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10/4/18 1 Copyright © 2016 by Elsevier Inc. All rights reserved. Nervous System Chapter 23 1 Copyright © 2016 by Elsevier Inc. All rights reserved. Introduction Nervous system uses transmitted electrical signals called impulses to relay messages and to stimulate change Body’s master communication and regulating system Every thought, action, and sensation reflects nerve activity 2 Copyright © 2016 by Elsevier Inc. All rights reserved. Anatomy Brain Spinal cord Cranial and spinal nerves Sense organs Neurotransmitters 3 Copyright © 2016 by Elsevier Inc. All rights reserved. Physiology Sensory input Interpretive functions Motor output Higher mental functioning and emotional responsiveness 4 Copyright © 2016 by Elsevier Inc. All rights reserved. Central Nervous System Interprets sensory information Issues instructions in the form of motor responses Governs thoughts and emotional responses Surrounded by bones of skull and spinal column 5 Copyright © 2016 by Elsevier Inc. All rights reserved. Major Components of the Central Nervous System Brain Spinal cord Meninges Cerebrospinal fluid (CSF) 6

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Page 1: Physiology D Nervous Student - Irene's · 10/4/18 2 Copyright © 2016 by Elsevier Inc. All rights reserved. Peripheral Nervous System •Cranial nerves: Exit brain •Spinal nerves:

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Copyright © 2016 by Elsevier Inc. All rights reserved.

Nervous System

Chapter 23

1 Copyright © 2016 by Elsevier Inc. All rights reserved.

Introduction

• Nervous system uses transmitted electrical signals called impulses to relay messages and to stimulate change

• Body’s master communication and regulating system

• Every thought, action, and sensation reflects nerve activity

2

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Anatomy

• Brain• Spinal cord• Cranial and spinal nerves• Sense organs• Neurotransmitters

3 Copyright © 2016 by Elsevier Inc. All rights reserved.

Physiology

• Sensory input• Interpretive functions• Motor output• Higher mental functioning and

emotional responsiveness

4

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Central Nervous System

• Interprets sensory information⎼ Issues instructions in the form of motor

responses• Governs thoughts and emotional

responses• Surrounded by bones of skull and spinal

column

5 Copyright © 2016 by Elsevier Inc. All rights reserved.

Major Components of the Central Nervous System

• Brain • Spinal cord• Meninges• Cerebrospinal fluid (CSF)

6

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Peripheral Nervous System

• Cranial nerves: Exit brain• Spinal nerves: Exit spinal cord• Subdivisions of PNS are:

⎼ SNS: Voluntary (responses consciously controlled)

⎼ ANS: Involuntary • ANS contains sympathetic and

parasympathetic divisions

7 Copyright © 2016 by Elsevier Inc. All rights reserved.

Cells of the Nervous System

• Nervous system made up of billions of cells

• Two types: ⎼ Neurons⎼ Neuroglia

8

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Neuroglia

• Supports, protects, and insulates neurons

• Smaller and more numerous than neurons⎼ Makes up more than 50% of CNS

9 Copyright © 2016 by Elsevier Inc. All rights reserved.

Neuroglia

• Glial cells in CNS are:⎼ Astrocytes⎼ Microglia⎼ Oligodendrocytes

• Glial cells in PNS are:⎼ Schwann cells⎼ Satellite cells

10

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Neurons

• Impulse-conducting cells • Properties include:

⎼ Excitability: Converts stimulus into impulse⎼ Conductibility: Transmits impulses to

neurons, muscles, and glands⎼ Secretion: Secretes neurotransmitters

11 Copyright © 2016 by Elsevier Inc. All rights reserved.

Parts of a Neuron

• Cell body⎼ Contains nucleus and other organelles

• Dendrite⎼ Transmits impulses to cell body

• Axon⎼ Transmits impulses away from cell body

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Myelin

• Insulation• Speed conduction

13 Copyright © 2016 by Elsevier Inc. All rights reserved.

Functional Classification of Neurons

• Afferent (sensory): Carry impulses to CNS

• Efferent (motor): Carry impulses from CNS to muscles or glands

• Interneurons (association): Carry impulses between sensory and motor neurons and perform integrative functions

