Chapter 8 Nervous Systemthexgene.weebly.com/uploads/3/1/3/3/31333379/chapt08_lecture_anim.pdf ·...
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1
Chapter 08
Lecture and
Animation Outline
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Chapter 8-Nervous System
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3
Functions
1. Sensory input:
sensory receptors respond to stimuli
2. Integration:
brain and spinal cord process stimuli
3. Control of muscles and glands
4. Mental activity:
brain
5. Homeostasis
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4
Main Divisions of Nervous System
1. Central Nervous System (CNS):
brain and spinal cord
2. Peripheral Nervous System (PNS):
all neurons outside CNS
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5
Neuron Characteristics
• Nerve cells
• Require oxygen and glucose
• Receive input, process input, produce a
response
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6
Neuron Structures
• Dendrite:
receives stimulus from other neurons or sensory receptors
• Cell body:
- processes stimulus
- contains a nucleus
• Axon:
transmits stimulus to a gland, muscle, organ, or other neuron
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8
Myelin Sheath
• What is it?
- fatty, protective wrapping around axons
- excellent insulator
• Nodes of Ranvier:
gaps in myelin sheath where action potentials
develop
• Saltatory conduction:
jumping of action potentials
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• Myelinated axons conduct action potentials
more quickly (3-15 meters/sec) than
unmyelinated due to Nodes of Ranvier.
• Multiple sclerosis:
disease of myelin sheath that causes loss of
muscle function
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10
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Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
1
2
3
+ – + + +
+ – – + + +
– –
– + + – – –
+ + +
+ + +
– – –
– – –
+
+
+ + + + – – + +
+ + + + + – – + +
– – – – – –
– – – – – –
+ + +
+ + +
– – –
– – –
+ +
+ +
– –
– –
+ + + + + + + + –
+ + + + + + + + –
– – – – – – –
–
–
–
–
–
– – – – – – –
– + +
– + +
– –
– –
+ +
+ +
+ +
+ +
–
–
+ + +
+ + +
– – + + – – –
– –
–
Site of next action
potential
Depolarization
The action potential is conducted
along the axon cell membrane.
When depolarization caused by the
local currents reaches threshold, a
new action potential is produced
adjacent to where the original
action potential occurred.
An action potential (orange part of
the membrane) generates local
currents that depolarize the
membrane immediately adjacent to
the action potential.
Inside of membrane
becomes positive.
Outside of membrane
becomes negative.
Action potential conduction
+ +
+ +
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13
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1 2 3 4 5
1
2
3
Direction of action potential conduction
++ ++ ++ ++ ++
++ ++ ++
++ ++
++ ++ ++
Schwann cell
++
++
Node of Ranvier
Action potential conduction is rapid
in myelinated axons because the action
potentials are produced at successive
nodes of Ranvier (1–5) instead of at
every part of the membrane along the
axon.
When the depolarization caused by the
local currents reaches threshold at the
next node of Ranvier, a new action
potential is produced (orange).
An action potential (orange) at a node
of Ranvier generates local currents.
The local currents flow to the next
node of Ranvier because the myelin
sheath of the Schwann cell insulates
the axon between nodes.
– – – – – –
– – – –
– – – – – – – –
– –
– – – – – – – – – –
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Types of Neurons
• Multipolar:
- many dendrites and a single axon
- Ex. CNS and most motor neurons
• Bipolar:
- one dendrite and one axon
- Ex. Eye and nasal cavity
• Pseudo-unipolar:
- one axon and no dendrites
- Ex. Sensory neurons 14
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16
Neuroglia Characteristics
• Supporting cells for neurons
• More numerous than neurons
• Can divide to produce more cells
• 5 types
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17
Types of Neuroglia
• Astrocytes:
- star-shaped
- most abundant
- form blood-brain barrier
• Ependymal Cells:
produce and circulate cerebrospinal fluid (CSF)
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(a)
Capillary
Ependymal
cells
Cilia
Foot
processes
Astrocyte (b)
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18
Types of Neuroglia
• Microglia:
help remove bacteria and cell debris from CNS
• Oligodendrocytes:
produce myelin sheath in CNS
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Types of Neuroglia
• Schwann cells:
produce myelin
sheath in PNS
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Organization of Nervous Tissue
• Gray matter:
collection of dendrites and cell bodies
• White matter:
collection of axons and their myelin sheath
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CNS PNS
Oligodendrocytes Schwann cells
Produce myelin sheath
Nerve tracts Nerves
Collection of axons
Nuclei Ganglion
Collection of cell bodies
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23
Electrical Signals and Neural Pathways
Resting Membrane Potential
• Outside of cell is more + (Na+)
• Inside of cell is more – (K+)
• Leak ion channels:
- always open
- K+ channels
• Gated ion channels:
- closed until opened by specific signal
- Na+ channels
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K+ c
on
cen
trati
on
gra
die
nt
K+
1
2
3 The sodium-potassium pump helps maintain
the differential levels of Na+ and K+ by pumping
three Na+ out of the cell in exchange for two K+
into the cell. The pump is driven by ATP
hydrolysis. The resting membrane potential is
established when the movement of K+ out of the
cell is equal to the movement of K+ into the cell.
