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PowerPoint Lecture Outlines
                to accompany

           Hole’s Human
       Anatomy and Physiology
                          Eleventh Edition
                        Modified by Mrs. Fiser

                   Shier  Butler  Lewis

                                Chapter
                                  11


Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.   1
Receptor

              Warm Up           Sensory
                                Neuron

                                Effector
Central
Canal
                                 ( muscle
                                or
White
                                gland)
Matter
                            7
          6                 8
Grey
Matter
                                Motor
                        9       Neuron
Inter-
                                Cell
Neuron
                                Body of
                                Sensory
                                   2
Impulse
http://www.youtube.com/watch?
        v=GbxGB8Dkd3Q


          The snake
Chapter 11
              Nervous System II

Meninges
  • membranes
  surrounding CNS
  • protect CNS
  • three layers
     • dura mater –
     outer, tough
     • arachnoid mater –
     thin, weblike
     • pia mater – inner,
     very thin

                                  4
Meninges of the Spinal Cord




                              5
Ventricles
• interconnected cavities
• within cerebral
hemispheres and brain
stem
• continuous with central
canal of spinal cord
• filled with cerebrospinal
fluid (CSF)

• lateral ventricles
• third ventricle
• fourth ventricle
• cerebral aqueduct


                                           6
Cerebrospinal Fluid

• secreted by choroid
plexus
• circulates in ventricles,
central canal of spinal
cord, and subarachnoid
space
• completely surrounds
brain and spinal cord
• clear liquid
• nutritive and protective
• helps maintain stable ion
concentrations in CNS


                                       7
Spinal Cord

• slender column of
nervous tissue
continuous with brain
• extends downward
through vertebral
canal
• begins at level of
foramen magnum
and terminates near
first and second
lumbar
                              8
Cross Section of Spinal Cord




                               9
Functions of Spinal Cord

   • center for spinal reflexes

   • conduit for nerve impulses to and
   from the brain




                                         10
Reflex Arcs




              12
General Components of a Spinal
           Reflex




                                 13
Reflex Behavior
• example is the knee-jerk reflex
• simple monosynaptic reflex
• helps maintain an upright posture




                                      14
Reflex Behavior
• example is a withdrawal reflex
• prevents or limits tissue damage




                                     15
Reflex Arc
• example crossed extensor reflex
• crossing of sensory impulses within the reflex center
to produce an opposite effect




                                                          16
Tracts of the Spinal Cord
• Ascending tracts conduct sensory impulses to the brain
• Descending tracts conduct motor impulses from the brain to
motor neurons reaching muscles and glands




                                                        17
Ascending Tracts
• major ascending spinal
cord tracts
   • fasciculus gracilis and
   fasciculus cuneatus
   • spinothalamic
       • lateral and anterior
   • spinocerebellar
       • posterior and
       anterior


                                  18
Descending Tracts
• major descending spinal cord
tracts
   • corticospinal
       • lateral and anterior
   • reticulospinal
       • lateral, anterior and
       medial
   • rubrospinal




                                  19
Nerve Tracts of the Spinal Cord




                                  20
Animations/video clips
•   Patellar reflex
http://www.youtube.com/watch?v=qpw31bvoLpg&feature=related

http://www.edumedia-sciences.com/en/a496-patellar-reflex

Biceps Reflex & Triceps Reflex
http://www.youtube.com/watch?
    v=2sm4ynlzEi8&safety_mode=true&persist_safety_mode=1&safe=active

Achilles Reflex
http://www.youtube.com/watch?v=BEQ6BbLLucA&NR=1




                                                                   21
Relfex arcs animations

• http://www.sumanasinc.com/webcontent/an
  imations/content/reflexarcs.html

• http://msjensen.cehd.umn.edu/1135/Links/
  Animations/Flash/0016-swf_reflex_arc.swf
Checking knee reflexes

• http://www.youtube.com/watch?
  v=QmNQdLkkJHM&feature=related
• http://www.neuroexam.com/content.php?
  p=31
Warm up (p 236 for help)
     6              7
                    8

                    9
                    10 (name it)
 1                  11
 2
 3

                    12
     4
              5

                              24
Test questions 31-50: Label
                      37
       36
                      38


                      39
                      40
  31                  41
  32
  33

                      42
        34
                35

                              25
Brain

Functions                        Major Parts
   • interprets sensations         • cerebrum
   • determines perception             • two hemispheres
   • stores memory                 • diencephalon
   • reasoning                     • brainstem
   • makes decisions               • cerebellum
   • coordinates muscular
   movements
   • regulates visceral activities
   • determines personality
                                                           26
Brain




        27
43   47
44   48
45
46   49
     50




          28
Structure of Cerebrum

• corpus callosum
    • connects cerebral
    hemispheres
• convolutions
    • bumps or gyri
• sulci
    • grooves
• longitudinal fissure
    • separates hemispheres
• transverse fissure
    • separates cerebrum from
    cerebellum                    29
Lobes of Cerebral Hemispheres