14

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Connective Tissue Layers of Nerves

• Epineurium⎼ Outer layer around entire nerve

• Perineurium⎼ Surrounds fascicles

• Endoneurium ⎼ Surrounds individual neurons and their

extensions

15 Copyright © 2016 by Elsevier Inc. All rights reserved.

Nerve Impulses

• Electrical signals that convey information along neurons

• Action potential• Change in the electrical charge of a cell

membrane ⎼ Needed to conduct an impulse⎼ Caused by movement of charged particles

(ions)

16

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Sodium-Potassium Pump

• Produces and maintains polarization• Pumps ions in opposite directions at an

unequal rate• Ions are:

⎼ Sodium (Na+)⎼ Potassium (K+)

17 Copyright © 2016 by Elsevier Inc. All rights reserved.

All-or-None Response

• Impulse is conducted along entire neuron at maximum capacity⎼ No fluctuations or decrease in magnitude

• Impulse continues until it reaches end of neuron

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Refractory Period

• Inability of a neuron to conduct another impulse ⎼ Essentially, a neuron's unresponsive

period

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Synapse

• Junction between:⎼ Neuron and neuron⎼ Neuron and muscle⎼ Neuron and gland

• Impulses are transmitted across synapse by with help of neurotransmitters

20

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Synaptic Structures

• Synaptic bulbs ⎼ Located at end of axon⎼ Contain neurotransmitters

• Synaptic gap (cleft)⎼ Space between synaptic bulb and plasma

membrane

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Neurotransmitters

• Chemical messengers involved in synaptic transmission

• Stored in vesicles of presynaptic neuron• Can be excitatory or inhibitory

22

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Examples of Neurotransmitters

• Acetylcholine is most common• Epinephrine and norepinephrine• Serotonin• Dopamine• Endorphins

23 Copyright © 2016 by Elsevier Inc. All rights reserved.

Central Nervous System

• Brain and spinal cord• Protected by

⎼ Skull ⎼ Vertebral column⎼ Meninges⎼ Cerebrospinal fluid (CSF)

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Brain

• It interprets sensory information and governs intellectual activity, consciousness, memories, and emotions

• Uses glucose as an energy source⎼ Cerebrum⎼ Diencephalon⎼ Cerebellum ⎼ Brainstem

25 Copyright © 2016 by Elsevier Inc. All rights reserved.

Cerebrum

• Largest area of brain• Language centers interpret

written/spoken words as well as speech• Cerebral cortex covers outer region of

cerebrum⎼ Sulci and gyri separate cerebrum into

lobes

26

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Cerebral Hemispheres

• Cerebrum contains right and left hemispheres ⎼ Research indicates they possess

specialized functions• Longitudinal fissure

⎼ Separates hemispheres• Corpus callosum

⎼ Transverse fibers connecting hemispheres

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Hemispheric Specialization

• Left hemisphere

⎼ Language: Receptive and expressive

⎼ Governs many mathematical abilities, as

well as reasoning and analytical skills

• Right hemisphere specializes in sounds

⎼ Melodies

⎼ Art

⎼ Emotional expression

⎼ Spatial relationships

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Cerebral Lobes

• Frontal lobe⎼ Motor function⎼ Personality/mood⎼ Intellect ⎼ Speech

• Parietal lobe⎼ Sensation ⎼ Speech⎼ Understanding

29 Copyright © 2016 by Elsevier Inc. All rights reserved.

Cerebral Lobes

• Temporal lobe⎼ Auditory ⎼ Naming⎼ Memory

• Occipital lobe⎼ Vision ⎼ Whole object integration

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Brain Waves and States of Consciousness

• Consciousness: Degree of mental alertness and responsiveness

• Levels of consciousness recorded as brain wave patterns⎼ Beta⎼ Alpha⎼ Theta⎼ Delta

31 Copyright © 2016 by Elsevier Inc. All rights reserved.

Brain Wave Patterns

• Beta⎼ Wakeful consciousness and mental activity⎼ High-intensity waves are associated with

extreme stress• Alpha

⎼ Awake and relaxed

32

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Brain Wave Patterns

• Theta⎼ Drowsiness and dreamlike awareness,

subconscious, out-of-body experiences• Delta

⎼ Deep sleep from which the subject is not easily aroused

33 Copyright © 2016 by Elsevier Inc. All rights reserved.

Diencephalon

• Located in center of brain• Contains two primary structures:

