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147 Cards in this Set

  • Front
  • Back
what do neural cells become?
sensory neurons of the ganglia of spinal nerve postganglionic neurons of the autonomic nervous system schwann cell and satellite cell of the PNS
What does the neural tube form?
virtually the entire CNS and its cavity becomes the brain ventricular system
What does the sulcus limitans seperate?
the sensory and motor areas of the spinal cord and brainstem
What does the dorsal surface of the neural tube produce vs the mesodermal notochord on ventral side produce?
dorsal = alar plate roof plate makes bone morphogenetic protein opposes floor plate
Ventral=notochord makes SH then makes -> floor plate produces sonic hedgehog
What does the alar region do vs basal region?
alar= sensory processing dorsal afferent
basal = motor neurons ventral efferent
what are the 3 primary vesicles and the the secondary vesicles?
Prosencephalon (forebrain) become telencephalon (cerebral hemishphere) and diencephalon (Thalamus, hypothalamus, and other
Mesencephalon (midbrain)- becomes midbrain
Rhombencephalon (hindbrain) metencephalon -> pons cerebellum
Myelencephalon-> medulla
what cavities are associated with telencephalon, diencephalon, mesencephalon, metencephalon, myelencephalon
telencephalon- lateral ventricles
, diencephalon- third ventricle
, mesencephalon cerebral aquaduct
, metencephalon part of 4th ventricle
, myelencephalon part of 4th ventricle and part of central canal
What are the three flexures? which is temporary
Cervical bw rhombencephalon and SC ( does not persist)
Pontince inward curve on the dorsal surface b/w the metencephalon and myelencephalon ( does not persist but is important)
Cephalic brainstem and forebrain and persist
what is craniorachischisis?
Complete failure of the neural tube to close greek for cleft skull and spine
what is myelomeningocele? what is usually accomponied with this malformation?
means herniated spinal cord and meninges and is a result of the failure of the caudal neuropore to close accompanied with Arnold Chiari Malformation
What is ARnold Chiari Malformation?
When the cerebellum and caudal brainstem are elongated and pushed down into the foramen magnum and result in ablockage of CSF and lead to hydrocephalus
What is Anencephaly?
Failure of the rostral end to close and usually have part of the cerebral hemisphere missing
How can neural tube defects be detected?
Alpha fetoprotein can be measured and recorded as elevated in this children
What is Holoproencephaly?
greek meaning affecting the entire forebrain. reseults from partial or complete failure of the prosencephalon to separate into the diencephalon and the paired telencephalic vesicles fetuses have marked facial abnormalities since the signaling molecules associated with the brain are also associated with the development of the face may have one eye and rudamentry nose
What is a gyrus?
A fold or ridge
Wha is a lobe
group of gyri with similar functional characteristics
What is a lobule?
A smaller part of a lobe with more specificity of function
What is a sulcus
A groove b/w gyri
What is a fissure
a large sulcus
What is a notch
a landmark and may or may not be present
What separates the two hemisphere?
Longitudinal fissure
What separates the temporal lobe from frontal and parietal lobes?
Lateral Sulcus (sylvian fissure)
What divides the frontal and parietal lobes?
Central Sulcus of rolando
Where is the calcarine Sulcus
Medial side of hemisphere b/w occipital and parietal lobes
What are the the gyri of the frontal lobe?
Precentral Gyri
Superior
Middle
Inferior (3) Orbital, Triangular and opercular
Frontal operculum
Gyrus rectus
What sulcus is on the medial hemishphere and seperates the occipital and parietal lobes?
Perieto-occipital sulcus
What sulcus is above the cingulate gyrus?
Cingulate sulcus
What are the important Gyri of the parietal lobe?
Laterally-
post central gyrus
Superior parietal lobule
Inferior parietal lobule (2 parts)
Supramarginal and angular gyrus
Medially,
Paracentral gyrus (extension of the pre and post central gyri)
Precuneus
What are important Gyri of the Temporal Lobe?
