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169 Cards in this Set

  • Front
  • Back

What are the two major divisions of the cerebrum?

Telencephalon and Diencephalon

What is the structure of the brain that divides it into two hemispheres?

The sagittal fissure

Where is the horizontal fissure found?

It is found separating the cerebrum from the cerebellum

Where is the lateral fissure found?

It is found separating the parietal and temporal lobes of the brain

What are the three main structures of the brain stem?

Midbrain, Pons and Medulla

What lie on other side of the central sulcus?

Pre-central and Post-central Gyri

What are the functions of the pre-central and post-central gyri?

Pre-central = motor cortex




Post-central = sensory cortex



Where is the calcarine sinus found?

It is found in the occipital lobe separating it into parts

Where is the cingulate sulcus found?

It is found just above the cingulate gyrus which is located superior to the corpus callosum

What structures comprise the diencephalon?

Thalamus




Hypothalamus




Subthalamus




Epithalamus

Where is the thalamus found?

The thalamus is found just medial to the third ventricle, although it is more visible by a posterior cut




The caudate nucleus wraps itself around the thalamus in a sort of c-shape similar in shape to the ventricles

What structure is located within the sella turcica and what is this structure connected to?

The pituitary gland sits here which is connected to the hypothalamus

What is the major commissural fibre of the brain?

The corpus callosum

What is the role of the corpus callosum?

It relays information between the hemispheres of the brain (left to right and vice versa)

What structures of the brain contain the grey matter?

Grey matter is found in:


1. Cerebral cortex


2. Thalamus (main sensory switchboard)


3. Lentiform Nucleus (putamen, and globus pallidus)


4. Caudate Nucleus


5. Amygdala

What structures comprise the Basal Ganglia?

Lentiform Nucleus (Putamen and Globus Pallidus)


Caudate Nucleus


Amygdala



What is the internal capsule?

A collection of neuronal axons that project between that split the basal ganglia in half and extend to motor/sensory cortex

What does the basal ganglia primarily control?

Motor function

What is the posterior region of the corpus callosum called and what is the anterior region called?

Posterior = Splenium




Anterior = Genu



What are the three major white matter fibres?

Association fibres


Commissural Fibres


Projection Fibres



What is the purpose of the association fibres?

To communicate within one hemisphere (short, intermediate and long)

What is the function of the commissural fibres? Which ones are most prominent?

To communicate between hemispheres of the brain. These include the Corpus Callosum (most important), Anterior Commissure, and Posterior Commissure

What are projection fibres?

Neurons not confined to the cerebrum that extend to different levels of the nervous system (i.e. Spinal Cord)




- Pyramidal tracts (corticospinal) extend from the cortex to the spinal cord

What are the cerebral peduncles, where are they found?

Cerebral peduncles are found on the superior portion of the midbrain and they contain projection fibres going to and coming from the cortex

What are the three structures that make up the brainstem?

Midbrain, pons, and medulla

What paired structures are found on the posterior face of the midbrain?

Inferior and superior colliculi

What prominent structure is found on the anterior face of the midbrain at the superior margin?

Mammillary body

What two cranial nerves are found at the border of the pons and the midbrain?

CIII (Oculomotor) and CIV (Trochlear)

What structure is located behind the Pons and what is its function?

The fourth ventricle, which functions as the final holding site for CSF and has foramen which will drain the CSF into the subarachnoid space as well as into the central canal

What are the two regions on the anterior face of the medulla called?

The pyramids (medial) and the olives (lateral)

What cranial nerve is found on the anterior face of the pons?

CV trigeminal nerve



How does the cerebellum remain connected to the brain stem and what is this structures function?

It is connected by the middle cerebral peduncles. The cerebellum is in charge of motor coordination

At what point does the spinal cord terminate?

At the L1/2 vertebra

How many pairs of spinal nerves do we have? How are they organized?

32


8: cranial


12: thoracic


5: Lumbar


5: Sacral


2: Coccygeal

What is the term for the point at which the spinal cord terminates?

Conus Medullaris

What is the term for the fibre that descends from the spinal cord, connecting it to the sacrum?

Filum Terminale

What is the name for the bundle of nerves that extend from the termination of the spinal cord? What is another name for it?

Cauda Equina (Horse's Tail)

What are the two regions where the spina cord becomes thicker?

Cervical and lumbar enlargement

How do the spinal nerves exit the vertebral canal?

Through the intervertebral foramen

Where does sensory information enter the spinal cord, how about motor information?

Sensory info enters through the dorsal horn (posterior) through the dorsal root




Motor info leaves through the anterior horn via the ventral root (anterior root)

At what point does the sympathetic nerve begin to leave the spinal cord? How is this distinguished?

