14/10/20151 control systems central nervous system (brain and spinal cord)

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Page 1: 14/10/20151 Control Systems Central Nervous System (Brain and Spinal Cord)

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Control Systems

Central Nervous System(Brain and Spinal Cord)

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21/04/23 [email protected]

AIMS

• To provide learners with an overview of the principal anatomy and related physiology of the central nervous system – the brain and the spinal cord.

BRAIN + SPINAL CORD

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Outcomes

Learners will be able to describe:

the principal anatomy and related physiology of the central nervous system – the brain and the spinal cord.

Microsoft clip art

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Brain functions

Keeps the basic, body functions such as heart beat rate, breathing rate and temperature control ticking over, without us having to think about it.

It also allows us to decide to do things like running and walking and many more complex tasks. It is where our personalities and moods and emotions come from.

Microsoft clip art

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Brain Overview Makes up about one-fiftieth of the body's

weight

Protected by the skull and by membranes called the meninges.

(Think of meningitis - the illness that results from an infection of the meninges).

Cerebrospinal fluid bathes the outside of the brain and fills the ventricles. - PROTECTIVE

The brain receives signals from inside and outside the body. RECEPTIVE

The human brain is thought to contain ten billion (1010) neurones - about the same number as the stars in our Galaxy. – IMMENCE POTENTIAL

Each neurone may be in contact with a thousand other cells, providing an immense number of different communication routes. -VAST COMMUNICATION ABILITY

Microsoft clip art

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Brain Lobes- Functions (1)

The brain is divided

anatomically into

3 main structures: 1. The cerebrum.

1. Frontal Lobe2. Parietal Lobe3. Temporal Lobe4. Occipital Lobe

2. The cerebellum.

3. The brainstem.

Functions: e.g.Hearing- Wernicke’s area - AuditorySpeech – Broca’s area

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Cerebral Cortex – uppermost part of the

hemispheres

(Cortex means "bark" in Latin.) [ Grey Matter] 2/3rd of the brain.

(unmyelinated neurones process motor and sensory functions- communicate with cortical areas. Also with other brain areas via underlying myelinated fibres (white matter)

This surface is made up of gyri and sulci- Lumps and grooves

(surface area.)

.

http://en.wikipedia.org/wiki/Cerebral_cortexAccessed 25/10/12

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A fold in the Dura

mater

Albert Kok at http://en.wikipedia.org/wiki/File:Gyrus_sulcus.png (24/10/12)

Depressions and Furrows

Right and left HemisphereCommunication

http://serendip.brynmawr.edu/bb/kinser/Size1.html

Compare relative size re smooth appearance of squirrel brain v gyri and

sulci of human brain

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Ventricles of the Brain

Filled with cerebrospinal fluid (CSF)- bathes and cushions brain /spinal cordCSF is produced in the choroid plexus (CP).

The CP is made up of capillaries, separated from the ventricles by specialised epithelial cells. Plasma filters through these cells from blood to become cerebrospinal fluid. Active transport takes substances in and out of the newly formed CS.

CP epithelial layer has tight junctions in between the cells on the side facing the ventricle).

Tight junctions prevent the majority of substances from crossing the cells to enter the CSF

The CP acts as a blood-CSF barrier. The CSF flows from the ventricles to the subarachnoid space to bathe the brain and the spinal cord

Marieb 12.5 Copyright 2006 Pearson Education . Inc,. Publishing as

Benjamin Cummings

Image: © Nevit Dilmen found at Wikimedia commons Accessed 25/10/12

If this blocks hydrocephalus can occur

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Cerebral Cortex: The Thinker thinking and learning creativity five senses memory and emotion problem-solving decisions

The cerebral cortex is the largest part of the brain.

It does a lot of brain work, like thinking, decisions, and creativity.

It's the part of the brain that allows you to think about who you are.

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The Cerebrum.• Difference in the relative size of

hemispheres and connection between them (corpus callosum) can produce substantial individual differences and such is thought to relate to behavioural attributes including sexual identity. (see research articles)

• The left side of the brain has been shown to control the right side of the body; spoken and written language and scientific, reasoning and numerical skills.

