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Nervous system Lecture for medical students Department of histology, cytology and embryology KhNMU Nervous system Includes: Central nervous system (CNS) --Brain --Spinal cord Peripheral nervous system (PNS): (outside the brain and spinal cord) Peripheral Nervous System • - consists of groups of neurones (ganglion cells), • feltworks of nerve fibres, • and bundles of parallel nerve fibres called ganglia, called plexuses, that form the nerves and nerve roots. Neurones in the central nervous system form Gray matter. - Gray matter – cell bodies and unmyelinated fibers (- the white matter – fibers ) - Central Gray matter – Spinal Cord -- Nuclei – clusters of cell bodies within the white matter of the brain stem, --- Cortex – in the cerebellum and cerebrum Neuron Cell Body Location In Peripheral NS: Ganglia – collections of cell bodies outside the central nervous system, sensory or sympathetic/ parasympathetic Neuron location Development of the SNS Late Gastrulation Axial organs formation Ectoderm Amniotic Cavity Paraxial mesoderm Somite Intermediate mesoderm Lateral plate mesoderm Yolk Sac Endoderm Notochord Development of the Neural Tube by the invagination of ectoderm Development of the Neural Tube Development of the Neural Tube Development of the Neural Tube Development of the Neural Tube Surface Ectoderm Neural Crest Cells Neural Tube Neural tube formation Neural tube formation Neural tube formation. Gastrulation is finished with the formation of axial organs –neural tube, notochord, somites Development of the Neural Tube Surface Ectoderm Neural Crest Cells Neural Tube Development of CNS Neural tube – CNS • Cranial part – brain • Caudal part – spinal cord Development of CNS •Neural crest – 1. sensory bipolar NEURONS of cranial ganglia, spinal ganglia, • 2. motor NEURONS of autonomic ganglia, • 3. - And: neuroendocrine cells (APUD), Shwann cells of neuroglia, adrenal medulla, melanoblast of skin Development of CNS • Radial migration process Layers of NT from inside: • Primitive ependimal or germinal; • Mantle layer – developmental cells; • Marginal layer – fibers of neuroglial cell GANGLIA GANGLIA • Ganglia are aggregations of nerve cells (ganglion cells) outside the CNS: • Sensory neurons (Cranial nerve and dorsal root ganglia) and … • … motor neurons (ANS only, s/ps ganglia) Sensory GANGLIA • Neurones in cranial nerve and dorsal root ganglia are pseudounipolar. They have a T-shaped process. GANGLIA • The branches of the T connect the ganglion cell with the CNS (central branch, axon) and the periphery (peripheral branch, dendrite). GANGLIA • Cranial nerve and dorsal root ganglia are surrounded by a connective tissue capsule, which is continuous with the dorsal root epi- and perineurium. GANGLIA GANGLIA • Individual ganglion cells are surrounded by a layer of flattened satellite cells. Spinal cord Spinal Cord Extends from the medulla oblongata to the region of T12 Figure 7.18 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.52 Spinal Cord Below T12 is the cauda equina (a collection of spinal nerves) Figure 7.18 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.52 Spinal Cord Enlargements occur in the cervical and lumbar regions Meninges cover the spinal cord Figure 7.18 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.52 Spinal Nerves There is a pair of spinal nerves at the level of each vertebrae. Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.63 Spinal Cord Anatomy Nerves begin: Dorsal root + … … Ventral root Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.54 Spinal Nerves Figure 7.22a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.64 • Afferent, sensory fibres enter the spinal cord via the dorsal roots, • efferent, motor fibres leave the spinal cord via the ventral roots. Spinal Cord Spinal Cord Spinal Cord Anatomy Internal gray matter - mostly cell bodies Dorsal (posterior) horns Anterior (ventral) horns Figure 7.19 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Anterior horn: • two motor nuclei: medial and lateral. • The axons of motor neurons form anterior root. Spinal Cord Posterior horn two integrative (Intecalated) nuclei of somatic nervous system: • proper nucleus and Klark’s nucleus. Lateral horn • medial and lateral nuclei. • intercalated neurons of ANS (mostly sNS). Spinal Cord Anatomy Exterior white mater – conduction tracts (myelinated fibers ) Figure 7.19 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Spinal Cord Anatomy Central canal filled with cerebrospinal fluid Figure 7.19 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Somatic reflex arc • • • • 1-st neuron – sensory ganglion 2-d neuron – dorsal horn 3-d neuron – ventral horn Target – skeletal muscle Testing Patellar Reflexes Testing Achilles Reflexes Testing Plantar Reflexes Peripheral Nervous System Peripheral Nerves Peripheral Nerves Nerve = bundle of neuron fibers, fibers - myelinated and un-… Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.55 Nerve fibers may be: • Nerve fibres, which originate from neurones within the CNS and pass out of the CNS in cranial and spinal nerves, are called efferent or motor fibers. Nerve fibers may be: • Nerve fibres which originate from nerve cells outside the CNS but enter the CNS by way of the cranial or spinal nerves are called afferent or sensory nerve fibres. Classification of Nerves Afferent (sensory) nerves – carry impulses toward the CNS Efferent (motor) nerves – carry impulses away from the CNS Mixed nerves – both sensory and motor fibers Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.57 Structure of a Nerve Figure 7.20 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.56 Peripheral nerves contain a considerable amount of connective tissue. • The space between individual nerve fibres is filled by loose connective tissue, the endoneurium. • Nerve fibres are frequently grouped into distinct bundles, fascicles, within the nerve. The layer of connective tissue surrounding the individual bundles is called perineurium. • The entire nerve is surrounded by a thick layer of dense connective tissue, the epineurium. Structure of a Nerve Endoneurium surrounds each fiber Groups of fibers are bound into fascicles by perineurium Fascicles are bound together by epineurium Figure 7.20 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.56 Brain Stem Brain Stem • Diencephalon Midbrain Pons Medulla oblongata Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide • Grey matter (neurones) – nuclei • White matter -- tracts Autonomic Nervous System --- The involuntary branch of the nervous system Divided into two divisions Sympathetic division Parasympathetic division Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.67 Anatomy of the Autonomic Nervous System Figure 7.25 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.73 Sympathetic reflex arc • 1-st: sensory neuron - in the spinal ganglion) • 2-d: intercalated (preganglionic) neuron – in the lateral horn of the thoracic and upper lumbar segment of spinal cord. • !!! Impulse leaves the spinal cord by way of the axon of intercalated neuron. It is also called preganglionic fiber. • 3-d, motor (efferent) neuron is located in the sympathetic ganglion. The axon of the ganglion cell is called the postganglionic fiber. • An axon of the motor cell carries impulse to the effector, namely, to the smooth muscle of the gut. Parasympathetic reflex arc • 1-st: sensory neuron (in the spinal ganglion) • 2-d neuron: is located in the sacral spinal cord segments and in the brain stem. • 3-d neuron is located in the parasympathetic ganglia, which lie close to the viscera or into wall of viscera. Comparison of Somatic and Autonomic Nervous Systems Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Figure 7.24 Slide 7.69 Autonomic Functioning Sympathetic – “fight-or-flight” Response to unusual stimulus Takes over to increase activities Remember as the “E” division = exercise, excitement, emergency, and embarrassment Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Autonomic Functioning Parasympathetic – housekeeping activites Conserves energy Maintains daily necessary body functions Remember as the “D” division - digestion, defecation, and diuresis Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Autonomic GANGLIA Autonomic GANGLIA GANGLIA • Autonomic ganglia do contain synapses, and the ganglion cells within them do have dendrites. They receive synapses from the first neurone of the two-neurone chain, which characterises most of the efferent connections of the autonomic nervous system. The second neurone is the ganglion cell itself. Some autonomic ganglia are embedded within the walls of the organs which they innervate (intramural ganglia - e.g. GIT and bladder). Brain Stem Figure 7.15a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Diencephalon Sits on top of the brain stem Enclosed by the cerebral hemispheres Made of three parts Thalamus Hypothalamus Epithalamus Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Thalamus Surrounds the third ventricle The relay station for sensory impulses Transfers impulses to the correct part of the cortex for localization and interpretation Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.35 Hypothalamus Under the thalamus Important autonomic