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Transcript
CopyrightThe 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
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Chapter 9
Nervous System
9-2
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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
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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
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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.
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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
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9-7
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 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
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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.
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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.
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9 - 11
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 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.
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9 - 13
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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.
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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.
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9 - 16
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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.
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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.
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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).
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9 - 20
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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
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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.
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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
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 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
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9 - 27
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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
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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
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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
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9 - 31
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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
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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
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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
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 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
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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.
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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.
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 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.
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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
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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.
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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.
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3.
9 - 50
The effect on the postsynaptic
neuron depends on which
presynaptic knobs are
activated.
9 - 51
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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.
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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.
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 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.
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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).
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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.
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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.
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Divergence
Convergence
9 - 58
• http://www.pbs.org/wgbh/nova/science
now/video/3204/q01.html
9 - 59
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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
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 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
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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.).
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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.
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9 - 65
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 Meninges
A.
9 - 66
The brain and spinal cord are
surrounded by membranes called
meninges that lie between the bone
and the soft tissues.
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9 - 67
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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.
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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.
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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
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 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.
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9 - 73
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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.
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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
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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.
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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
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4XPBj5uc&NR=1
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9 - 104
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 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).
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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
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4.
5.
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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.
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9 - 108
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6.
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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.
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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.
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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
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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.
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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.
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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.
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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.
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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
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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.
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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.
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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
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9 - 120
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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.
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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.
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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.
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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.
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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.
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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.
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2.
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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.
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3.
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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.
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4.
9 - 129
Medulla Oblongata
a.
The medulla oblongata
transmits all ascending and
descending impulses between
the brain and spinal cord.
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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.
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c.
9 - 131
Other nuclei in the medulla
oblongata are associated with
coughing, sneezing,
swallowing, and vomiting.
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5.
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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.
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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.
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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.
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9 - 135
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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.
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 Peripheral Nervous System
A.
B.
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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.
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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.
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9 - 139
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3.
9 - 140
Refer to Figure 9.31 and Table
9.6 for cranial nerve number,
name, type, and function.
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D.
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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.
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9 - 142
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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.
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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
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 Autonomic Nervous System
A.
The autonomic nervous system has
the task of maintaining homeostasis
of visceral activities without
conscious effort.
9 - 147
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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
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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.
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2.
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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.
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9 - 152
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3.
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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.
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9 - 154
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4.
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Autonomic Neurotransmitters
a.
Preganglionic fibers of
both sympathetic and
parasympathetic
divisions release
acetylcholine.
b.
Parasympathetic
postganglionic fibers are
cholinergic fibers and
release acetylcholine.
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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.
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5.
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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