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CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Hole’s Essentials of Human Anatomy & Physiology David Shier Jackie Butler Ricki Lewis Created by Lu Anne Clark Professor of Science, Lansing Community College Chapter 9 Lecture Outlines* *See PowerPoint image slides for all figures and tables pre-inserted into PowerPoint without notes”. 9-1 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Chapter 9 Nervous System 9-2 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Introduction: A. The nervous system is composed of neurons and neuroglia. 1. Neurons transmit nerve impulses along nerve fibers to other neurons. 2. Nerves are made up of bundles of nerve fibers. 3. Neuroglia carry out a variety of functions to aid and protect components of the nervous system. 9-3 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. B. Organs of the nervous system can be divided into the central nervous system (CNS), made up of the brain and spinal cord, and the peripheral nervous system (PNS), made up of peripheral nerves that connect the CNS to the rest of the body. 9-4 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. 9-5 The nervous system provides sensory, integrative, and motor functions to the body. 1. Motor functions can be divided into the consciously controlled somatic nervous system and the unconscious autonomic system. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. General Functions of the Nervous System A. Sensory receptors at the ends of peripheral nerves gather information and convert it into nerve impulses. B. When sensory impulses are integrated in the brain as perceptions, this is the integrative function of the nervous system. C. Conscious or subconscious decisions follow, leading to motor functions via effectors. 9-6 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9-7 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Neuroglial Cells A. Classification of Neuroglial Cells 1. Neuroglial cells fill spaces, support neurons, provide structural frameworks, produce myelin, and carry on phagocytosis. Four are in the CNS and the last in the PNS. 2. Microglial cells are small cells that phagocytize bacterial cells and cellular debris. 9-8 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 4. 9-9 Oligodendrocytes form myelin in the brain and spinal cord. Astrocytes are near blood vessels and support structures, aid in metabolism, and respond to brain injury by filling in spaces. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 5. 6. 9 - 10 Ependyma cover the inside of ventricles and form choroid plexuses within the ventricles. Schwann cells are the myelinproducing neuroglia of the peripheral nervous system. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 11 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Neuron Structure A. 9 - 12 A neuron has a cell body with mitochondria, lysosomes, a Golgi apparatus, chromatophilic substance (Nissl bodies) containing rough endoplasmic reticulum, and neurofibrils. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 13 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. B. 9 - 14 Nerve fibers include a solitary axon and numerous dendrites. 1. Branching dendrites carry impulses from other neurons (or from receptors) toward the cell body. 2. The axon transmits the impulse away from the axonal hillock of the cell body and may give off side branches. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 9 - 15 Larger axons are enclosed by sheaths of myelin provided by Schwann cells and are myelinated fibers. a. The outer layer of myelin is surrounded by a neurilemma (neurilemmal sheath) made up of the cytoplasm and nuclei of the Schwann cell. b. Narrow gaps in the myelin sheath between Schwann cells are called nodes of Ranvier. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 16 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 4. 5. 6. 9 - 17 The smallest axons lack a myelin sheath and are unmyelinated fibers. White matter in the CNS is due to myelin sheaths in this area. Unmyelinated nerve tissue in the CNS appears gray. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 7. 9 - 18 Peripheral neurons are able to regenerate because of the neurilemma, but the CNS axons are myelinated by oligodendrocytes, thus lacking neurilemma, and usually do not regenerate. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Classification of Neurons A. 9 - 19 Neurons can be grouped in two ways: on the basis of structural differences (bipolar, unipolar, and multipolar neurons), and by functional differences (sensory neurons, interneurons, and motor neurons). CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 20 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. B. Classification of Neurons 1. Bipolar neurons are found in the eyes, nose, and ears, and have a single axon and a single dendrite extending from opposite sides of the cell body. 2. Unipolar neurons are found in ganglia outside the CNS and have an axon and a dendrite arising from a single short fiber extending from the cell body. 9 - 21 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 4. 