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Chapter 15 Nervous System 1 Function of the Nervous System The nervous system and the endocrine system cooperate in regulating and controlling the activities of the other body systems The nervous system may be divided into two parts: central nervous system (CNS): made up of the brain and spinal cord peripheral nervous system (PNS): made up of cranial and spinal nerves 2 Principle Divisions of Nervous System Central Nervous System Brain Spinal Cord Peripherial Nervous System (nerves) Afferent System Sensory (into) Efferent System Somatic Motor Autonomic Sympathetic Parasympathetic 3 Nervous System 4 Central Nervous System Brain: major portion of the central nervous system cerebrum: largest portion of the brain, divided into right and left hemispheres; controls the skeletal muscles, interprets general senses (temp, pain, and touch), and contains centers for sight and hearing. Intellect, memory, and emotional reactions also take place in the cerebrum. 5 Central Nervous System (cont’d) Brain (cont’d) ventricles: spaces within the cerebrum that contain a fluid called cerebrospinal fluid (CSF), which flows through the subarachnoid space around the brain and spinal cord cerebral spinal fluid (CSF): clear, colorless fluid to cushion the brain and spinal column from shock; transports nutrients, and clears metabolic waste 6 Central Nervous System (cont’d) Brain (cont’d) cerebellum: often called the hindbrain located under the posterior portion of the cerebrum. Its function is to assist in the coordination of skeletal muscles and to maintain balance. brainstem: stemlike portion of the brain; connects with the spinal cord. 7 Central Nervous System (cont’d) Brain (cont’d) pons: literally means “bridge.” It connects the cerebrum with the cerebellum and brainstem. medulla oblongata: located between pons and spinal cord; contains centers that control respiration, heart rate, and the muscles in the blood vessel walls, which assist in determining blood pressure. 8 Overview of system 9 10 Midsagittal section 11 12 Cell Types in CNS Glial cells (Neuroglia) Astrocytes Oligodendrocytes Microglial cells Neurons 13 Neurons 14 Cell Parts One Axon Multiple dendrites 15 16 17 Central Nervous System (cont’d) Spinal cord Passes through the vertebral canal extending from the medulla oblongata to the level of the 2nd lumbar vertebra; conducts nerve impulses to and from the brain and initiates reflex action to sensory information without input from the brain 18 Brain and Spinal Cord 19 Central Nervous System (cont’d) Spinal cord meninges: 3 layers of membrane that cover the brain and spinal cord dura mater: tough outer layer arachnoid: delicate middle layer; the arachnoid membrane is loosely attached to the pia mater by weblike fibers, which allow for the subarachnoid space pia mater: thin inner layer 20 Combining Forms for the Nervous System cerebell/o cerebr/o dur/o encephal/o gangli/o, ganglion/o mening/i, mening/o myel/o neur/o radic/o, radicul/o, rhiz/o 21 Midsagittal section 22 Head Injuries 23 Subdural hematoma 24 Peripheral Nervous System nerve: cordlike structure that carries impulses from one part of the body to another 12 pair of cranial nerves 31 pair of spinal nerves ganglion: group of nerve cells located outside the central nervous system 25 Cranial Nerves 26 Combining Forms Commonly Used with the Nervous System esthesi/o ment/o, phren/o, psych/o mon/o phas/o poli/o quadr/i 27 Prefix and Suffixes Prefix tetra- Suffixes -iatrist -iatry -ictal -paresis 28 Helpful Information The combining form myel/o is defined as spinal cord in Chapter 15, although it also means bone marrow as presented in Chapter 14. The suffix “-paresis” means slight paralysis while the suffix “-plegia” means paralysis. 29 Disease and Disorder Terms Built from Word Parts cerebellitis cerebral thrombosis duritis encephalitis encephalomalacia gangliitis meningitis meningomyelocele 30 Top, spina bifida. Bottom, (meninges / cv / (spinal cord) / cv / (protrusion). 31 Disease and Disorder Terms Built From Word Parts (cont’d) neurasthenia neuritis neuroarthropathy neuroblast neuroma poliomyelitis polyneuritis rhizomeningomyelitis 32 Disease and Disorder Terms Not Built From Word Parts Alzheimer’s disease (AD) amyotrophic lateral sclerosis (ALS) (Lou Gehrig’s disease) Bell’s palsy cerebral aneurysm cerebral palsy (CP) cerebrovascular accident (CVA) (stroke) epilepsy 33 Bell’s Palsy 34 Cerebrovascular Accident 35 Disease and Disorder Terms Not Built from Word Parts (cont’d) multiple sclerosis (MS) neurosis Parkinson’s disease (PD) psychosis sciatica shingles transient ischemic attack (TIA) 36 Shingles 37 Surgical Terms Built from Word Parts ganglionectomy neurectomy neurolysis neuroplasty neurorrhaphy neurotomy radicotomy, rhizotomy 38 (nerve root) / cv / (incision) 39 Diagnostic Terms Built from Word Parts Diagnostic imaging cerebral angiograph CT myelography Neurodiagnostic procedures echoencephalography (EchoEG) electroencephalogram (EEG) electroencephalography 40 Diagnostic Terms Not Built from Word Parts Diagnostic imaging computed tomography of the brain (CT scan) magnetic resonance imaging of the brain (MRI scan) positron emission tomography of the brain (PET scan) Neurodiagnostic procedures evoked potential studies (EP studies) 41 CT Scanner 42 Computerized Tomography 43 44 Positron Emission Tomography 45 Diagnostic Terms Not Built from Word Parts (cont’d) Other lumbar puncture (LP) 46 Complementary Terms Built from Word Parts anesthesia aphasia cephalalgia craniocerebral dysphasia hemiparesis hemiplegia interictal intracerebral monoparesis neuroid neurologist panplegia preictal psychogenic tetraplegia 47 Complementary Terms Not Built from Word Parts cognitive incoherent coma concussion conscious convulsion dementia gait paraplegia seizure shunt syncope unconsciousness 48 1, (half) / (paralysis). 2, Paraplegia. 3, (four) / cv / (paralysis) OR (four / (paralysis). 49 Common Psychiatric Disorders anorexia nervosa anxiety disorder attention deficit hyperactivity disorder (ADHD) bipolar disorder bulimia nervosa obsessive-compulsive disorder (OCD) panic attack phobia posttraumatic stress disorder schizophrenia 50 Abbreviations AD ADHD ALS CP CSF CVA EchoEG EEG EP studies LP MRI scan OCD PD PET scan PTSD TIA 51 52 53 Humunculus 54 55 Nerve (cross section) 56 Spinal Cord Showing Layers of Meninges 57 CT (spinal cord) / cv / (process of recording) 58 Lumbar Puncture with Needle in Place 59