⎼ Thalamus ⎼ Hypothalamus

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Thalamus and Hypothalamus

• Thalamus

⎼ Relays sensory information (except

olfaction) to appropriate parts of cerebrum

• Hypothalamus

⎼ Regulates ANS

⎼ Controls hunger and thirst, anger and

aggression, hormones, sexual behavior,

and sleep patterns

35 Copyright © 2016 by Elsevier Inc. All rights reserved.

Cerebellum

• Located posterior and inferior to cerebrum⎼ Concerned with muscle tone⎼ Coordinates complex muscular movements⎼ Regulates posture and balance

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Brainstem

• Vegatative function• Continuous with spinal cord • Three divisions:

⎼ Midbrain⎼ Pons⎼ Medulla oblongata

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Midbrain and Pons

• Midbrain⎼ Conducts nerve impulses from cerebrum to

pons ⎼ Conducts sensory impulses from spinal

cord to thalamus• Pons

⎼ Connects cerebellum and cerebrum with spinal cord

38

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Medulla Oblongata

• Transmits sensory and motor impulses between brain and spinal cord

• Contains: ⎼ Respiratory center⎼ Cardiovascular center⎼ Vasomotor center

39 Copyright © 2016 by Elsevier Inc. All rights reserved.

Spinal Cord

• Exits skull via foramen magnum • Integrating center and information

highway• Cauda equina

⎼ Lower portion of cord fans out like a horse tail

40

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Spinal Cord

• Cross section reveals:⎼ White matter: Located on periphery⎼ Gray matter: Located in deeper regions

• H-shaped

• Central canal⎼ Center of spinal cord; contains circulating

CSF

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Spinal Cord: Tracts

• Two types: ⎼ Ascending

• Sensory (afferent) impulses travel up cord⎼ Descending

• Motor (efferent) impulses travel down cord

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Meningeal Layers

• Pia mater⎼ Innermost delicate layer⎼ Attaches to surface of CNS

• Arachnoid⎼ Middle layer; forms loose covering around

CNS• Dura mater

⎼ Outermost dense layer; lies against bones of CNS

43 Copyright © 2016 by Elsevier Inc. All rights reserved.

Cerebrospinal Fluid

• Fluid circulating around brain and spinal cord

• Functions include:⎼ Supplies oxygen and nutrients to tissues of

brain and spinal cord⎼ Removes metabolic waste during sleep⎼ Acts like a shock absorber

44

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Peripheral Nervous System

• Cranial nerves⎼ Arise from inferior surface of brain⎼ 12 pairs

• Spinal nerves⎼ Arise from spinal cord ⎼ 31 pairs

45 Copyright © 2016 by Elsevier Inc. All rights reserved.

Cranial Nerves

• CN I: Olfactory - smell• CN II: Optic - sight• CN III: Oculomotor - eye movement• CN IV: Trochlear - eye movement• CN V: Trigeminal - face sensation and

chewing • CN VI: Abducens - eye movement • CN VII: Facial - facial expression

46

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Cranial Nerves

• CN VIII: Vestibulocochlear - hearing and equilibrium

• CN IX: Glossopharyngeal - oral sensation, taste and salivation

• CN X: Vagus - 90% of parasympathetic nervous system

• CN XI: Accessory (spinal accessory) -trapezius and SCM

• CN XII: Hypoglossal - tongue movement47 Copyright © 2016 by Elsevier Inc. All rights reserved.

