Do Now: Is the dancer turning clockwise or counter clockwise? Put your right hand in the air Point palm downward Put your right finger on your ear Say “This is my favorite ear” What your brain just did… Analyzed instructions to lift right hand Triggered emotions in midbrain…”Is she nuts?” “Why are we doing this?” Sent to speech area to say the words Put words together into sentence Called on area that controls hand movements in left part of your brain Called on area that controls hand movements (your finger did not end up in your eye or nose!) Searched memory bank for words you needed What is the structure of the brain? Brain Comprised of three major parts •Lower Brain •Mid Brain •Cerebrum and Cerebral Cortex •(upper brain) Over 100 Billion Cells Each part works with others to control what think feel and do. What does the brain look like? • Tightly compressed macaroni • Studying uses more energy than jogging • Uses 20% of your oxygen • Is protected in multiple ways. Corpus Callosum Broad, thick band running from side to side and consisting of millions and millions of nerve fibers. Connections between left and right sides of brain. Highway of information – it is the Newburgh-Beacon Bridge of the I-84 of your brain! Upper Brain Mid Brain Lower Brain Brain Stem What is the Upper Brain? • Cerebral Cortex: outermost layer of brain covers the cerebrum – gray matter. • Higher level thought • 100 Billion nerve cells • It is the most highly developed part of the human brain and is responsible for thinking, perceiving, producing and understanding language. • It is also the most recent structure in the history of brain evolution Why is the cerebral cortex so important? • Personality: makes us “human” • “Seat of the soul” • Example: when faced with severe brain injury to frontal lobe– personality sometimes changes completely • Strokes, tumors – sometimes causes this What does the mid brain do? Mid Brain Limbic System Emotions Sexual instincts Sense of smell Possible connection? What does the lower brain do? Lower Brain reaction primal aggression Hemispheres • • • • Brain divided into two sides Fissure: groove along center Right: controls left Left: controls right Right Brain or Left Brain? You have inherited 1,000,000 dollars! Congratulations! You are moving to new house you are having made and have to pack your things in boxes. 1. How will you pack your priceless glassware that Aunt Edna left you in her will to make sure they don’t break? If any of them break, the money has to be given to a distant cousin. Describe in a few sentences how you will pack the glasses? Where does the brain sit? Central Station of Human Nervous System CNS (Central Nervous System) Floats in cerebrospinal fluid Enclosed in the cranium Most common damage: stroke, blunt head trauma How is the brain protected? • Protected by the thick bones of the skull • Cerebral Cortex covering • Suspended in cerebrospinal fluid • Isolated from the bloodstream by the blood-brain barrier a semi-permeable membrane that protects the brain. • The delicate nature of the human brain makes it susceptible to many types of damage and disease. • Infection of the brain is rare because of the barriers that protect it, but is very serious when it occurs. • Multiple Sclerosis-mylen, insulation for nerves, is impaired. • Parkinson’s Disease, Huntington’s Chorea = CNS diseases Phineas Gage: Neuroscience’s Most Famous Patient Summary There are three parts to the brain on a horizontal level • Upper Brain: higher level thinking • Mid Brain: (Limbic System)vision, hearing, motor control, sleep/wake, arousal (alertness), and temperature regulation • Lower Brain: primitive functions, aggression, fight or flight • Brain Stem: autonomic functions • Two hemispheres – right hemisphere controls left, left hemisphere controls right • Brain Dominance Theory: Right brain dominant – art, language, creative. Left brain – logical, math, organized What is a stroke? • A stroke is a medical emergency. Strokes happen when blood flow to your brain stops. Within minutes, brain cells begin to die. There are two kinds of stroke. The more common kind, called ischemic stroke, is caused by a blood clot that blocks or plugs a blood vessel in the brain. The other kind, called hemorrhagic stroke, is caused by a blood vessel that breaks and