K+ inside A. Membrane Properties 4. Changes in ion distribution cause Stimulation of membrane Opens ion channels (pores) • When this occurs it is called an Action Potential or simply stated an Action potential is the electrical signal that rapidly travels along the axon of neurons causing changes in ion distribution. III. Neurophysiology B. Action Potentials 1.Are a specialized kind of electric signal generated only by neurons and muscle cells 2.are self-propagating 3.are all-or-none events. III. Neurophysiology C. Action Potentials have 3 Phases 1.Depolarization • Rapid (1 msec) • sodium channels open, Na+ rush in III. Neurophysiology C. Action Potentials have 3 Phases 1.Depolarization •Ends in an overshoot (i.e. brief period of time inside of cell is more positive than outside) III. Neurophysiology C. Action Potentials have 3 Phases 2.Repolarization • Na+ channels close • K+ channels open and K+ rushes out III. Neurophysiology C. Action Potentials have 3 Phases 2.Repolarization • overshoots the resting point III. Neurophysiology C. Action Potentials have 3 Phases 3.Undershoot Phase • Membrane is hyperpolarized back to the resting potential • K+ channels close • Na+/K+ pump reestablishes the resting potential • 3 Na+ moved for 2 K+ Na+ / K+ Pump Reestablishes Resting Potential III. Neurophysiology D. Nerve Impulse 1. Impulse conduction • Unmyelinated fibers conduct impulse over entire membrane surface. • Myelinated fibers conduct impulse from node to node 2. Action potential spreads down the fiber to adjacent areas of membrane http://www.youtube.com/watch?v=FR4S1BqdFG4 How the neurons work with the brain III. Neurophysiology E.All or None Response 1.If the nerve fiber responds to the impulse, it responds completely 2.Greater intensity of stimulation triggers more impulses per second, not stronger impulses IV. The Synapse A.Defined The junction (cleft) between 2 neurons IV. The Synapse B.Synaptic Transmission 1. The process by which the impulse is transmitted across the synaptic cleft IV. The Synapse B.Synaptic Transmission 2. Steps • Impulse reaches the synaptic knobs of axon • synaptic vesicles release neurotransmitter into the cleft IV. The Synapse C.Kinds of Neurotransmitters 1. Acetylcholine (ACh) • Made from acetic acid 2. Biogenic Amines • Made from amino acids • Include: dopamine, epinephrine (adrenaline), norepinephrine (noradrenaline), Serotonin and histamine C. Kinds of Neurotransmitters 3. Amino Acids 4. Peptides (includes endorphins) 5. ATP 6. Nitric Oxide (NO) 7. Carbon monoxide (CO) Nicotine mimics acetylcholine but can block function by producing sustained depolarization V. The Reflex Arc A.The Pathway 1.Receptors 2.Sensory Neuron 3.CNS Integration Center 4.Motor Neuron 5.Effector B. Reflexes 1.Are rapid, automatic responses to stimuli 2.A specific stimulus produces the same motor response VI. The Brain A.The Cerebrum 1. Function a.Thinking and consciousness b.Willed movements c.Memory d.Vision e.Hearing f.Sensory perception g.Emotions h.Speech A. The Cerebrum 2. General Comments a. 83% of total weight of brain b. Paired cerebral hemispheres A. The Cerebrum 3. Anatomy a.Lobes Named for bones over them • • • • • Frontal Temporal Parietal Occipital Insula (limbic) –inside lateral sulcus Occipital Lobe - Responsible for the processing of visual information. Damage to this area results in partial or complete blindness. Parietal Lobe - Responsible for the sensation of pain, touch, taste, temperature, pressure. It is also related with mathematics and logics. Frontal Lobe - Responsible for the elaboration of thinking, planning, programming individual needs and emotion. Temporal Lobe - It is primarily related with auditory sense, allowing the recognition of specific tones and sound intensity. This area has also a role in memory and emotion processing. Limbic Lobe - It is involved in the emotional and sexual aspects of behavior and in the processing of memory. A. The Cerebrum 3. Anatomy b. Fissures Deep grooves • Longitudinal (median, between cerebral