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Fundamentals of Nervous System Guyton & Hall – Figure 45.2 General Design of Nervous System: Analogy = Computer Processing = Integrative System Input = Sensory System Receptors: Tactile Visual Auditor Olfactory • 99% of sensory information discarded • Synapses determine pathway of signals • Information stored for future use Memory: Highly facilitated synaptic pathways Output = Motor System Effectors: Skeletal muscle Smooth muscle Glandular secretion (sensory input not required to excite pathway) 1 Fundamentals of Nervous System Organization of Nervous System: Nervous system Integration Central nervous system Peripheral nervous system (CNS) (PNS) Motor output Brain Spinal cord Sensory input Motor division Sensory division (efferent) (afferent) Autonomic nervous system Somatic nervous system (involuntary; smooth & cardiac muscle) (voluntary; skeletal muscle) Sympathetic division Parasympathetic division Fundamentals of Nervous System Histology of Nervous System: A. Neuroglia (supporting cells – “nerve glue”) Central Nervous System (CNS) (most common) ciliated Astrocytes: Microglia: Ependymal cells: • anchor neurons to capillaries • repair damaged neural tissue • macrophages; engulf invaders • line canals / ventricles of brain • produce cerebrospinal fluid (CSF) • maintain “blood / brain barrier” Peripheral Nervous System (PNS) Schwann cells: • Insulate neurons (myelin sheath) Oligodendrocytes: • Insulate neurons (myelin sheath) Satellite cells: • Function similar to astrocytes 2 Fundamentals of Nervous System Histology of Nervous System: • Long-lived (~ 100 years) • High metabolic rate B. Neurons • Specialized “excitable” cells • Allow for communication throughout body (via electrical impulses) Neuron Anatomy: 1) Dendrites: Receive information (environment / other neurons) 2) Cell body (soma): Integrates information / initiate response 3) Axon: Conducts action potential (AP – electrical impulse) 4) Synaptic terminals: Transmit signal (other neurons / effector organs) Axon hillock (AP generation) Axon Dendrites Synaptic terminals Schwann Cells (PNS) Centrioles (Can not divide) Cell body Fundamentals of Nervous System Histology of Nervous System: B. Neurons • Long-lived (~ 100 years) • High metabolic rate • Specialized “excitable” cells • Allow for communication throughout body (via electrical impulses) Functional Classification of Neurons: 1) Sensory (Afferent) neurons: • Carry information from sensory receptors to CNS 2) Motor (Efferent) neurons: • Carry information from CNS to effector organs 3) Association neurons (Interneurons): • Interconnects neurons in brain / spinal cord 3 Fundamentals of Nervous System Histology of Nervous System: B. Neurons • Long-lived (~ 100 years) • High metabolic rate • Specialized “excitable” cells • Allow for communication throughout body (via electrical impulses) Structural Classification of Neurons (# of processes) : Multipolar Bipolar Unipolar ( 3 processes) (2 processes) (1 process) Axon Axon Axon Dendrites Trigger zone Dendrites Trigger zone Trigger zone Dendrites • Motor neurons • Interneurons • Sensory neurons • Sensory neurons (e.g., special sense organs) (PNS) Central Nervous System 4 Central Nervous System Organization of Nervous System: Nervous system Integration Central nervous system Peripheral nervous system (CNS) (PNS) Motor output Brain Spinal cord Sensory input Motor division Sensory division (efferent) (afferent) Autonomic nervous system Somatic nervous system (involuntary; smooth & cardiac muscle) (voluntary; skeletal muscle) Sympathetic division Parasympathetic division Central Nervous System Brain: • ~ 3.5 lbs (35 billion neurons) No correlation exists between brain size and intelligence… • ♂ brain ~ 10% larger than ♀ brain Gross Anatomy: Cerebrum (forebrain) Diencephalon (midbrain) Brainstem (hindbrain) Cerebellum 5 Marieb & Hoehn – Figure 12.1 Central Nervous System Embryonic Development of Brain: 3 week old embryo Neural crest Step 3: Neural plate Neural fold cells migrate; form neural crest Step 1: • Neural crest gives rise to PNS Neural plate forms from surface ectoderm 4 week old embryo Neural fold Step 2: Neural groove Neural tube Step 4: Neural plate invaginates; forms neural groove Neural groove becomes neural tube; sinks deep • Neural folds flank neural groove • Neural tube gives rise to CNS Central Nervous System Marieb & Hoehn – Figure 12.2 How we will consider brain anatomy Embryonic Development of Brain: 5 week old embryo Neural tube Anterior Primary brain vesicles Proencephalon (forebrain) Mesencephalon (midbrain) Rhombencephalon (hindbrain) Secondary brain vesicles Adult brain structures Telencephalon (endbrain) Cerebrum Diencephalon (interbrain) Diencephalon Mesencephalon (midbrain) Brain stem (midbrain) Metencephalon (afterbrain) Brain stem (pons) Myelencephalon (spinalbrain) Brain stem (medulla) Cerebellum Posterior Spinal cord 6 Central Nervous System Space restriction greatly affects brain development Embryonic Development of Brain: Brain stem (pons) Brain stem (midbrain) Cerebellum Midbrain flexure Diencephalon Brain stem (medulla) Cerebrum Cervical flexure 5 week old embryo 13 week old embryo • Flexures develop to fit rapidly growing brain into membranous skull • Cerebrum forced to grow posterior and lateral (‘horseshoe’) • Convolutions develop to increase surface area of brain Newborn 26 week old embryo Marieb & Hoehn – Figure 12.3 Central Nervous System Nuclei: Groups of cell bodies located in the central nervous system Basic Layout of Neurons: (analogous to ganglia in PNS) White matter: Regions of myelinated axons in CNS Gray matter: Regions of unmyelinated axons / cell bodies in CNS Cortex White matter Gray matter White matter Gray matter Nucleus Spinal cord • Basic pattern observed in CNS Cerebrum • Cortex formed by migration of neurons • Cerebellum similar to cerebrum in its external cortex Marieb & Hoehn – Figure 12.4 7 Marieb & Hoehn – Figure 12.5 Central Nervous System Brain Anatomy: A. Ventricles: Hollow chambers enclosed within brain (continuous with each other…) Cerebrospinal fluid (CSF) Lateral ventricle • Provide constant, controlled environment for brain cells • Protect brain from toxins Third ventricle • Prevent escape of local neurotransmitters Choroid plexus: Vascular network; produces CSF Cerebral aqueduct Fourth ventricle • Similar ion composition to blood plasma Central canal • protein content Ventricles lined with ependymal cells (circulate CSF) • Gasses cross freely • 0.5 L / day produced Costanzo – Figure 3.36 Central Nervous System CSF Circulation: Arachnoid villus Presence of CSF in subarachnoid space gives buoyancy to brain (97% weight reduction) 1) CSF produced by choroid plexus in ventricles 2) CSF flows through ventricles and into subarachnoid space via lateral and median apertures 3) CSF exits subarachnoid space via arachnoid villi Lateral aperture Median aperture Lumbar puncture (spinal tap) Marieb & Hoehn – Figure 12.26 Hydrocephalus (‘water on the brain”) 8 Central Nervous System Cerebrum (forebrain) Diencephalon (midbrain) Brainstem Cerebellum (hindbrain) Central Nervous System ~ 85% of brain mass Brain Anatomy: B. Cerebrum (cerebral hemispheres): Central sulcus Parietal lobe Frontal lobe Parieto-occipital sulcus Gyrus Sulcus (ridge) (groove) Occipital lobe Insula Temporal lobe Fissure (deep groove) Lateral sulcus Marieb & Hoehn – Figure 12.6 9 Central Nervous System Brain Anatomy: B. Cerebrum (cerebral hemispheres): Basic regions: Cerebral cortex (superficial to deep) Cerebral white matter 1) Cerebral cortex (gray matter) 2) Cerebral white matter 3) Basal nuclei Corpus callosum: White tract connecting cerebral hemispheres Basal nuclei Central Nervous System Brain Anatomy: B. Cerebrum (cerebral hemispheres): 1) Cerebral cortex: • Contains 3 types of functional areas: 1) Motor areas (send output) 2) Sensory areas (receive input) The cerebral cortex is the seat of conscious behavior Only 2 - 4 mm thick but comprises 40% of the brain’s mass 3) Association areas (interpret data) 2.5 ft2 of surface area Functional MRI scan (measure blood flow) Neural cartography (electrostimulation) 10 Marieb & Hoehn – Figure 12.8 Central Nervous System Brain Anatomy: B. Cerebrum (cerebral hemispheres): 1) Cerebral cortex: • Motor areas: Primary motor cortex Conscious control of skeletal muscle