bleeds into the brain. "Mini-strokes" or transient ischemic attacks (TIAs), occur when the blood supply to the brain is briefly interrupted. Symptoms of stroke are • Sudden numbness or weakness of the face, arm or leg (especially on one side of the body) • Sudden confusion, trouble speaking or understanding speech • Sudden trouble seeing in one or both eyes • Sudden trouble walking, dizziness, loss of balance or coordination • Sudden severe headache with no known cause • If you have any of these symptoms, you must get to a hospital quickly to begin treatment. Acute stroke therapies try to stop a stroke while it is happening by quickly dissolving the blood clot or by stopping the bleeding. Post-stroke rehabilitation helps individuals overcome disabilities that result from stroke damage. Drug therapy with blood thinners is the most common treatment for stroke. NIH: National Institute of Neurological Disorders and Stroke Do Now: Make a happy face Make an angry face Make a sad face Make a fearful face How do you know how to do that? Face Blindness Test Cerebral cortex: covers brain (gray matter) Fissure: groove along middle of brain Parietal Lobe: sensory strip Motor Strip: along frontal lobe - movement Temporal Lobe: speech, hearing Prefrontal Lobe: :personal memories Occipital Lobe: interprets visual information Frontal Lobe::reasoning, personality, Cerebellum: balance, Reticular Activating System: Thought, complex thoughts alertness coordination Do Now: This is a G rated activity– touch the area where your corpus callosum (under the fissure) is Now touch your frontal lobe. Now your Parietal lobe Now your Temporal lobe Now your Occipital lobe Now your Cerebellum Now your Medulla Oblongata What are some other parts of their brain and their purpose? Brain stem: internal physical state of body Medulla Oblongata: breathing, heartbeat Pons: regulates brain during sleep Thalamus: relay station between senses and cerebral cortex Cerebellum: balance and movement Limbic system: emotions, memory Hippocampus: long term memory Amygdala: aggression, emotion, motives, (very active during adolescence) Hypothalamus: eating, drinking, body temperature Reading: Disorders of the Brain • • • • • Attention Deficit Disorder TBI: Traumatic Brain Injury Alzheimer’s Disease Dementia with Lewey Bodies: Although, where Alzheimer’s disease usually begins quite gradually, DLB often has a rapid or acute onset, with especially rapid decline in the first few months. • While the specific symptoms in a person with DLB will vary, core features of DLB are: 1) fluctuating cognition with great variations in attention and alertness from day to day and hour to hour 2) recurrent visual hallucinations. 3.)REM Behavior Disorder Cerebral cortex: covers brain (gray matter) Fissure: groove along middle of brain Parietal Lobe: sensory strip Motor Strip: along frontal lobe - movement Temporal Lobe: speech, hearing Prefrontal Lobe: :personal memories Occipital Lobe: interprets visual information Frontal Lobe::reasoning, personality, Cerebellum: balance, Reticular Activating System: Thought, complex thoughts alertness coordination Split Brain Game Dr. Oliver Saks In 1966 Dr. Sacks began working as a consulting neurologist for Beth Abraham Hospital in the Bronx, a chronic care hospital where he encountered an extraordinary group of patients, many of whom had spent decades in strange, frozen states, like human statues, unable to initiate movement. He recognized these patients as survivors of the great pandemic of sleepy sickness that had swept the world from 1916 to 1927, and treated them with a then-experimental drug, L-dopa, which enabled them to come back to life. They became the subjects of his book Awakenings, which later inspired a play by Harold Pinter ("A Kind of Alaska") and the Oscar-nominated feature film ("Awakenings") with Robert De Niro and Robin Williams. What are Neurons? Neurons • Cell body • DNA, Mitochondria, Ribosomes (protein) Axons • Long cable-like • Carries nerve impulse on length of cell Myelin • Thin covering over nerve • Like insulated electrical wire Dendrites • Branches connect to/communicate with other cells • Located at either end of cell Myelinated neurons are found in the peripheral nerves (sensory and motor neurons), while non-myelinated neurons are found in