9 - 22 Multipolar neurons have many nerve fibers arising from their cell bodies and are commonly found in the brain and spinal cord. Sensory neurons (afferent neurons) conduct impulses from peripheral receptors to the CNS and are usually unipolar, although some are bipolar neurons. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 5. 6. 9 - 23 Interneurons are multipolar neurons lying within the CNS that form links between other neurons. Motor neurons are multipolar neurons that conduct impulses from the CNS to effectors. 9 - 24 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Cell Membrane Potential A. A cell membrane is usually polarized, with an excess of negative charges on the inside of the membrane; polarization is important to the conduction of nerve impulses. 9 - 25 At rest – slightly more negative inside the cell membrane than outside 9 - 26 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 27 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. B. Distribution of Ions 1. The distribution of ions is determined by the membrane channel proteins that are selective for certain ions. 2. Potassium ions pass through the membrane more readily than do sodium ions, making potassium ions a major contributor to membrane polarization. 9 - 28 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. Resting Potential 1. Due to active transport, the cell maintains a greater concentration of sodium ions outside and a greater concentration of potassium ions inside the membrane. 2. The inside of the membrane has excess negative charges, while the outside has more positive charges. 3. This separation of charge, or potential difference, is called the resting potential. 9 - 29 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. D. Potential Changes 1. Stimulation of a membrane can locally affect its resting potential. 2. When the membrane potential becomes less negative, the membrane is depolarized. 3. If sufficiently strong depolarization occurs, a threshold potential is achieved as ion channels open. 9 - 30 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 31 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 4. 5. 9 - 32 At threshold, action potential is reached. Action potential may be reached when a series of subthreshold stimuli summate and reach threshold. 9 - 33 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. E. Action Potential 1. At threshold potential, membrane permeability to sodium suddenly changes in the region of stimulation. 2. As sodium channels open, sodium ions rush in, and the membrane potential changes and becomes depolarized. 9 - 34 When stimulated past threshold (about –30mV in humans), sodium channels open and sodium rushes into the axon, causing a region of positive charge within the axon. This is called depolarization 9 - 35 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 4. 5. 9 - 36 At the same time, potassium channels open to allow potassium ions to leave the cell, the membrane becomes repolarized, and resting potential is reestablished. This rapid sequence of events is the action potential. The active transport mechanism then works to maintain the original concentrations of sodium and potassium ions. The region of positive charge causes nearby voltage gated sodium channels to close. Just after the sodium channels close, the potassium channels open wide, and potassium exits the axon, so the charge across the membrane is brought back to its resting potential. This is called repolarization. 9 - 37 9 - 38 9 - 39 • http://highered.mcgrawhill.com/sites/0072495855/student_vie w0/chapter14/animation__the_nerve_i mpulse.html • http://www.biology4all.com/resources_l ibrary/source/63.swf CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Nerve Impulse A. A nerve impulse is conducted as action potential is reached at the trigger zone and spreads by a local current flowing down the fiber, and adjacent areas of the membrane reach action potential. 9 - 41 A nerve impulse is selfpropagating. At the leading edge of an action potential, sodium gates open, allowing sodium ions to flow into the cell. This flow of ions triggers more sodium gates to open, causing the action potential to move. At the trailing edge of an action potential, potassium gates open, allowing positive ions to flow out, and restoring the resting potential of the neuron. 