hemispheres) • Transverse (between cerebrum and cerebellum) c.Sulci (sulcus singular) Shallow grooves • Central: between frontal/parietal • Parieto-occipital • Lateral: between temporal/frontal/ parietal A. The Cerebrum 3. Anatomy b. Gyri (gyrus singular) Elevated ridges of tissue • Precentral (anterior to central sulcus) • Postcentral (posterior to central sulcus) c.Basic Regions Cortex • Outer layer • Gray Matter White Matter – internal Basal Nuclei • Islands of gray matter inside white matter Memorize parts of Brain Song http://www.youtube.com/watch?v=v YwOtTMUz0c VI. The Brain B.The Diencephalon 1. Consists of a.Thalamus b.Hypothalamus c.Epithalamus VI. The Brain B.The Diencephalon 2. Thalamus a.“Gateway of the Cerebral Cortex” for afferent (sensory) fibers especially touch & taste b.Relay station for sensory and motor impulses VI. The Brain B.The Diencephalon 3. Hypothalamus a.Autonomic control center b.Main visceral control center of the body c.Involved in regulation of • • • • Body temperature Water balance and thirst Food intake and metabolism Sleep and wake cycles VI. The Brain B.The Diencephalon 3. Hypothalamus c.Involved in regulation of d.Endocrine functions • Regulates pituitary Produces releasing and inhibiting hormones • Produces hormones • Antidiuretic hormone (ADH) • Oxytocin B.The Diencephalon 3. Hypothalamus c.Involved in regulation of d.Endocrine functions e.Center for emotional response and behavior • Thirst center • Appetite center • Sex (sexual arousal) center • Pain center • Pleasure center • Fear & Anger B.The Diencephalon 4. Epithalamus a.Forms roof of 3rd ventricle b.Pineal Gland or Body c.Choroid • Secretes Plexus melatonin • Regulates sleep- • Forms cerebral wake cycles and spinal fluid moods VI. The Brain C. The Brain Stem 1. Midbrain 2. Pons 3. Medulla Oblongata VI. The Brain C.The Brain Stem 1. Midbrain a.Conduction pathway between higher and lower brain centers b.Cranial Nerves III & IV Oculomotor & Trochlear (eye movement) VI. The Brain C.The Brain Stem 2. Pons a.Conduction pathway between higher and lower brain centers Cranial Nerves V – VII b.Regulates c. Trigeminal, Abducens, & Facial sensory & chewing; rolls eye laterally; & breathing Facefacial expression & taste C.The Brain Stem 3. Medulla a.Autonomic reflex center for body homeostasis b.Centers • • • • • • • • Cardiac Vasomotor Respiratory Vomiting Hiccupping Swallowing Cranial Nerves VIII – XII Coughing c. Vestibulocochlear, Glossopharyngeal,Vagus,Accessory,&Hypoglossal swallow & taste; GI activity & Heart activity; acts on Sneezing Hearing;sternocleidomastoid & trapezius muscles; & control tong movement & sensory impulses VI. The Brain D.Cerebellum 1. Assists in maintaining • Balance • Posture • Equilibrium 2. Coordinates skeletal muscle VI. The Brain E. Functional Brain Systems 1. Limbic System • Our emotional or affective (feelings) brain • Includes hypothalamus and parts of the cerebrum VI. The Brain E. Functional Brain Systems 2. The Reticular Formation • Involved in arousal of the brain • Filters the flood of sensory input (99% filtered out) – Filters out repetitive, familiar or weak signals – Passes on unussual, strong, or significant signals VI. The Brain E. Functional Brain Systems 2. The Reticular Formation • Involved in arousal of the brain • Filters the flood of sensory input (99% filtered out) – Filters out repetitive, familiar or weak signals – Passes on unussual, strong, or significant signals VI. Parts of the Brain & How they work E. http://educationportal.com/academy/lesson/pa rts-of-the-brain.html VI. The Brain E.Functional Brain Systems 3. The Ventricles Cavities within the brain through which cerebralspinal fluid flows Demo of Sheep Brain Dissection & Id it’s parts http://www.youtube.com/watch?v=y 7gEWzPqm94 VII. The Spinal Cord A.Function – involved with 1. Sensory pathways to brain 2. Motor pathways to body 3. Spinal cord reflexes VII. The Spinal Cord B. Gray Matter at center of cord 1.Dorsal (posterior) horns = cell bodies of the sensory neurons 2.Ventral (anterior) horns = cell bodies of the motor neurons VII. The Spinal Cord B. Gray Matter at center of cord 3.Lateral horns = cell bodies of preganglionic neurons of the autonomic nervous system VII. The Spinal Cord B. Gray Matter at center of cord 4.Gray commisure = connects the lateral halves of gray matter VII. The Spinal Cord C. Spinal Cord Injuries 1.Flaccid Paralysis a.occurs when there is damage to lower motor neurons (i.e. anterior horns of gray matter) b.results in a total loss of muscle tone and atrophy of the muscle tissue VII. The Spinal Cord C. Spinal Cord Injuries 1.Spastic Paralysis a.occurs when there is damage to upper motor neurons b.results in increased muscle tone, due to reduced inhibition of, but no voluntary control over, skeletal muscle VIII. CNS Protective Structures A.Skull and Vertebral Column 1.Cranial Bones (8) 2.Vertebral Column (33) VIII. CNS Protective Structures B.Meninges 1.three, thin membranes that completely cover the brain and the spinal cord. 2.Spinal fluid flows in the space between two of the membranes. 3.Include the dura, arachnoid, pia VIII. CNS Protective Structures B.Meninges 3.Dura Matter a.Outer layer b.In the skull, a double layered – outer layer = periosteal layer attached to periosteium of skull – inner layer = meningeal layer is outermost brain covering Meninges in the Brain VIII. CNS Protective Structures A.Skull and Vertebral Column B.Meninges 3.Dura Mater c.In vertebral column – Only a single layer 4.Arachnoid mater- middle layer 5.Pia mater - inner layer VIII. CNS Protective Structures A.Skull and Vertebral Column B.Meninges C.Spaces between the meninges 1.Epidural Above the dura Only in spinal column 2.Subdural Between dura and arachanoid 3.Subarachnoid Between arachanoid and pia VIII. CNS Protective Structures D. Ventricles 1.fluid filled cavities in the brain 2.Include: a.1st & 2nd or Lateral Ventricle: in the cerebral hemispheres, just above the epithalmus. b.Third ventricle: in diencephalon c.4th ventricle: between the Pons & Cerebellum d.Cerebral Aquaduct: connects the 3rd to the 4th ventricles. VIII. CNS Protective Structures D. Ventricles 3. Contain tufts of vascular tissue called the choroid plexus which a.Produce cerebral spinal fluid & b.Allows CSF to flow from ventricles to surface of brain and then is return to the blood. VIII. CNS Protective Structures E. Cerebral Spinal Fluid 1.Nourishes brain and spinal cord 2.Gives buoyancy to brain Prevents brain from being crushed by its own weight 3.Produced in choroid plexuses • volume = 150 mL (1/2 cup) • Replaced every 3-4 hrs arachanoid F. Blood Brain Barrier 1.Is the relative impermeability of brain capillaries Due to tight junctions, and endothelial lining of blood vessels in brain F. Blood Brain Barrier Prevents passage of proteins, blood borne metabolic wastes (urea, creatine), some toxins, most drugs Allows passage of nutrients: glucose, essential amino acids, some electrolytes VIII. CNS Protective Structures F. Blood Brain Barrier 3.Protects brain against fluctuations in – Hormones – Ions – Nutrients – Toxic substances HIV VIII. CNS Disorders A.Meningitis 1.Infection of the CSF – Viral: less dangerous – Bacterial: can lead to brain damage, hearing loss, learning disabilities, death 2.Infection of the CSF – Causes inflamation of the meninges VIII. CNS Protective Structures A.Meningitis 3.Symptoms – High fever – Stiff neck – Intolerance for light VIII. CNS Protective Structures B. Encephalitis 1.Inflamation of brain tissue and surrounding meninges 2.Cause – viral infections 3.Outcome – Destruction of gray matter – Can be fatal C. Alzheimer Disease 1. Accumulation of plaque and tangles in brain 2. Cause – unknown VIII. CNS Protective Structures D.Parkinson 1.characterized by a decrease in spontaneous movements, gait difficulty, postural instability, rigidity and tremor 2.Cause the degeneration of the neurons producing dopamine Dissecting a Human Brain http://www.youtube.com/watch?v =OMqWRlxo1oQ IX. CRANIAL AND SPINAL NERVES A.Cranial Nerves 1.Visible on ventral surface 2.12 pair IX. CRANIAL AND SPINAL NERVES A.Cranial Nerves 2. 