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Anatomy Notes on the Brain The brain is arguably the most important organ in the human body. It controls and coordinates actions and reactions, allows us to think and feel, and enables us to have memories and feelings – all the things that make us human. While the brain only weighs about 3 pounds, it is a highly complex organ made up of many parts. Years of scientific study of the brain have made it possible for scientists to identify the various areas of the brain and determine their specific functions. The following information gives a brief description of some of the major parts of the human brain. The cranium The brain is protected by a bony covering called the cranium (which, along with the bones of the face, make up the skull). Inside the cranium, the brain is surrounded by the meninges. The meninges is made up of 3 layers of tissue: Pia mater – the layer closest to the surface of the brain Arachnoid membrane – the middle layer of tissue Dura mater – the outer-most layer Note that the cerebral hemispheres of the brain are highly wrinkled. These structures are named: a. sulcus .(pIural: sulci) = "valley" b. gyrus (pIural: gyn) = "hill" The general pattern of sulci and gyri are similar among most individuals and these features are all named, but there is a lot of individual variation. The two major sulci: a. Central sulcus: large deep groove or indentation running downward from the midpoint at the top of the brain; it separates the parietal and frontal lobes (also called the Fissure of Rolando). b. Lateral sulcus: large deep groove or indentation running horizontally from front of brain back midway that separates forebrain from midbrain or that separates the parietal and temporal lobes (also called the Fissure of Sylvius). The cerebrum – the front of the brain The largest part of the brain located in the front is called the cerebrum. The cerebrum is responsible for: Movement Body temperature Touch Vision Hearing Judgment Reasoning Problem solving Emotions Learning The cerebrum has 2 parts: the right cerebral hemisphere and the left cerebral hemisphere. They are connected at the bottom and have a deep groove running between them. In general, the right cerebral hemisphere controls the left side of the body, and the left cerebral hemisphere controls the right. The right side is involved with creativity and artistic abilities. The left side is important for logic and rational thinking. The hemispheres of the cerebrum are divided into lobes, or broad regions of the brain. Each lobe is responsible for a variety of bodily functions: Frontal lobes are involved with personality, speech, and motor development Temporal lobes are responsible for memory, language and speech functions Parietal lobes are involved with sensation Occipital lobes are the primary vision centers The surface of the cerebrum appears wrinkled and is made up of deep grooves (called sulci) and bumps or folds (called gyri). The outer part of the cerebrum is called gray matter and contains nerve cells. The inner part is called white matter and contains connections of nerves via the axons. Higher Functions Most of the cortex is concerned with functions that go beyond the primary perception of sensation or primary control of motor movement. 1. Frontal lobe: cognition, behavior, emotion 2. Prefrontal association cortex: sides of frontal lobe 3. Parietal lobe 4. Temporal lobe: memory and emotions Sensory and Motor Areas 5. Somatosensory cortex: perception of touch from surface of body a. strip behind the central sulcus (post-central gyrus) in parietal lobe b. The surface of the body can be mapped as a distorted representation (sensory homunculus) • the lower limb is at the top, followed by trunk, shoulder, arm, hand, neck, face, lips, jaw and tongue. 6. Primary motor cortex: final output from brain to spinal cord for voluntary control of muscular movement a. strip in front of central sulcus (pre-central gyrus) in frontal lobe 7. Premotor cortex: planning of movement a. area in front of primary motor cortex in frontal lobe Vision, Hearing, and Language 1. Primary visual cortex: perception of vision, first input from eyes a. hindmost part of occipital lobe b. surrounding areas of occipital lobe are concerned with analysis of vision. . 2. Primary auditory cortex: input from ears a. upper surface of temporal lobe b. both ears go to both sides of brain, organized by tone 3. Motor speech: Broca's area a. lower region of frontal lobe on left side only b. damage to this area results in the inability to produce meaningful language 4. Sensory speech: Wernicke's area a. region of temporal and parietal lobe on left side only b. damage to this area results in the inability to understand language The cerebellum – the back of the brain Behind the cerebrum at the back of the head is the cerebellum. In Latin, cerebellum means “little brain.” However, the cerebellum contains more nerve cells than both hemispheres combined. The cerebellum is primarily a movement control center, responsible for: Voluntary muscle movements Fine motor skills Maintaining balance, posture, and equilibrium Unlike the cerebrum, the left cerebellum controls the left side of the body, and the right cerebellum controls the right side of the body. The cerebellum is involved in several functions of the body including: Fine Movement Coordination Balance and Equilibrium Muscle Tone Location: Directionally, the cerebellum is situated at the base of the skull, above the brainstem and beneath the occipital lobes of the cerebral cortex. Cerebellar injury results in movements that are slow and uncoordinated. Individuals with cerebellar lesions tend to sway and stagger when walking. Damage to the cerebellum can lead to: 1) loss of coordination of motor movement (asynergia) 2) the inability to judge distance and when to stop (dysmetria) 3) the inability