9 - 42 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. B. 9 - 43 Impulse Conduction 1. Unmyelinated fibers conduct impulses over their entire membrane surface. 2. Myelinated fibers conduct impulses from node of Ranvier to node of Ranvier, a phenomenon called saltatory conduction. 3. Saltatory conduction is many times faster than conduction on unmyelinated neurons. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. 9 - 44 All-or-None Response 1. If a nerve fiber responds at all to a stimulus, it responds completely by conducting an impulse (all-or-none response). 2. Greater intensity of stimulation triggers more impulses per second, not stronger impulses. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. The Synapse A. B. 9 - 45 Nerve impulses travel from neuron to neuron along complex nerve pathways. The junction between two communicating neurons is called a synapse; there exists a synaptic cleft between them across which the impulse must be conveyed. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. 9 - 46 Synaptic Transmission 1. The process by which the impulse in the presynaptic neuron is transmitted across the synaptic cleft to the postsynaptic neuron is called synaptic transmission. 9 - 47 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 2. 3. 9 - 48 When an impulse reaches the synaptic knobs of an axon, synaptic vesicles release neurotransmitter into the synaptic cleft. The neurotransmitter reacts with specific receptors on the postsynaptic membrane. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. D. 9 - 49 Excitatory and Inhibitory Actions 1. Neurotransmitters that increase postsynaptic membrane permeability to sodium ions may trigger impulses and are thus excitatory. 2. Other neurotransmitters may decrease membrane permeability to sodium ions, reducing the chance that it will reach threshold, and are thus inhibitory. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 9 - 50 The effect on the postsynaptic neuron depends on which presynaptic knobs are activated. 9 - 51 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. E. 9 - 52 Neurotransmitters 1. At least 50 kinds of neurotransmitters are produced by the nervous system, most of which are synthesized in the cytoplasm of the synaptic knobs and stored in synaptic vesicles. 2. When an action potential reaches the synaptic knob, calcium ions rush inward and, in response, some synaptic vesicles fuse with the membrane and release their contents to the synaptic cleft. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 4. 9 - 53 Enzymes in synaptic clefts and on postsynaptic membranes rapidly decompose the neurotransmitters after their release. Destruction or removal of neurotransmitter prevents continuous stimulation of the postsynaptic neuron. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Impulse Processing A. How impulses are processed is dependent upon how neurons are organized in the brain and spinal cord. B. Neuronal Pools 1. Neurons within the CNS are organized into neuronal pools with varying numbers of cells. 2. Each pool receives input from afferent nerves and processes the information according to the special characteristics of 9 - 54 the pool. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. 9 - 55 Facilitation 1. A particular neuron of a pool may receive excitatory or inhibitory stimulation; if the net effect is excitatory but subthreshold, the neuron becomes more excitable to incoming stimulation (a condition called facilitation). CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. D. 9 - 56 Convergence 1. A single neuron within a pool may receive impulses from two or more fibers (convergence), which makes it possible for the neuron to summate impulses from different sources. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. E. 9 - 57 Divergence 1. Impulses leaving a neuron in a pool may be passed into several output fibers (divergence), a pattern that serves to amplify an impulse. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Divergence Convergence 9 - 58 • http://www.pbs.org/wgbh/nova/science now/video/3204/q01.html 9 - 59 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Types of Nerves A. A nerve is a bundle of nerve fibers held together by layers of connective tissue. B. Nerves can be sensory, motor, or mixed, carrying both sensory and motor fibers. 9 - 60 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Nerve Pathways A. The routes nerve impulses travel are called pathways, the simplest of which is a reflex arc. B. Reflex Arcs 1. A reflex arc includes a sensory receptor, a sensory neuron, an interneuron in the spinal cord, a motor neuron, and an effector. 9 - 61 • http://www.sumanasinc.com/webconte nt/animations/content/reflexarcs.html 9 - 62 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. 9 - 63 Reflex Behavior 1. Reflexes are automatic, subconscious responses to stimuli that help maintain homeostasis (heart rate, blood pressure, etc.) and carry out automatic responses (vomiting, sneezing, swallowing, etc.). CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 2. 3. 9 - 64 The knee-jerk reflex (patellar tendon reflex) is an example of a monosynaptic reflex (no interneuron). The withdrawal reflex involves sensory neurons, interneurons, and motor neurons. a. At the same time, the antagonistic extensor muscles are inhibited. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 65 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Meninges A. 9 - 66 The brain and spinal cord are surrounded by membranes called meninges that lie between the bone and the soft tissues. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 67 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. B. 9 - 68 The outermost meninx is made up of tough, white dense connective tissue, contains many blood vessels, and is called the dura mater. 1. It forms the inner periosteum of the skull bones. 2. In some areas, the dura mater forms partitions between lobes of the brain, and in others, it forms dural sinuses. 3. The sheath around the spinal cord is separated from the vertebrae by an epidural space. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. 9 - 69 The middle meninx, the arachnoid mater, is thin and lacks blood vessels. 1. It does not follow the convolutions of the brain. 2. Between the arachnoid and pia maters is a subarachnoid space containing cerebrospinal fluid. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. D. 9 - 70 The innermost pia mater is thin and contains many blood vessels and nerves. 1. It is attached to the surface of the brain and spinal cord and follows their contours. 9 - 71 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Spinal Cord A. 9 - 72 The spinal cord begins at the base of the brain and extends as a slender cord to the level of the intervertebral disk between the first and second lumbar vertebrae. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 73 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. B. 9 - 74 Structure of the Spinal Cord 1. The spinal cord consists of 31 segments, each of which gives rise to a pair of spinal nerves. 2. A cervical enlargement gives rise to nerves leading to the upper limbs, and a lumbar enlargement gives rise to those innervating the lower limbs. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 4. 5. 9 - 75 Two deep longitudinal grooves (anterior median fissure and posterior median sulcus) divide the cord into right and left halves. White matter, made up of bundles of myelinated nerve fibers (nerve tracts), surrounds a butterfly-shaped core of gray matter housing interneurons. A central canal contains cerebrospinal fluid. 9 - 76 Cerebrospinal Fluid •Cerebrospinal fluid is a fluid that circulates throughout the CNS. •located between the brain and skull and in the subarachnoid space of the spinal cord 77 •Cerebrospinal fluid has 2 important benefits to the central nervous system: 1. Circulation • delivers nutrients to the structures of the nervous system • the cerebrospinal fluid removes wastes from the brain and spinal cord, detoxifying the environment of the nervous system 2. Shock absorption • protects the brain and spinal cord from trauma/injury caused by movement, falls, blows, etc. 78 Spinal Tap •a procedure to collect cerebrospinal fluid to check for the presence of disease or injury 79 Reasons for doing a spinal tap… to diagnose various conditions in the Nervous system, including: •viral and bacterial infections, such as . meningitis and encephalitis •tumors or cancers of the nervous system •syphilis, a sexually transmitted disease • bleeding (hemorrhaging) around the brain and spinal cord • multiple sclerosis, a disease that affects the myelin coating of the nerve fibers of the brain and spinal cord • Guillain-Barré syndrome, an inflammation of the nerves 80 Anatomy of the Spine Region Spinal Segment Cervical Vertebral Bodies C1-C7 Nerves Upper and mid-back Low back Thoracic T1-T12 T1-T12 Lumbar L1-L5 L1-L5 Tail Sacral S1-S5 (fused) S1-S5 Neck 9 - 81 C1-C8 82 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. 9 - 83 Functions of the Spinal Cord 1. The spinal cord has two major functions: to transmit impulses to and from the brain, and to house spinal reflexes. 2. Tracts carrying sensory information to the brain are called ascending tracts; descending tracts carry motor information from the brain. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 4. 