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Anatomy & Physiology I Unit Eight Spinal Cord Anatomy Spinal Cord Anatomy The Reflex Arc The Reflex Arc The Brain The brain is the major integrating organ of the CNS Millions of stimuli to the brain each day elicit coordinated and integrated responses The Brain The brain is divided into three major components: = cerebrum = cerebellum = brainstem The Brain The cerebrum is the component of the brain that is the seat of sensory perception, language, memory, thoughts, comprehension and conscientiousness Anatomically it is divided into two halves called cerebral hemispheres The Brain The cerebral hemispheres are separated by a deep groove called the longitudinal fissure The cerebral hemispheres are connected at the bottom of the longitudinal fissure by a thick bundle of nerve tissue called the corpus callosum The Brain The cerebrum is marked by thick folds called gyri (gyrus) The gyri are separated by shallow grooves called sulci (sulcus) This folding and convoluting markedly increases the surface area of the cerebrum The Brain The Brain Some sulci, such as the central sulcus, are more prominent and divide the cerebral hemispheres into four lobes that are anatomically and functionally distinct The Brain The lobes are named for the cranial bone under which they are found: * frontal * parietal * occipital * temporal The Brain The frontal lobe is concerned with planning, memory, mood, thinking, emotion and motivation The parietal lobe is concerned with sensory reception & integration of taste, some vision and somesthetic sensation (temperature, touch, stretch, pain, The Brain The occipital lobe is the principle vision center of the brain The temporal lobe is concerned with hearing, smell, learning, memory, visual recognition and emotional behavior The Brain The Brain Cerebral white matter makes up most of the volume of the cerebrum and is composed of myelinated nerves that communicate and coordinate with other parts of the brain The Brain Cerebral gray matter is found in three places: > cerebral cortex > basal nuclei > limbic system The Brain The Brain The cerebral cortex is the outer layer of the hemispheres and constitutes approximately 40% of the brain It is extensively associated with sleep, memory, cognition, emotion, sensation, motor control and language The Brain The basal nuclei gray matter buried in white matter that are involved in motor control through a feedback circuit that plans and executes movements The limbic system is an important center for emotion and learning, such as gratification and aversion The Brain The primary motor control in the cerebral cortex is found in the frontal lobe and precentral gyrus The motor association area of the frontal lobe plans movements and behaviors, while the primary motor cortex of the precentral gyrus sends out messages that carry them out The Brain Motor control in the cerebral cortex The Brain Sensory control in the cerebral cortex The Brain Association areas in the cerebral cortex The Brain The cerebellum is located inferior to the posterior side of the cerebrum It is the central area for motor coordination, equilibrium and time keeping The Brain The brainstem is the shaft-like structure that connects the cerebrum & cerebellum to the spinal cord Located in it are a variety of centers that control respiration, heart rate, blood pressure, and involuntary actions such as coughing, swallowing & sweating The Brain The brainstem also acts as a relay system between the cerebrum & cerebellum and the spinal cord All but the first cranial nerves originate from the brainstem The Brain It is comprised of four segments: ~ diencephalon ~ midbrain ~ pons ~ medulla oblongata The Brain The diencephalon is made up of three structures: - thalamus - hypothalamus - epithalamus The Brain The thalamus is largely a relay center, filtering somesthetic & special sense messages sent from the body to the cerebral cortex It also plays a key role in motor control by providing communication between the cerebral cortex and basal nuclei The Brain The thalamus also involved in the memory and emotional functions of the limbic system The hypothalamus is a major control center for the ANS and acts as the coordinator between the nervous and endocrine systems The Brain The hypothalamus produces seven hormones that directly influence the release of hormones from the pituitary gland, a major component in the endocrine system The Brain Some of the visceral functions of the hypothalamus are: * hormone secretion * thermoregulation * ANS control * food & water intake * sleep & waking * memory & emotions The Brain The epithalamus is comprised mainly of the pineal gland that is most active before the age of 7 Its functions are still unclear, but may help regulate puberty and may be the seat of some mood disorders The Brain The pituitary gland is attached inferiorly to the hypothalamus and is a part of the endocrine system It is divided into two lobes and secretes eight hormones that control a variety of body functions The Brain Anterior pituitary hormones: * FSH (follicle stimulating hormone) * LH (luteinizing hormone) * TSH (thyroid stimulating hormone) * ACTH (adrenocorticotropic hormone) * PRL (prolactin) * GH (growth hormone) The Brain Posterior pituitary hormones (stored): * ADH (antidiuretic hormone) * OT (oxytocin) The secretion of pituitary hormones are strongly subject to the control of the brain & hypothalamus The Brain The Brain The optic chiasm is formed by the crossing of the optic nerves just inferior to the hypothalamus and anterior to the pituitary gland The Brain The Brain The midbrain is a short section of the brainstem with a variety of functions: ~ anchors the cerebrum to the brainstem ~ contains the cerebral aqueduct ~ relays inhibitory signals to the thalamus The Brain The midbrain is a short section of the brainstem with