 • Frontal
 • Parietal
 • Temporal
 • Occipital
 • Insula




                            30
Functions of the Cerebrum


   • interpreting impulses
   • initiating voluntary movements
   • storing information as memory
   • retrieving stored information
   • reasoning
   • seat of intelligence and personality




                                            31
Functional Regions of Cerebral Cortex

Cerebral Cortex – thin layer of gray matter that
constitutes the outermost portion of cerebrum; contains
75% of all neurons in nervous system




                                                          32
Sensory Areas
• Cutaneous Sensory          • Sensory Area for Taste
Area                            • near bases of the central
   • parietal lobe              sulcus
   • interprets sensations
   on skin                      • Sensory Area for
                                Smell
• Visual Area
   • occipital lobe
   • interprets vision                       • arise from
                                             centers
                                             deep within
• Auditory Area                              the cerebrum
   • temporal lobe
   • interprets hearing

                                                              33
Sensory Areas




                34
Association Areas
• regions that are not primary motor or primary sensory areas
• widespread throughout the cerebral cortex
• analyze and interpret sensory experiences
• provide memory, reasoning, verbalization, judgment, emotions




                                                        35
Association Areas
Frontal Lobe Association Areas    Temporal Lobe Association Areas
   • concentrating                   • interpret complex sensory
   • planning                        experiences
   • complex problem solving         • store memories of visual scenes,
                                      music, and complex patterns


Parietal Lobe Association Areas   Occipital Lobe Association Areas
    • understanding speech           • analyze and combine visual
    • choosing words to express      images with other sensory
    thought                          experiences



                                                                     36
Motor Areas
• Primary Motor Areas
    • frontal lobes
    • control voluntary muscles

• Broca’s Area
   • anterior to primary motor
   cortex
   • usually in left hemisphere
   • controls muscles needed for
   speech
• Frontal Eye Field
   • above Broca’s area
   • controls voluntary
   movements of eyes and
   eyelids                           37
Motor Areas




              38
Functions of the Cerebral Lobes




                                  39
Basal Nuclei

• masses of gray matter
• deep within cerebral
hemispheres
• caudate nucleus, putamen,
globus pallidus
• produce dopamine
• control certain muscular
activities
    • primarily by inhibiting
    motor functions
                                   40
Diencephalon
• between cerebral hemispheres and above the brainstem
• surrounds third ventricle


• thalamus
• hypothalamus
• optic tracts
• optic chiasma
• infundibulum
• posterior pituitary
• mammillary bodies
• pineal gland

                                                         41
Diencephalon
Thalamus
   • gateway for sensory impulses heading to cerebral cortex
   • receives all sensory impulses (except smell)
   • channels impulses to appropriate part of cerebral cortex
   for interpretation

Hypothalamus
  • maintains homeostasis by regulating visceral activities
  • links nervous and endocrine systems


                                                         42
Diencephalon
                      Limbic System

Consists of
   • portions of frontal lobe    Functions
   • portions of temporal lobe      • controls emotions
   • hypothalamus                   • produces feelings
   • thalamus                       • interprets sensory impulses
   • basal nuclei
   • other deep nuclei


                                                           43
Brain Stem


Three Parts
1. Midbrain
2. Pons
3. Medulla Oblongata




                             44
Midbrain

• between diencephalon and
pons
• contains bundles of fibers
that join lower parts of
brainstem and spinal cord
with higher part of brain
• cerebral aqueduct
• cerebral peduncles –
bundles of nerve fibers
• corpora quadrigemina –
centers for visual and
auditory reflexes

                                          45
Pons

• rounded bulge on underside of
brainstem
• between medulla oblongata
and midbrain
• helps regulate rate and depth
of breathing
• relays nerve impulses to and
from medulla oblongata and
cerebellum




                                    46
Medulla Oblongata

• enlarged continuation of
spinal cord
• conducts ascending and
descending impulses between
brain and spinal cord
• contains cardiac, vasomotor,
and respiratory control
centers
• contains various nonvital
reflex control centers
(coughing, sneezing,
swallowing, vomiting)

                                  47
Reticular Formation
• complex network of
nerve fibers scattered
throughout the brain stem
• extends into the
diencephalon
• connects to centers of
hypothalamus, basal
nuclei, cerebellum, and
cerebrum
• filters incoming sensory
information
• arouses cerebral cortex
into state of wakefulness
                                  48
Cerebellum
• inferior to occipital lobes
• posterior to pons and medulla
oblongata
• two hemispheres
• vermis connects hemispheres
• cerebellar cortex – gray matter
• arbor vitae – white matter
• cerebellar peduncles – nerve fiber
tracts
• dentate nucleus – largest nucleus in
cerebellum
• integrates sensory information
concerning position of body parts
• coordinates skeletal muscle activity
• maintains posture
                                         49
Major Parts of the Brain