9 - 84 The names that identify tracts are based on the origin and the termination of the fibers in the tract. Many spinal reflexes also pass through the spinal cord. Spinal Nerves • 31 pairs – contain thousands of nerve fibers • Connect to the spinal cord • Named for point of issue from the spinal cord – 8 pairs of cervical nerves (C1-C8) – 12 pairs of thoracic nerves (T1-T12) – 5 pairs of lumbar nerves (L1-L5) – 5 pairs of sacral nerves (S1-S5) – 91- 85pair of coccygeal nerves (Co1) Spinal Nerves Posterior View 9 - 86 Figure 14.9 Structural Organization of PNS in Region of a Spinal Nerve 9 - 87 Figure 14.2 Innervation of the Skin: Dermatomes • Dermatome – an area of skin – Innervated by cutaneous branches of a single spinal nerve • Upper limb – skin is supplied by nerves of the brachial plexus • Lower limb – Lumbar nerves – anterior surface – Sacral nerves – posterior surface 9 - 88 Dermatomes: – – – – – Trigeminal Cervical Thoracic Lumbar Sacral 9 - 89 Map of Dermatomes – Anterior View 9 - 90 Figure 14.17a Map of Dermatomes – Posterior View 9 - 91 Figure 14.17b Spinal cord Injuries 9 - 92 Spinal Cord Injury Epidemiology • Age at injury increasing – Mean 32 years – More people 60 years+ at time of injury • 80% male • Etiology – 34% MVC, 19% falls, 17% GSW, 7% diving – MVC #1 cause if <45 years – Falls #1 cause if >45 years 9 - 93 9 - 94 The extent of the impairment is determined by the location of the injury 9 - 95 Spinal Cord Injury Epidemiology • Neurologic level and completeness (ASIA) – Cervical 50.7% – Thoracic 35.1% – Lumbosacral11% • C5 > C4 > C6 > T12 > C7 > L1 9 - 96 Types of Spinal Cord Paralysis • Depending on the location and the extent of the injury different forms of paralysis can occur. • Monoplegia- paralysis of one limb • Diplegia- paralysis of both upper or lower limbs • Paraplegia- paralysis of both lower limbs • Hemiplegia- paralysis of upper limb, torso and lower leg on one side of the body • Quadraplegia- paralysis of all four limbs 9 - 97 Spinal Cord Paralysis Levels C1-C3 • All daily functions must be totally assisted • Breathing is dependant on a ventilator • Motorised wheelchair controlled by sip and puff or chin movements is required C4 • Same as C1-C3 except breathing can be done without a ventilator C5 • Good head, neck, shoulder movements, as well as elbow flexion • Electric wheelchair, or manual for short distances C6 • Wrist extension movements are good • Assistance needed for dressing, and transitions from bed to chair and car may also need assistance C7-C8 • All hand movements • Ability to dress, eat, drive, do transfers, and do upper body washes 9 - 98 Spinal Cord Paralysis Levels T1-T4 (paraplegia) • Normal communication skills • Help may only be needed for heavy household work or loading wheelchair into car T5-T9 • Manual wheelchair for everyday living • Independent for personal care T10-L1 • Partial paralysis of lower body L2-S5 • Some knee, hip and foot movements with possible slow difficult walking with assistance or aids • Only heavy home maintenance and hard cleaning will need assistance 9 - 99 Complete and Incomplete Spinal Cord Syndromes can be classified into either complete or incomplete categories • Complete – characterized as complete loss of motor and sensory function below the level of the traumatic lesion • Incomplete – characterized by variable neurological findings with partial loss of sensory and/or motor function below the lesion 9 - 100 Spina Bifida • A birth defect that results in incomplete development of the spinal cord or its coverings • In mild cases it often goes undetected. • 9 - 101 • In more severe cases this can result in the spinal cord and its covering membranes protruding out of an affected infant's back • Depending on severity, varying degrees of paralysis and incontinence • Treatment can be surgical 9 - 102 • http://www.youtube.com/watch?v=DF0 4XPBj5uc&NR=1 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 104 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Brain A. B. 9 - 105 The brain is the largest, most complex portion of the nervous system, containing about 100 billion multipolar neurons. The brain can be divided into the cerebrum (largest portion and associated with higher mental functions), the diencephalon (processes sensory input), the cerebellum (coordinates muscular activity), and the brain stem (coordinates and regulates visceral activities). CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. Structure of the Cerebrum 1. The cerebrum is the largest portion of the mature brain, consisting of two cerebral hemispheres. 2. A deep ridge of nerve fibers called the corpus callosum connects the hemispheres. 3. The surface of the brain is marked by convolutions, sulci, and fissures. 9 - 106 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 4. 5. 