movements Somatotopic mapping: The entire body is spatially represented in the cerebral cortex Pyramidal cells extend long axons to the spinal cord, forming pyramidal tracts, or corticospinal tracts Central Nervous System Homunculus (“little man”): Note: One-to-one correspondence between cortical neurons and muscles misleading; map really “fuzzy” Marieb & Hoehn – Figure 12.9 11 Marieb & Hoehn – Figure 12.8 Central Nervous System Brain Anatomy: Primary motor cortex B. Cerebrum (cerebral hemispheres): 1) Cerebral cortex: Conscious control of skeletal muscle movements • Motor areas: communicates directly with primary motor cortex Frontal eye field Premotor cortex Controls voluntary movement of eyes Controls learned motor skills of repetitious or patterned nature (e.g., typing) Broca’s area Controls muscles involved in speech production (often more pronounced in one hemisphere of brain) Marieb & Hoehn – Figure 12.8 Central Nervous System Brain Anatomy: Primary somatorsensory cortex B. Cerebrum (cerebral hemispheres): Receives information from sensory receptors in skin & proprioreceptors in joints 1) Cerebral cortex: Spatial discrimination • Sensory areas: Somatosensory association cortex Gustatory cortex Receives / interprets sensations of taste Integrates / interprets somatosensory inputs (e.g., temp. / pressure) Primary visual cortex Primary auditory cortex Receives visual information Receives auditory information (tonotopic mapping) Auditory Association area Integrates / interprets auditory inputs (e.g., music / thunder) Medial Olfactory cortex Receives olfactory information • Part of rhinencephalon (‘nose brain’) (retinotopic mapping) Visual association area Integrates / interprets visual inputs (e.g., color / form) 12 Marieb & Hoehn – Figure 12.8 Central Nervous System Brain Anatomy: B. Cerebrum (cerebral hemispheres): Locations where sensations, thoughts, and emotions become conscious (makes us who we are…) 1) Cerebral cortex: • Association areas (multimodal): (matures slowly) Anterior association area (Prefrontal cortex) • • • • Intelligence Complex learning Recall Personality Central Nervous System Phineus Gage (1823 – 1860) Phrenology: The brain is the organ of the mind; contains localized, specific modules Franz Gall (1758 – 1828) The American Crowbar Case Introduction 13 Marieb & Hoehn – Figure 12.8 Central Nervous System Brain Anatomy: Locations where sensations, thoughts, and emotions become conscious B. Cerebrum (cerebral hemispheres): (makes us who we are…) 1) Cerebral cortex: • Association areas (multimodal): Anterior association area Posterior association area • • • • Pattern recognition Spatial recognition Sensory grouping Language centers (Wernicke’s area) Limbic association area Processes emotions related to personal / social interactions Central Nervous System Brain Anatomy: B. Cerebrum (cerebral hemispheres): 1) Cerebral cortex: • Contains 3 types of functional areas • Contralateral control (e.g., left hemisphere controls right body) Decussation: Location where neural pathways cross The cerebral cortex is the seat of conscious behavior Only 2 - 4 mm thick but comprises 40% of the brain’s mass 2.5 ft2 of surface area • Occur at different locations in CNS • Lateralization (i.e., hemisphere specialization) 14 Central Nervous System Categorical Representational Central Nervous System Brain Anatomy: B. Cerebrum (cerebral hemispheres): Basic regions: Cerebral cortex (superficial to deep) Cerebral white matter 1) Cerebral cortex (gray matter) 2) Cerebral white matter 3) Basal nuclei Basal nuclei 15 Central Nervous System Brain Anatomy: B. Cerebrum (cerebral hemispheres): Association fibers 2) Cerebral white matter: Commissural fibers Fiber tracts responsible for communication between cerebral areas and lower CNS A) Commissural Fibers (form commissures) : • Interconnect cerebral hemispheres B) Association Fibers: • Interconnect areas of neural cortex within a single hemisphere C) Projection Fibers: • Interconnect cerebral hemispheres with other regions of the brain Corona radiata: Point where projection fibers radiate fan-like through cerebral white matter Projection fibers Internal capsule: Compact band