Superior Gyri
Medial Gyri
inferior Temporal Gyri
Transverse temporal gyri
Occipitotemporal gyrus
What are the gyri of the occipital lobe
Lateral occipital gyri
Cuneus
Lingual Gyrus
What are the gyri of the limbic lobe
Cingulate Gyri
Isthmus of the cingulate gyrus
Parahippocampal gyrus
Hippocampus
Uncus
What is the main gustatory ( taste area) cortex?
insular cortex
does the insular cortex contain long and short gyri?
Yes
What is the pars operculum part of ? (deep )
Insula
What is Broca's area? What is the broadmans number?
Broca's area is also involved in syntax which involves the ordering of words, and morphology-the allomorphs at the ends of words e.g., hat+s=hats. 44 & 45
What is the broadmans area for the precentral gyrus ? fxn?
Area 4 primary loacation of upper motor neurons (UMN) that initiate conscious motor activity ; fine control of smaller muscles
What is the broadmans area for the Premotor cortex? fxn?
6, posterior part of superior and middle frontal gyri, contains upper motors neurons that initiate motor control of large muscles also slwer motor activity also an area for planning motor activity (supplementary motor area medial hemisphere in front of area 6)
What is Brocas aphasia?
Produce few words with difficulty Upper motor Neuron to muscles of larynx tongue and mouth but they can understand things
What is the broadmans area for the frontal eye field? fxn?
Contains UMN that initiate voluntary eye movement (8)
What is the broadmans area for the Prefrontal cortex? fxn?
Remainder of frontal cortex. It is responsible for personality, insightm foresightm and judgment
What is the broadmans area for the Postcentral gyrus ? fxn?
(3-1-2) primary sensory cortex this area directly receives tactile and somatosensory input. This is initial processing center,
What is the broadmans area for the superior parietal lobule? fxn?
Sensory association cortex - involved in the integration of various sensory modalities
What is the broadmans area for the Supramarginal and Angular Gyri ? fxn?
49 and 39- some consider fxnally included with area 22 )superior temporal gyrus - Wernicke's area involved in formulation of the written and spoken language
What is Wernicke's Aphasia?
Can speak and write but the language is incoherent, deficient in comprehension of language
What broadman area is the primary auditory cortex?
41
What is the broadmans area for the Superior Temporal Gyrus? fxn?
Transverse temporal gyrus of heschl is buried in the lateral sulcus (area 41 and 42 which is surrounded by area 22
the posterior part of the superior temporal gyrus (22) in wernickes area involved in the formulation of language
What is the broadmans area for Cuneus and lingual gyrusthe ? fxn?
The primary visual cortex (17) found on the bacnks of the calcarine sulcus surrounding area 17 in the visual association cortex which facilitiates recognition and appreciation of the image
What is the limbic lobe involved in ? what is it made up of?
composed of the cingulate gyrus and isthmus, parahippocampal gyrus and uncus and it is involved in
Short term memory
learning
Drive related behavior
Emotions
What is the diencephalon
Small part of the brain 30 g 2 % total brain. It is a major relay center for all sensory system and it is involved in every fxn. Some fxn is emotion, limbic. has multiple divisions
What are the divisions of the diencephalon?
Hypothalamus, Epithalamus, subthalamus, metathalamus, dorsal thalamus ( aka thalamus)
What is the role and location of Hypothalamus
Endocrine and limbic fxn maintains homeostasis (located lower than thalamus)
What is the role and location of Epithalamus
Upper limbic system consist of 3 main parts
1 peneal gland
2. Hebenular nucleus
3. Stria Medullaris thalami
What is the role and location of Subthalamus?
Located bw hypothalamus and pons part of constant motor system
What is the role and location of Metathalamus
Medial geniculate body- important in auditory system takes it to area 41 frontal temporal and lateral geniculate body Relay center for optical love relays to broadman area 17 lingual and cuneus are
What does a lesion of the subthalamus lead to?
Violent balistic movement
What is the role and location of thalamus
AKA Dorsal thalamus contains about 100 nuclei 8-10 important
What does the paneal gland do?
BRAIN SAND in human secretes mlatonin and establishes sacadian rhythm after the age of 18 forms Ca CO3 crystal which helps in radiological markers
What are the boundries of the diencephalon?