9 - 107 The lobes of the brain are named according to the bones they underlie and include the frontal lobe, parietal lobe, temporal lobe, occipital lobe, and insula. A thin layer of gray matter, the cerebral cortex, lies on the outside of the cerebrum and contains 75% of the cell bodies in the nervous system. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 108 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 6. 9 - 109 Beneath the cortex lies a mass of white matter made up of myelinated nerve fibers connecting the cell bodies of the cortex with the rest of the nervous system. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. D. 9 - 110 Functions of the Cerebrum 1. The cerebrum provides higher brain functions, such as interpretation of sensory input, initiating voluntary muscular movements, memory, and integrating information for reasoning. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 2. Functional Regions of the Cerebral Cortex a. The functional areas of the brain overlap, but the cortex can generally be divided into motor, sensory, and association areas. b. The primary motor areas lie in the frontal lobes, anterior to the central sulcus and in its anterior wall. 9 - 111 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. c. d. e. 9 - 112 Broca's area, anterior to the primary motor cortex, coordinates muscular activity to make speech possible. Above Broca's area is the frontal eye field that controls the voluntary movements of the eyes and eyelids. The sensory areas are located in several areas of the cerebrum and interpret sensory input, producing feelings or sensations. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. f. g. 9 - 113 Sensory areas for sight lie within the occipital lobe. Sensory and motor fibers alike cross over in the spinal cord or brain stem so centers in the right hemisphere are interpreting or controlling the left side of the body, and vice versa. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. h. 9 - 114 The various association areas of the brain analyze and interpret sensory impulses and function in reasoning, judgment, emotions, verbalizing ideas, and storing memory. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. i. j. 9 - 115 Association areas of the frontal lobe control a number of higher intellectual processes. A general interpretive area is found at the junction of the parietal, temporal, and occipital lobes, and plays the primary role in complex thought processing. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. Hemisphere Dominance a. Both cerebral hemispheres function in receiving and analyzing sensory input and sending motor impulses to the opposite side of the body. b. Most people exhibit hemisphere dominance for the language-related activities of speech, writing, and reading. http://www.webus.com/BRAIN/braindominance.htm 9 - 116 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. c. d. 9 - 117 The left hemisphere is dominant in 90% of the population, although some individuals have the right hemisphere as dominant, and others show equal dominance in both hemispheres. The non-dominant hemisphere specializes in nonverbal functions and controls emotions and intuitive thinking. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. e. 9 - 118 The basal ganglia are masses of gray matter located deep within the cerebral hemispheres that relay motor impulses from the cerebrum and help to control motor activities by producing inhibitory dopamine. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. E. Ventricles and Cerebrospinal Fluid 1. The ventricles are a series of connected cavities within the cerebral hemispheres and brain stem. 2. The ventricles are continuous with the central canal of the spinal cord, and are filled with cerebrospinal fluid. 9 - 119 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 120 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 4. 9 - 121 Choroid plexuses, specialized capillaries from the pia mater, secrete cerebrospinal fluid. a. Most cerebrospinal fluid arises in the lateral ventricles. Cerebrospinal fluid has nutritive as well as protective (cushioning) functions. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. F. 9 - 122 Diencephalon 1. The diencephalon lies above the brain stem and contains the thalamus and hypothalamus. 2. Other portions of the diencephalon are the optic tracts and optic chiasma, the infundibulum (attachment for the pituitary), the posterior pituitary, mammillary bodies, and the pineal gland. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 9 - 123 The thalamus functions in sorting and directing sensory information arriving from other parts of the nervous system, performing the services of both messenger and editor. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 4. 