Spinal Nerves

• 31 pairs⎼ 8 cervical nerves ⎼ 12 thoracic nerves⎼ 5 lumbar nerves⎼ 5 sacral nerves⎼ 1 coccygeal nerve

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Structure of Spinal Nerves

• Part of spinal nerve that connects to spinal cord

• Two types:⎼ Ventral (anterior)

• Contains motor neurons⎼ Dorsal (posterior)

• Contains sensory neurons

49 Copyright © 2016 by Elsevier Inc. All rights reserved.

Ganglion

• Cluster of nerve cell bodies • Ventral and dorsal roots merge to form

a single nerve

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Nerve Plexuses

• Network of intersecting nerves in PNS• Major plexuses:

⎼ Cervical⎼ Brachial⎼ Lumbosacral

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Dermatomes

• Area of skin supplied by specific sensory nerve root

• Dermatomes are named by their corresponding nerve

• Distribution called a dermatome map⎼ Each map has its own variations

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Myotomes

• Group of skeletal muscles supplied by specific motor spinal nerve root

• Distribution is called a myotome map• Sometimes used in muscle tests

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Reflexes

• Involuntary and predictable• Cranial reflex means the brain mediated

the reflex⎼ Primitive reflexes may reappear in people

with dementia• Spinal reflex means the spinal cord

mediated the reflex

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Autonomic Nervous System

• Innervates cardiac and smooth muscles/glands, thus regulating:⎼ Heart and respiration rates⎼ Blood circulation⎼ Body temperature⎼ Gastrointestinal activity and metabolism

• Two divisions: ⎼ Sympathetic and parasympathetic

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Dual Innervation

• Innervated by both sympathetic and parasympathetic divisions

• Some have only sympathetic innervation ⎼ Example: Adrenal glands

• Some have only parasympathetic innervation ⎼ Example: Lacrimal apparatus

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Parasympathetic Division

• Supports functions that conserve and restore energy

• Regulates digestion⎼ "Housekeeping" division

• Nerves emerge from the brainstem and sacrum

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Sympathetic Division

• Dominates during physical exertion or emotional stress⎼ Effects include raises in heart rate, blood

pressure, and respiration• Suppresses activity of the digestive and

urinary systems• Also called the thoracolumbar division

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Touch

• Many different types of many receptors, such as: ⎼ Pressure⎼ Movement⎼ Temperature⎼ Nociception and pain perception

59 Copyright © 2016 by Elsevier Inc. All rights reserved.

Taste

• Chemoreceptors activated when a molecule from a particular size and shape fits into a particular receptor site

• Five primary tastes:⎼ Salty⎼ Sweet⎼ Bitter⎼ Sour⎼ Savory

• Strongly influenced by smell60

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Smell

• Olfaction: Sense of smell• Scent receptors located in superior

nasal cavity⎼ Molecules fit into receptor sites;

information travels into olfactory bulb and the brain

• Plays important role in sexual behavior

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Vision

• Photoreceptors transmit visual information and send to retina

• Rods are active in dim light, responsible for night vision

• Cones are active in bright light, specialized for detecting color

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Hearing

• Mediated by mechanoreceptors ⎼ Detect sound waves and vibrations

• Sound waves vibrate tympanic membrane, causing it to vibrate⎼ Transmitted through three small bones in

middle ear• Oval window covers opening to cochlea

⎼ Sound waves travel until they reach brain

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Balance and Equilibrium

• Fluid-filled canals contain mechanoreceptors that resemble hair⎼ These cells move when we move⎼ Information is sent along nerves, notifying

brain of body movements

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Receptors

• Respond to stimuli by creating a nerve impulse⎼ Our bodies avert harm and seek nourishment

• Specific receptors generally detect specific stimuli

• Perception: Organization, identification, and interpretation of sensory information

• Adaptation: Decrease in sensitivity to prolonged stimulus

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Proprioceptors

• Found in muscles, joints, fascia, and ears

• Detect body movements, body position, and muscle stretch

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Receptors Classified by Type of Stimuli Detected

• Chemoreceptors detect chemical stimuli or changes in chemical concentrations of fluids

• Nociceptors detect noxious stimuli, such as excessive heat and cold or tissue damage

• Mechanoreceptors detect mechanical stimuli

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Muscle Spindles

• Stretch receptors wrapped around intrafusal fibers

• Monitor changes in muscle length and rate of change

• Cause reflexive contraction when muscles are overstretched

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Golgi Tendon Organs

• Activated by muscle tension • Located at musculotendinous junctions• If tension is too great, motor efferent

neurons are inhibited ⎼ Causes inverse stretch reflex

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