Sympathetic nervous system begins to leave at T1 and finishes at L2, it is distinguished by the presence of the intermediate horn

What two indents are found on the spinal cord?

Anterior median fissure and posterior medial groove

How is the white matter arranged in the spinal cord?

In funiculi (lateral, anterior, and posterior)

What are the chambers containing CSF called?

Ventricles

What produces the CSF where is it found?

Choroid plexus, found in the lateral ventricles

What are the regions of the ventricles known as? What part of the brain are they found in?

Anterior horn (frontal lobe), posterior horn (occipital lobe), inferior horn (temporal lobe), and Atrium

How do the lateral ventricles connect to the third ventricle?

By the foramen of monroe

How does the third ventricle connect to the fourth ventricle?

By the aqueduct of silvius

What are the foramina of Luschka?

Openings in the fourth ventricle that drain CSF into the subarachnoid space

What is foramen of magendie?

Opening in the bottom of the fourth ventricle that drains into the central canal

What are the three layers of connective tissue surrounding the brain called?

Meninges: Dura Mater, Arachnoid Mater, and Pia Mater

What are the invaginations of the Dura Mater called? Where are they found?

Falx Cerebri: Superior Sagittal Fissure




Tentorium Cerebelli: Horizontal Fissure





What spaces are formed by the two layers of the dura mater? What space is formed by the fall cerebri?

Dural venous sinuses (Superior Sagittal Sinus)

How does the Dura Mater differ in the brain and the spinal cord?

Dura mater is attached firmly to the brain




Dura mater in the spinal cord is separated from the vertebral column by the epidural space (fat-filled)

How does the arachnoid mater attach to the pia mater in the brain? What does this form?

It is attached by thin threads that create the subarachnoid space where CSF circulates

How is the arachnoid mater connected to the pia mater in the spinal chord?

By the denticulate ligaments

What is the CSF made from?

Filtered arterial blood

What are the functions of the CSF?

Metabolic/protective (shock absorption)

How is CSF filtered into the venous blood flow?

Through the arachnoid villi

How are the venous sinuses drained?

Into the jugular foramen

What is the lumbar cistern?

It is the region at the base of the spinal cord where the arachnoid and dura mater descend to the sacrum despite the spinal cord stopping at L1/2 creating a large sinus

How do the vertebral arteries and internal carotid arteries enter into the skull?

Internal carotid = Carotid Canal




Vertebral = Foramen Magnum

What do the vertebral arteries anastomose to form? What does this artery bifurcate into?

Basilar artery which bifurcates into the posterior cerebral arteries

What is the blood vessel system called that forms around the sella turcica?

Circle of Willis

What do the anterior and posterior cerebral arteries supply?

Sagittal portion

What does the middle cerebral artery supply?

centre of the brain (gets there through lateral fissure)

How does the cerebellum get blood?

Inferior and superior carotid arteries

What supplies the spinal cord with blood?

Vertebral = superior portion




Aorta = lower portion

Where are the sensory cell bodies found/synapse?

In the dorsal root ganglia

What sensory modalities are transmitted by the spinothalamic tracts?

touch, pain and temperature

What sensory modalities are transmitted by the dorsal columns?

Discriminatory touch, joint position and vibration

What are the two specific regions that the dorsal columns are found?

Fasiculus cuneatus and Fasiculus Gracilis



What tracts do the fasciculus cuneatus carry? How about the fasciculus gracilis?

cuneatus (found laterally): above T6




Gracilis (found medially): Below T6

Where do the dorsal column nerves crossover?

In the medulla

Where do the nerves travel through in the medulla?

Through the medial lemniscus

Where do the dorsal columns make their first synapse in the spinal cord?

In the nuclei cuneatus/gracilis in the medulla

Where do the anterolateral tracts make their first synapse?

in the dorsal horn of the spinal nerve that they enter at

When do the anterolateral tracts decussate?

In the spinal nerve they enter at

Which fibres run ipsilateral to their side of innervation below the medulla?

Dorsal column

Where do the lateral corticospinal tracts decussate?

In the medulla (pyramids)

Where do the anterior corticospinal tracts decussate?

At the spinal nerve where they exit

Where do all the corticospinal tracts synapse?

In the anterior horn of the spinal cord

What foramen does the olfactory nerve exit through?

Synapses with other small neurons in the olfactory bulb which exit through the cribriform plate

Where does the olfactory bulb meet with the brain?

In the rhinencephalon

Where do the neurons that become the olfactory bulb originate?

Olfactory mucosa

Where do the optic nerves coalesce?

in the optic chiasm

Where do the optic nerves synapse in the brain?