1. Anterior?
2. Posterior?
3. LAteral?
4. Medial?
5. Inferior?
1. Anterior-Lamina Terminalis
2. Posterior- Mamillary bodies and pineal gland
3. Lateral- posterior limb of internal capsal
4. Medial 3rd ventricle
5. Inferior- Optic chiasm, tuber cinereum and mamillary bodies
What are the 31 segments of the spinal cord?
8 cervical
12 thoracic
5 lumbar
5 sacral
1 coccygeal
What is it called when a certain segment of nerve innervates a skin terratory?
Dermatome
What are the two enlargment of the spinal cord
cervical enlargement (c5-t1) and lumbosacral elargement (l2-s3)
What is the remnant of the embryonic neural tube? what does it transverse?
Central Canal transverses the spinal cord from 4th ventricle to 4-5 mm into the filum terminale
What comes out of the anterolateral sulcus? what comes out of the posterolateral sulcus?
Ventral rootlets and dorsal rootlets respectively
What part of the SC is grey mater
the butterfly
What enters the SC that is Afferent and where?
Marginal Zone in the dorsal horn
What does the substantia gelatinosa cary?
2nd order neurons carrying pain and temp info
What does the intermediate zone contain?
both afferent and efferent neurons and certain parts of the SC has projections called lateral horn usually t1-l3 intermediolateral nucleas ( preganglionic sympathetic Nuc), s2-s4,(parasympathetic nucleus)
What does the ventral anterior horn contain?
Lower motor neurons
where is grey matter largest and why?
cervical and lumbosacral b/c of the need for the innervation of the limbs
How is the grey matter arranges?
10 layers called Rexed Laminae b/c they have similar fxn
WHat are the important rexed laminae numbers?What do they do?
II, VII, IX
II-Substanta Gelatanosa- 2nd order sensory neurons for pain and temp
VII- Intermediate Zone- 2 parts intermediolateral nucleus -> preganglionic sympathetic neurons and then the sacral parasymp. nuc.- pregang PS neurons
IX- c5-cc1-lower motor neurons -> somatic motor innervation to skeletal muscles
What is the role of White matter in the SC
myelinated fibers that have columns funiculi which convey info to and from the brain
WHat are the 3 colums of white mater? what is their role?
Posterior- fasciculus gracilis and cuneatus and is somatotopically organized
Lateral - lateral corticospinal tract, ant. and port spinocerebellar tracts, lateral spinothalamic tract( anterolateral system)
Anterior- ant. conticospinal tract, anterior spinothalamic tract
How is sensory processing of the spinal cord fxn?
The central projection of 1st order afferent neurons in DRG enter cord via dorsal roots and end in ipsilateral side where they synaps of rexed #2which is the 2nd order neurons or they can ascend directly to the medulla
What in the fxn of the conscious motor part of the SC
located in the ventral horn ( lamina IX) axons leave the cord via ventral roots
WHat is the fxn of the Autonomic motor in SC
the pregang autonomic neurons are located in the lateral horn (lamina VII)
What are the two types of reflexes?
Monosynaptic and Polysynaptic. 1st one is simpler
What does Monosunaptic reflex do?
like patellar reflex so you have a signal goes to afferent nerve which then enters SC then synapses on Efferent neuron which then leaves SC and causes muscle/ organ to become excited
What is involved with a polysynaptic reflexe?
What most reflexes are they intergrate multiple things unually a skin pain of temp receptor gets activated the goes to afferant neuron which goes to SC which then involves several cord segments which then depending of what got stimulated that muscles/ organ get an efferent reponse back
What are clear vesicles usually ?
Inhibitory
How is NT release initiated ?
Ca+ mediated scretion
What type of receptors are Nicotinic and muscarinic?
Nic- LGIC-excitatory Mus- GPCR-inhibitory
is seratonin Ligan gated or g protein?
ligand gated
What is the major location for seratonin?
Raphe Nuclei
What is the major sites for dopamine release?
Substantia Nigra, Ventral Tegmental area, hypothalamus retina
what area releases norepinephrine?
sympathetic ganglia, locus ceruleus, reticular formations
What does leptomeninges involve?