the brain and spinal cord. Synapses, neurotransmitters, neurons…oh my! Neuron Synapse Neurotransmitters • Gather and transmit electric and chemical signals • Point where 2 or more neurons connect, (pass info) • Signals travel up to several feet • Chemicals in the endings of nerve cells that send information across synapse Sensory Neurons Motor Neurons Receptors Interneurons • Travel from body to brain • Travel from brain to body. • - sense the environment (chemicals, light, sound, touch) and put information into electrochemical messages transmitted by sensory neurons • Connect sensory and motor neurons lhttp://learn.genetics.utah.edu/content/addiction/drugs/mouse.html Dopamine Acetylcholine • Motor functions • Too much – Schizophrenia • Too little – Parkinson’s, other diseases • Attention and REM sleep inducer • Too little – Myashenia Gravis (muscle weakness, tired, Alzheimers Link Endorphin • Relieve pain, increase wellbeing • Natural form of morphine (woo hoo!) Serotonin • chemical that helps maintain a "happy feeling," helps with sleep, anxiety, depression GABA (gamma-aminobutyric acid) Reticular system • amino acid that helps induce relaxation and sleep builds muscle tone. • It balances the brain by inhibiting over-excitation. • Keeps us alert or puts us to sleep – alcohol mimics reticular system neurons Reuptake • The main objective of a Reuptake Inhibitor is to substantially decrease the rate by which neurotransmitters are reabsorbed, leaving a large gain in the concentration of neurotransmitter in the synapse. • Example: Antidepressant drugs often use ssris (selective serotonin reuptake inhibitors) to cause a GAIN in amount of serotonin in brain. http://learn.genetics.utah.edu/content/addiction/reward/madneuron.html Serotonin Overdose Class Drugs 5-HT1 agonists Monoamine oxidase inhibitors (MAOIs),[1] TCAs,[1] SSRIs,[1] SNRIs,[1] bupropion,[6] nefazodone,[7] trazodone[7] tramadol,[1] pethidine,[1] fentanyl,[1] pentazoci ne,[1] buprenorphine[8]oxycodone,[9] hydrocod one[9] phentermine,[10] diethylpropion,[10] amphetam ine,[3][10] sibutramine,[1]methylphenidate,[10] m ethamphetamine,[10] cocaine[10] triptans[1][10] Psychedelics Ecstasy Crystal Meth Meth] LSD[11][12] Antidepressants Opioids CNS stimulants Herbs Others St John's Wort,[1] Syrian rue,[1] Panax ginseng,[1] Nutmeg[13] tryptophan,[1] LDopa,[14] valproate,[1] buspirone,[1] lithium,[1] li nezolid,[1][15]dextromethorphan,[1] 5hydroxytryptophan,[7] chlorpheniramine,[10] ris peridone,[16]olanzapine,[17] ondansetron,[1] gra nisetron,[1] metoclopramide,[1] ritonavir[1] What did we learn? • Myelin: fatty sheath that covers nerves similar to an electrical wire – lesions can cause neurological symptoms • Neurons: Motor = brain to body, Sensory = body to brain, Interneuron=connections between nerves, Receptors=receive neurotransmitter • Neurotransmitters: electrical/chemical messages passed along by neurons • Serotonin: happy chemical • Dopamine: movement • Acetylcholine: sleep, attention • Endorphins: natural morphine DO NOW: Reading: What are reflexes? 1. Read article 2. Answer questions for “reading” …you will answer the “listening” questions at the end of class and hand in. What are reflexes? •A reflex is an involuntary or automatic, action that your body does in response to something without you even having to think about it. • There are many types of reflexes and every healthy person has them. In fact, we're born with most of them…and most of them fade by age 6 months. •Some infant reflexes that show up in adulthood can be signs of neurological disease. Why do we have reflexes? • Reflexes protect your body from things that can harm it. • For example, if you put your hand on a hot stove, a reflex causes you to immediately remove your hand before a "Hey, this is hot!" message even gets to your brain • Other examples of protective reflexes are blinking when something flies toward your eyes or raising your arm if a ball is thrown your way. Even coughing and sneezing are reflexes. They clear the airways of irritating things What are the reasons for reflexes? • Evolutionary Perspective? • Survival Instinct? • Reflexes take place without traveling from brain (motor neurons) to sensory neurons How are reflexes different than reactions? • They use inter-neurons to communicate without direct