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The Brain and Cranial Nerves Melissa Gonzales McNeal 1 The Brain and Cranial Nerves 1 Lecture Overview • Brain – Function – Organization – Protection and support – Brain Regions - Anatomy – Brain regions - Physiology • Location Associated structures • functions – Limbic system Cranial Nerves 2 Brain Spinal Cord Central Nervous System Affterent Nerves Efferent Nerves Cranial Nerves Affterent Nerves Efferent Nerves Spinal Nerves Structural Classification Affterent Nerves general senses Efferent Nerves skeletal muscle Somatic Nervous System Affterent Nerves visceral Sympathetic Division Parasympathetic Division Efferent Nerves smooth muscle cardiac muscle glands Autonomic Nervous System Functional Classification Peripheral Nervous System NERVOUS SYSTEM 3 Functions of Brain Integration center – Registers sensations – Correlates sensations with one another and with stored information – Makes decisions – Initiates taking action Center for intellect, emotions, behavior, memory Directs behavior towards others 4

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Page 1: Functions of Brain - Hershey Bear Integrated/Brain/NS brain... · –Association tracts: same hemisphere –Commissures: between hemispheres –Projection tracts: ascending and descending

The Brain and Cranial Nerves

Melissa Gonzales McNeal 1

The Brain and Cranial Nerves1

Lecture Overview

• Brain

– Function

– Organization

– Protection and support

– Brain Regions - Anatomy

– Brain regions - Physiology

• Location

• Associated structures

• functions

– Limbic system

• Cranial Nerves2

Brain Spinal Cord

Central

Nervous System

Affterent Nerves Efferent Nerves

Cranial Nerves

Affterent Nerves Efferent Nerves

Spinal Nerves

StructuralClassification

Affterent Nerves

general senses

Efferent Nerves

skeletal muscle

Somatic

Nervous System

Affterent Nerves

visceral

SympatheticDivision

ParasympatheticDivision

Efferent Nerves

smooth muscle

cardiac muscle

glands

Autonomic

Nervous System

Functional Classification

Peripheral

Nervous System

NERVOUS SYSTEM

3

Functions of Brain

• Integration center

– Registers sensations

– Correlates sensations with one another and with stored information

– Makes decisions

– Initiates taking action

• Center for intellect, emotions, behavior, memory

• Directs behavior towards others4

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 2

An Introduction to the

Organization of the Brain

5 6

7

Protection and Support

of the Brain

8

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 3

Protection of Brain

• Cranial bones

• Cranial meninges

– Dura mater

• Periosteal layer

– Dural sinuses

» Superior sagittal sinus

• Meningeal layer

– Subdural space

– Arachnoid mater

– Subarachnoid space• Arachnoid villi (arachnoid granulations)

– Pia mater 9 10

A

B

CDE pink line

FG

H

I purple

space

Can you identify the

structures / regions (A-I)?

11 12

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 4

13Dura Mater

14

Pia Mater 15

Fluid and ventricles

• Ventricles

– Lateral ventricles

• Septum pellucidum

• Interventricular foramen (foramen of monroe)

– Third ventricle

• Cerebral aqueduct

– Fourth ventricle

• Lateral and median apertures

– Choroid plexus

16

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Melissa Gonzales McNeal 5

Ventricles of the Brain

17 18

19 20

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 6

• Can you trace a drop of CSF from the right

ventricle to the superior sagittal sinus?

– Be sure to list all structures it passes through

21

Cerebrospinal Fluid

• Protection: cushions neural structures

• Buoyancy: supports the brain

• Chemical stability: transports

– Nutrients

– Chemical messengers

– Waste products

22

Cerebrospinal

Fluid

23

You produce ~500 ml/day.

The total volume of CSF is

replaced about every 8

hours.

• Jack has stenosis of the left interventricular

foramen….

– Where would there be fluid and pressure build

up?

24

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 7

Hydrocephalus25

26

Lots of blood vessels…

• Brain is about 2% of

your total body

weight.

• It utilizes ~20% of

ALL oxygen inhaled.

• Remember O2 is

used to make ATP.