nervous system center Helps regulate body temperature Controls water balance Regulates metabolism Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Hypothalamus An important part of the limbic system (emotions) The pituitary gland is attached to the hypothalamus Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Epithalamus Forms the roof of the third ventricle Houses the pineal body (an endocrine gland) Includes the choroid plexus – forms cerebrospinal fluid Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.37 Midbrain Mostly composed of tracts of nerve fibers Reflex centers for vision and hearing Cerebral aquaduct – 3rd-4th ventricles Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.39 Pons The bulging center part of the brain stem Mostly composed of fiber tracts Includes nuclei involved in the control of breathing Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.40 Medulla Oblongata The lowest part of the brain stem Merges into the spinal cord Includes important fiber tracts Contains important control centers Heart rate control Blood pressure regulation Breathing Swallowing Vomiting Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.41 Cerebellum Cerebellum Two hemispheres with convoluted surfaces Provides involuntary coordination of body movements Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Cerebellum Figure 7.15a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Cerebellar cortex 1)Molecular layer 2)Purkinje cell layer 3)Granular layer Cerebellum Cerebellum Cerebral cortex Cerebral cortex: 1)molecular layer. 2)external granular layer. 3 )pyramidal layer. 4)internal granular layer. 5)ganglionic layer. 6)multiform layer. • I. The molecular (or plexiform) layer consists of fibers, most of which travel parallel to the surface, and horizontal cells. • II. The outer granular layer contains small pyramidal cells and stellate cells. • III. The layer of medium pyramidal cells (or outer pyramidal layer) is not sharply demarcated from layer II, but cells larger and possess a typical pyramidal shape. • IV. The inner granular layer contains many small stellate cells and granule cells. • V. The layer of large pyramidal cells (inner pyramidal layer). In motor area they are extremely large and are called Betz cells. • VI. The layer of polymorphic cells contains cells with diverse shapes, many of which have a spindle or stellate shape. The main cells of this layer are called fusiform cells. Cerebral Hemispheres (Cerebrum) Paired (left and right) superior parts of the brain Include more than half of the brain mass Figure 7.13a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Cerebral Hemispheres (Cerebrum) The surface is made of ridges (gyri) and grooves (sulci) Figure 7.13a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Lobes of the Cerebrum Fissures (deep grooves) divide the cerebrum into lobes. Surface lobes of the cerebrum Frontal lobe Parietal lobe Occipital lobe Temporal lobe Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Lobes of the Cerebrum Figure 7.15a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Specialized Areas of the Cerebrum Somatic sensory area – receives impulses from the body’s sensory receptors Primary motor area – sends impulses to skeletal muscles Broca’s area – involved in our ability to speak Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.30 Sensory and Motor Areas of the Cerebral Cortex Figure 7.14 Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide 7.31 Specialized Area of the Cerebrum Cerebral areas involved in special senses Gustatory area (taste) Visual area Auditory area Olfactory area Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Specialized Area of the Cerebrum Interpretation areas of the cerebrum Speech/language region Language comprehension region General interpretation area Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Specialized Area of the Cerebrum Figure 7.13c Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Layers of the Cerebrum Gray matter Outer layer Composed mostly of neuron cell bodies Figure 7.13a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Layers of the Cerebrum White matter Fiber tracts inside the gray matter Example: corpus callosum connects hemispheres Figure 7.13a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide Layers of the Cerebrum Basal nuclei – internal islands of gray matter Regulates voluntary motor activities by modifying info sent to the motor cortex Problems = ie unable to control muscles, spastic, jerky Involved in Huntington’s and Parkinson’s Disease Figure 7.13a Copyright © 2003 Pearson Education, Inc. publishing as Benjamin Cummings Slide