                           50
Warm up- Name cranial nerves and structures and
list the function of each cranial nerve on the back of paper.




            1                                    7
            2
                                                 8
            3                                    9
                                                 10
                                                 11
            4                                    12
            5                                    13
                                                 14
            6
                                                 15


                                                            51
Peripheral Nervous System

• Cranial nerves arising from the brain
   • Somatic fibers connecting to the skin and skeletal muscles
   • Autonomic fibers connecting to viscera


• Spinal nerves arising from the spinal cord
    • Somatic fibers connecting to the skin and skeletal muscles
    • Autonomic fibers connecting to viscera



                                                           52
Nervous System Subdivisions




                              53
Structure of a Peripheral Nerve




                              54
Nerve Fiber Classification

• Sensory Nerves – conduct impulses into brain or spinal
cord

• Motor Nerves – conduct impulses to muscles or glands

• Mixed Nerves – contain both sensory nerve fibers and
motor nerve fibers; most nerves




                                                           55
Nerve Fiber Classification

General somatic efferent fibers        General somatic afferent fibers
   • carry motor impulses from            • carry sensory impulses to
   CNS to skeletal muscles                CNS from skin and skeletal
                                          muscles


General visceral efferent fibers    General visceral afferent fibers
   • carry motor impulses away from    • carry sensory impulses to CNS
   CNS to smooth muscles and           from blood vessels and internal
   glands                              organs




                                                                    56
Nerve Fiber Classification
Special somatic efferent fibers
   • carry motor impulses from brain to muscles
   used in chewing, swallowing, speaking, and
   forming facial expressions

Special visceral afferent fibers
   • carry sensory impulses to brain from olfactory and
   taste receptors

Special somatic afferent fibers
   • carry sensory impulses to brain from receptors of
   sight, hearing, and equilibrium
                                                          57
Cranial Nerves




                 58
Cranial Nerves I and II

Olfactory (I)            Optic (II)
   • sensory               • sensory
   • fibers transmit       • fibers transmit
   impulses associated     impulses associated
   with smell              with vision




                                                 59
Cranial Nerves III and IV

Oculomotor (III)               Trochlear (IV)
  • some sensory                  • some sensory
      • proprioreceptors              • proprioreceptors
  • primarily motor               • primarily motor
  • motor impulses to             • motor impulses to
  muscles that                    muscles that move the
      • raise eyelids             eyes
      • move the eyes
      • focus lens
      •adjust light entering
      eye
                                                           60
Cranial Nerve V
Trigeminal (V)
    • mixed
    • opthalmic division
        • sensory from surface of eyes,
        tear glands, scalp, forehead, and
        upper eyelids
    • maxillary division
        • sensory from upper teeth,
        upper gum, upper lip, palate,
        and skin of face
    • mandibular division
        • sensory from scalp, skin of jaw,
        lower teeth, lower gum, and
        lower lip
        • motor to muscles of mastication
        and muscles in floor of mouth
                                             61
Cranial Nerves VI and VII
Abducens (VI)
   • primarily motor
   • motor impulses to
   muscles that move
   the eyes
   • some sensory with
   proprioreceptors

Facial (VII)
    • mixed
    • sensory from taste
    receptors
    • motor to muscles of
    facial expression,
    tear glands, and
    salivary glands                62
Cranial Nerves VIII and IX
Vestibulocochlear (VIII)
                                    Glossopharyngeal (IX)
    • sensory
                                        • mixed
    • vestibular branch
                                        • sensory from pharynx,
         •sensory from
                                        tonsils, tongue, and carotid
         equilibrium receptors of
                                        arteries
         ear
                                        • motor to salivary glands
    • cochlear branch
                                        and muscles of pharynx
         •sensory from hearing
         receptors




                                                                       63
Cranial Nerve X
Vagus (X)
   • mixed
   • somatic motor to
   muscles of speech
   and swallowing
   • autonomic motor to
   viscera of thorax and
   abdomen
   • sensory from
   pharynx, larynx,
   esophagus, and
   viscera of thorax and
   abdomen

                                   64
Cranial Nerves XI and XII

Accessory (XI)                  Hypoglossal (XII)
   • primarily motor               • primarily motor
   • cranial branch                • motor to muscles of
        • motor to muscles of      the tongue; some
        soft palate, pharynx,      proprioreceptor
        and larynx
   • spinal branch
        •motor to muscles of
        neck, and back; some
        proprioreceptor


                                                           65
Functions of Cranial Nerves




                              66
Spinal Nerves

• mixed nerves

• 31 pairs
     • 8 cervical
          •(C1 to C8)
     • 12 thoracic
          •(T1 to T12)
     • 5 lumbar
          •(L1 to L5)
     • 5 sacral
          •(S1 to S5)
     • 1 coccygeal
          •(Co)