27

The brain is the most metabolically

active organ in the body

Blood Brain

Barrier

Areas where the blood

brain barrier is not

intact:

• Portions of

hypothalamus

• Posterior pituitary

gland

• Pineal gland

• Choroid plexus

Brain vulnerable to

infection

Ex: HIV28

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 8

Brain Regions

ANATOMY

29

Major Brain Regions

• Brain Stem

– Medulla oblongata

– Pons

– Midbrain

• Cerebellum

• Diencephalon

– Thalamus

– Hypothalamus

– Epithalamus

• Cerebrum 30

31 32

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33

Brain Stem

• Medulla oblongata

• Pons

• Midbrain

– Superior colliculi

– Inferior colliculi

– Red nucleus

– Substantia nigra

34

35 36

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 10

37

Cerebellum

• Cerebellar hemispheres

• Arbor vitae

• Cerebellar cortex

38

39 40

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 11

41

Diencephalon

• Thalamus

• Hypothalamus

– Pituitary gland

– Mammillary bodies

– Optic chiasm

• Epithalamus

– Pineal gland (body)

42

43 44

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 12

45 46

47

Cerebrum

• Left and right cerebral hemispheres

– Cerebral cortex

– White matter

• Mostly myelinated axons

– Association tracts: same hemisphere

– Commissures: between hemispheres

– Projection tracts: ascending and descending

• Corpus callosum

– Nuclei

• Basal ganglia

48

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 13

49 50

51 52

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 14

53

Cerebrum

• Lobes

– Frontal lobe

– Parietal lobe

– Occipital lobe

– Temporal lobe

• Hippocampus

• Folds and grooves

– Precentral gyrus

– Postcentral gyrus

– Central sulcus

– Lateral sulcus

– Logitudinal fissure

– Transverse fissure 54

55 56

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Melissa Gonzales McNeal 15

57 58

Brain Regions

PHYSIOLOGY (FUNCTION)

59

Brain Stem

60

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 16

THE MEDULLA OBLONGATA61

Medulla -

“vital signs”

• Cardiac center

• Vasomotor centers

• Respiratory centers

• Reflex centers (cough, sneeze, swallow, vomit)

• Sensory and motor nuclei for cranial nerves

(VIII, IX, X, XI, XII)

• Relay stations along sensory and motor

pathways

62

63

THE PONS

Pons

• Respiratory centers

• Sensory and motor nuclei for cranial nerves (V, VI, VII, VIII)

• Relay information to and from cerebellum64

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 17

THE MIDBRAIN65

Midbrain (Mesencephalon)

66

The Midbrain (Mesencephalon)

• Superior colliculi: receives visual input

– Visual reflex movement

• Inferior colliculi: receives auditory data

– Auditory reflex movement

• Red nucleus

– Righting reflexes

• Nuclei for cranial nerves (III and IV)

• Substantia nigra…

67

Substantia Nigra

• Movement and balance

• Cells produce dopamine

– Acts on other neurons to control/regulate their firing.

• Parkinson’s Disease

68A B

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The Brain and Cranial Nerves

Melissa Gonzales McNeal 18

BRAINSTEM

RETICULAR FORMATION

69

Reticular Formation

• Network of gray matter in brainstem

– Ascending (RAS) and descending components

• ~ 25 specific behaviors

– Somatic motor control

• Adjust muscle tension for muscle tone, balance, and posture

• Central pattern generators

– breathing, chewing, swallowing

– Pain modulation (neuropeptides)

– Cardiovascular control

– Sleep and consciousness– Sleep, alertness, fatigue, motivation

– Habituation

• Attention, focus70

Reticular Formation

• Possibly involved with

– Introversion versus extroversion

– Chronic fatigue syndrome

– ADHD (attention deficit hyperactive disorder)

• Oldest portion of brain

71THE CEREBELLUM

Extensive dendrites of each

neuron receive input from up to

200,000 synapses

72

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Melissa Gonzales McNeal 19

The Cerebellum• Adjusts postural muscles of body

– Uses information provided by receptors in inner ear

• Programming and fine-tuning movements

controlled at conscious and subconscious levels– Trajectory and end

point

– What muscles should

be doing vs what

they are doing

– Sends corrective

feedback via

thalamus

• Alcohol impairs 73THE DIENCEPHALON

74

Hypothalamus

• Part of limbic system: involves emotional response

– Somatic motor patterns associated with rage, pleasure, pain, sexual arousal

• Behavioral drives: hunger, food intake, thirst

• Controls autonomic function

• Coordination of nervous and endocrine systems

• Secretion of hormones

– Oxytocin, antidiuretic hormone (ADH), plus others that control the pituitary gland