In the lateral geniculate bodies of the thalamus

What vision is lost if the optic chiasm is cut through sagittally?

all peripheral vision is lost

What portion of the retina do the nerves that crossover innervate?

The inner portion enabling peripheral vision

What three nerves control the movement of the eye?

Oculomotor, trochlear, and abducens

What nerves originate at the border of the medulla and the pons?

VI, VII and VIII (abducens, facial and vestibulococchlear)

What nerve originates from the pons?

Trigeminal

What nerves originate at the border of the midbrain and the pons?

III and IV (oculomotor and trochlear)

Which four nerves leave through the superior orbital fissure and what is there function?

Oculomotor, trochlear, trigeminal and abducens (all except the trigeminal move the eye)

What muscles are innervated by the oculomotor?

medial rectus, superior rectus, inferior rectus and levator palpebrae superioris

What muscle is innervated by the trochlear nerve?

Superior oblique

What muscle is innervated by the abducens?

Lateral rectus

What nerve has three branches?

Trigeminal

What are the functions of the trigeminal nerve?

To supply innervation for facial sensation and mastication

What are the three branches of the trigeminal nerve?

Ophthalmic Branch (forehead)


Maxillary Branch (cheek)


Mandibular Branch (Jaw)

How does the facial nerve enter the skull and what pathway does it take?

Enters through the internal acoustic meatus and then through the stylomastoid foramen

How many branches does the facial nerve have?

5

What does the facial nerve innervate for its sensory function?

Anterior two thirds of the tongue and salivary glands (parasympathetic)

What two nerves leave the brain stem and enter into the internal acoustic meatus?

frontal (VII) and vestibulococchlear (VIII)

What nerves leave through the jugular foramen?

Glossopharyngeal (IX), Vagus (X), and Accessory (XI)

What four cranial nerves are found in the medulla?

Glossopharyngeal (IX), Vagus (X), Accessory (XI), and Hypoglassal (XII)

What nerve supplies the parasympathetic input to the parotid glands?

Glossopharyngeal

What nerve supplies the parasympathetic input to the sublingual, submandibular and lacrimal salivary glands?

Facial

What nerves supply the sensory innervation for the tongue?

Facial (anterior 2/3rds) and Glossopharyngeal (Posterior 1/3rd)

What motor innervation does the glossopharyngeal nerve supply?

Stylopharyngeus muscle

What is the most important parasympathetic nerve of the thorax and abdomen?

Vagus

What nerve supplies sensory and motor innervation for the larynx?

Vagus

Trapezius and sternocleidomastoid are innervated by which nerve?

Accessory nerve

Where does the hypoglossal nerve arise from?

The groove between the pyramids and olives of the medulla

What does the hypoglossal nerve supply?

extrinsic and intrinsic tongue muscles

What does the autonomic nervous system control?

Unconscious motor control

What are the two divisions of the autonomic nervous system?

Sympathetic and parasympathetic

How many neurons does the autonomic nervous system use to reach its motor target?

2: preganglionic and postganglionic

What cranial nerves have parasympathetic activity?

III, VII, IX, and X

What two locations does the paraympathetic nervous system originate from?

Cranial and sacral nerves

What is the term given to the sympathetic system (location)? Parasympathetic?

Sympathetic: Thoracolumbar




Parasympathetic: Craniosacral

What are the two general locations the autonomic nerves are distributed?

1. Body wall, limbs, superficial head and neck




2. organ systems

What are the autonomic nerves called that innervate organs?

Splanchnic nerves

Where do the sympathetic preganglionic neurons originate? Where do they exit the spinal cord

In the intermediate horn of the spinal cord and they exit from the ventral root of the spinal cord?

What is the somatotopical arrangement?

It is where the nerves destined for the upper limbs exit from the upper intermediate horn and those for the lower limbs from lower intermediate horn, also those for the thorax from the middle

What length are the preganglionic neurons for the sympathetic system?

Short, and go synapse in the sympathetic chain ganglion

How do the sympathetic neurons enter the ganglionic trunk, how do they exit it?

Enter through the white ramus and leave through the grey ramus

What are the superior, middle and inferior cervical ganglion?

Generally, there is a single sympathetic ganglion for each sympathetic neuron, although for the cervical neurons the ganglia fuse into three (superior, middle and inferior)

What sympathetic neurons synapse in each cervical ganglion?

Superior = nerves 1-4


Middle = nerves 5/6


Inferior = nerves 7/8

Where do the coccygeal sympathetic neurons synapse?

In the Ganglion Impar

What do sympathetic nerves travelling to the body wall innervate?

skin and blood vessels

What are the three pathways that the sympathetic neurons to the body walls can take?