                                     67
Spinal Nerves
Dorsal root (posterior
or sensory root)
    • axons of sensory
    neurons in the
    dorsal root
    ganglion


Dorsal root ganglion
   • cell bodies of sensory
   neurons whose axons
   conduct impulses inward
   from peripheral body
   parts

                                         68
Dermatome
• an area of skin that the sensory nerve fibers of a
particular spinal nerve innervate




                                                       69
Spinal Nerves
Ventral root (anterior or
motor root)
   • axons of motor
   neurons whose cell
   bodies are in spinal
   cord


Spinal nerve
    • union of ventral root
    and dorsal root




                                     70
Cervical Plexuses
Nerve plexus – complex networks formed by anterior branches
of spinal nerves; fibers of various spinal nerves are sorted and
recombined
                Cervical Plexus
                   • formed by anterior
                   branches of C1-C4
                   • lies deep in the neck
                   • supply muscles and
                   skin of the neck
                   • C3 – C5 contribute to
                   phrenic nerves
                                                             71
Brachial Plexuses
• C5-T1
• lies deep within shoulders
• musculocutaneous nerves
    • supply muscles of anterior arms
    and skin of forearms
• ulnar and median nerves
     • supply muscles of forearms and
    hands
    • supply skin of hands
•radial nerves
    • supply posterior muscles of
    arms and skin of forearms and
    hands
• axillary nerves
    • supply muscles and skin of
    anterior, lateral, and posterior
    arms                                72
Lumbosacral Plexuses
• T12 – S5

• extend from lumbar
region into pelvic cavity

• obturator nerves
    • supply motor impulses
    to adductors of thighs
• femoral nerves
    • supply motor impulses
    to muscles of anterior
    thigh and sensory
    impulses from skin of
    thighs and legs
• sciatic nerves
    • supply muscles and skin
    of thighs, legs, and feet        73
Plexuses




           74
Cranial Nerve Assessment

   http://www.youtube.com/watch?v=eLzkgPkgkEo

Detailed Cranial Assessment

http://www.youtube.com/watch?
v=G6FZR64Cq9U&feature=related

12 days of Christmas Cranial Nerve song

http://www.youtube.com/watch?v=4xzQ5vnvL-
o&feature=related
                                                75
Autonomic Nervous System
• functions without conscious effort
• controls visceral activities
• regulates smooth muscle, cardiac muscle, and glands
• efferent fibers typically lead to ganglia outside CNS

Two Divisions
  • sympathetic – prepares body for fight or flight
  situations
  • parasympathetic – prepares body for resting
  and digesting activities

                                                          76
Autonomic Nerve Fibers
• all are neurons are
motor (efferent)

• preganglionic fibers
   • axons of preganglionic
   neurons
   • neuron cell bodies in
   CNS

• postganglionic fibers
   • axons of postganglionic
   neurons
   • neuron cell bodies in
   ganglia                        77
Sympathetic Division
• thoracolumbar divison –
location of preganglionic
neurons
• preganglionic fibers leave
spinal nerves through white
rami and enter
paravertebral ganglia

• paraverterbral ganglia
and fibers that connect
them make up the
sympathetic trunk
                                    78
Sympathetic Division
• postganglionic fibers
extend from sympathetic
ganglia to visceral organs

• postganglionic fibers
usually pass through gray
rami and return to a spinal
nerve before proceeding to
an effector

• Exception: preganglionic
fibers to adrenal medulla do
not synapse with
postganglionic neurons            79
Sympathetic Division




                       80
Parasympathetic Division
• craniosacral division –   • preganglionic fibers of the
location of preganglionic   head are included in nerves
neurons                     III, VII, and IX

• ganglia are near or
                            • preganglionic fibers of
within various organs
    • terminal ganglia      thorax and abdomen are
                            parts of nerve X
• short postganglionic
fibers
    • continue to
    specific muscles or
    glands                                                  81
Parasympathetic Division




                           82
Autonomic Neurotransmitters
Cholinergic Fibers
   • release acetylcholine
   • preganglionic
   sympathetic and
   parasympathetic
   fibers
   • postganglionic
   parasympathetic
   fibers

 Adrenergic Fibers
    • release
    norepinephrine
    • most
    postganglionic
    sympathetic                     83
    fibers
Actions of Autonomic
             Neurotransmitters
                • depend on receptors in the membrane

Cholinergic receptors              Adrenergic Receptors
  • bind to acetlycholine             • bind to epinephrine
  • muscarinic                        and norepinephrine
      • excitatory                    • alpha and beta
      • slow                              • both elicit different
  • nicotinic                             responses on various
      • excitatory                        effectors
      • rapid