• Regulation of body temperature

• Controls circadian rhythms

• Memory75 76

Thalamus• Suppresses “unimportant

conscious sensation

• Integrates sensation

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Melissa Gonzales McNeal 20

THE CEREBRUM77

The corpus callosum

contains about 200 million

neuron fibers

Corpus Callosum

• Band of nerve fibers

that connect the

right and left

hemispheres

• Corpus Callosotomy

– “split-brain surgery”

78DIFFUSE AXONAL INJURY

Due to Motor Vehicle Accident

Basal Nuclei (Ganglia)

• Subconscious aspects of

voluntary movement

− Ex: shoulder position

and arm stabilization

when writing

• Huntington’s Chorea

•Caudate nucleus

•Putamen

•Globus pallidus

•Amygdala

•Substantia nigra

79

Hippocampus

A memory forming

center in the

temporal lobe80

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81

Functional

areas of

cerebral cortex

– Motor areas• Primary motor cortex

• Broca’s speech area - left hemisphere

– Sensory areas• Primary somatosensory cortex

• Primary auditory cortex

• Primary gustatory cortex

• Primary olfactory cortex

• Primary visual cortex

– Association areas• Premotor cortex (motor association area)

• Somatosensory association area

• Somatosensory visual areas (visual association area)

• Somatosensory auditory areas (auditory association area)

– Integrative centers

• Wernicke’s area - left hemisphere

• Prefrontal cortex

• Frontal eye field 82

Ex: musician

Ex: biceps brachii Ex: pain in thumb

Ex: paper cut, pocket

83

Ex: red and green

Ex: rose or stop light

84

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Melissa Gonzales McNeal 22

Broca’s

Wernicke’s

Language comprehensionThought the precedes speech

Damage

- sit on chair – unable to follow the command

- Unable to produce meaningful sentences

Ex: reading, sports

Cannot physically form wordsAphasia – still able to understand written/spoken work

IntellectComplex learning

Recall

Temporal relationships

Personality

Judgment

Consequences

85

???1. Prim older woman stripping in public

2. Tiger Woods (professional golfer)

3. Translator who speaks English, French, and

Japanese

4. Congenitally blind person reading Braille

5. Concert pianist who was in a car accident. She

can still physically play the piano but cannot

remember how.

A. Which Functional Region(s) are involved?

B. Well developed or damaged (disease or trauma)?86

87 88

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89 90

A

B

C DH

EF

G

I

J

K

Identify the

functional

areas: A-K

91

Phineas Gage

1848 92

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Melissa Gonzales McNeal 24

???

Primary motor cortex

Premotor cortex

Basal ganglia

Cerebellum

Reticular formation

• What specific brain regions are involved in

walking?

93

Higher Order Functions

• Cerebral cortex involved

• Involve both conscious and subconscious

information processing

• Subject to modification and adjustment over

time

94

LIMBIC SYSTEM

95

Limbic System

• Emotional brain

– Motor responses to emotion

– Control and expression of emotions

– Important roles in personality

• Facilitates memory storage and retrieval

• Associations with reward/pleasure and

punishment/aversion

96

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Melissa Gonzales McNeal 25

Limbic System

• Major structures

– Prefrontal cortex

– Hippocampus

– Thalamus

– Hypothalamus

• Mammillary bodies

– Amygdala

– Basal nuclei

97

MEMORY

Information from

• Ch 12 pgs 471-473

• Ch 14

98

Memory

• Memories: stored bits of information gathered

through experience

– Memory trace (engram): pathway in brain where

new synapses were formed or modified

• Synaptic plasticity: ability of synapses to

change

• Types

– Fact (declarative) memory: specific bit of

information

– Skill (procedural) memory: learned motor behavior99

Memory• Classes

– Immediate memory

• A few seconds

• Based on reverberating circuits

– Short term (primary) memories / working memory

• Seconds to hours

• Reverberating circuits or facilitated synapses

• Limited amount of information can be stored

– Long term memories

• Secondary memories: fade with time

• Tertiary memories: remain for a lifetime

• Memory consolidation: conversion from short term to

long term memory

– Hippocampus 100

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101 102

When I study matters?!?

