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The Nervous System SHANDONG UNIVERSITY Liu Zhiyu Organizations Central nervous system (CNS) Peripheral nervous system (PNS) Major Division of the Central Nervous System (CNS) Brain Telencephalon Diencephalon Cerebellum Brain stem Midbrain Pons Medulla oblongata Spinal cord Major Division of the Peripheral Nervous System (PNS) Cranial nerves (12 pairs) Spinal nerves (31 pairs) Visceral nerves Visceral sensory nerve Visceral motor nerve Sympathetic part Parasympathetic part Cellular Organization Neuron Cell body Axon Dendrites Neuroglia -glial cell Classification of Neurons Structural classification Bipolar neuron Pseudounipolar neuron has an axon and a dendrite has a central branch and a peripheral branch Multipolar neuron has an axon and two or more dendrites Classification of Neurons Functional classification Sensory (afferent) neuron Motor (efferent) neuron Association neuron Reflex and Reflex Arc Reflex: a reaction of the organism by the nervous system in response to a stimulus Reflex arc: has 5 basic components Receptor ↓ Sensory neurons ↓ CNS ↓ Motor neurons ↓ Effector Reflex and Reflex Arc Basic Terminology in Nervous System In the CNS Gray matter: collection of nerve cell bodies and their dendrites, gray color during fresh condition Cortex: the outermost layer of gray matter in cerebrum and cerebellum White matter: collection of nerve fibers, white color during fresh condition Medulla: a central core of white matter beneath cortex of cerebrum and cerebellum Basic Terminology in Nervous System In the CNS Nucleus: a collection ( group ) of cell bodies which have the same shape and function Fasciculus ( tract ): a bundle of nerve fibers which have the same origin, termination, pathway and function Reticular formation: an admixture of cross-crossing fibers with larger or smaller groups of nerve cells occupying the meshes Basic Terminology in Nervous System In the PNS Ganglion: a collection of neuronal cell bodies outside the CNS Nerve: a bundle of nerve fibers held together by connective tissue sheath The Spinal Cord Position of the Spinal Cord Lies in vertebral canal Continuous above with medulla oblongata at level of foramen magnum Ends below at the lower border of L1 in the adult; at birth the cord ends at level of L3 External Features of Spinal Cord A long cylindrical structure and slightly flattened anteroposteriorly Two enlargements Cervical enlargement corresponds to the C4 to the T1 segments Lumbosacral enlargement corresponds to the L2 to the S3 segments Conus medullaris Filum terminale Cauda equina External Features of Spinal Cord Fissure and sulci Anterior median fissure Posterior median sulcus Posterior median septum Anterolateral sulcus -anterior (motor) roots emerge serially Posterolateral sulcus -posterior (sensory) roots enter spinal cord, each bear a spinal ganglion which constitutes the first cell-station of the sensory nerves Segments of Spinal Cord A portion of the cord that gives rise to a pair of spinal nerve constitutes a segment. There are 31 segments 8 cervical 12 thoracic 5 lumbar 5 sacral 1 coccygeal Relationship of spinal Cord Segments to Vertebral Numbers Spinal segments Upper cervical region (C1~C4) Vertebral levels (spines) Lie opposite the corresponding vertebrae Lower cervical and upper thoracic One lower in number than corresponding vertebrae region (C5~T4) Middle thoracic region (T5~T8) Two lower in number than corresponding vertebrae Lower thoracic region (T9~T12) Three lower in number than corresponding vertebrae Lumber segments T10~T12 Sacral and coccygeal segments L1 Relationship of spinal Cord Segments to Vertebral Numbers Spinal segments Upper cervical region (C1~C4) Vertebral levels (spines) = C1 ~ C4 Lower cervical and upper thoracic -1 = C4 ~ T3 region (C5~T4) Middle thoracic region (T5~T8) -2 = T3 ~ T6 Lower thoracic region (T9~T12) -3 = T6 ~ T9 Lumber segments = T10 ~ T12 Sacral and coccygeal segments = L1 Structure of Spinal Cord Gray matter White matter Central canal Gray Matter of Spinal Cord Anterior horn (column) Posterior horn (column) Lateral horn (column) is present in the thoracic and upper lumber segments