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53 Cards in this Set

  • Front
  • Back
Neuro system
Nervous system-
Responsible for interacting with the environment
Coordinate and organize functions of all body parts
Transmit electrical & chemical signals between body organs & tissues and the brain
Divisions CNS and PNS
CNS is divided into Central Nervous System & Peripheral Nervous System
CNS- brain & spinal cord
PNS- cranial nerves & spinal nerves
Peripheral nervous system (PNS)
-Somatic nervous system- motor & sensory pathways regulating motor control of skeletal muscle
-Autonomic nervous system – regulation of body’s internal env- ( viscera) thru involuntary control of organ system
Autonomic nervous system (ANS)
ANS is further divided into:
-Sympathetic Division
-Parasympathetic Division
ANS function
regulates activities of internal organs and to maintain and restore internal homeostasis
-Sympathetic NS
“Fight or flight” responses
Main neurotransmitter is norepinephrine
-Parasympathetic NS
Controls mostly visceral functions
Regulated by centers in the spinal cord, brainstem, and hypothalamus
CNS
Compose of :
Brain
Spinal Cord
Major functional divisions
Higher level brain- or cerebral cortex (neocortex)
Lower level brain– basal ganglia, thalamus, hypothalamus, midbrain, pons, medulla, cerebellum
Spinal Cord
Brain: Cerebrum
Divided into cerebral hemispheres
Cerebral cortex (neocortex)
Frontal lobe- motor
Parietal lobe: tactile
Occipital lobe: vision
Temporal lobe: auditory
Central lobe: taste
Right Cerebral hemisphere
Superior at simultaneous processing such as required for spatial-visual tasks
Vital for non language sounds such as music, of visual experiences, and of spatial relationships
Memories are stored in a holistic fashion as the auditory, visual and spatial stimuli are experienced
Orchestrates holistic performance such as athletic or ballet performance
Left Cerebral hemisphere
Superior ability for tasks requiring an orderly, logical and systematic assessment of components of language, mathematical calculations, complex abstraction, and reasoning
Analytical mode using sequential analysis
Memories are thought to be stored as the component parts and in language format
Frontal lobe
Frontal lobe- precentral gyrus( motor cortex)- regulates voluntary movements. Generally, fibers cross to the opposite side of the brain at the medulla and descend via the spinal cord as the lateral corticospinal tracts i.e. contralateral
Precentral gyrus ( premotor area) –coordinates muscular activity of mouth, tongue & larynx when speaking.
Broca’s aphasia- damage to this area ( usually in the left hemisphere) . Pt is unable to express self clearly .
Prefrontal area- - control attention over time. Motivation, ability to formulate goals, plan, - executive function -
Parietal
Involve in sensory association- storage, analysis & interpretations of stimuli
Temperature, touch, pressure
Awareness of size & shapes- stereognosis
Awareness of position- proprioception
Awareness of body parts,visual spatial information & controls spatial orientation
Occipital lobe- receives input from the retinas; involve in visual association
Temporal lobe– primary auditory receptive areas.
Secondary function- balance, taste, & smell
(Visual , auditory & olfactory perception )
Wernicke area _ ( speech area) located in temporal lobe
Damage – lead to inability to understand spoken or written language; music or env noise. i.e, -receptive aphasia

Central lobe- nerve fibers for taste pass thru this lobe
Brain : Hippocampus
Part of the middle section of temporal lobe.
Memory function
Short term memory- lost after sec or mins
Intermediate memory-last days to weeks
Long term –(remote) memory- stored & last for a long time
Brain: Basal Ganglia
Consists of :
Subcortical gray matter
Internal capsule

