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Anatomy & physiology: The nervous system Major regions of the brain A A Cerebrum D Medulla B Mid brain E Spinal cord C Pons F Cerebellum The central nervous system consists of the brain and the spinal cord. The cerebrum controls the hgher thought processess. The cerebellum co-ordinates subconscious movement of skeletal muscles and contributes to muscle tone, posture and balance. The brain stem (Mid brain, Pons and Medulla) regulates heartbeat and breathing, plays a role in consciousness, is the reflex centre for movement of the eyeballs, head and trunk and transmits impulses between the brain and spinal cord. B A C F E D Nervous tissue Spinal cord The spinal cord is composed of bundles of nerve fibres and leaves the skull through the foramen magnum extending to the level of the second lumbar vertebra. At this point, it gives rise to numerous individual nerve roots, called the cauda equina. A Spinal cord D Spinal nerve B Vertebral body E Vertebral process C Intervertebral disc F Meninges A Nervous tissue is composed of two main cell types: neurons and glial cells. Neurons transmit nerve messages. Glial cells are in direct contact with neurons and often surround them. The neuron is the functional unit of the nervous system. While variable in size and shape, all neurons have three parts. Dendrites receive information from another cell and transmit the message to the cell body. The cell body contains the nucleus, mitochondria and other organelles. The axon conducts messages away from the cell body. F B E Motor neurons have a long axon and short dendrites and transmit messages from the central nervous system to the muscles (or to glands). C D Reference: The nervous system Sensory neurons typically have a long dendrite and short axon, and carry messages from sensory receptors to the central nervous system. Interneurons are found only in the central nervous system where they connect neuron to neuron. The Pre-hospital Volunteer Autonomic nervous system Reflex arc A reflex arc is a nerve pathway which produces a fast, simple automatic response when it is stimulated. A reflex involves only a few nerve cells, unlike the slower but more complex responses produced by the many processing nerve cells of the brain. The autonomic nervous system operates without conscious control and regulates the function of the internal organs, glands and smooth muscle. It is divided into the parasympathetic nervous division and the sympathetic division. Examples of such reflexes include the sudden withdrawal of a hand in response to a painful stimulus, for example when touching a very hot object or other unpleasant stimulus, or the jerking of a leg when the kneecap is tapped, such as with a reflex hammer. The sympathetic pathway is responsible for the body’s response to shock and stress. This response is associated with the release of epinephrine from the adrenal glands. Sympathetic responses include moving blood from the extremities to the vital organs, increasing heart rate and respirations, increasing blood pressure, dilation of the pupils and the reduction of digestive system activity. Sensory cells (receptors) in the knee send signals to the spinal cord along a sensory nerve cell. Within the spine a reflex arc switches the signals straight back to the muscles of the leg (effectors) via an intermediate nerve cell and then a motor nerve cell; contraction of the leg occurs, and the leg kicks upwards. The parasympatetic responses are involved with relaxing the body, including slowing the heart rate and respiratory rates, lowering the blood pressure, constricting the pupils and increasing the digestive system activity. Only three nerve cells are involved, and the brain is only aware of the response after it has taken place. Meninges and CSF The entire central nervous system is enclosed by a set of three membranes called the meninges. The outer layer is the dura mater, an inelastic fibrous membrane. The arachnoid mater is the second layer and gets its name because the blood vessels and fibres it contains resembles a spider’s web. The innermost layer is the pia mater and rests directly on the brain or spinal cord. The Pre-hospital Volunteer Cerebrospinal fluid (CSF), which is manufactured in the ventricles of the brain, flows in the subarachnoid space (located between the pia mater and the arachnoid mater). The meninges and CSF form a fluid filled sac that cushions and protects the brain and spinal cord. Obstruction of the flow of CSF results in increased pressure within the skull, swelling of the ventricles and compression of the brain, a condition known as hydrocephalus. Reference: The nervous system