                                                                84
Actions of Autonomic
             Neurotransmitters
Insert figure 11.39




                                 85
Control of Autonomic
              Activity
• Controlled largely by CNS

• Medulla oblongata regulates cardiac, vasomotor and
respiratory activities

• Hypothalamus regulates visceral functions, such as body
temperature, hunger, thirst, and water and electrolyte
balance

• Limbic system and cerebral cortex control emotional
responses                                               86
Life-Span Changes

• Brain cells begin to die before birth
• Over average lifetime, brain shrinks 10%
• Most cell death occurs in temporal lobes
• By age 90, frontal cortex has lost half its neurons
• Number of dendritic branches decreases
• Decreased levels of neurotransmitters
• Fading memory
• Slowed responses and reflexes
• Increased risk of falling
• Changes in sleep patterns that result in fewer sleeping hours
                                                         87
Clinical Application
               Cerebral Injuries and Abnormalities
Concussion                          Cerebral Palsy
   • brain jarred against cranium      • motor impairment at
   • loss of consciousness             birth
   • temporary loss of memory          • caused by blocked
   • mental cloudiness                 cerebral blood vessels
   • headache                          during development
   • recovery usually complete         • seizures
                                       • learning disabilities
Cerebrovascular Accident
   • stroke
   • sudden interruption in blood
   flow
   • brain tissues die
                                                                 88