There are more K+ leak channels than Na+ leak
channels. In the resting cell, only the leak
channels are opened; the gated channels (not
shown) are closed. Because of the ion
concentration differences across the
membrane, K+ diffuses out of the cell down its
concentration gradient and Na+ diffuses into
the cell down its concentration gradient. The
tendency for K+ to diffuse out of the cell is
opposed by the tendency of the positively
charged K+ to be attracted back into the cell by
the negatively charged proteins.
In a resting cell, there is a higher concentration
of K+ (purple circles) inside the cell membrane
and a higher concentration of Na+ (pink circles)
outside the cell membrane. Because the
membrane is not permeable to negatively
charged proteins (green) they are isolated to
inside of the cell membrane.
Sodium-
potassium
pump
ADP ATP
K+ leak
channel
Na+
Pr–
Pr–
Pr–
Pr– Pr–
Pr–
Na+ leak
channel
Na
+ c
on
cen
trati
on
gra
die
nt
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25
Action Potentials • “Electricity” that cause depolarization and
repolarization
• Change resting membrane potential by activating
gated ion channels
• Local Current:
movement of Na+ which causes inside of cell to be
more positive (depolarize)
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• If enough Na+ enters then threshold is reached
and more Na+ channels open
• Once threshold is reached all or none law applies
• Action potentials continue until Na+ channels
close, K+ channels open, and repolarization
occurs
• Sodium/potassium pump restores
26
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K +
K+
K+
1
2
3
Mem
bra
ne p
ote
nti
al
(mV
)
1
2
3
0
0
0
Resting membrane potential.
Na+ channels (pink) and most,
but not all, K+ channels (purple)
are closed. The outside of the
plasma membrane is positively
charged compared to the inside.
Depolarization.
Na+ channels open. K+
channels begin to open.
Depolarization results because
the inward movement of Na+
makes the inside of the
membrane positive.
Repolarization. Na+ channels
close and additional K+
channels open. Na+ movement
into the cell stops, and K+
movement out of the cell
increases, causing
repolarization.
Resting
membrane
potential
Threshold
Time (ms)
Time (ms)
Time (ms)
Threshold
Resting
membrane potential
Resting
membrane potential
Repolarization
Depolarization +20
–70
+20
–70
Threshold
Local
potential
Na+ channels
close.
K+ channels
open.
K+ diffuses
cut of cell.
Na+ Na+
Na+ diffuses
into cell.
Na+ channels
open.
Voltage-gated
K+ channel
–70
Voltage-gated
Na+ channel Na+ +20
Mem
bra
ne p
ote
nti
al
(mV
) M
em
bra
ne p
ote
nti
al
(mV
)
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0 (m
V)
Threshold
Repolarization Depolarization
+20
Action potential
Time (ms)
Resting membrane potential
Hyperpolarization
–70 Local
potential
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29
Please note that due to differing
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will not appear until the presentation is
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Show view). You may see blank slides
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All animations will appear after viewing
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the latest version of the Flash Player,
which is available at
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30
Synapse
• What is it?
- where an axon attaches to a muscle, gland,
organ, or other neuron
- involved with release of neurotransmitters
- Ex. Neuromuscular junction
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31
Please note that due to differing
operating systems, some animations
will not appear until the presentation is
viewed in Presentation Mode (Slide
Show view). You may see blank slides
in the “Normal” or “Slide Sorter” views.
All animations will appear after viewing
in Presentation Mode and playing each
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the latest version of the Flash Player,
which is available at
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1
2
3
4
1
2
3
4
Neurotransmitter bound
to receptor site opens
a chemically-gated
Na+ channel.