a variety of functions: ~ controls eye movements with the cranial nerves III & IV ~ contains a major portion of the reticular formation The Brain The Brain The reticular formation is a loosely organized web of gray matter that runs through the entire brainstem and into the cerebrum It functions in cardiovascular control, pain modulation, sleep & consciousness, and habituation The Brain The pons functions as a relay center from the cerebrum to the cerebellum and medulla oblongata, sends information to the thalamus, and contains respiratory centers Cranial nerve V arises in the pons The Brain The medulla oblongata contains ascending and descending tracts that carry information for the control of skeletal muscles The medulla oblongata also contains important motor centers that play a major role in cardiac, vasomotor and respiratory control The Brain Cranial nerves VI, VII & VIII arise from the junction between the medulla and the pons The Brain The Brain The skull is protected externally by the skull and internally by three layers of membrane called the meninges The three meninges layers are: + dura mater + arachnoid mater + pia mater The Brain The Brain The ventricles are four chambers found internally in the brain that are filled with cerebrospinal fluid (CSF) The CSF provides buoyancy, protection and chemical stability for the brain The Brain The CSF is continually moving through the ventricles and central canal and is daily renewed by the brain The ventricles are lined with a network of capillaries called the choroid plexus, which is in turn covered with ependymal cells Brain Nutrition The brain is only 2% of the body weight, but receives 15% of the blood and consumes 20% of the oxygen and glucose Due to the high demand for ATP in neurons, they must have large amounts of oxygen and glucose Brain Nutrition Because of the high demand for oxygen and glucose, the brain must be adequately supplied with blood at all times If blood flow to the brain is interrupted for even short periods of time it can result in unconsciousness, brain damage or death Brain Nutrition The main arteries that supply the brain: * R. & L. internal carotid arteries * R. & L. vertebral arteries * basilar artery (formed from the joining of the R. & L. vertebrals) * posterior cerebral arteries (from by the division of the basilar artery) * cerebral arterial circle (circle of Willis) Brain Nutrition Anastomosis - a merging or joining of blood vessels, nerves or lymphatic vessels Brain Nutrition Brain Nutrition Even with its oxygen and glucose needs, the brain must be protected from antibodies, macrophages, pathogens, etc. in the blood The choroid plexus and brain capillaries are the two potential points of entry Brain Nutrition The brain capillaries are composed of tightly joined endothelial cells which ensure that anything leaving the blood must pass through the cells This arrangement is called the blood-brain barrier Brain Nutrition The capillaries of the choroid plexus are surrounded by ependymal cells that have tight junctions creating a similar barrier The brain barrier system is highly permeable to O2, CO2, glucose, water, nicotine, alcohol, caffeine & anesthetics Cranial Nerves Olfactory Nerve (I) Sense of smell Sensory Cranial Nerves Optic Nerve (II) Sense of sight Sensory Cranial Nerves Oculomotor Nerve (III) Eye & eyelid movements, pupil constriction, focusing Motor Cranial Nerves Trochlear Nerve (IV) Eye movements Motor Cranial Nerves Trigeminal Nerve (V) Touch, temperature & pain sensation of the face, mastication Mixed Cranial Nerves Abducens Nerve (VI) Lateral eye movements Motor Cranial Nerves Facial Nerve (VII) Taste, facial expressions, secretion of tears, saliva & mucus Mixed Cranial Nerves Vestibulocochlear Nerve (VIII) Hearing and equilibrium Sensory Cranial Nerves Glossopharyngeal Nerve (IX) Touch, taste, pressure & pain sensation of the tongue & pinnae, swallowing & gagging Mixed Cranial Nerves Vagus Nerve (X) Taste, hunger, fullness, swallowing, speech, heart rate, digestive secretion & motility Mixed Cranial Nerves Accessory Nerve (XI) Swallowing, head, neck & shoulder movements Motor Cranial Nerves Hypoglossal Nerve (XII) Tongue movements of speech, food manipulation & swallowing Motor Brain Diseases A stroke is an event in which blood flow has be lost to any part of the brain due to blockage or hemorrhage Brain Diseases The interruption of blood flow leads to necrosis of the nervous tissue A stroke is also known as apoplexy or a cerebrovascular accident (CVA) Brain Diseases Hydrocephalus is abnormal accumulation of CSF in the ventricles of the brain due to blockage that prevents reabsorption Brain Diseases Since fluids do not compress, excessive accumulation can result in compression and damage to nerve tissue of the brain It can be relieved by inserting shunts to drain the fluid Brain Diseases Cerebral palsy is a condition which results in muscular incoordination due to damage to motor areas of the brain The damage is usually caused during fetal development, birth or in infancy Brain Diseases Damage can be caused by: + prenatal rubella infection + drugs + exposure to radiation + oxygen deficiency during birth or early infancy + hydrocephalus Brain Diseases Alzheimer’s disease is associated with acetylcholine deficiency It onset is slow, can be ambiguous and cannot be reversed The brain atrophies causing confusion, loss of memory, and moodiness Brain Diseases Parkinson’s disease results in a progressive loss of motor function due to the degeneration of dopamine releasing neurons Dopamine is an inhibitory neurotransmitter, that aids in the control of muscle contractions Brain Diseases Meningitis is the inflammation of the meninges, caused by viral or bacterial infection Viral forms are dangerous, but the bacterial forms can be lethal The brain swells, the ventricles enlarge and the brainstem may hemorrhage