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A & p holes' nervous 2

  • 1. PowerPoint Lecture Outlines to accompany Hole’s Human Anatomy and Physiology Eleventh Edition Modified by Mrs. Fiser Shier  Butler  Lewis Chapter 11 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 1
  • 2. Receptor Warm Up Sensory Neuron Effector Central Canal ( muscle or White gland) Matter 7 6 8 Grey Matter Motor 9 Neuron Inter- Cell Neuron Body of Sensory 2 Impulse
  • 3. http://www.youtube.com/watch? v=GbxGB8Dkd3Q The snake
  • 4. Chapter 11 Nervous System II Meninges • membranes surrounding CNS • protect CNS • three layers • dura mater – outer, tough • arachnoid mater – thin, weblike • pia mater – inner, very thin 4
  • 5. Meninges of the Spinal Cord 5
  • 6. Ventricles • interconnected cavities • within cerebral hemispheres and brain stem • continuous with central canal of spinal cord • filled with cerebrospinal fluid (CSF) • lateral ventricles • third ventricle • fourth ventricle • cerebral aqueduct 6
  • 7. Cerebrospinal Fluid • secreted by choroid plexus • circulates in ventricles, central canal of spinal cord, and subarachnoid space • completely surrounds brain and spinal cord • clear liquid • nutritive and protective • helps maintain stable ion concentrations in CNS 7
  • 8. Spinal Cord • slender column of nervous tissue continuous with brain • extends downward through vertebral canal • begins at level of foramen magnum and terminates near first and second lumbar 8
  • 9. Cross Section of Spinal Cord 9
  • 10. Functions of Spinal Cord • center for spinal reflexes • conduit for nerve impulses to and from the brain 10
  • 12. General Components of a Spinal Reflex 13
  • 13. Reflex Behavior • example is the knee-jerk reflex • simple monosynaptic reflex • helps maintain an upright posture 14
  • 14. Reflex Behavior • example is a withdrawal reflex • prevents or limits tissue damage 15
  • 15. Reflex Arc • example crossed extensor reflex • crossing of sensory impulses within the reflex center to produce an opposite effect 16
  • 16. Tracts of the Spinal Cord • Ascending tracts conduct sensory impulses to the brain • Descending tracts conduct motor impulses from the brain to motor neurons reaching muscles and glands 17
  • 17. Ascending Tracts • major ascending spinal cord tracts • fasciculus gracilis and fasciculus cuneatus • spinothalamic • lateral and anterior • spinocerebellar • posterior and anterior 18
  • 18. Descending Tracts • major descending spinal cord tracts • corticospinal • lateral and anterior • reticulospinal • lateral, anterior and medial • rubrospinal 19
  • 19. Nerve Tracts of the Spinal Cord 20
  • 20. Animations/video clips • Patellar reflex http://www.youtube.com/watch?v=qpw31bvoLpg&feature=related http://www.edumedia-sciences.com/en/a496-patellar-reflex Biceps Reflex & Triceps Reflex http://www.youtube.com/watch? v=2sm4ynlzEi8&safety_mode=true&persist_safety_mode=1&safe=active Achilles Reflex http://www.youtube.com/watch?v=BEQ6BbLLucA&NR=1 21
  • 21. Relfex arcs animations • http://www.sumanasinc.com/webcontent/an imations/content/reflexarcs.html • http://msjensen.cehd.umn.edu/1135/Links/ Animations/Flash/0016-swf_reflex_arc.swf
  • 22. Checking knee reflexes • http://www.youtube.com/watch? v=QmNQdLkkJHM&feature=related • http://www.neuroexam.com/content.php? p=31
  • 23. Warm up (p 236 for help) 6 7 8 9 10 (name it) 1 11 2 3 12 4 5 24
  • 24. Test questions 31-50: Label 37 36 38 39 40 31 41 32 33 42 34 35 25
  • 25. Brain Functions Major Parts • interprets sensations • cerebrum • determines perception • two hemispheres • stores memory • diencephalon • reasoning • brainstem • makes decisions • cerebellum • coordinates muscular movements • regulates visceral activities • determines personality 26
  • 26. Brain 27
  • 27. 43 47 44 48 45 46 49 50 28
  • 28. Structure of Cerebrum • corpus callosum • connects cerebral hemispheres • convolutions • bumps or gyri • sulci • grooves • longitudinal fissure • separates hemispheres • transverse fissure • separates cerebrum from cerebellum 29
  • 29. Lobes of Cerebral Hemispheres • Frontal • Parietal • Temporal • Occipital • Insula 30
  • 30. Functions of the Cerebrum • interpreting impulses • initiating voluntary movements • storing information as memory • retrieving stored information • reasoning • seat of intelligence and personality 31
  • 31. Functional Regions of Cerebral Cortex Cerebral Cortex – thin layer of gray matter that constitutes the outermost portion of cerebrum; contains 75% of all neurons in nervous system 32
  • 32. Sensory Areas • Cutaneous Sensory • Sensory Area for Taste Area • near bases of the central • parietal lobe sulcus • interprets sensations on skin • Sensory Area for Smell • Visual Area • occipital lobe • interprets vision • arise from centers deep within • Auditory Area the cerebrum • temporal lobe • interprets hearing 33
  • 34. Association Areas • regions that are not primary motor or primary sensory areas • widespread throughout the cerebral cortex • analyze and interpret sensory experiences • provide memory, reasoning, verbalization, judgment, emotions 35
  • 35. Association Areas Frontal Lobe Association Areas Temporal Lobe Association Areas • concentrating • interpret complex sensory • planning experiences • complex problem solving • store memories of visual scenes, music, and complex patterns Parietal Lobe Association Areas Occipital Lobe Association Areas • understanding speech • analyze and combine visual • choosing words to express images with other sensory thought experiences 36
  • 36. Motor Areas • Primary Motor Areas • frontal lobes • control voluntary muscles • Broca’s Area • anterior to primary motor cortex • usually in left hemisphere • controls muscles needed for speech • Frontal Eye Field • above Broca’s area • controls voluntary movements of eyes and eyelids 37
  • 38. Functions of the Cerebral Lobes 39