THe inflammation of the arachniod and pia and can be caused by either viral or bacterial. enter via choroid plexus
What does the superior sagital sinus drain into?
right transverse sinus
What does the straight sinus usually drain into?
left transverse sinus
What do the transverse sinuses drain into ?
THe sigmoid sinuses and then the internal jug
What artery supplies the meniges and bones?
Middle meningeal A off maxillary A which also branches off the opthalmic, occipital and vertebral
What is the primary inneration of the dura?
Trigeminal except the posterior which is innervated by the vagus and c2 c3
Where does a hematoma occur? two types what are they and how are they caused and where are they confined to?
Between the periosteum and the skull ( epidural hematoma) caused by tearing of the meningeal artery. If the cerebral vein tears then in penetrates the arachnoid and enter dural sinus leading to a subdural hematoma
What is a maningioma? are they benign?
it is a tumor that develops from cells of the arachnoid villi which are benign but if they continue to grow can cause brain damage due to compression
What neurons are sensory
DRG
What are the types of supportive cells?
Oligodendroglial cells, astrocytic, microglial, ependymal cells, schwann cells
What are the parts of the brain?
cerebellum, cerebrum, brainstem,
What does blockage of the collosomarginal Artery result in ?
Motor deficits in the lower extremitis
What vessels are associates with hypertensive hemorrhage?
Lenticulostriate vessels
what artery is known as the artery of stroke and what are the symptoms?
Middle Cerebral Artery and it supplies the pre and postcentral gyri , pars triangularis and opercular, angular branches, superior temporal gyrus and RESULTS IN SENSORIMOTOR DEFICITS TO THE FACE AND UPPERLIMP AND APHASIA`
What causes an ischemic stroke?
thrombus or embolus and infarct a certain area
What is a transient ischemic attack?
Caused by minute embolus and the neurological defect lasts a very short tim
What vein drain into the superior sagittal sinus?
superior group of the superficial vein
WHat vein drain into the transverse sinus?
The inferior group of the superficial vein
what forms the Great Vein of Galen which then runs to the straight dural sinus?
The veins from the interventricular foramen and veins that drain the thalamus and caudate nuclei and fuse at the superior cistern
WHat drains the inferior structures of the brain and the great vein of Galen?
the Basal Veins of Rosenthal
Describe the events of an epidural hemorrhage?
Cerebral concussion - unconscious for a while then rapid recovery and the death usualy caused by MMA and sometimes CN III can be compressed which is seen as a dialated vessel
What causes a subdural hemorrhage>
cause by a tear in the cerebral vein slow onset and then clot formation and forgetful drowsy confused dizzy
Subarachnoid Hemorrhage is caused by?
Rupture of an intercranial artery like berry aneurysm which has blood in CSF spinal tap patients have blinding headache
What is Cranioschishisis
No neural tube only spinal cord have high alpha fetopreotein in maternal blood not compatible with life
WHat is anencephaly ?
When you have normal spinal cord but the brain fails to close so you have spilage or no formation
What is spina bifida occulta?
Simplest and least severe form. The vertebrate arch fails to form in certain areas so patient is normal with a tuft of hair
Spina bifida meningocele?
cyst on back that contains CSF spinal cord and nerves normal but dangerous b/c no protection for the spinal cord
What in SPina bifida meningomyelocele?
Spinal cord is displaced out dorsally becaus of a defect in the vertebral arch patient have neurological defecit but restricted to only a few areas
WHat is spina bifida myeloschisis
Open spinal cord neural plate does develop but does not form tube or other structures
What are the primary vescles?
Prosencephalon
Mesencephalon
Rhombencephalon
WHat are 2dary vesicles ?
Telencephalon(2)
Diencephalon (1)
Mesencephalon midbrain
Metencephalon pons cerebellum
Myeencephalon medulla
What does the lamina terminalis form?