motor neurons! Common Reflexes Babinski (foot) Rooting (sucking) Moro (startle Pupillary (eyes – constriction Or dilation) Tonic (fencing) Galant (leaning against side of spine that is stroked) Pupillary Response Babinski Reflex • Babinski's reflex occurs when the big toe moves toward the top of the foot and the other toes fan out after the sole of the foot has been firmly stroked. • This reflex, or sign, is normal in younger children, but abnormal after the age of 2 • The presence of a Babinski's reflex after age 2 is a sign of damage to the nerve paths connecting the spinal cord and the brain Babinski on Infant Babinski Explanation Moro Reflex • It is normally present in all infants/newborns up to 4 or 5 months of age • Absence indicates a profound disorder of the motor system. • Persistence of the Moro response beyond 4 or 5 months of age is noted only in infants with severe neurological defects • It is believed to be the only unlearned fear in human newborns Moro Tonic (Fencers) Reflex • known as the “fencing reflex" because of the characteristic position of the infant's arms and head, which resembles that of a trained fencer. • Beyond the first months of life may indicate that the child has developmental delays, at which point the reflex is atypical or abnormal. For example, in children with cerebral palsy the reflexes may persist and even be more pronounced. Tonic Knee Jerk or (DTR) reflex • The reflex that the doctor checks by tapping your knee is called the patellar, or knee-jerk, reflex. It is also known as a deep tendon reflex (DTR) This tap stretches the tendon and the muscle in the thigh that connects to it. • A message then gets sent to the spinal cord that the muscle has been stretched.The spinal cord very quickly sends a message back to the muscle telling it to contract. The contraction of the muscle causes your lower leg to kick out. Knee Jerk (Patellar) Reflex Causes of Abnormal Knee Jerk Response • Hyperactive (knee jerks too much): ALS, brain tumor, stroke, liver disease, hypocalcemia (low calcium), hypomagnesemia (low magnesium), hypothermia, multiple sclerosis, preeclampsia, spinal cord lesion and tetanus. • Hypoactive (knee doesn't jerk enough): botulism, nerve inflammation, peripheral neuropathy, polio, untreated syphillis, diabetes, alcoholism, arthritis, etc. Galant Reflex • ://www.medicalvideos.eu/video/eb2712fc2af d7dd/Galant-Reflex--Clinical-Pediatrics Reflexes seizures & headaches? • • • • • • • • Migraines: blood vessel based, often preceded by signs Cluster: mostly male, one eye – occurs at intervals Tension: often frontal/occipital based – muscles Seizures: Grand Mal, Petit Mal, Idiopathic, Absence – often preceded by signs Types of reflexes: Knee Jerk, Babinski, Moro, Fencers (Tonic) Primitive reflexes in adulthood often sign of neurological disease Absence of reflexes in infancy – neurologicial problem Normal adult reflexes protect us. What have we learned? • Cerebral Cortex – covers your brain, gray matter • Hemispheres-each half of the brain that has different roles. Hemisphere dominance is a theory…what do you think? • Corpus Callosum: The Newburgh Beacon Bridge of the Interstate 84 of your brain • Frontal Lobe: reasoning, higher level thought processes • Parietal Lobe: motor strip, sensory strip • Temporal Lobe: hearing, speech • Occipital Lobe: sight • Medulla: autonomic functions • Cerebellum: balance, coordination • Pons and RAS: sleep, recognition of faces • Prefrontal lobe: seat of the soul, personal memories • Lower brain: primitive reactions • Midbrain: smell, emotion (limbic system) • The blood brain barrier protects your brain from infection • Myelin: fatty sheath that covers nerves similar to an electrical wire – lesions can cause neurological symptoms • Right Brain/Left Brain Theory (R=holistic L= analytical • Neurons: Motor = brain to body, Sensory = body to brain, Interneuron=connections between nerves, Receptors=receive neurotransmitter • Neurotransmitters: electrical/chemical messages passed along by neurons • Serotonin: happy chemical • Dopamine: movement • Acetylcholine: sleep, attention • Endorphins: natural morphine • Types of reflexes: Knee Jerk, Babinski, Moro, Fencers (Tonic) • Primitive reflexes in adulthood often sign of neurological disease • Normal adult reflexes protect us.