Memory

Formation and storage

• Increased neurotransmitter release

• Facilitation at synapses

– Potentiation

– build up of ca2+ in synaptic end bulb causes

larger burst of neurotransmitter release

• Formation of additional synaptic

connections or neurotransmitter receptors103

???

• Symptoms include

– Short term

memory loss

– Changes in

personality

• What brain

regions are

affected and why?104

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Melissa Gonzales McNeal 27

CONSCIOUSNESS AND SLEEP

Dreaming permits each of and every one of us to be quietly

and safely insane every night of our lives

--William C. Dement

105

States of Consciousness• Conscious: awareness of and attention to

external stimuli

• Unconscious

– Sleep

• Deep sleep: cerebral cortex activity minimum

• Rapid eye movement (REM): dreaming, less receptive than deep sleep

– Coma

• Arousal: awaking from sleep

– Reticular activating system

• Alertness

• focus 106

Brain Waves

• Beta waves

– Mental activity and sensory stimulation

• Alpha waves

– Awake and resting with eyes closed

• Theta waves

– Children

– Drowsy or sleeping adults

• Delta (slow) waves

– Infants

– Deep sleep in adults 107

Sleep

• 4 stages of non-REM sleep

– Stage 1: relaxation, light sleep, alpha waves

– Stage 2: brain waves slow down

– Stage 3: theta and delta waves appear, vital

signs fall

– Stage 4: deep sleep

• Delta waves

• Decreased metabolism, decreased temperature

• Restorative sleep

• Difficult to wake108

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Melissa Gonzales McNeal 28

Sleep

• REM (rapid eye movement)

– Increased HR, BP, O2 consumption

– Brain activity begins in pons and midbrain

• Turns off motor neurons (temporary paralysis)

• Strongly activate inhibitory center in medulla

• Deepest stage (hardest to awaken)

– Thalamus

– Cerebral cortex

– Reticular formation

• Dreaming occurs in stage 4 and REM109

Cranial Nerves

110

Brain Spinal Cord

Central

Nervous System

Affterent Nerves Efferent Nerves

Cranial Nerves

Affterent Nerves Efferent Nerves

Spinal Nerves

Structural

Classification

Affterent Nerves

general senses

Efferent Nerves

skeletal muscle

Somatic

Nervous System

Affterent Nerves

visceral

Sympathetic

Division

Parasympathetic

Division

Efferent Nerves

smooth muscle

cardiac muscle

glands

Autonomic

Nervous System

Functional Classification

Peripheral

Nervous System

NERVOUS SYSTEM

111

Cranial Nerves

12 pairs – for each you need to know

Name and number

Sensory*, motor*, mixed (both)

General function

112* Predominately sensory or motor

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Melissa Gonzales McNeal 29

Olfactory Nerve I

• Sensory

• Smell

113

Optic Nerve II

• Sensory

• Vision

114

Oculomotor Nerve III

• Motor

• Moves eyeball

• Raises upper lid

• Constricts pupil

115

Trochlear Nerve IV

• Motor

• Moves eyeball

116

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Trigeminal Nerve V

• Mixed

• Sensory information

• Face, scalp, teeth

• Motor instructions

• Mastication

117

Abducent Nerve VI

Abducens

• Motor

• Moves eyeball

118

Facial Nerve VII

• Mixed

• Sensory information• Face• Taste

• Motor instructions• Scalp and face• Lacrimal glands• Salivary glands• Glands nose and

throat119

Vestibulocochlear Nerve VIII

Acoustic, Auditory, Stato-acoustic

• Sensory

• Vestibular• Balance• Orientation and head movement

• Cochlear• Hearing

120

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Glossopharyngeal Nerve IX

• Mixed

• Sensory information• Blood pressure • Dissolved gases

• Motor instructions• Salivary glands• Swallowing

121

Vagus Nerve X

• Mixed

• Larynx• Esophagus • Bronchial tubes• Heart• Stomach• Intestines• Pancreas

122

Accessory Nerve XI

• Motor

• Muscles of neck and upper back

• Speech 123

Hypoglossal Nerve XII

• Motor

• Movement of tongue

124

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Memory Devices

• Cranial nerve names

– Old Opie occasionally tries trigonometry and

feels very gloomy vague and hypoactive

– on occasion our trusty truck act funny, very

good vehicle any how

• Cranial nerve functions

– Some say marry money but my brother says big

brains matter more

125