Postsynaptic
membrane
Synapticc left
Presynaptic
terminal
Axon
Action potential
Neurotransmitter
Na+
Synaptic
vesicle Voltage-gated
Ca2+ channel
Ca2+
Action potentials arriving at the presynaptic terminal cause voltage-
gated Ca2+ channels to open.
Ca2+ diffuses into the cell and cause synaptic vesicles to release
neurotransmitter molecules.
Neurotransmitter molecules combine with their receptor sites and cause
chemically-gated Na+ channels to open. Na+ diffuses into the cell
(shown in illustration) or out of the cell (not shown) and cause a change
in membrane potential.
Neurotransmitter molecules diffuse from the presynaptic terminal across
the synaptic cleft.
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34
Reflexes
• What are they?
involuntary response to a stimulus
• Reflex arc:
path reflex travels
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35
Components of Reflex Arc
1. Sensory receptors:
- pick up stimulus
- in skin
2. Sensory (afferent) neurons:
send stimulus to interneurons in spinal cord
3. Interneurons (Association) neuron:
- located in CNS and connect to motor neurons
- process stimulus
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36
4. Efferent (motor) neurons:
send response to effector
5. Effector:
muscle, gland, or organ
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Figure 8.13
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Neuronal Pathways • Converging:
- two or more neurons synapse same neuron
- allows info. to be transmitted in more than one
neuronal pathway to converge into a single
pathway
• Diverging:
- axon from one neuron divides and synapses with
more than one neuron
- allows info. to be transmitted in one neuronal
pathway to diverge into 2 or more pathways 38
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Presynaptic
axon
Postsynaptic
axon
Cell
body
(b)
(a)
Direction
of action
potential Postsynaptic
axon
Presynaptic
axon
Cell body
Direction
of action
potential
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Central Nervous System
Consists of brain and spinal cord
Brain in brain case:
Spinal cord in vertebral
column:
40
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Cauda equina
Spinal cord
Spinal nerves
Level of foramen magnum
Rootlets of
spinal nerves
Level of the
second lumbar
vertebra
Coccygeal
nerve
C1
T1
L1
S1
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41
Spinal Cord
• Extends from foramen
magnum to 2nd lumbar
vertebra
• Protected by vertebral
column
• Spinal nerves allow
movement
• If damaged paralysis can
occur
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Cauda equina
Spinal cord
Spinal nerves
Level of foramen magnum
Rootlets of
spinal nerves
Level of the
second lumbar
vertebra
Coccygeal
nerve
C1
T1
L1
S1
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42
Gray and White Matter in Spinal Cord
• Gray Matter:
- center of spinal cord
- looks like letter H or a butterfly
• White Matter:
- outside of spinal cord
- contains myelinated fibers
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White Matter in Spinal Cord
• Contains 3 columns dorsal, ventral, lateral
columns
• Ascending tracts:
axons that conduct action potentials toward
brain
• Descending tracts:
axons that conduct action potentials away from
brain 43
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Gray Matter in Spinal Cord
• Posterior horns:
contain axons which synapse with interneurons
• Anterior horns:
contain somatic neurons
• Lateral horns:
contain autonomic neurons
• Central canal:
fluid filled space in center of cord
44
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Gray
matter
Posterior horn
Anterior horn
Lateral horn
Dorsal root ganglion
Sensory neuron
Spinal nerve
Autonomic neuron
Somatic motor neuron
Ventral root Anterior horn
Lateral horn
Posterior horn Dorsal root
Rootlets
Ventral
root
Spinal
nerve
Dorsal root
ganglion
Dorsal root
White
matter
Dorsal (posterior) column
Ventral (anterior) column
Lateral column
Central canal
Interneuron
(b)
(a)
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Spinal Nerves
• Arise along spinal cord from union of dorsal
roots and ventral roots
• Contain axons sensory and somatic neurons
• Located between vertebra
• Categorized by region of vertebral column
from which it emerges (C for cervical)
• 31 pairs
• Organized in 3 plexuses
46
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Cervical Plexus
• Spinal nerves C1-4
• Innervates muscles attached to hyoid bone
and neck
• Contains phrenic nerve which innervates
diaphragm
47
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Brachial Plexus
• Originates from spinal nerves C5-T1
• Supply nerves to upper limb, shoulder, hand
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Lumbosacral Plexus
• Originates from spinal nerves L1 to S4
• Supply nerves lower limbs
49
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S 4
2 3 4 5 6 7 8
2
3
4
5
6
7
8
9
2
3
4 5
Dura mater
Brachial
plexus
(C5–T1)
Cervical
plexus
(C1–4)
Cauda equina