  • 39. Basal Nuclei • masses of gray matter • deep within cerebral hemispheres • caudate nucleus, putamen, globus pallidus • produce dopamine • control certain muscular activities • primarily by inhibiting motor functions 40
  • 40. Diencephalon • between cerebral hemispheres and above the brainstem • surrounds third ventricle • thalamus • hypothalamus • optic tracts • optic chiasma • infundibulum • posterior pituitary • mammillary bodies • pineal gland 41
  • 41. Diencephalon Thalamus • gateway for sensory impulses heading to cerebral cortex • receives all sensory impulses (except smell) • channels impulses to appropriate part of cerebral cortex for interpretation Hypothalamus • maintains homeostasis by regulating visceral activities • links nervous and endocrine systems 42
  • 42. Diencephalon Limbic System Consists of • portions of frontal lobe Functions • portions of temporal lobe • controls emotions • hypothalamus • produces feelings • thalamus • interprets sensory impulses • basal nuclei • other deep nuclei 43
  • 43. Brain Stem Three Parts 1. Midbrain 2. Pons 3. Medulla Oblongata 44
  • 44. Midbrain • between diencephalon and pons • contains bundles of fibers that join lower parts of brainstem and spinal cord with higher part of brain • cerebral aqueduct • cerebral peduncles – bundles of nerve fibers • corpora quadrigemina – centers for visual and auditory reflexes 45
  • 45. Pons • rounded bulge on underside of brainstem • between medulla oblongata and midbrain • helps regulate rate and depth of breathing • relays nerve impulses to and from medulla oblongata and cerebellum 46
  • 46. Medulla Oblongata • enlarged continuation of spinal cord • conducts ascending and descending impulses between brain and spinal cord • contains cardiac, vasomotor, and respiratory control centers • contains various nonvital reflex control centers (coughing, sneezing, swallowing, vomiting) 47
  • 47. Reticular Formation • complex network of nerve fibers scattered throughout the brain stem • extends into the diencephalon • connects to centers of hypothalamus, basal nuclei, cerebellum, and cerebrum • filters incoming sensory information • arouses cerebral cortex into state of wakefulness 48
  • 48. Cerebellum • inferior to occipital lobes • posterior to pons and medulla oblongata • two hemispheres • vermis connects hemispheres • cerebellar cortex – gray matter • arbor vitae – white matter • cerebellar peduncles – nerve fiber tracts • dentate nucleus – largest nucleus in cerebellum • integrates sensory information concerning position of body parts • coordinates skeletal muscle activity • maintains posture 49
  • 49. Major Parts of the Brain 50
  • 50. Warm up- Name cranial nerves and structures and list the function of each cranial nerve on the back of paper. 1 7 2 8 3 9 10 11 4 12 5 13 14 6 15 51
  • 51. Peripheral Nervous System • Cranial nerves arising from the brain • Somatic fibers connecting to the skin and skeletal muscles • Autonomic fibers connecting to viscera • Spinal nerves arising from the spinal cord • Somatic fibers connecting to the skin and skeletal muscles • Autonomic fibers connecting to viscera 52
  • 53. Structure of a Peripheral Nerve 54
  • 54. Nerve Fiber Classification • Sensory Nerves – conduct impulses into brain or spinal cord • Motor Nerves – conduct impulses to muscles or glands • Mixed Nerves – contain both sensory nerve fibers and motor nerve fibers; most nerves 55
  • 55. Nerve Fiber Classification General somatic efferent fibers General somatic afferent fibers • carry motor impulses from • carry sensory impulses to CNS to skeletal muscles CNS from skin and skeletal muscles General visceral efferent fibers General visceral afferent fibers • carry motor impulses away from • carry sensory impulses to CNS CNS to smooth muscles and from blood vessels and internal glands organs 56
  • 56. Nerve Fiber Classification Special somatic efferent fibers • carry motor impulses from brain to muscles used in chewing, swallowing, speaking, and forming facial expressions Special visceral afferent fibers • carry sensory impulses to brain from olfactory and taste receptors Special somatic afferent fibers • carry sensory impulses to brain from receptors of sight, hearing, and equilibrium 57
  • 58. Cranial Nerves I and II Olfactory (I) Optic (II) • sensory • sensory • fibers transmit • fibers transmit impulses associated impulses associated with smell with vision 59
  • 59. Cranial Nerves III and IV Oculomotor (III) Trochlear (IV) • some sensory • some sensory • proprioreceptors • proprioreceptors • primarily motor • primarily motor • motor impulses to • motor impulses to muscles that muscles that move the • raise eyelids eyes • move the eyes • focus lens •adjust light entering eye 60
  • 60. Cranial Nerve V Trigeminal (V) • mixed • opthalmic division • sensory from surface of eyes, tear glands, scalp, forehead, and upper eyelids • maxillary division • sensory from upper teeth, upper gum, upper lip, palate, and skin of face • mandibular division • sensory from scalp, skin of jaw, lower teeth, lower gum, and lower lip • motor to muscles of mastication and muscles in floor of mouth 61
  • 61. Cranial Nerves VI and VII Abducens (VI) • primarily motor • motor impulses to muscles that move the eyes • some sensory with proprioreceptors Facial (VII) • mixed • sensory from taste receptors • motor to muscles of facial expression, tear glands, and salivary glands 62
  • 62. Cranial Nerves VIII and IX Vestibulocochlear (VIII) Glossopharyngeal (IX) • sensory • mixed • vestibular branch • sensory from pharynx, •sensory from tonsils, tongue, and carotid equilibrium receptors of arteries ear • motor to salivary glands • cochlear branch and muscles of pharynx •sensory from hearing receptors 63
  • 63. Cranial Nerve X Vagus (X) • mixed • somatic motor to muscles of speech and swallowing • autonomic motor to viscera of thorax and abdomen • sensory from pharynx, larynx, esophagus, and viscera of thorax and abdomen 64