of projection fibers near diencephalon Marieb & Hoehn – Figure 12.10 Central Nervous System Brain Anatomy: B. Cerebrum (cerebral hemispheres): Basic regions: Cerebral cortex (superficial to deep) Cerebral white matter 1) Cerebral cortex (gray matter) 2) Cerebral white matter 3) Basal nuclei Basal nuclei 16 Central Nervous System Brain Anatomy: B. Cerebrum (cerebral hemispheres): 3) Basal nuclei: • Composed of gray matter (neuron cell bodies) • Function: 1) Subconscious control of skeletal muscle tone 2) Control stereotypical motor movements (e.g., arm swing) • Regulate intensity / inhibit unnecessary movements Caudate nucleus Corpus striatum Putamen Lentiform nucleus Globus pallidus Striped appearance due to passage of internal capsule fibers Central Nervous System Cerebrum (forebrain) Diencephalon (midbrain) Brainstem Cerebellum (hindbrain) 17 Central Nervous System Brain Anatomy: Thalamus C. Diencephalon: “Gateway to the cerebral cortex” Thalamus: • Composes 80% of diencephalon • Relay station for all information entering / exiting the cerebral cortex Hypothalamus: • • • • • • Autonomic control center Center for emotional response Body temperature regulation Regulation of food / water intake Regulation of sleep-wake cycles Control of endocrine system Hypothalamus Epithalamus: Epithalamus • Houses pineal gland (melatonin) and choroid plexus (forms CSF) “Control center of body” Marieb & Hoehn – Figure 12.12 / 12.13 Central Nervous System “Emotional brain” Brain Anatomy: Limbic system (functional brain system): Diencephalon structures: • Thalamus (anterior thalamic nuclei) • Hypothalamus Cerebral cortex structures: • Cingulate gyrus • Parahippocampal gyrus • Hippocampus • Amygdala Fornix: Fiber tract linking regions together Alzheimer’s Disease: • Control emotional states (e.g., fear) / behavioral drives (e.g., sex drive) • Link conscious (cerebral cortex) with unconscious function (brain stem) • Psychosomatic illnesses = emotion-induced illness • Long-term memory storage / retrieval Progressive degenerative disease of the brain • Memory loss • Disorientation • Moodiness / confusion 18 Central Nervous System Cerebrum (forebrain) Diencephalon (midbrain) Brainstem Cerebellum (hindbrain) Central Nervous System Brain Anatomy: D. Brain stem: • Deep gray matter; superficial white matter • Produce rigidly programmed, autonomic behaviors necessary for survival Thalamus • Conduction pathways between higher and lower brain centers Midbrain: Midbrain • Visual / auditory reflex centers Pons: • Regulate respiration rate / depth Medulla oblongata: • Location where fiber tracts from spinal cord cross over (decussation) Pons Medulla oblongata • Autonomic reflex center • Heart rate / blood pressure • Respiratory rhythm • Vomiting / hiccupping / etc. Marieb & Hoehn – Figure 12.15 19 Marieb & Hoehn – Figure 12.19 Central Nervous System Brain Anatomy: Reticular Activating System (RAS - functional brain system): Aggregation of loosely clustered neurons: Lateral group Medial group Raphe nucleus • Raphe nuclei (midline) • Medial (large cell) group • Lateral (small cell) group visual stimuli Twisting of brain stem can lead to irreversible coma auditory stimuli LSD general stimuli • Maintains cerebral cortical alertness (e.g., on / off switch) • Filters out repetitive stimuli (~ 99% of stimuli filtered…) Central Nervous System Cerebrum (forebrain) Diencephalon (midbrain) Brainstem Cerebellum (hindbrain) 20 Central Nervous System Brain Anatomy: E. Cerebellum: “Small brain” • Gray matter superficial; white matter deep (11% TBM) • Precise timing of muscle coordination (balance, posture, repeated movements) Folia • All activity subconscious Arbor vitae Cerebellar Processing: Cerebral cortex sends signal to move Sensory information from body Maintain body coordination Commands to motor neurons of spinal cord Marieb & Hoehn – Figure 12.17 Central Nervous System Meningitis: Inflammation of the meninges Protection of the Brain: 1) Bone (Skull – cranium portion) 2) Meninges (specialized connective tissue membranes) A) Dura mater (“tough mother”) • Fibrous outer coating (2 layers) • Protects CNS C) Pia mater (“gentle mother”) • Thin inner membrane • Contains blood vessels B) Arachnoid mater (“spider mother”) • Delicate middle layer • Nourishes CNS Two layers enclose dural venous sinuses Bone Dura mater (periosteal layer) Dura mater (meningeal layer) Arachnoid mater Subarachnoid space (filled with CSF) Pia mater Marieb & Hoehn – Figure 12.24 21 Central Nervous System Constant internal environment necessary for proper neuronal functioning in brain Protection of the Brain: 1) Bone (Skull – cranium portion) 2) Meninges (specialized connective tissue membranes) 3) Blood-brain barrier: Astrocyte-maintained barrier lining blood capillaries Three layers of protection: A. Capillary endothelium B. Thick basal lamina C. Bulbous ‘feet’ of astrocytes • Signal tight junction formation Tightly regulate substances bathing brain: In: glucose, amino acids, selected electrolytes Out: metabolic waste (urea), proteins, toxins, drugs • Displays differentially permeable (e.g., vomit center brain stem) Marieb & Hoehn – Figure 11.3 Central Nervous System Homeostatic Imbalances of the Brain: 1) Traumatic brain injury Leading cause of accidental death in North America Concussion Subdural hemorrhage Cerebral edema Alteration in brain function following blow to head Bleeding into subarachnoid space via ruptured vessels Swelling of the brain 2) Cerebrovascular accident 3) Degenerative brain disorders • Alzheimer’s disease • Parkinson’s disease • Huntington’s disease Third leading cause of death in North America Ischemic stroke Blockage of blood supply to brain due to blood clot • May be transient 22 Central Nervous System Organization of Nervous System: Nervous system Integration Central nervous system Peripheral nervous system (CNS) (PNS) Motor output Brain Spinal cord Sensory input Motor division Sensory division (efferent) (afferent) Autonomic nervous system Somatic nervous system (involuntary; smooth & cardiac muscle) (voluntary; skeletal muscle) Sympathetic division Parasympathetic division Central Nervous System Protected by vertebral column / meninges Spinal Cord: • Provides conduction pathway to / from brain • Contains major reflex centers • Independently initiates patterns of motor activity (e.g., walking) Gross Anatomy: • ~ 18 inches long (via vertebral foramen) • Two enlargements (cervical / lumbar) • Innervation of limbs • Cord proper ends at L1 • Cauda equina (“horse’s tail”) • Spinal nerves (31 pairs) Cervical region (8) (8) Cervical enlargement Thoracic region Lumbar enlargement (12) (12) Cornus medullaris Cauda equina Lumbar region (5) (5) Sacral region (5) (5) (1) (1) Marieb & Hoehn – Figure 12.29 23 Central Nervous System Spinal Cord: Cross-sectional Anatomy: Posterior median sulcus Posterior funiculus Ascending tracts: Carry information to brain Descending tracts: Carry information from brain Transverse tracts: Carry information across cord White matter Central canal Lateral funiculus Gray matter Anterior funiculus Anterior median fissure 1) 2) 3) 4) Characteristics: Decussation present Multi-neuron pathways Somatotopy exhibited Symmetrical arrangement Central Nervous System Spinal Cord: Cross-sectional Anatomy: Marieb & Hoehn – Figure 12.33 24 Central Nervous System Spinal Cord: Cross-sectional Anatomy: Posterior median sulcus Posterior horn Posterior funiculus (interneurons) White matter Central canal Lateral funiculus Lateral horn Gray matter (visceral motor neurons) Gray commissure Anterior funiculus Anterior horn Anterior median fissure (somatic motor neurons) Central Nervous System Spinal Cord: Cross-sectional Anatomy: Dorsal Root Dorsal root ganglion Sensory neuron Interneuron Motor neuron Spinal nerve Ventral Root 25 Central Nervous System Spinal Cord: Organization of Gray Matter: Central Nervous System Homeostatic Imbalances of the Spinal Cord: 1) Spinal cord trauma Paralysis / Paresthesias Paraplegia Quadriplegia Damage to spinal cord leading leading to functional / sensory loss Transection of spinal cord between T1 and L1 Transection of spinal cord between C4 and C7 2) Poliomyelitis 3) Amyotrophic lateral sclerosis (ALS) Lou Gehrig’s disease Destruction of ventral horn motor neurons by poliovirus Progressive destruction of ventral horn motor neurons (autoimmune?) 26