• The right side is more concerned with emotion and artistic and creative skills.

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Right Cerebral Hemisphereassociated with

• Holistic processing of multi-sensory input

• Visual spatial skills

• Memory stored in auditory, visual, & spatial modes

• Remembering non-verbal material

• Colour discrimination

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Left Cerebral Hemisphere – associated with

• Analytic & sequential thinking

• Language

• Mathematics

• Abstraction & reasoning

• Ability to name objects & their attributes

• Memory stored in language format

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The Corpus Callosum

In severe epilepsy severing the corpus callosum can stop the speed of epileptic seizures from one hemisphere to the other

Research considers individual differences in the size and shape of the corpus callosum that may relate to sexual identity and consistency of right or left handedness .

Results are very vague

Years ago the corpus callosum was surgically interfered with to try to

treat mental illness?

An important connection between the two halves of the brain. It mediates communication between the two hemispheres of the brain.

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The CerebellumHas two hemispheres

Each is divided into lobes, and is covered by the cortex.

It is very important for the production of speech.

It organizes muscle activity and plays a role in the coordination of fine motor movements and also in balance.

The cerebellum receives both motor and sensory input, and so is the centre of a feedback loop.

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The CerebellumMotor messages that leave the brain also go to the

cerebellum, including information about the strength of the impulses.

It integrates motor output so that movements are smooth and coordinated.

It is connected to the brain stem by three pairs of tracts called the cerebellar peduncles.

Muscle spindles, joints and tendons send information about movement back to this area. The cerebellum then relays these messages to the cortex, completing the feedback loop.

Cerebellar trauma will cause which involves jerky, uncoordinated movements of the speech musculature (ataxic dysarthria )

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The Basal GangliaAn area of grey matter within each cerebral hemisphere

The basal ganglia are a collection of motor nucleii which help to coordinate muscle movements by relaying information via the thalamus to the motor cortex.

Assists in the control of body movements etc.

CLINCIAL RELEVANCE POINT: Parkinson’s Disease, ADHD, cerebral palsy, dytonias, obsessive compulsive disorder etc. are associated with the basal ganglia problems

Leevanjackson ransfered from en.wikipediaAccessed 25/10/2012)

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The Thalamus • TWO large egg shaped

masses – one in each hemisphere.

• Divided into nucleii, which are major relay stations for information going to and from the cerebral cortex.

• All sensory pathways have direct projections to thalamic nuclei which convey information to particular areas of the cerebral cortex.

• Communicates with Limbic system- see later

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The Amygdala Stores emotional memory.

Involved in the sense of smell- certainly associated with sense of danger

Sends impulses to the mid brain and brain stem:

Results in release of adrenaline and noradrenaline = Stress hormones 21/04/23 20

Creative Commons CC0 1.0 Universal Public Domain Dedication http://en.wikipedia.org/wiki/Amygdala accessed 31/10/12

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Hippocampus

Involved in spatial navigation

Consolidates information from short-term to long-term memory.

Clinical relevance point: Think of Alzheimer's disease and the disorientation and loss of memory that occurs when this structure is damaged.

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Creative Commons CC0 1.0 Universal Public Domain Dedication http://en.wikipedia.org/wiki/Amygdala accessed 31/10/12

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Hypothalamus + homeostasis

Below and partly in front of the thalamus.

Connects the cortex to basal ganglia, thalamus, midbrain, pons, medulla and spinal cord

Regulates the functioning of the pituitary gland, controlling: Autonomic nervous function

Major endocrine effectse.g. water balanceappetitesex drive,

.

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Thalamus/ Hypothalamus

The Thalamus is an input structure, sending messages to higher brain areas,

The Hypothalamus is an output structure, sending messages to other parts of the brain and endocrine glands.

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The Midbrain and reticular activating system.

Contained within the midbrain and upper pons is the reticular activating system.

This is responsible for the ‘awake’ state & arousal from sleep or altered level of consciousness.

