Central Nervous System Part, Physio and Patho

Embed Size (px)

Citation preview

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Central Nervous SystemCNS: brain and spinal cordNecessary for the maintenance of homeostasisContains 1011 neuronsContains 1014 synapsesResponsible for everything we perceive, do, feel, and think

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Glial Cells90% of CNS composed of gliaFive types of glial cellsAstrocytenumerous functionsEpendymal cellsline cavitiesMicrogliaphagocytesOligodendrocytesform myelinSchwann cells (located in PNS)form myelin

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Glial CellsFigure 9.1

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.AstrocytesDevelopment of neural connectionsPossibly modulate synaptic activityRemove neurotransmitter from synaptic cleftCommunicate to neurons through chemical messengersMaintain normal electrolyte composition of ISF in CNSProtect neurons against toxic substances and oxidative stress

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.MicrogliaProtect CNS from foreign matter through phagocytosisBacteriaDead or injured cellsProtect CNS from oxidative stress

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.CNS: Physical SupportFigure 9.2a

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.CNS: Physical SupportFigure 9.2b

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Cerebrospinal Fluid (CSF)Extracellular fluid of the CNSSecreted by ependymal cells of the choroid plexusCirculates to subarachnoid space and ventriclesReabsorbed by arachnoid villiFunctionsCushions brain Maintains stable interstitial fluid environment

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Figure 9.3cCerebral Spinal Fluid

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.CSF ProductionTotal volume of CSF = 125150 mLChoroid plexus produces 400500 mL/dayRecycled three times a day

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Blood Supply to the CNSCNS comprises 2% of body weight (34 pounds)Receives 15% of blood supplyHigh metabolic rateBrain uses 20% of oxygen consumed by body at restBrain uses 50% of glucose consumed by body at restDepends on blood flow for energy

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.High Demand for BloodDepends on aerobic glycolysisRequires glucose and oxygenNo glycogen storesFatty acids not used for energy Ketones used during extreme conditions

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.StrokeCaused by decreased blood supplyOcclusion of cerebral blood vesselHemorrhage from cerebral blood vessel

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Blood-Brain BarrierCapillariesSites of exchange between blood and interstitial fluidBlood-brain barrierSpecial anatomy of CNS capillaries which limit exchange

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Blood-Brain BarrierFigure 9.4b

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.CNS: Gray and White MatterFigure 9.5a

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.White Matter in BrainProjection fibersCerebral cortex with lower levels of brain or spinal cordAssociation fibers Connect two areas of cerebral cortex on same side of brainCommissural fibers Connect same cortical regions on two sides of brainCorpus callosum Primary location of commissural fibers

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.CNS: Gray and White MatterFigure 9.5bc

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.II. Spinal CordCylinder of nerve tissueContinuous with brainSurrounded by vertebral columnOrigin of spinal nerves (31 pairs)

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Spinal CordFigure 9.6

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.DermatomeSensory region of skinEach served by spinal nerve

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.DermatomeFigure 9.7

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Spinal Cord and Spinal NervesGray matter: functional halvesDorsal: sensory functionsVentral: motor functionsSpinal nerves are mixedWhite matter forms tractsAscendingDescending

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Spinal Cord: Cross SectionFigure 9.8

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Spinal Cord: TractsFigure 9.9

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Spinal Cord: Ascending TractsFigure 9.10a

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Spinal Cord: Descending TractsFigure 9.10b

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.BrainFigure 9.11ab

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Figure 9.11cMidbrainSpinal cordPonsMedulla oblongataForebrainCerebrumThalamusHypothalamusPituitary glandBrainstemDiencephalonCerebellumCorpus callosum(c)Midsagittal sectionBrain: Midsagittal View

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Premotor cortex(coordinatesvoluntarymovements)Primary somatosensorycortex (somesthetic sensationsand proprioception)Sensory associationareas (integration ofsensory information)Primary motor cortex(voluntary movement)Central sulcusPrefrontalassociationareas (idea andplan for voluntarymovement, thoughts,personality)Brocas area(speech formation)Limbic associationcortex (emotions,learning, and memory)Olfactory cortex(smell)Visual associationareas (higher visionprocessing)Wernickes area(languagecomprehension)AuditoryassociationareasPrimary auditorycortex (hearing)Primary visual cortex(vision)Functional Areas of CerebrumFigure 9.14Functional Areas of Cerebrum

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Topographical Organization: MotorFigure 9.15b

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Topographical Organization: SensoryFigure 9.15a

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.The Limbic SystemFigure 9.17

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Functions of Limbic SystemLearningEmotionsBehavior

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.ReflexesAutomatic patterned response to a stimulus

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Classes of ReflexesTable 9.3

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Reflex ArcFigure 9.18

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Stretch ReflexFigure 9.19

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.

  • Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.Withdrawal and Crossed-Extensor ReflexesFigure 9.20

    Copyright 2008 Pearson Education, Inc., publishing as Benjamin Cummings.