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Chapter 11 The Brain & Spinal Cord Introduction • Brain & s.c. comprise the CNS • Brain is protected by cranium & meninges – • Consists of 3 layers: 1. dura mater 2. arachnoid mater 3. pia mater Meninges 1. Dura mater – outermost; tough, fibrous; attached to inside of cranium; contains many b.v. & nerves Arachnoid mater SUBARACHNOID SPACE – contains cerebrospinal fluid (CSF) 3. Pia mater – Importance of Meninges • dural sinus – • subdural hematoma – fluid & blood collects under d.m. from trauma • Meningitis – inflammation of arachnoid or pia mater from bacteria or virus Partitions of Dura mater 1. Falx cerebelli – b/t rt. & lt. cerebellar hemispheres 2. Falx cerebri – 3. Tentorium cerebelli – b/t cerebrum & cerebellum Protection of Spinal Cord • S.C. protected by bony vertebrae & same 3 meninges • Epidural space – The Spinal Cord • Consists of 31 segments • Each gives rise to a spinal nerve • Provides 2-way communication b/t brain & body • 2 main functions: 1. 2. The Spinal Cord • Beginning pt. – foramen magnum • Ending pt. – • Cauda equina – cord of connective tissue (a.k.a. filium terminale) Cross Section – Spinal Cord • Gray matter – • White matter – • 2 grooves divide s.c. into rt. & lt. halves: posterior median sulcus anterior median fissure Cross Section - S.C. • Central canal • Gray commissure – connects “wings” of “butterfly” Nerve Tracts • White matter in s.c. consists of fibers called nerve tracts; provide 2-way communication b/t brain & s.c.; • 2 types: 1. ascending – *In the medulla, fibers cross over Nerve Tracts 2. descending – * In the medulla, fibers cross over Reflexes • S.C.- center for reflexes (automatic, subconscious responses) • Reflexes control many involuntary actions (HR, resp.rate, swallowing, sneezing, etc.) • Pathway that neurons follow in a reflex – • One of the simplest – patellar reflex (helps maintain an upright position) • Parts of a Reflex Arc • Most reflexes include 5 structures: 1. 2. sensory n. 3. 4. motor neuron 5. Other examples: withdrawal reflex (occurs when a person touches something painful) plantar reflex, Babinski reflex (abnormal in adults), biceps, triceps & ankle jerk reflexes Ventricles of Brain • Ventricles - Interconnected cavities in brain - • 4 ventricles: 1st (left hemisphere) 2nd (rt. hemisphere) 3rd (midline of brain) 4th (in brainstem) Ventricles of Brain Pathway of CSF Circulation 1. 2. Most CSF produced in lat. ventr. by choroid plexuses Interventricular foramina – 3. 4. 3rd ventricle Cerebral aqueduct – 5. 5. 4th ventricle CSF Circulation 6. Flows into central canal & SA space of s.c. & back to subarachnoid space of brain 7. CSF reabsorbed by arachnoid granulations 8. Drain into blood-filled dural sinus into circ. sys. Humans secrete approx. 500ml of CSF daily. Only about 150 ml in CNS at any given time (continuously reabsorbed) CSF - clear fluid; nourishes cells of the CNS; completely surrounds brain & s.c. for protection. Lumbar Puncture • Needle inserted into subarachnoid space of s.c. & CSF is withdrawn • Site is usually b/t L1-L2 or L3-L4 (a.k.a. spinal tap) • A manometer used to measure CSF pressure • CSF can be analyzed for viruses, bacteria, bleeding, tumors of the n.s., MS, & early-onset Alzheimers • Lumbar puncture video Normal vs. Hydrocephalic Brain ←Normal Normal Brain Normal intracranial pressure 7-15 mm Hg Hydrocephaly Excessive accumulation of CSF causes ventricles in brain to dilate; infant’s skull expands & incr. in circumference (bulging fontanels possible) Treatment of Hydrocephaly • Shunt placed in brain to regulate pressure & reabsorb CSF into subarachnoid space The Human Brain • 5 Major Areas: 1. 2. Basal ganglia 3. Diencephalon 4. 5. Cerebellum Cerebrum • Largest part of brain • Consists of 2 halves (hemispheres) • Connected by corpus callosum (collection of nerve fibers) • Convolutions (gyri)– • Sulci – • Fissures – 2 deep grooves 1. Longitudinal – divides brain into rt. & left halves Cerebrum 2. Transverse – separates cerebrum from cerebellum • Cerebral cortex – • White matter – under gray; makes up most of the cerebrum Functions of Cerebrum • 3 basic functions: 1. Motor area – 2. Sensory area – interpret impulses from sensory receptors 3. Association area – not primarily motor or sensory; interprets, analyzes, reasons, memory, problem solving, etc. Lobes of the Brain • Sulci divide each cerebral hemisphere into 5 functional areas called lobes (named for skull bones). • 5th lobe - insula Lobes of the Brain 1. Frontal • Association areas – • Motor areas – (ant. to central sulcus) – control of voluntary muscles • Broca’s area – Lobes of the Brain 2. Parietal – • Somatosensory area – cutaneous & other senses • Association area – Lobes of the Brain 3. Occipital – 4. Temporal – auditory area & auditory memories • Wernicke’s area • 5. Insula – deep w/in lateral sulcus & includes parts of frontal, parietal & temporal lobes; associated w/emotions Girl with Half a Brain • https://www.youtube.com/watch?v=2MKN sI5CWoU Right vs Left Brain Preferences of the Two Sides of the Brain Description of the Left-Hemisphere Functions • Constantly monitors our sequential, ongoing behavior • Responsible for awareness of time, sequence, details, and order • Responsible for auditory receptive and verbal expressive strengths • Specializes in words, logic, analytical thinking, reading, and writing • Responsible for boundaries and knowing right from wrong • Knows and respects rules and deadlines Description of the Right-Hemisphere Functions • Alerts us to novelty; tells us when someone is lying or making a joke • Specializes in understanding the whole picture • Specializes in music, art, visual-spatial and/or visual-motor activities • Helps us form mental images when we read and/or converse • Responsible for intuitive and emotional responses. • Helps us to form and maintain relationships Basal Ganglia • Also called basal nuclei • Consist of gray matter deep within the cerebral hemispheres • • Produce the ntm dopamine that inhibits motor functions (decr. levels assoc. w/Parkinson’s disease) Diencephalon • 1. 2. Includes 2 regions: Thalamus – receives all sensory info & channels it to correct region on cerebral cortex for interpretation Hypothalamus – Limbic System • Also located in the diencephalon is the limbic system • Pineal & Pituitary Glands • Also located in diencephalon • Pineal gland – • Controls sleep & wake cycles • Pituitary gland – Memory • Hippocampus- Part of Limbic system – • Short term memory- around 7 items for 20 to 30 seconds. • Long Term- can store unlimited info indefinitely with rehearsal. • Memory Video Brainstem • Connects brain to s.c. • Includes 3 regions: 1. 2. 3. Midbrain • 1st, short section of brainstem • Relays info. from lower parts of b.s. & s.c. to higher brain • Contains corpora quadrigemina – Pons • Rounded bulge on underneath side of b.s. • Sends impulses to & from medulla & cerebellum Medulla Oblongata • Enlarged continuation of s.c. • All nerve tracts pass thru here & many cross over • Acts as relay center b/t s.c. & cerebral cortex Medulla • Contains 3 centers: 1. Cardiac center – 2. Vasomotor center – 3. Respiratory center – • Nonvital centers – coughing, sneezing, swallowing, vomiting also located in medulla Reticular Formation • Nerve fibers scattered throughout the b.s. • When sensory impulses reach the r.f., it responds by activating the cerebral cortex into wakefulness • The cerebral cortex can also activate the r.f. (intense cerebral activity keeps a person awake) • If the r.f. is destroyed, a person remains in a comatose state Reticular Formation • The r.f. filters incoming sensory info & decides what is important • • Types of Sleep: 1. Slow-wave (non-REM)- restful, dreamless; reduced b.p. & resp. rate; lasts from 70-90 min. & alternates w/REM sleep Sleep 2. REM sleep (rapid eye movement) – “paradoxical sleep”; dream sleep; lasts 515 min.; heart & resp. rate irregular; so important that if a person lacks it one night, it is made up for the next night Sleep Video • sleep video Cerebellum • Composed mostly of white matter • • Integrates info about body position • Coordinates skeletal muscle activity