to perform rapid alternating movements (adiadochokinesia) 4) movement tremors (intention tremor) 5) staggering, wide based walking (ataxic gait) 6) tendency toward falling 7) weak muscles (hypotonia) 8) slurred speech (ataxic dysarthria) 9) abnormal eye movements (nystagmus) The brainstem – the middle of the brain The brainstem is located in front of the cerebellum. The brainstem is like the hard-drive of a computer. It is the main control panel for the body that passes messages back and forth between the brain and other parts of the body. The cerebrum, the cerebellum, and the spinal cord are all connected to the brainstem. The brainstem has three main parts, the midbrain, the pons, and the medulla oblongata. The brainstem controls vital functions of the body, including: Breathing Consciousness Cardiac function Involuntary muscle movements Swallowing Movement of the eyes and mouth Relaying sensory messages (pain, heat, noise, etc.) Hunger Other important parts of the brain Ventricular system The brain is not a solid organ. There are fluid-filled cavities within the brain called ventricles. The ventricles are important in providing nourishment to the brain. The ventricular system produces and processes cerebrospinal fluid – a clear, watery substance that flows around the brain and helps cushion and protect it. Cranial nerves The brain also contains 12 pairs of cranial nerves each responsible for specific functions in the body: Olfactory nerve – smell Optic nerve – vision Oculomotor – eye movements, eyelid opening Trochlear – eye movements Trigeminal – facial sensations, chewing Abducens – eye movements Facial – taste, facial expressions Vestibulocochlear – hearing, balance Glossopharyngeal – taste, swallowing Vagus – swallowing, taste Accessory – neck and shoulder muscles Hypoglossal – tongue movement Notes on Memory Memory involves three main processes: encoding, storage and retrieval. Encoding relates to perception of the information through senses or feelings. Storage is the establishment of neural pathways through the establishment of synapse networks. Retrieval is the process of retracing the neural pathways to bring back the memory. Most memories are retrieved through a pointer system where a connection is made using several cues or pointers. Descriptors are accessed that are associated with the memory and that pathway is retraced. The hippocampus coordinates the neural data. There are three main subdivisions of memory depending on what part of the brain is processing it. Sensory memory is the shortest of all memories and is encoded through a short stimulation of the senses. Short term memory is storage of up to 7 items and lasts under a minute. Working memory refers to memory processed in the prefrontal cortex. It coordinates long term memories with sights, sounds and feelings Long term memory is processed deep in the brain in an area called the hippocampus that transfers newly gained memory into permanent memory We forget memories because of three reasons; 1. Not encoded properly because of inattention or distraction ( cant do two things at once and remember both of them for a long period of time) 2. No retention- neural pathway is never completed 3. Improper retrieval- pointers or cues are not retained or other pathways have been associated with the memory Aging can affect memory through any of the above reasons. The hippocampus shrinks up to 20% by the time a person reaches old age. The brain also shrinks in size as well. Ways to improve memory include 1. Diet- proper nutrition provides nourishment to the brain. Omega 3 and antioxidants assist in neural function 2. Using the brain helps control diminished memory as well as shrinkage of brain tissue. Puzzles, word games, and learning all keep the brain functioning longer 3. Exercise sends more blood to the brain therefore more oxygen for cell usage 4. Mneumonic devices or method of loci help to organize and retrieve faster 5. 6. 7. 8. Chunking puts similar data together to be remembered and retrieved Practice (studying) improves neural pathways Reducing stress will improve memory by reducing distractions Out of the ordinary visual reminders such as a string on the finger or an object placed in an unusual or out of the ordinary place will help remember things. Sleep Why do we need to sleep? During sleep the body: Repairs cells: Sleep slows metabolism, heartbeat and breathing rate, which helps the body replenish after daily physical activity. Releases growth hormones in young adults: While you sleep, a hormone is released that aids the growth of bones, tissues and new red blood cells. Strengthens your immune and nervous systems. Kinds of sleep There are two kinds of sleep: non-rapid eye movement eye movement (NREM) and rapid eye movement (REM) sleep. These two states affect the body and mind in different ways. NREM Sleep If we are lucky, we fall asleep within 10 to 20 minutes of going to bed. Our bodies begin a cycle of sleep. The first four stages are NREM. Stages one and two are light sleep where we can be awakened easily and contractions of our muscles can be seen. In stages three and four our brain waves slow and we enter into deep sleep -- it is very difficult to wake someone up in this stage. There is no eye movement or muscle activity at this point. It is during this stage that people can sleep walk or have night mares. REM Sleep and Dreaming The fifth stage of sleep occurs normally after about 90 minutes, and is characterized by dreaming and rapid eye movement. No other muscles move during this time but the brain is closest to being awake at this time. We dream all night long. The cycles of NREM and REM sleep repeat throughout the night. The first period of dreaming only lasts five minutes. REM periods are longer with each subsequent cycle. We typically spend more than two hours each night dreaming. There is no time dilation with REM. A 5 min dream takes 5 minutes of REM. Studies have shown that animals can also dream. How much sleep do I need? Most teenagers need between nine and nine-and-a-half hours of sleep each night. Yet surveys show that most teenagers get only six to seven hours. Twenty percent of high schoolers say that they have fallen asleep in class. If you don't get enough sleep, you may experience symptoms of sleep deprivation. These include: Falling asleep in class. Irritability. Difficulty waking up in the morning. Difficulty concentrating. Depression after prolonged sleep deprivation Sleep disorders Some common sleep disorders include Sleep deprivation- not getting enough sleep Insomnia- the inability to get the amount of sleep you need to wake up feeling rested and refreshed. Most common sleep disorder and could be a symptom of another disorder such as depression or stress. Restless leg syndrome- Restless legs syndrome (RLS) is a sleep disorder that causes an almost irresistible urge to move your legs (or arms). The urge to move occurs when you’re resting or lying down and is usually due to uncomfortable, tingly, aching, or creeping sensations. Delayed sleep phase syndrome- teens suffer from this disorder. Their sleep patterns change to staying up longer and wanting to sleep longer in the morning. Students end up sleep deprived when they go to school. Sleep apnea- temporary stoppage of breathing during sleep While most people with sleep apnea don’t remember these awakenings, they feel the effects in other ways, such as exhaustion during the day, irritability and depression, and decreased productivity.. Narcolepsy- Narcolepsy is a sleep disorder that involves excessive, uncontrollable daytime sleepiness. It is caused by a dysfunction of the brain mechanism that controls sleeping and waking. If you have narcolepsy, you may have “sleep attacks” while in the middle of talking, working, or even driving. Other temporary disordersJet lag is a temporary disruption in circadian rhythms that occurs when you travel across time zones. In general, it usually takes one day per time zone crossed to adjust to the local time. So if you flew from Los Angeles to New York, crossing three time zones, your jet lag should be gone within three days. Shift work sleep disorder occurs when your work schedule and your biological clock are out of sync. In our 24-hour society, many workers have to work night shifts, early morning shifts, or rotating shifts. These schedules force you to work when your body is telling you to go to sleep, and sleep when your body is signaling you to wake. Oversleeping The condition causes people to suffer from extreme sleepiness throughout the day, which is not usually relieved by napping. It also causes them to sleep for unusually long periods of time at night. Adults sleeping over 9-10 hours a day are more at risk of diabetes, obesity and heart disease. Improving your sleep Eliminate caffeine (or foods that have caffeine, such as chocolate). Set a regular sleep schedule and stick with it, even on weekends. Avoid exercise after dinner. Wear comfortable clothes or pajamas to bed. Make sure your room is not too hot or too cold. Avoid stimulating TV, music or computer time before bed. Use meditation or relaxation techniques. Try the old standby: counting sheep -- in other words, activities that are repetitive and lack stimulation. What Are Dreams? Dreams are a succession of images, emotions and sensations that involuntarily occur during different stages of sleep. Dreams occur during REM sleep and can range from ordinary to bizarre, last from a few seconds to 20 minutes. Most dreams are out of the control of the dreamer except in the case of lucid dreaming where the dreamer is aware that he or she is dreaming. Dreams through history have been used toForetell the future Be a message from God Contact with those who have passed away Wish fulfillment (Freud) Resolutions to problems or concerns (Jung) New theories on dream activity 1. Activation synthesis theory is the cortex’s interpretation of the pons’ signals. 2. Continual activation theory- function of sleep is to encode and transfer data from short term to long term memory and REM and dreams are a mechanism for processing this information 3. Excitations of long term memory- long term memory is being established with our dream state 4. Strengthening semantic memory- dreams help strengthen working memory or making connections or understandings in general. It is not associated to a specific event but helps make connections to things we learn. Nightmares and Night Terrors One out of two adults have nightmares They occur during REM sleep and have many causes ; sleep deprivation or other sleep disorders, medication, some disorders such as depression and PTSD even eating late at night (metabolism increases to digest food and the brain becomes more active) Night terrors occur during the first few hours of sleep and the person may seem awake but is still sleeping. They can get up and run, scream. Children 2-6 tend to have the most night terrors. Overtired is often a trigger in children. Premonitions Information believed to be from the future. Psychology often explain the causes of premonitions to be 1. 2. 3. 4. 5. Brain selecting to remember some events and forgetting others. Coincidence Unconscious recall Self-fulfilling prophecies- bring into the present events that were thought about Resonance theory-brain neurospatial comprehension proposes that we can recall events in the future just like we recall events in the past. Timespace is one unit. Déjà vu Often felt as a sense of familiarity or vagueness. Often scientifically explained as an overlap between short term and long term memory. Jamais vu Experiencing an event or memory that feels like the first time even though you know you have experienced it before. Presque vu Difficulty recalling a word or phrase…..tip of the tongue