12 Pair I. Olfactory: smell II. Optic: vision III.Oculomotor: eye movement pupil dilation IV.Trochlear: eye movement V. Trigeminal: chewing; somatosensory (pain touch) for head A. Cranial Nerves 2. 12 pair VI. Abducens: eye movement-lateral VII. Facial Nerve: taste, facial expressions, somatosensory from ear VIII.Vestibulocochlear: hearing and balance IX. Glossopharyngeal: taste, swallowing, sematosensory from tongue A. Cranial Nerves 2. 12 pair X. Vegas: GI & Heart activity; sensory, motor, autonomic functions of viscera XI.Spinal Accessory: head movement XII.Hypoglossal: tongue muscles Here is a mnemonic: On Old Olympus Towering Top A Famous Vocal German Viewed Some Hops. IX. CRANIAL AND SPINAL NERVES B. Spinal Nerves – 31 pair (1) Cervical (2) Thoracic (3) Lumbar (4) Sacral (5) Coccygeal (6) Sciatic (7) Lumbar plexus (8) Intercostal (9) Brachial plexus (10) Cervical plexus IX. CRANIAL AND SPINAL NERVES B. Spinal Nerves – 31 pair A nerve plexus is a network of interwoven nerves. Recall Divisions of the N.S. Central N.S. Brain Peripheral N.S. Spinal Cord Efferent Afferent Autonomic Parasympathetic Somatic Sympathetic X. THE PERIPHERAL NS CNS PNS X. THE PERIPHERAL NS A. Afferent vs Efferent X. THE PERIPHERAL NS A. Afferent vs Efferent 1.Afferent NS a.Sensory neurons. Proprioceptors: sensitive to position and movement b.Pick up stimulus and carry it toward the CNS X. THE PERIPHERAL NS A. Afferent vs Efferent 2.Efferent NS a.Motor neurons b.Carry response impulses from the CNS to the effector X. THE PERIPHERAL NS A. Afferent vs Efferent 3. Disorders of Afferent & Efferent systems a.Myasthenia Gravis: immune system attacks Ach; leads to muscle weakness and fatigue b.Multiple sclerosis: loss of myelin sheath of motor and sensory neurons; leads to limb weakness, tremors, vision disorders, vertigo X. THE PERIPHERAL NS B. Somatic vs Autonomic NS 1.Somatic a.Controls skeletal muscles. b.Can be conscious or subconscious c.Has a single neuron between CNS and effector X. THE PERIPHERAL NS B. Divisions of the Efferent NS 2. Autonomic a.Controls smooth muscles of viscera and glands b.Is subconscious c.Has 2 neurons b/w CNS & effector X. THE PERIPHERAL NS B. Divisions of the Efferent NS 2. Autonomic c.Has two neurons between CNS and effector – Preganglionic neurons Originate in spinal cord – Ganglion neurons Nerve cell bodies – Neurons in effector X. THE PERIPHERAL NS C. Sympathetic and Parasympathetic 1. Sympathetic a.“Fight or Flight” b.Consists of – Preganglionic neurons – 2+ Ganglionic neurons – Specialized neurons in adrenal gland (secretes hormone controlling production of Ach) XI. Pain Perception A. Gate Control Theory 1.Without any stimulation, both large and small nerve fibers are quiet and the inhibitory interneuron (I) blocks the signal in the projection neuron (P) that connects to the brain. The "gate is closed" and therefore NO PAIN XI. Pain Perception A. Gate Control Theory 2.With non-painful stimulation, large nerve fibers are activated primarily. This activates the projection neuron (P), BUT it ALSO activates the inhibitory interneuron (I) which then BLOCKS the signal in the projection neuron (P) that connects to the brain. The "gate is closed" and therefore NO PAIN. XI. Pain Perception A. Gate Control Theory 3.With pain stimulation, small nerve fibers become active. They activate the projection neurons (P) and BLOCK the inhibitory interneuron (I). Because activity of the inhibitory interneuron is blocked, it CANNOT block the output of the projection neuron that connects with the brain. The "gate is open", therefore, PAIN!! I = "Inhibitory Interneuron"; P = "Projection Neuron" - = inhibition (blocking); + = excitation (activation) XI. Pain Perception B. Controlling Pain 1.Aspirin: acts mostly in PNS; reduces inflammation 2.Morphine: acts in CNS to block pain messages 3.Acupuncture: stimulates large diameter fibers that inhibit pain (closes the gate) Sheep Brain Dissection http://www.youtube.com/watch?v=hHl1PslMc8M