Image used with permission

enhancingmylife.blogspot.com,

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The Reticular Formation

In addition perception of sensory information this determines which parts of the constant flow of sensory information from the body conveyed to the cerebrum.

Image used with permission

enhancingmylife.blogspot.com,

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The PonsConnects the brain stem to the cerebellum. A relay station from the medulla to higher structures found in the brain.

Functionsrespiratory centre – contributes to control of respiration

trigemenal nerve (V)--facial skin, tongue, teeth, mastication (chewing)

abducens nerve (VI) controls muscle that rotates eye outward

facial nerve (VII) controls muscles of expression

acoustic nerve (VIII) hearing & balance

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MedullaThe lower half of the brainstem.

Contains the cardiac, respiratory,

vomiting and vasomotor centres.

Action: Autonomic, involuntary, e.g.

Breathing- e.g. signals to breath = H+ plasma concentration - activates respiratory centres – muscles stimulated to increase depth and rate in respiration

Heart rate and Blood pressure - e.g signals to increase heart rate and vasoconstriction = baroreceptor activation -vasomotor centre- sympathetic drive.

All cranial nerves (12) except the olfactory and optic (as they are going forward to front of head) emerge from the brainstem

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Limbic systemThis consists of the hypothalamus, cingulated gyrus, amygdala, hippocampus, mamillary bodies and septum

Influences endocrine and autonomic nervous systems

Connected with the brain's pleasure centre (nucleus accumbens) – sexual arousal and the "high" from recreational drugs. (emotion and memory)

Connected to prefrontal cortex- related to the

pleasure obtained from solving problems etc.

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By lecerveau.mcgill.ca [CC-BY-SA-3.0 (http://creativecommons.org/licenses/by-sa/3.0)], via Wikimedia Commons accessed 30/10/2012

The brain and pregnancy

Stimulation of specific areas of this system can also lead to feelings of dread, high anxiety, It can also result in violent behaviours, (attack, defence , explosive and emotional speech) (ANGER).

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Supporting Cells

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Microglia are extremely sensitive scavenging cells of the CNS. They look for damaged neurons and infectious agents.

Oligodendrocytes: Glial cells which wrap their cytoplasmic extensions around the nerve fibres – forming a covering called the MYELIN SHEATH - within the Central Nervous System.

Astrocytes are star shaped Macroglial cells within the brain and spinal cord. They cling to blood vessel sand neurones.= the most abundant glial cells within the brain and they serve to regulate electoral transmission and they perform immune functions They provide energy to neurones (taking glucose from serum changing this to lactate for neurons to use as fuel) .

Schwann Cells for the myelin sheath within the PNS

Nathan S. Ivey and Andrew G. MacLean (2009) Neurorocker at en.wikipedia accessed 25/10/12

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© UWCM/SONMS/Pain/MJohn

Myelinated and Unmyelinated Fibres

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The Spinal CordStarts at the base of the brain and ends at the 1st or 2nd lumbar vertebrae.

The bony cage of the vertebral column and has an internal core - diameter of about five millimetres.

Cord protection is then provided by three layers of the spinal meninges with CSF to cushion the cord.

Marieb 12.31a Copyright 2006 Pearson Education . Inc,. Publishing as Benjamin Cummings

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The Spinal Cord and PNSEach vertebra has an opening on its

right and left sides to let spinal nerves pass through.

These extend into the body, forming the peripheral nervous system.)

Function

1. Acts as a relay station between the peripheral nerves .and the brain

2. Act as an activating centre, taking incoming sensory impulses and initiating outgoing motor signal.

3. Coordinates reflexes

Marieb 12.29a Copyright 2006 Pearson Education . Inc,. Publishing as Benjamin Cummings

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33 Spinal vertebrae and 31 Spinal nerves

Vertebra- Nerves

7 Cervical- 8

12 Thoracic-12

5 Lumbar- 5

5 Sacral- 5

4 Coccyx- 1(fused vertebrae)

Martini 13-11

Spinal nerves originate from the spinal cord

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The Spinal cord

Consists of 31 pairs of spinal nerves that arise form the spinal cord and 12 pairs of cranial nerves that arise from the brain stem.