The Anterior commissure
What is a holoprosencephaly?
cyclop- forebrain does not divide so no primary vesicle division no corpus collosum, caused by a mutation in sonic hedgehog
What is a Arnold-Chiari Malformation?
lower part of brain stem herniate through the foramen magnum can cause hydrocephalus since CSF flow is obstructed. cerebellum and brain stem pushed through and therfore nerve tract and CN get messed up
WHat is hydrocephalus
Occurse when the ventricle system is obstructed and results in a build up of CSF in the brain causing the bones to thin and the head to expand. CAuses mental retardation
What does the Alar plate give rise to?
Dorsal roots and Afferent
What does the Basal plate give rise to?
The Efferent ventral side
What does the sulcus limitans do?
Separates the Alar and Basal plate but not in the cerebrum
What hormones is used in the in the Alar plate/ roof plate?
Bone morphogenetic protein to form roof plate
WHat forms the floor plate and netrins?
the floor plate is formed from the Notochord which releases the SH which forms floor plate which then forms basal plate
What are the 3 flexures?
Cervical, cephalic and pontine and only cephalic stays but the rest disappear
What is the role of the diencephalon?
It is involved in every fxn
it is a major relay center for all sensory systems
Important in emotions, limbic
Everything passes through it
WHat are the parts of the diencephalon?
Hypothalamus
Epithalamus
Subthalamus
Metathalamus
Dorsal Thalamus (thalamus)
Where is the Epithalamus located in relation to the thalamus and what does it do?
Superior and is part of limbic system consists of 3 main parts pineal gland, hebenular nucleus, tertiary tract fibers stria medullaris thalami
A lesion where leads to violent balistic movement?
Subthalamus
What does the hypothalamus do? What is it associated with
Is is below the thalamus it is important in the endocrine and limbic fxn important in maintaining homeostasis and is closely associated with the pituitary gland
What does the subthalamus do? what is it located b/w
Located bw the hypothalamus and pons and is part of the constant motor system ( part of nucleus of the motor system
WHat are part of the metathalamus and what do they do?
Medial Geniculate Body- Associated with Auditory system associated w/41
LAteral Geniculate Body- part of optical relay center for optical lobe broadman 17 lingual and cuneus
What does the dorsal thalamus do?
AKA THALAMUS- contains about 100 nuclei 10 important
What are the boundries of the diencephalon?
Anterior
Posterior
Lateral
Medial
Inferior
Anterior lamina terminalis
Posterior- mamillary bodies and pineal gland
Lateral- posteropr limb of the internal capsule
Medial-3rd ventricle
Inferior- optic chiasm, tuber cinerium and mamillary bodies
What are the 5 senses?
PTPTV
Pain
Temp
Proprioception
Touch
Vibratory sense
What is the fxn of the Anterior Nuclear Group?
part of limbic system and mamillary body connection with the cingulate gyrus
What is the fxn of the Dorsomedial Nucleus?
DMN- Midline prefrontal cortex, used for olfactory part of Hypothalamus
What is the fxn of the lateral nucleus
unknown
What is the fxn of the pulvinar
retina/visual cortex --> superior calliculus--> pulvinar--> visual association nuclei/cortex
what does the Ventral lateral and Ventral nuclei do?
they take things from the cerebellum basal nuclei and from face and work together to relay to 4 and 6 which is primary motor cortex
what does the ventral posterior lateral nuclei do?
takes PTPTV from lower body and take it to the post central gyrus 3-1-2
What does the ventral posterior medial nuclei do?
Take the PTPTV from face to vpm to lateral part of the post central gyrus
What does the centromedian nucleus do?
Takes various input like auditory, pain, etc... and takes it to the centromedian nuc and is responsible for arousal--> important in staying alert
What parts of the diencephalon are associated with a specific relay nuclei that connects primary motor and sensory cortex?
MGB- primary auditory cortex
LGB- primary visual cortex
VPL-PTPTV of leg
VPM-PTPTV of face
ATN- limbic system
VA-m
VL-m
WHat does the Medial and Lateral Geniculate bodies
Medial is responsiple for inf. Calliculus to auditory input to MGB to transverse temporal gyri which is the primary auditory cortex
LGB- retina to optic chiasm to lgb to primary visual cortex in the calcir