of the cord (T1-L3) Intermediate zone Anterior gray commissures Posterior gray commissures Gray Matter of Spinal Cord Posterior horn (column): Marginal layer Substantia gelatinosa Nucleus proprius Situated at the apex of posterior horn throughout the length of spinal cord Concerns the sensations of pain and temperature Situated anterior to the substantia gelationnosa throughout the length of spinal cord Receives fibers that are associated with the senses Nucleus thoracicus Situated at the base of posterior horn and extending from segments C8~L3 Associated with proprioceptive endings Gray Matter of Spinal Cord Intermediate zone Intermediaolateral nucleus (lateral horn) Sacral parasympathetic nucleus Extents from segments T1~L3, Containing sympathetic preganglionic neurons Extents from segments S2~S4, Containing parasympathetic preganglionic neurons Intermediomedial nucleus Throughout the length of spinal cord Associated with receiving viscera afferent information Gray Matter of Spinal Cord Anterior horn (column): Two kinds of motor neurons α-motor neuron: large multipolar neuron, innervates skeletal muscles, producing contraction of muscles γ-motor neuron: smaller multipolar neuron, innervates intrafusal muscle fibers of neuromuscular spindles, regulating muscular tonus Interneuron —Renshaw’s cell: negative feedback mechanism Two groups of nuclei Medial nuclear group: present in most segments of spinal cord, innervating axial muscles Lateral nuclear group: present only in cervical and lumbosacral enlargements, innervating limb muscles Rexed’s lamina Posterior horn is formed by lamina Ⅰ to Ⅵ; Intermediate zone corresponding to lamina Ⅶ; Anterior horn is composed laminae Ⅷ and Ⅸ; lamina Ⅹ is the gray matter surrounding the central canal. Important Subdivision of Spinal Cord Gray Matter Region Lamina Nucleus Posterior horn Ⅰ Marginal layer Ⅱ Substantia gelatinosa Ⅲ, Ⅳ Nucleus proprius Ⅶ Nucleus thoracicus (C8~L3) Ⅶ Intermediolateral nucleus (T1~L3) Ⅶ Sacral parasympathetic nucleus (S2~S4) Ⅶ Intermediomedial nucleus Ⅸ Motor neuron Intermediate zone Anterior horn White Matter of Spinal Cord White matter contains three kinds of fibers: ascending, descending, and fasciculus proprius Posterior funiculus Lateral funiculus Anterior funiculus Anterior white commissure Ascending Tracts Fasciculus gracilis Fasciculus cuneatus Posterior spinocerebellar tract Anterior spinocerebellar tract Spinothalamic tract Fasciculus cuneatus Fasciculus gracilis Spinothalamic tract Ascending tracts Tract Site of origin Funiculus Termination Function Fasciculus gracilis Spinal ganglia below segment T5 Fasciculus cuneatus Spinal ganglia above segment T4 Conscious proprioceptive (vibratory sense, and muscle joint sense) and fine touch sensation of trunk and limbs Posterior spinocerebellar Homolateral nucleus thoracicus Anterior spinocerebellar Contralateral Laminae Ⅴ~Ⅶ Spinothalamic Laminae Ⅰ, Ⅳ~Ⅶ Posterior Gracile nucleus Cuneate nucleus Lateral Cerebellum Unconscious proprioception from lower limb and lower portion of trunk Lateral and anterior Dorsal thalamus Pain, temperature and crude touch sensation of trunk and limbs Descending Tracts Lateral corticospinal tract Fasciculus proprius Rubrospinal tract Medial longitudinal fasciculus Reticulospinal tract Vestibulospinal tract Tectospinal tract Anterior corticospinal tract Descending tracts Tract Site of origin Funiculus Lateral corticospinal Cerebral cortex Lateral Anterior corticospinal Cerebral cortex Anterior Rubrospinal Red nucleus Vestibulospinal Termination Function Laminae Ⅳ~Ⅸ anterior horn Voluntary movement Lateral Laminae Ⅴ~Ⅶ Facilitates activity of flexor muscles Homolateral vestibular nuclei Anterior Laminae Ⅶ~Ⅷ Facilitates activity of extensor muscles Reticulospinal Reticular formation Anterior and lateral Laminae Ⅶ~Ⅷ Voluntary movement Medial longitudinal fasciculus Vestibular nuclei Anterior Laminae Ⅶ~Ⅷ Coordinate neck with eye movement Tectospinal Superior colliculus Anterior Laminae Ⅵ~Ⅷ Fasciculus proprius Spinal cord Anterior, lateral and posterior Spinal cord Intrinsic reflex mechanism of spinal cord Main functions of spinal cord Conduction of excitations Reflex activity