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`Title: The Central Nervous System Introduction: The central nervous system consists of the brain and the spinal cord. The brain is the control center for your thoughts, emotions, creativity, wisdom, memories, and all the activities and behaviors that make you who you are. Made up of about 100 billion neurons and 10–50 trillion neuroglia, the adult brain has a mass of only about 1300 g (almost 3 lb). Humans have realized the importance of the brain for thousands of years. The Egyptians are given credit for the first anatomic descriptions of the brain, which date back as far as 3000 B.C. Egyptian records describe paralysis, loss of cognitive function, and personality changes associated with skull fracture and brain damage. As far back as the fifth century B.C., the Greek physician Hippocrates realized the importance of the brain in mediating personality, emotion, and thought. Some South American cultures were even known to perform a primitive form of brain surgery known as trepanation, in which a hole was drilled into the skull with bronze surgical tools. Although our understanding of the human brain has improved dramatically since ancient times, especially over the last 150 years, we have only begun to scratch the surface. The spinal cord mediates some of your most rapid reactions to environmental changes. If you pick up something hot, you may drop the object even before the sensation of extreme heat or pain reaches your conscious perception. The spinal cord is the pathway for sensory nerve impulses traveling to the brain and motor nerve impulses traveling from the brain toward skeletal muscles and other effectors. 1- Major Parts of the CNS – The brain consists of four (4) major parts: The cerebrum, the diencephalon, the brainstem and the cerebellum a- The cerebrum 1- 2- Amygdala 3- Hemispheric lateralization – 4- Major areas and lobe control a- Broca’s area – b- Wernicke’s area c- Lobes Parietal Temporal Occipital Frontal d- Differences between men and woman - b- The diencephalon 1- Pineal gland 2- Thalamus 3- Hypothalamus c- The brainstem d- The cerebellum is found posterior to the brainstem d- The Central Nervous System is protected by two types of connective tissue (CT): the bony skull and the vertebrae and the cranial and spinal meninges. In addition the cerebral spinal fluid (CSF) which is produced by the brain surrounds and cushions the brain and spinal cord e- The meninges – the meninges are three connective tissue coverings the envelope the brain and spinal cord a- The dura mater – the most superficial and strongest of the connective tissues is the dura. The dura separates the two hemispheres of the cerebrum. It separates the hemispheres of the cerebellum and separates the cerebrum from the cerebellum b- Arachnoid c- The Pia d- Denticulate ligament – (small teeth) suspends the spinal cord in the middle of the membrane sheaths and protects the spinal cord against sudden displacement e- Superior sagittal sinus f- Blood flow to the brain and spinal cord a- Blood supplies oxygen and nutrients to the central nervous system b- Blood c- Blood d- In adults the brain constitutes about 2% of the body weight but consumes 20% of the oxygen and glucose e- Neurons make ATP from glucose in the brain f- When specific neurons are activated there is an increase in blood flow to that portion of the brain g- h- No glucose is stored in the brain. Therefore, a continuous supply is needed. It blood has a low glucose level (hypoglycemia) mental confusion, dizziness and loss of consciousness may occur i- Cerebral vascular accidents g- Blood-Brain Barrier (BBB) The blood brain barrier protects the brain from harmful substances and pathogens by preventing passage of these substances from the blood into the fluid of the brain tissue (cerebral spinal fluid) a- Glucose is able to pass the BBB by active transport (requires energy, glucose is always passing into the blood, hence the concentration is high) b- Proteins and antibodies do not pass through the barrier – therefore infections in the brain can be very difficult to treat, i.e., meningitis c- Carbon dioxide, oxygen and alcohol pass through the membrane freely, this is why fetal alcohol syndrome can be so serious d- Inflammation (meningitis) can break down the barrier and cause damage to the brain e- Other immunocompetant areas in the body exist, i.e., the blood-placenta barrier and the blood-testes barrier