1) Exit the spinal nerve using the grey ramus, synapse in the trunk ganglion and reenter the spinal nerve via the white ramus




2) Exit the spinal nerve via grey ramus and ascend to the superior ganglia where it synapses and reenters the spinal nerve (servicing the face and neck etc.)




3) Exit the spinal nerve via grey ramus and descend to the inferior ganglia where it synapses and reenters the spinal nerve (servicing the abdomen, pelvis etc.)

Where are the white rami found?

Only in the sympathetic ganglion at the level of T1-L2 (where the nerves exit the spinal nerve)

What do all sympathetic nerves to the body wall do in the sympathetic chain ganglion and exit through?

All must synapse in the trunk and then exit through the grey rami

What visceral sympathetic nerves do not synapse in the trunk?

Thoracic and lumbar

What are the four paths taken by the preganglionic sympathetic nerves travelling to the viscera?

1) Synapse at its own level




2) Travel superiorly in the trunk and synapse




3) Travel inferiorly in the trunk and synapse




4) Pass through the trunk (ganglion) and emerge as splanchnic nerves and alternatively synapse in the abdominal or renal ganglia (Only for thoracic and lumbar)

How far along the GI tract does the vagus nerve service? Where does it synapse in order to accomplish this?

It services up to the final 2/3rds of the transverse colon and synapses in abdominal ganglia near the target

What do the parasympathetic nerves of the sacrum become? What sacral nerves?

Pelvic Splanchnic nerves (S2-4)

What plexus is formed by the sacral parasympathetic spinal nerves?

Hypogastric plexus

What sympathetic ganglia provide innervation to organs above the diaphragm?

C1-T4

What nerve supplies the head and neck with sympathetic innervation?

T1

What do the sympathetic fibres travelling to the brain follow?

The internal and external carotid arteries



What do the thoracic organs receive sympathetic innervation from?

Nerves T1-T4

What ganglion do the fibres innervating the heart come from?

The 3 cervical ganglion and superior thoracic

What sympathetic nerves innervate the lungs? What ganglia are they from?

T2-4 and the corresponding ganglia

How does every visceral sympathetic neuron ultimately leave the ganglion?

Through a splanchnic neuron

What cranial nerves are parasympathetic?

Oculomotor, facial, glossopharyngeal and vagus

What is the parasympathetic function of CNIII?

Control of the lens and the pupil

What is the parasympathetic function of CNIX?

Control of the parotid gland

What is the parasympathetic function of CNVII?

Control of the submandibular, submaxillary and lacrimal glands

What is the parasympathetic function of CNX?

Control of the thorax and abdomen

How far through the GI tract does the vagus nerve provide parasympathetic innervation?

2/3rds of the way along the transverse colon

Where do the parasympathetic nerves synapse?

In ganglion outside of the sympathetic trunk

What do the sacral parasympathetic nerves innervate? What are these nerves called?

The distal gut, pelvis, bladder, urethra etc. Pelvic Splanchnic nerves

At what level do the sympathetic neurons stop synapsing in the sympathetic trunk ganglion?

Below spinal nerve 4 they stop synapsing in the sympathetic trunk ganglion and instead do so in ganglion near the organs


What preganglionic nerve is responsible for sympathetic innervation to the head and neck? What ganglion does it synapse in?

T1, Superior cervical ganglion

Above what point do the sympathetic nerves synapse in the trunk ganglion?

Above and including T4

What spinal nerves supply sympathetic innervation to the thorax organs?

T1-4

What preganglionic nerves supply sympathetic innervation to the lungs? What postganglionic

T2-4 and same postganglionic

What postganglionic neurons supply innervation to the heart?

All cervical ganglia and superior thoracic ganglia

What path does the postganglionic nerve to the head and neck follow?

Goes alongside the internal/external carotid artery

What comprise the preaortic ganglia?

Celiac, Superior Mesenteric, and Inferior Mesenteric

What sympathetic innervation supplies the foregut, midgut and hindgut?

Foregut: preganglionic nerves T5-9 and synapse in the celiac ganglion




Midgut: preganglionic nerves T10-11 and synapse in the superior mesenteric ganglion




Hindgut: preganglionic nerves L1/2 and synapse in the inferior mesenteric ganglion

Do all of the lumbar splanchnic nerves synapse in the inferior mesenteric ganglion?

No, some will synapse in the hypogastric plexus

What is special about T12?

The preganglionic neuron synapses in the renal ganglion and innervates the kidney

where does the oculomotor nerve synapse?

Ciliary ganglion

Where do preganglionic fibres to the lacrimal gland synapse?

pterygopalatine ganglion

Where do the preganglionic fibres going to the parotid gland synapse?

in the otic ganglion

What supplies parasympathetic innervation to the posterior third of the GI tract?

Pelvic splanchnic nerves