Spinal cord CNS

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Spinal Cord functions

1. Acts as a relay station between the peripheral nerves and the brain.

Consists of two layers : white matter – myelinated axons (outer layer) and grey matter - neurons and synapses (inner layer)

Marieb 12.31b Copyright 2006 Pearson Education . Inc,. Publishing as Benjamin Cummings

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Spinal Cord functions 12. Acts as an activating centre, taking incoming sensory impulses and initiating outgoing motor signals i.e. ‘a reflex arc’

Marieb 13.14

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‘H’ Shape divided into three functional parts

The Posterior (Dorsal) horns carry SENSORY IMPULSES

The middle zone undertakes associated functions between the Posterior and Anterior horns on the same and opposite side of the ‘H’ shape .

The Anterior (Ventral ) horns carry MOTOR IMPULSES

Ventral (anterior) = front of body

Marieb 12.32 Copyright 2006 Pearson Education . Inc,. Publishing as Benjamin Cummings

Dorsal (posterior) = back of body

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Spinal Nerve Basics Each has two roots connecting to the spinal cord: The posterior (dorsal) is the sensory root;The  anterior (ventral) is the motor root. The peripheral nervous system is outside the spinal cord

Peripheral Sensory receptors send information from the body to the posterior route ganglion of the spinal cord (and then to the brain).

Some fibres synapse with other neurons (inter or association neurons) in the posterior horn, while others continue up to the brain. Nerve cell bodies in the ventral / anterior horn send Motor signals to muscles via their axons through the ventral / anterior root to control movement. 

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© UWCM/SONMS/Pain/MJohn

Sensory Pathways to and from the Brain

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© UWCM/SONMS/Pain/MJohn

Spinothalamic Tract

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Ascending and Descending Spinal Nerves

Spinothalamic tract, Carries pain and temperature impulses to the thalamus and the parietal lobe

Posterior columns, carrying position and pressure sense to the thalamus and the parietal lobe

Corticospinal, carrying impulses to initiate muscle activity from the frontal lobe.

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Peripheral Receptors

Examples: Mechanoreceptors - hearing and balance, stretching

Thermoreceptors - temperature

Photoreceptors – light

Electrorecpeptos – electrical current

Chemoreceptors – taste smell, internal chemical consistency

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© UWCM/SONMS/Pain/MJohn

Example of a Sensory Neurone

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© UWCM/SONMS/Pain/MJohn

Endoneurium of axon

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© UWCM/SONMS/Pain/MJohn

Saltatory Conduction recap

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Neurotransmitters Examples of Major Types

Amino acids: glutamate,[ γ-aminobutyric acid (GABA), glycine

Monoamines : dopamine, adrenaline, noradrenaline histamine, serotonin.

Peptides: somatostatin, substance P, opioid peptides

Others: acetylcholine (ACh), adenosine, oxytocin, nitric oxide, etc.

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Axon terminal

Synaptic cleft

Receptor

Vesicle carrying neurotransmitter

Neurotransmitter

Dendrite of the nerve body

Neurotransmitter substance diffuses across the synaptic cleft

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© UWCM/SONMS/Pain/MJohn

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Reflexes An automatic, i.e."involuntary," response of the body to some stimulus, e.g. pupil dilation, to collect more light, at night.

Reflexes have afferent (signals to the CNS) and efferent (signals from the CNS) components and may involve one nerve / synapse (monosynaptic reflex) or multiple synapses (polysynaptic reflex). 

The simplest spinal reflex is the tendon reflex, a monosynaptic reflex.

The tendon is tapped-

Sensory receptor in the muscle sends a signal to the spinal cord (afferent system), via the dorsal/posterior root,

then synapses with a sensory nerve axon in the ventral/anterior horn.

The receiving axon carries the impulse through the ventral/anterior root back to the muscle (efferent system) -The muscle jerks/ contracts.

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