  • 64. Cranial Nerves XI and XII Accessory (XI) Hypoglossal (XII) • primarily motor • primarily motor • cranial branch • motor to muscles of • motor to muscles of the tongue; some soft palate, pharynx, proprioreceptor and larynx • spinal branch •motor to muscles of neck, and back; some proprioreceptor 65
  • 65. Functions of Cranial Nerves 66
  • 66. Spinal Nerves • mixed nerves • 31 pairs • 8 cervical •(C1 to C8) • 12 thoracic •(T1 to T12) • 5 lumbar •(L1 to L5) • 5 sacral •(S1 to S5) • 1 coccygeal •(Co) 67
  • 67. Spinal Nerves Dorsal root (posterior or sensory root) • axons of sensory neurons in the dorsal root ganglion Dorsal root ganglion • cell bodies of sensory neurons whose axons conduct impulses inward from peripheral body parts 68
  • 68. Dermatome • an area of skin that the sensory nerve fibers of a particular spinal nerve innervate 69
  • 69. Spinal Nerves Ventral root (anterior or motor root) • axons of motor neurons whose cell bodies are in spinal cord Spinal nerve • union of ventral root and dorsal root 70
  • 70. Cervical Plexuses Nerve plexus – complex networks formed by anterior branches of spinal nerves; fibers of various spinal nerves are sorted and recombined Cervical Plexus • formed by anterior branches of C1-C4 • lies deep in the neck • supply muscles and skin of the neck • C3 – C5 contribute to phrenic nerves 71
  • 71. Brachial Plexuses • C5-T1 • lies deep within shoulders • musculocutaneous nerves • supply muscles of anterior arms and skin of forearms • ulnar and median nerves • supply muscles of forearms and hands • supply skin of hands •radial nerves • supply posterior muscles of arms and skin of forearms and hands • axillary nerves • supply muscles and skin of anterior, lateral, and posterior arms 72
  • 72. Lumbosacral Plexuses • T12 – S5 • extend from lumbar region into pelvic cavity • obturator nerves • supply motor impulses to adductors of thighs • femoral nerves • supply motor impulses to muscles of anterior thigh and sensory impulses from skin of thighs and legs • sciatic nerves • supply muscles and skin of thighs, legs, and feet 73
  • 73. Plexuses 74
  • 74. Cranial Nerve Assessment http://www.youtube.com/watch?v=eLzkgPkgkEo Detailed Cranial Assessment http://www.youtube.com/watch? v=G6FZR64Cq9U&feature=related 12 days of Christmas Cranial Nerve song http://www.youtube.com/watch?v=4xzQ5vnvL- o&feature=related 75
  • 75. Autonomic Nervous System • functions without conscious effort • controls visceral activities • regulates smooth muscle, cardiac muscle, and glands • efferent fibers typically lead to ganglia outside CNS Two Divisions • sympathetic – prepares body for fight or flight situations • parasympathetic – prepares body for resting and digesting activities 76
  • 76. Autonomic Nerve Fibers • all are neurons are motor (efferent) • preganglionic fibers • axons of preganglionic neurons • neuron cell bodies in CNS • postganglionic fibers • axons of postganglionic neurons • neuron cell bodies in ganglia 77
  • 77. Sympathetic Division • thoracolumbar divison – location of preganglionic neurons • preganglionic fibers leave spinal nerves through white rami and enter paravertebral ganglia • paraverterbral ganglia and fibers that connect them make up the sympathetic trunk 78
  • 78. Sympathetic Division • postganglionic fibers extend from sympathetic ganglia to visceral organs • postganglionic fibers usually pass through gray rami and return to a spinal nerve before proceeding to an effector • Exception: preganglionic fibers to adrenal medulla do not synapse with postganglionic neurons 79
  • 80. Parasympathetic Division • craniosacral division – • preganglionic fibers of the location of preganglionic head are included in nerves neurons III, VII, and IX • ganglia are near or • preganglionic fibers of within various organs • terminal ganglia thorax and abdomen are parts of nerve X • short postganglionic fibers • continue to specific muscles or glands 81
  • 82. Autonomic Neurotransmitters Cholinergic Fibers • release acetylcholine • preganglionic sympathetic and parasympathetic fibers • postganglionic parasympathetic fibers Adrenergic Fibers • release norepinephrine • most postganglionic sympathetic 83 fibers
  • 83. Actions of Autonomic Neurotransmitters • depend on receptors in the membrane Cholinergic receptors Adrenergic Receptors • bind to acetlycholine • bind to epinephrine • muscarinic and norepinephrine • excitatory • alpha and beta • slow • both elicit different • nicotinic responses on various • excitatory effectors • rapid 84
  • 84. Actions of Autonomic Neurotransmitters Insert figure 11.39 85
  • 85. Control of Autonomic Activity • Controlled largely by CNS • Medulla oblongata regulates cardiac, vasomotor and respiratory activities • Hypothalamus regulates visceral functions, such as body temperature, hunger, thirst, and water and electrolyte balance • Limbic system and cerebral cortex control emotional responses 86
  • 86. Life-Span Changes • Brain cells begin to die before birth • Over average lifetime, brain shrinks 10% • Most cell death occurs in temporal lobes • By age 90, frontal cortex has lost half its neurons • Number of dendritic branches decreases • Decreased levels of neurotransmitters • Fading memory • Slowed responses and reflexes • Increased risk of falling • Changes in sleep patterns that result in fewer sleeping hours 87
  • 87. Clinical Application Cerebral Injuries and Abnormalities Concussion Cerebral Palsy • brain jarred against cranium • motor impairment at • loss of consciousness birth • temporary loss of memory • caused by blocked • mental cloudiness cerebral blood vessels • headache during development • recovery usually complete • seizures • learning disabilities Cerebrovascular Accident • stroke • sudden interruption in blood flow • brain tissues die 88