9 - 124 The hypothalamus maintains homeostasis by regulating a wide variety of visceral activities and by linking the endocrine system with the nervous system. a. The hypothalamus regulates heart rate and arterial blood pressure, body temperature, water and electrolyte balance, hunger and body weight, movements and secretions of the digestive tract, growth and reproduction, and sleep and wakefulness. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 5. 9 - 125 The limbic system, in the area of the diencephalon, controls emotional experience and expression. a. By generating pleasant or unpleasant feelings about experiences, the limbic system guides behavior that may enhance the chance of survival. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. G. 9 - 126 Brain Stem 1. The brain stem, consisting of the midbrain, pons, and medulla oblongata, lies at the base of the cerebrum, and connects the brain to the spinal cord. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 2. 9 - 127 Midbrain a. The midbrain, located between the diencephalon and pons, contains bundles of myelinated nerve fibers that convey impulses to and from higher parts of the brain, and masses of gray matter that serve as reflex centers. b. The midbrain contains centers for auditory and visual reflexes. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 9 - 128 Pons a. The pons, lying between the midbrain and medulla oblongata, transmits impulses between the brain and spinal cord, and contains centers that regulate the rate and depth of breathing. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 4. 9 - 129 Medulla Oblongata a. The medulla oblongata transmits all ascending and descending impulses between the brain and spinal cord. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. b. 9 - 130 The medulla oblongata also houses nuclei that control visceral functions, including the cardiac center that controls heart rate, the vasomotor center for blood pressure control, and the respiratory center that works, along with the pons, to control the rate and depth of breathing. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. c. 9 - 131 Other nuclei in the medulla oblongata are associated with coughing, sneezing, swallowing, and vomiting. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 5. 9 - 132 Reticular Formation a. Throughout the brain stem, hypothalamus, cerebrum, cerebellum, and basal ganglia, is a complex network of nerve fibers connecting tiny islands of gray matter; this network is the reticular formation. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. b. c. 9 - 133 Decreased activity in the reticular formation results in sleep; increased activity results in wakefulness. The reticular formation filters incoming sensory impulses. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. H. 9 - 134 Cerebellum 1. The cerebellum is made up of two hemispheres connected by a vermis. 2. A thin layer of gray matter called the cerebellar cortex lies outside a core of white matter. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 135 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 4. 9 - 136 The cerebellum communicates with other parts of the central nervous system through cerebellar peduncles. The cerebellum functions to integrate sensory information about the position of body parts and coordinates skeletal muscle activity and maintains posture. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Peripheral Nervous System A. B. 9 - 137 The peripheral nervous system (PNS) consists of the cranial and spinal nerves that come from the central nervous system and travel to the remainder of the body. The PNS is made up of the somatic nervous system that oversees voluntary activities, and the autonomic nervous system that controls involuntary activities. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. 9 - 138 Cranial Nerves 1. There are twelve pairs of cranial nerves that arise from the underside of the brain, most of which are mixed nerves. 2. The 12 pairs are designated by number and name and include the olfactory, optic, oculomotor, trochlear, trigenimal, abducens, facial, vestibulocochlear, glossopharyngeal, vagus, accessory, and hypoglossal nerves. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 139 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 9 - 140 Refer to Figure 9.31 and Table 9.6 for cranial nerve number, name, type, and function. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. D. 9 - 141 Spinal Nerves 1. There are Thirty-one pairs of mixed nerves make up the spinal nerves. 2. Spinal nerves are grouped according to the level from which they arise and are numbered in sequence, beginning with those in the cervical region. 3. Each spinal nerve arises from two roots: a dorsal, or sensory, root, and a ventral, or motor, root. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 142 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 4. 5. 6. 9 - 143 The main branches of some spinal nerves form plexuses. Cervical Plexuses a. The cervical plexuses lie on either side of the neck and supply muscles and skin of the neck. Brachial Plexuses a. The brachial plexuses arise from lower cervical and upper thoracic nerves and lead to the upper limbs. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 7. 9 - 144 Lumbrosacral Plexuses a. The lumbrosacral plexuses arise from the lower spinal cord and lead to the lower abdomen, external genitalia, buttocks, and legs. Peripheral Nervous System Peripheral Nervous System Skeletal (Somatic) Autonomic Sympathetic Parasympathetic Skeletal (Somatic) System • Nerves to/from spinal cord – control muscle movements – somatosensory inputs • Both Voluntary and reflex movements • Skeletal Reflexes – simplest is spinal reflex arc Brain Sensory Neuron Skin receptors Motor Neuron Interneuron Muscle CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. Autonomic Nervous System A. The autonomic nervous system has the task of maintaining homeostasis of visceral activities without conscious effort. 9 - 147 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. B. 9 - 148 General Characteristics 1. The autonomic nervous system includes two divisions: the sympathetic and parasympathetic divisions, which exert opposing effects on target organs. a. The parasympathetic division operates under normal conditions. b. The sympathetic division operates under conditions of stress or emergency. Sympathetic • “ Fight or flight” response • Release adrenaline and noradrenaline • Increases heart rate and blood pressure • Increases blood flow to skeletal muscles • Inhibits digestive functions CENTRAL NERVOUS SYSTEM SYMPATHETIC Brain Dilates pupil Stimulates salivation Relaxes bronchi Spinal cord Salivary glands Lungs Accelerates heartbeat Inhibits activity Heart Stomach Pancreas Stimulates glucose Secretion of adrenaline, nonadrenaline Relaxes bladder Sympathetic Stimulates ejaculation ganglia in male Liver Adrenal gland Kidney CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. C. 9 - 150 Autonomic Nerve Fibers 1. In the autonomic motor system, motor pathways include two fibers: a preganglionic fiber that leaves the CNS, and a postganglionic fiber that controls the effector. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 2. 9 - 151 Sympathetic Division a. Fibers in the sympathetic division arise from the thoracic and lumbar regions of the spinal cord, and synapse in paravertebral ganglia close to the vertebral column. b. Postganglionic axons lead to an effector organ. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 152 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 3. 9 - 153 Parasympathetic Division a. Fibers in the parasympathetic division arise from the brainstem and sacral region of the spinal cord, and synapse in ganglia close to the effector organ. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 9 - 154 CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 4. 9 - 155 Autonomic Neurotransmitters a. Preganglionic fibers of both sympathetic and parasympathetic divisions release acetylcholine. b. Parasympathetic postganglionic fibers are cholinergic fibers and release acetylcholine. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. c. d. 9 - 156 Sympathetic postganglionic fibers are adrenergic and release norepinephrine. The effects of these two divisions, based on the effects of releasing different neurotransmitters to the effector, are generally antagonistic. CopyrightThe McGraw-Hill Companies, Inc. Permission required for reproduction or display. 5. 9 - 157 Control of Autonomic Activity a. The autonomic nervous system is largely controlled by reflex centers in the brain and spinal cord. b. The limbic system and cerebral cortex alter the reactions of the autonomic nervous system through emotional influence. Parasympathetic CENTRAL NERVOUS SYSTEM PARASYMPATHETIC Brain • “ Rest and digest ” system • Calms body to conserve and maintain energy • Lowers heartbeat, breathing rate, blood pressure Contracts pupil Stimulates salivation Spinal cord Constricts bronchi Slows heartbeat Stimulates activity Stimulates gallbladder Gallbladder Contracts bladder Stimulates erection of sex organs Summary of autonomic differences Autonomic nervous system controls physiological arousal Sympathetic division (arousing) Pupils dilate Decreases Parasympathetic division (calming) EYES Pupils contract SALVATION Increases Perspires SKIN Dries Increases RESPIRATION Decreases Accelerates HEART Slows Inhibits DIGESTION Activates Secrete stress hormones ADRENAL GLANDS Decrease secretion of stress hormones