Lumbo-
sacral
plexus
(L1–S4)
Lumbar
plexus
(L1–4)
Coccygeal
plexus
(S5–Co)
Sacral
plexus
(L4–S4)
Posterior view
Coccygeal
nerves
Sacral
nerves
Lumbar
nerves
Thoracic
nerves
Cervical
nerves
S1
S2 S3
S5
Co
L1
12
11
10
T1
C1
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51
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52
Cerebrospinal Fluid
• Fluid that bathes the brain and spinal cord
• Provides a protective cushion around the CNS
• Produced in choroid plexus of brain
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53
Brainstem
• Components:
– Medulla oblongata
– Pons
– Midbrain
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Cerebellum
Posterior
Corpus
callosum
Cerebrum
Medial view
Medulla
oblongata
Brainstem
Diencephalon
Pons
Midbrain
Anterior
Thalamus
Hypothalamus
© Courtesy of Branislav Vidic
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54
Brainstem Components • Medulla oblongata
– Location:
continuous with spinal cord
– Function:
regulates heart rate, blood vessel diameter, breathing,
swallowing, vomiting, hiccupping, coughing, sneezing,
balance
– Other:
pyramids: involved in conscious control of skeletal
muscle
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• Pons
– Location:
above medulla, bridge between cerebrum and cerebellum
– Function:
breathing, chewing, salivation, swallowing
• Midbrain
– Location:
above pons
– Function:
coordinated eye movement, pupil diameter, turning head
toward noise 55
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• Reticular Formation
- Location:
scattered throughout brainstem
- Function:
regulates cyclical motor function, respiration,
walking, chewing, arousing and maintaining
consciousness, regulates sleep-wake cycle
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Diencephalon
57
• Located between the brainstem and cerebrum
• Components:
-Thalamus
-Hypothalamus
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Cerebellum
Posterior
Corpus
callosum
Cerebrum
Medial view
Medulla
oblongata
Brainstem
Diencephalon
Pons
Midbrain
Anterior
Thalamus
Hypothalamus
© Courtesy of Branislav Vidic
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58
Diencephalon Components
• Thalamus
- Characteristics:
largest portion of diencephalon
- Function:
influences moods and detects pain
• Epithalamus:
- Location:
above thalamus
- Function:
emotional and visceral response to odors
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• Hypothalamus
- Location:
below thalamus
- Characteristics:
controls pituitary gland and is connected to it by
infundibulum
- Function:
controls homeostasis, body temp, thirst,
hunger, fear, rage, sexual emotions
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Thalamus (b) (a)
Interthalamic
adhesion
Thalamic nuclei
Cerebellum
Pineal gland
Epithalamus
Corpus callosum Thalamus
Interthalamic
adhesion
Hypothalamus
Mammillary body
Optic chiasm
Pituitary gland
Infundibulum
Diencephalon
Pons
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61
Cerebrum Characteristics
• Largest portion of brain
• Divisions:
– Right Hemisphere
– Left Hemisphere
separated by
longitudinal fissure
• Lobes: frontal, parietal,
occipital, temporal
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62
Cerebrum Components
• Cerebral Cortex
- Location:
surface of cerebrum, composed of gray matter
- Function:
controls thinking, communicating,
remembering, understanding, and initiates
involuntary movements
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63
• Gyri:
folds on cerebral cortex that increase surface
area
• Sulci:
shallow indentations
• Fissure:
deep indentations
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64
• Left hemisphere:
- controls right side of body
- responsible for math, analytic, and speech
• Right hemisphere:
- controls left side of body
- responsible for music, art, abstract ideas
• Corpus callosum:
connection between 2 hemispheres
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65
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66
Lobes of Brain
• Frontal lobe
- Location: front
- Function: controls voluntary motor functions, aggression,
moods, smell
• Parietal lobe
- Location: top
- Function: evaluates sensory input such as touch, pain,
pressure, temp., taste
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67
• Occipital lobe
- Location: back
- Function: vision
• Temporal lobe
- Location: sides
- Function: hearing, smell, memory
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69
Cerebellum
• Location:
below cerebrum
• Characteristics:
- means little brain
- cortex is composed of
gyri, sulci, gray matter
• Functions: controls
balance, muscle tone,
coordination of fine
motor movement
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Sensory Functions
• CNS constantly receives sensory input
• We are unaware of most sensory input
• Sensory input is vital of our survival and
normal functions
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Ascending Tracts
• What are they?
- pathways in brain and spinal cord
- transmit info. via action potentials from
periphery to brain
- each tract has limited type of sensory input
(temp, touch, pain, etc.)
- tracts are named that indicated origin and
termination
- made of 2-3 neurons in sequence
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Anterior spinocerebellar tract
Anterior spinothalamic tract
Anterior (ventral)
Posterior (dorsal)
Dorsal columns
Posterior spinocerebellar tract
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Spinal
cord
Dorsal column
Medulla oblongata
Second neuron
in pathway
Pons
Midbrain
Receptor
First neuron
in pathway
Thalamus
Third neuron
in pathway Cerebrum
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Sensory Areas of Cerebral Cortex
• Primary sensory areas:
- where ascending tracts project
- where sensations are perceived
• Primary somatic sensory cortex:
- general sensory area
- in parietal lobe
- sensory input such as pain, pressure, temp.
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Motor Areas of Cerebral Cortex • Primary motor cortex:
- frontal lobe
- control voluntary motor movement
• Premotor area:
- frontal lobe
- where motor functions are organized before
initiation
• Prefrontal area:
motivation and foresight to plan and initiate
movement 75
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Taste area
(beneath surface
in insula)
Visual
association area
Visual cortex
Sensory speech area
(Wernicke area)
Somatic sensory
association area
Primary somatic
sensory cortex
Central sulcus
Primary motor
cortex
Premotor
area
Prefrontal
area
Motor speech area
(Broca area)
Primary
auditory cortex
Auditory
association area
Lateral view
Lower limb
Trunk
Upper
limb
Head
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Descending Tracts
• Project from upper motor neurons in cerebral
cortex to lower motor neurons in spinal cord
and brainstem
• Control different types of movements
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Anterior (ventral)
Tectospinal
Vestibulospinal
Reticulospinal
Anterior corticospinal
Rubrospinal
Lateral corticospinal
Posterior (dorsal)
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Midbrain
Upper
motor
neuron
Pons
Medulla oblongata
Pyramid
Spinal cord
Lower
motor neuron
Neuromuscular
junction
Interneuron
Lateral
corticospinal
tract
Cerebrum
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Basal Nuclei
• Group of functionally related nuclei
• Plan, organize, coordinate motor movements and
posture
• Corpus striatum:
deep in cerebrum
• Substantia nigra:
in midbrain 80
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Basal
nuclei
Substantia nigra
in midbrain)
Thalamus
Corpus
striatum
Lateral view
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Speech
• Mainly in left hemisphere
• Sensory speech (Wernicke’s area):
- parietal lobe
- where words are heard and comprehended
• Motor speech (Bronca’s area):
- frontal lobe
- where words are formulated
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Brain Waves and Consciousness
• Used to diagnose and determine treatment ofr
brain disorders
• Electroencephalogram (EEG):
electrodes plated on scalp to record brain’s
electrical activity
• Alpha waves:
person is awake in quiet state 83
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• Beta waves:
intense mental activity
• Delta waves:
deep sleep
• Theta waves:
in children
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(b) (a)
Alpha waves
Beta waves
Theta waves
Delta waves
© Deep Light Productions/SPL/Photo Researchers, Inc.
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Memory
• Encoding:
- brief retention of sensory input received by
brain while something is scanned, evaluated,
and acted up
- also called sensory memory
- in temporal lobe
- lasts less than a second
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• Consolidated:
- data that has been encoded
- temporal lobe
- short term memory
• Storage:
- long term memory
- few minutes or permanently (depends on
retrieval)
• Retrieval:
how often info. is used
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88
Types of Memory
• Short-term memory:
- info. is retained for a few seconds or min.
