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Memmler’s The Human Body in Health and Disease 11th edition Chapter 9 The Nervous System: The Spinal Cord and Spinal Nerves Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Role of the Nervous System Nervous system coordinates all body systems •Detects and responds to stimuli •Brain and spinal cord act as switching centers •Nerves carry messages to and from centers Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Structural Divisions •Central nervous system (CNS) – Brain – Spinal cord •Peripheral nervous system (PNS) – Cranial nerves – Spinal nerves Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Anatomic divisions of the nervous system. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Functional Divisions Somatic nervous system •Controlled voluntarily •Effectors are skeletal muscles •No further subdivisions Autonomic (or visceral) nervous system (ANS) •Controlled involuntarily •Effectors are smooth muscle, cardiac muscle, and glands •Subdivided into – Sympathetic nervous system – Parasympathetic nervous system Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Neurons and Their Functions Neurons •Functional cells of nervous system •Highly specialized •Unique structure Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Diagram of a motor neuron. The break in the axon denotes length. The arrows show the direction of the nerve impulse. ZOOMING IN • Is the neuron shown here a sensory or a motor neuron? Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Structure of a Neuron Cell body •Nucleus •Other organelles Cell fibers •Dendrites •Axons – Some are protected by myelin sheath Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Formation of a myelin sheath. (A)Schwann cells wrap around the axon, creating a myelin coating. (B) The outermost layer of the Schwann cell forms the neurilemma. Spaces between the cells are the nodes (of Ranvier). Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Types of Neurons •Sensory neurons (afferent neurons) – Conduct impulses to spinal cord, brain •Motor neurons (efferent neurons) – Conduct impulses to muscles, glands •Interneurons (central or association neurons) – Conduct information within CNS Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Nerves and Tracts •Nerve: fiber bundle within PNS •Tract: fiber bundle within CNS •Organized into fascicles •Connective tissue layers – Endoneurium – Perineurium – Epineurium Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Neuroglia Neuroglia (glial cells) •Protect and nourish nervous tissue •Support nervous tissue •Aid in cell repair •Remove pathogens and impurities •Regulation composition of fluids around and between cells Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins The Nervous System at Work Electrical impulses sent along neuron fibers and transmitted between cells at junctions Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins The Nerve Impulse •Plasma membrane carries electrical charge (potential) •Plasma membrane is polarized (negative charge) •Membrane potential reverses, generates electrical charge (action potential) – Resting state – Depolarization – Repolarization • Sodium/potassium (Na+/K+) pump •Myelin sheath speeds conduction Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins The Synapse Junction point for transmitting nerve impulse •Axon (presynaptic cell) •Dendrite (postsynaptic cell) •Synaptic cleft •Neurotransmitters – Epinephrine (adrenaline) – Norepinephrine (noradrenaline) – Acetylcholine •Receptors Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Neurotransmitters and Psychoactive Drugs •Psychoactive drugs affect neurotransmitter activity in the brain •Used to treat depression, anxiety, obsessive-compulsive disorder (OCD) •Selective serotonin reuptake inhibitors (Example: Prozac) – Block serotonin uptake •Others block norepinephrine, dopamine. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins A synapse. (A)The end-bulb of the presynaptic (transmitting) axon has vesicles containing neurotransmitter, which is released into the synaptic cleft to the membrane of the postsynaptic (receiving) cell. (B) Close-up of a synapse showing receptors for neurotransmitter in the postsynaptic cell membrane. Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins The Spinal Cord •Links PNS and brain •Helps coordinate impulses within CNS •Contained in and protected by vertebrae Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Spinal cord and spinal nerves. Nerve plexuses (networks) are shown. (A) Lateral view. (B) Posterior view. ZOOMING IN • Is the spinal cord the same length as the spinal column? How does the number of cervical vertebrae compare with the number of cervical spinal nerves? Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Structure of the Spinal Cord •Unmyelinated tissue (gray matter) – Dorsal horn – Ventral horn – Gray commissure – Central canal •Myelinated axons (white matter) – Posterior median sulcus – Anterior median fissure – Ascending and descending tracts Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins The spinal cord. (A) Cross-section of the spinal cord showing the organization of the gray and white matter. The roots of the spinal nerves are also shown. (B) Microscopic view of the spinal cord in cross-section (x5). Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins The Reflex Arc •Receptor detects stimulus •Sensory neuron transmits impulses to CNS •CNS coordinates impulses and organizes response •Motor neuron carries impulses away from CNS •Effector carries out response Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Typical reflex arc. Numbers show the sequence of impulses through the spinal cord (solid arrows). Contraction of the biceps brachii results in flexion of the arm at the elbow. ZOOMING IN • Is this a somatic or an autonomic reflex arc? What type of neuron is located between the sensory and motor neuron in the CNS? Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Reflex Activities •Simple reflex – Rapid – Uncomplicated – Automatic •Spinal reflex – Stretch reflex Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Medical Procedures Involving the Spinal Cord •Lumbar puncture (spinal tap) – Cerebrospinal fluid (CSF) removed for testing •Drug administration – Anesthetic (an epidural) – Pain medication Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Diseases and Other Disorders of the Spinal Cord •Multiple sclerosis (MS) •Amyotrophic lateral sclerosis •Poliomyelitis •Tumors •Injuries – Monoplegia – Diplegia – Paraplegia – Hemiplegia – Tetraplegia Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins The Spinal Nerves •31 pairs •Each nerve attached to spinal cord by two roots – Dorsal root • Dorsal root ganglion – Ventral root •Nerves near end of cord travel together in the cord until each exits from its respective intervertebral foramen •Mixed nerves Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Branches of the Spinal Nerves •Cervical plexus – Phrenic nerve •Brachial plexus – Radial nerve •Lumbosacral plexus – Sciatic nerve •Dermatomes Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Dermatomes. A dermatome is a region of the skin supplied by a single spinal nerve. ZOOMING IN • Which spinal nerves carry impulses from the skin of the toes? From the anterior hand and fingers? Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Disorders of the Spinal Nerves •Peripheral neuritis •Sciatica •Herpes zoster •Guillain-Barré syndrome Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins The Autonomic Nervous System (ANS) Regulates the action of glands, smooth muscles of hollow organs and vessels, and heart muscle •Preganglionic neuron connects spinal cord to ganglion •Postganglionic neuron connects ganglion to effector Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Divisions of the Autonomic Nervous System •Sympathetic nervous system •Parasympathetic nervous system Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Sympathetic nervous system •Thoracolumbar area •Collateral ganglia – Celiac ganglion – Superior mesenteric ganglion – Inferior mesenteric ganglion •Adrenergic system •Activated in the four E’s: excitement, emergency, embarassment, exercise Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Parasympathetic nervous system •Arise in craniosacral areas •Terminal ganglia •Cholinergic system Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Autonomic nervous system. The diagram shows only one side of the body for each division. ZOOMING IN • Which division of the autonomic nervous system has ganglia closer to the effector organ? Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Cellular Receptors •“Docking sites” on postsynaptic cell membranes Two types: •Cholinergic receptors – Nicotinic (bind nicotine) on skeletal muscle cells – Muscarinic (bind muscarine, a poison) on effector cells of PNS •Adrenergic receptors – Found on receptor cells of sympathetic nervous system – Bind norepinephrine, epinephrine Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins Functions of the Autonomic Nervous System •Sympathetic nervous system – Fight-or-flight response •Parasympathetic nervous system – Returns body to normal •Systems generally have opposite effects on organ Copyright © 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins