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Chapter 11 The Brain & Spinal Cord Introduction • Brain & s.c. comprise the CNS • Brain is protected by cranium & meninges – membranes that surround brain • 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 – thin & weblike; no b.v. or nerves SUBARACHNOID SPACE – contains cerebrospinal fluid (CSF) 3. Pia mater – delicate; w/b.v. & nerves; attached directly to brain & follows contours Importance of Meninges • dural sinus – space formed when d.m. splits into 2 layers • 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 – b/t rt. & lt. cerebral hemispheres 3. Tentorium cerebelli – b/t cerebrum & cerebellum Protection of Spinal Cord • S.C. protected by bony vertebrae & same 3 meninges • Epidural space – b/t vertebrae & d.m.; contains b.v. and connective tissue for protection 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. center for reflexes 2. conducts impulses to & from brain The Spinal Cord • Beginning pt. – foramen magnum • Ending pt. – conus medullaris (narrow pt. b/t L1-L2) • Cauda equina – cord of connective tissue (a.k.a. filium terminale) Cross Section – Spinal Cord • Gray matter – horns • White matter – funiculi • 2 grooves divide s.c. into rt. & lt. halves: posterior median sulcus anterior median fissure Cross Section - S.C. • Central canal – contains CSF; continuous w/spaces in brain • 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 – sensory fibers carry impulses to brain *In the medulla, fibers cross over Nerve Tracts 2. descending – motor fibers carry impulses to muscles * 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 - reflex arc. • One of the simplest – patellar reflex (helps maintain an upright position) • Involves only 2 neurons, sensory & motor (no interneuron) Parts of a Reflex Arc • Most reflexes include 5 structures: 1. receptor 2. sensory n. 3. interneuron 4. motor neuron 5. effector • 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 continuous w/central canal & subarachnoid space of s.c. ; filled w/CSF • 4 ventricles: 1st (left hemisphere) 2nd (rt. hemisphere) 3rd (midline of brain) 4th (in brainstem) Ventricles of Brain Pathway of CSF Circulation 1. 2. 3. 4. 5. Most CSF produced in lat. ventr. by choroid plexuses Interventricular foramina – openings; allow CSF to flow from lat. to 3rd ventr. 3rd ventricle Cerebral aqueduct – narrow canal; connects 3rd to 4th ventr. 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 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. Cerebrum 2. Basal ganglia 3. Diencephalon 4. Brain stem 5. Cerebellum Cerebrum • Largest part of brain • Consists of 2 halves (hemispheres) • Connected by corpus callosum (collection of nerve fibers) • Convolutions – raised ridges • Sulci – shallow grooves • Fissures – 2 deep grooves 1. Longitudinal – divides brain into rt. & left halves Cerebrum 2. Transverse – separates cerebrum from cerebellum • Cerebral cortex – thin, outer gray matter; contains cell bodies • White matter – under gray; makes up most of the cerebrum Functions of Cerebrum • 3 basic functions: 1. Motor area – sends impulses to muscles 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 (not shown) located deep w/in lateral sulcus & covered by parts of frontal, parietal & temporal lobes Lobes of the Brain 1. Frontal • Association areas – problem solving, planning, analyzing, etc. • Motor areas – (ant. to central sulcus) – control of voluntary muscles • Broca’s area – ant. to motor cortex & in left hemi.; coordinates muscles of speech Lobes of the Brain 2. Parietal – • Somatosensory area – cutaneous & other senses • Association area – understanding speech & using words Lobes of the Brain 3. Occipital – visual area 4. Temporal – auditory area & auditory memories • Wernicke’s area – in left temporal lobe; controls analysis of spoken language 5. Insula – deep w/in lateral sulcus & includes parts of frontal, parietal & temporal lobes; associated w/emotions Basal Ganglia • Also called basal nuclei • Consist of gray matter deep within the cerebral hemispheres • Relay info from cortex to brainstem & s.c. • 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 – maintains homeostasis (i.e. heart rate, b.p., temp., hunger, sleep & wake cycles, growth) Limbic System • Also located in the diencephalon is the limbic system • This area controls emotions & is also assoc.w/memory Pineal & Pituitary Glands • Also located in diencephalon • Pineal gland – secretes melatonin in absence of light • Controls sleep & wake cycles • Pituitary gland – regulates growth & reproductive cycles under direction of hypothalamus Brainstem • Connects brain to s.c. • Includes 3 regions: 1. midbrain 2. pons 3. medulla Midbrain • 1st, short section of brainstem • Relays info. from lower parts of b.s. & s.c. to higher brain • Contains corpora quadrigemina – structure that allows movement of eyes & head at same time 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 – area that controls heart rate 2. Vasomotor center – constricts or dilates b.v. 3. Respiratory center – regulates rate & depth of breathing • 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 • Decreased activity in the r.f. results in sleep • 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 Cerebellum • Composed mostly of white matter • A treelike pattern is visible called the arbor vitae • Integrates info about body position • Coordinates skeletal muscle activity • Maintains posture & equilibrium