Exert a fine tuning effect on motor movements.
Parkinson & Huntington diseases are associated with defects of basal ganglia
Diencephalon
Diencephalon-
Thalamus – relay center for sensory info except smell
Hypothalamus- regulates ANS- T, HR, BP. F/E . GI
Hypothalamus
Visceral & somatic responses
Affectual responses
Hormone synthesis
Sympathetic & parasympathetic activity
Temperature regulation
Feeding responses
Physical expression of emotions
Sexual behavior
Pleasure –punishment centers
Level of arousal or wakefulness
Limbic syst
Limbic system-
Centers of feeling & emotional expression
Brain stem
Brain Stem -
Midbrain, pons, & medulla oblongata
Reticular formation
Reticular formation-
Skeletal motor function
Reticular activating system – control sleep wake cycle & consciousness
Cerebellum
The anterior lobe regulates postural reflexes.
The posterior lobe controls coordination of voluntary muscle activity and muscle tone.
Coordinates location in space and movements
All sensory modalities are circuited through which provides information about muscle activity
It controls fine movement, coordinates muscle groups, and maintains balance
*Generally, nerve tracts travel through various nuclei without crossing ---- right cerebellar hemishere affects the right ( ipsilateral) side of the body & vice versa
Spinal cord
Portion of the CNS that lies within the vertebral canal & is surrounded & protected by the vertebral column
Long cable that connects brain & body
Conduct somatic & autonomic reflexes
Provide motor pattern control centers
Serve as a sensory & motor modulation center
**Protective & nutritional structures:
Cranium & Vertebral column
Meninges
Cerebrospinal Fluid & Ventricular System
Blood brain barrier
Arterial blood supply
Venous supply
Pathways
Ascending sensory pathways- carry sensory information through the spinal cord to the brain
Descending ( motor) pathways- efferent signals to the spinal cord
Spinal Cord Sections
7 cervical vertebrae
12 thoracic vertebrae
5 lumbar vertebrae
5 sacral vertebrae
4 coccygeal vertebrae- fused into coccyx
PROTECTION FOR CNS
Bone- vertebrae surround cord: skull surrounds the brain
Meninges:three connective tissue membranes that cover the brain and spinal cord
Dura mater: outer most & most fibrous fibrous tissue:
Arachnoid: delicate membranes: middle layer : Space between pia & arachnoid is subarachnoid space & CSF flows thru this
Pia mater: inner layer covering brain & spinal cord; carries rich supply of blood vessels
spaces
Epidural between dura mater and the vertebrae. Used for administering medications
Subdural space: between dura mater and arachnoid
Subarchnoid space: between arachnoid and pia mater, contains cerebrospinal fluid. Used for dx. test
Cerebrospinal Fluid
acts as a shock absorber: acts in exchange of nutrients and waste materials
Cerebrospinal Fluid
Clear & colorless fluid
Produced in ventricles & circulated around brain & spinal cord by ventricular system.
CSF produced in choroid plexus of the 4 lateral ventricles lateral, 3th & 4th ventricles.
Organic & inorganic contents of CSF similar to plasma, but their concentration is different.
CSF analyzed for protein, glucose, & chloride on routine analysis; may also be tested for immunoglobulins. CSF has minimal #WBCs and no RBCs
Reflex Mechanisms
Involuntary movements in response to external & internal stimuli.
Example:
Extension and flexion
Knee jerk reflex
Withdrawal reflex
Function of CSF
-surrounds & cushions the brain & spinal cord. Action: Circulates thru subarchnoid space,continuously reabsorbed by arachnoid villi & then channeled into superior sagittal sinus. Spinothalamic tracts being in the spinal cord & end in the thalamus
Blood Brain Barrier-maintain stable environment for neurons
Three barriers- bld –brain. bld –CSF, brain -CSF
Formed by endothelial cells of brain capillaries, continuous tight junction creating low and selective permeability. Barrier to macromolecules.

All substances entering CSF must filter thru choroid plexus. May be altered by trauma, cerebral edema, cerebral hypoxemia
Blood supply
Brain receives approx 15 % of CO or 750 – of bld/min
CO2- primary regulator for bld flow w/in the CNS. It is potent vasodilator in the CNS, and its effect ensure an adequate bld supply
Arterial supply- Vertebral artery system- supply brain stem, cerebellum -
Venous supply
Most of the venous bld from the head returns to the heart through the internal jugular veins, the external jugular veins & vertebral veins.
( Adequacy of venous outflow can have a significant effect on intracranial pressure. Individuals with head injury, turning or letting the head fall to side partially occludes venous return & can increase pressure because of decreased flow through the jugular vein
Cells of the Nervous System
Neurons- primary cell of the nervous system
Integrate many systems at higher cognitive levels & initiate responses to maintain homeostasis
Responsible for communication
Neuroglia- ( “ nerve glue”)- comprise the general classification of cells that support the neurons of the CNS
Neuroglia
4 types:
Astrocytes- supply nutrients
Oligodendrocytes- similar to Schwann cells
Microglia– removes debris in the CNS (phagocytosis)
Ependymal-- lines the central canal of spinal cord & brain
structure & physiology
Neurons or nerve cells
Respond to a stimulus, connect it into a nerve impulse (irritability), and transmit the impulse to neurons, muscle, or glands (conductivity)
Each neuron consists of three main parts
(1) Cell Body (2) Dendrites (3) Axons
Each dendrite synapses with another cell body, axon or dendrite
Axons are covered by myelin sheath
Neuron main parts
Cell body ( soma): contains nucleus and one or more fibers or process extending from cell body
Dendrites: conduct impulses toward cell body: neurons has many dendrites
Axons: conduct impulses away from cell body: neuron has one axon
Types of neurons
Unipolar-
Multipolar
Bipolar
Synapses
Synapse- region between adjacent neurons. Impulses are transmitted across the synapse by chemical and electrical conduction
Presynaptic – neurons that relay impulses toward the synapse
Postsynaptic- neurons that relay impulses away from the synapse
neurotransmitters
Communicate messages from one neuron to another or to a specific target tissue.
Neurotransmitters can potentiate, terminate, or modulate a specific action or can excite or inhibit a target cell.
Many neurologic disorders are due to imbalance in neurotransmitters.
Neurotransmitters-conducting substance formed at the synaptic boutons of the presynaptic neurons axon & stored in synaptic vesicles
More than 100 neurotransmitter have been identified: e.g.:
Norepinephrine, acetylcholine, dopamine, histamine,y aminobutyric acid (GABA). serotonin
Impulse Conduction
Resting potential- not conducting an impulse
Nerve impulse-
Myelin-
Receptors-
structure & physiology
Synapse-small spaces between neurons & their target;
Myelin sheath – protects and insulates the axon fibers: increases the rate of transmission of nerve impulses
Neurilemma– sheath covering the myelin: found in PNS : function is regeneration of nerve fiber
Transmission & Transmitters
Transmission can be affected by:
(1) Strength of the stimulus
(2) Inadequate supply of substance
(3) Cerebrospinal Fluid changes (CSF)
(4) Lack of oxygen
(5) Acidosis or Alkalosis
(6) Drugs
Electolytes for Nerve Impulse Conduction
Primary mechanism for nerve impulse conductions are Na and Chloride ions Heavy concentration in extracellular
K = intracellular concentration
Na & Cl outside cell
K inside cell

Varying concentrations causes a neuron to always be charged.
Depolarization caused by stimulus causing polarity changes causes depolarization.
Repolarization Na in cell, K outside cell, then repolarization with Na being actively pumped back out.
Protein allow access to either K or Na but not both
Gray matter
Gray matter- clusters of neuron cell bodies—fibers not covered with myelin –distributes impulses across selected synapses
Unmyelinated: Impulses are slower. Make up Gray matter of CNS
white matter etc
Ganglia-clusters of nerve cells outside CNS

White Matter-bundles of myelin nerve fibers – conducts impulses along fibers. Myelinated: covered with white lipid/protein material which insulates the axonal membrane, >speed of electrical conduction down membrane. Myelin sheath are segmented.
Nodes of Ranvier- Spaces between segments- purpose to facilitate rapid impulse transmission.
Myelinated fibers make up white matter of CNS
PNS
PNS –includes cranial & spinal nerves including their branches & ganglia
Peripheral nerve is composed of individual axons, dendrites mostly wrapped in myelin sheath
PNS
Types of neurons
Motor (efferent ): conduct impulses away from the brain & spinal cord (CNS) to muscle and glands
Sensory (afferent): conduct impulses toward CNS- brain & spinal cord
Connecting (interneuron): Conduct impulses from axon to dendrites
PNS
Spinal Nerves
Dorsal ( sensory ) roots
Ventral ( ventral ) roots
Cranial Nerves
12 pairs motor/sensory
spinal nerves
31 pairs of spinal nerves
8 pairs of cervical nerves
12 pairs of thoracic nerves
5 pairs of lumbar nerves
5 pairs of sacral nerves
1 coccygeal nerves
Major plexuses-
Cervical plexus- supplies the muscles of the skin of neck & branches to form phrenic nerve ( innervates diaphragm)
Brachial plexus- supplies muscles & skin of shoulder, axilla, arm, forearm, & hand
Lumbosacral- supplies perineum, gluteal area thighs, legs & feet
Cranial Nerves
12 cranial nerves- carries motor and/or sensory neurons

Nuclei – lie below cerebrum except for the olfactory & optic nerves
ANS
Sympathetic Nervous System
Stress
Parasympathetic-
Conservation
Divisions Of Nervous System
(1) Central (2) Peripheral (3) Autonomic (4) Somatic
Central nervous system ( CNS) brain and spinal cord –interprets incoming sensory information and sends out instruction based on past experiences

Peripheral nervous system ( PNS) : Cranial and spinal nerves extending out from brain and spinal cord---carry impulses to and from brain and spinal cord
Autonomic nervous system: functional classification of the PNS---regulates involuntary activities

Somatic nervous system: Functional classification of the PNS: --allows conscious or voluntary control of skeletal muscles
Autonomic Nervous System
Sympathetic “Fight or Flight”
Mediator-norepinephrine
Increased pupil size
>HR
Dilated Bronchioles
<GI Tone
Parasympathetic - “Conserve”
Acetylcholine
Decreased pupil size
<HR
Constricted bronchioles
>GI Tone
Effects of Injury on the Nervous System
Regeneration
Effects of aging on the nervous system