- bits of info. (usually 7)
• Long-term memory:
can last for a few minutes or permanently
• Episodic memory:
places or events
• Learning:
utilizing past memories
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Meninges
• What are they?
protective wrapping around brain and spinal
cord
• Meningitis:
infection of meninges (bacterial or viral)
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Types of Meninges
• Dura Mater:
- superficial
- thickest layer
• Arachnoid mater:
2nd layer
• Pia mater:
- 3rd layer
- surface of brain
• Subarachnoid space:
where cerebrospinal fluid sits
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• Epidural space:
- in vertebral column between dura and vertebra
- injection site for epidural anesthesia
• Spinal block and spinal tap:
- in subarachnoid space where cerebrospinal
fluid can be removed or anesthetic inject
- numbs spinal nerves
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Cerebrum
Pia mater
Vessels in
subarachnoid space
Subarachnoid space
Arachnoid mater
Subdural space
Dura mater
Skull
Dural venous sinus
Posterior
(a)
(b) (c) Anterior
Spinous process
of vertebra
Transverse
process of
vertebra
Spinal cord
Body of
vertebra
Periosteum
Fat in
epidural
space
Dura
mater Subdural
space
Dorsal root
Denticulate
ligament
Ventral root
Pia mater
Subarachnoid
space
Arachnoid
mater
Dorsal root
ganglion
Ventral root
Spinal nerve
Dorsal root
ganglion
Pia mater
Subarachnoid
space
Dura mater
Subdural space
Arachnoid mater
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Ventricles
• What are they?
cavities in CNS that contain fluid
• Fourth ventricle:
- base of cerebellum
- continuous with central canal of spinal cord
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Lateral ventricle
(posterior horn)
Cerebral aqueduct
Fourth ventricle
Central canal
of spinal cord
Lateral view
Lateral ventricle
(inferior horn)
Third ventricle
Lateral ventricle
(anterior horn)
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95
Cranial Nerves
• 12 pair of cranial nerves
• Named by roman numerals
• 2 categories of functions: sensory and motor
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Olfactory tract
Optic chiasm
Pituitary gland
Mammillary body
Pons
Medulla
oblongata
Inferior view
Posterior
Accessory nerve (XI)
Hypoglossal nerve (XII)
Vagus nerve (X)
Glossopharyngeal
nerve (IX)
Vestibulocochlear
nerve (VIII)
Facial nerve (VII)
Abducens nerve (VI)
Trigeminal nerve (V)
Trochlear nerve (IV)
Oculomotor nerve (III)
Optic nerve (II)
Olfactory bulb (olfactory
nerve [I] enter bulb)
Anterior
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Peripheral Nervous System
• Consists of all neurons outside brain and
spinal cord
• Collects input from different sources, relays
input to CNS, and performs action
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99
Divisions of Peripheral Nervous System
1. Afferent (Sensory):
collects input from periphery and sends it to
CNS
2. Efferent (Motor):
carries processed input from CNS to effector
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100
Divisions of Efferent (Motor)
1. Autonomic:
- response is automatic (involuntary)
- controls smooth and cardiac muscles and glands
2. Somatic:
- response is voluntary
- controls skeletal muscles
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Skeletal
muscle
Autonomic
ganglion
Effector organ
(e.g., smooth muscle
of colon)
Postganglionic
neuron
(b) Spinal cord
Preganglionic
neuron
Spinal
nerve
(a) Spinal cord
Somatic
motor neuron
Spinal
nerve
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102
Divisions of Autonomic
1. Sympathetic:
– activated during times of stress
– part of fight or flight response
– prepares you for physical activity by:
- ↑ HR
- ↑ BP
- ↑ BR
- sending more blood to skeletal muscles
- inhibiting digestive tract
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103
2. Parasympathetic:
– “housekeeper”
– activated under normal conditions
– involved in digestion, urine production, and
dilation/constriction of pupils, etc.
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X
Postganglionic neuron
Preganglionic neuron
Eye
Nasal
mucosa
Lacrimal gland
Sublingualand
submandibular
glands
Parotid gland
Sympathetic
nerves
T1
Spinal
cord
Celiac
ganglion
Greater
splanchnic
nerve Superior
mesenteric
ganglion
Ciliary ganglion
III
VII
IX
Medulla
Pterygopalatine
ganglion
Submandibular
ganglion
Otic ganglion
Trachea
Lung
Heart
Liver
Stomach
Adrenal
gland Lesser
splanchnic
nerve
Spleen
Pancreas
Small
intestine
Inferior
mesenteric
ganglion
Lumbar
splanchnic
nerves
Kidney
Large
intestine
Pelvic nerve
Large intestine
S2
S3
S4 Hypogastric
ganglion
Sacral
splanchnic
nerves
Sympathetic
chain
Urinary
system
and genitalia Postganglionic neuron
Preganglionic neuron
Parasympathetic Sympathetic
L2