BPCC/NSU Title III Cooperative Project
Nervous System
Nervous System
The human body maintains homeostasis (maintenance of constant internal environment ), effective function, and coordination of trillions of cells by using the endocrine system and nervous system. The Nervous System employs electrical and chemical means to send messages very quickly from cell to cell.
Nervous system has two major anatomical subdivisions:
1. The Central Nervous System (CNS) consists of the brain and spinal cord, which are enclosed and protected by the cranium and vertebral column.
2. The Peripheral Nervous System (PNS) consists of the remainder of the nervous system such as nerves, ganglia, and sensory organs.

The peripheral nervous system is divided into sensory and motor divisions, and each of these is further divided into somatic division (pertaining to the body as a whole, e.g., skin, bones, and muscle)
and visceral division (pertaining to the inner or deeper layer) divisions.
Sensory neurons are nerve cells (neurons) that respond to a stimulus and conduct signals to the central nervous system.
Motor neurons are neurons that transmit signals from the CNS to any muscle or gland cells.
SUBDIVISIONS OF NERVOUS SYSTEM

The Autonomic Nervous System
The visceral motor division, also known as autonomic nervous system, carries signals to glands, cardiac muscle, and smooth muscle. The autonomic system has two divisions:
1. The sympathetic division tends to arouse the body for action by accelerating the heart beat and increasing respiratory airflow and inhibiting digestion.
2. The parasympathetic division is responsible for energy intake and conservation by stimulating digestion and slowing down the heartbeat and reducing respiratory airflow.
Structure of a Neuron:
1. The control center of neuron is its soma or cell body.
2. The dense mesh of microtubules and neurofibrils (actin filaments) that compartmentalize the rough ER are called Nissl bodies.
3. The primary site for receiving signals are called dendrites.
4. The cylindrical nerve fiber originating from soma responsible for rapid conduction of nerve signals to other cells is called the axon.
5. The small swellings that form a junction (synapse) with a muscle cell or another neuron are called synaptic knobs.

Classification of Neurons
Neurons are classified structurally according to the number and arrangement of processes extending from the soma.
NEURONAL VARIETY
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Multipolar, one axon and two or more dendrites, most common
Bipolar, one axon and one dendrite
Unipolar, only a single process leading away from the soma, also called pseudounipolar
Anaxonic, have multiple dendrites but no axon
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Supporting cells (neuroglia)
Neuroglial cells protect the neurons and aid their function.
Types of Neuroglia (Glial Cells)

CNS
•Oligodendrocyte
•Ependymal cells
•Microglia cells
•Astrocytes
PNS
•Schwann cells (neurilemmocytes)
•Satellite cells
Myelin
Myelin Is an insulating layer around a nerve fiber, it is formed by oligodendrocytes in the CNS and Schwann cells in the PNS.

The speed at which a signal travels along a nerve fiber depends on two factors: the diameter of the fiber and the presence or absence of myelin. Myelination of nerve fibers speed up the conduction of the electrical signal on the axon of the nerve fibers. Also, because signal conduction occurs along the surface of a nerve fiber not deep within its axoplasm, large fibers conduct signals more rapidly than small fibers.
What is a SYNAPSE?
The junction between a neuron and any other cell is termed a synapse. In the cerebral cortex, the main information–processing tissue of the brain, there are as many as 100 trillion synapses. Simply, the more synaptic contact a neuron has the greater the amount of information it is able to process at any given time. There two different types of synapses: Chemical synapses and electrical synapses. In a chemical synapse, the presynaptic neuron releases a neurotransmitter to stimulate the post synaptic cell. In the neuromuscular junction, the synapse between a neuron and skeletal muscle fiber, the presynaptic neuron releases acetylcholine as a neurotransmitter, which reacts with the post synaptic muscle fiber resulting in muscle contraction. In an electrical synapse, adjacent cells are joined by gap junctions. Instead of releasing a neurotransmitter to activate the post synaptic cell, ions diffuse from the presynaptic cell to the postsynaptic cell. This is a quick transmission of signal from one cell to the next.

Test Yourself





The Spinal Cord and Brain
The spinal cord serves as a pathway for messages between the brain and the rest of the body. The spinal cord is the information highway that connects the brain with the lower body. It contains the neural routes that explain why a lesion to a specific part of the brain results in a functional loss in a specific locality in the lower body. It is a cylinder of nervous tissue that arises from the brain stem at the foramen magnum of the skull. It passes down the vertebral canal to the inferior margin of the first lumber vertebra (L1). The spinal cord gives rise to 31 pairs of spinal nerves.

Meninges of the spinal cord
The spinal cord and brain are enclosed in three connective tissue membranes called meninges.



Gray Matter and White Matter
The spinal cord consists of two kinds of nervous tissue called gray and white matter. The spinal cord has a central core of gray matter which consists of two dorsal horns and two ventral horns and two lateral horns. The horns contain neuoron somas, dendrites, and proximal axons, but little meylin. The white matter of the spinal cord surrounds the gray matter and containes myelinated axons arranged in bundles termed tracts.
Spinal Tracts
Ascending tracts carry sensory information up the spinal cord and descending tracts conduct motor impulses down the spinal cord. All the nerve fibers in a given tract have a similar origin, destination, and function. Many of the spinal tracts have their origin or destination in the brainstem.


The Spinal Nerves
Each spinal nerve has a dorsal (posterior) root that passes dorsally toward the back of the spinal cord and a ventral (anterior) root that passes ventrally toward the front of the spinal cord.

Each spinal nerve is composed of numerous nerve fibers (axons) bound together by connective tissues. Each nerve fiber is surrounded by a basal lamina and connective tissue called endoneurium. The nerve fibers are in bundles and are wrapped in a sheath called the perineurium. The perineurium is composed of up to 20 layers of squamous epithelial-like cells. Several nerve bundles (fascicles) are then bundled together and wrapped in a dense irregular fibrous connective tissue called epineurium.
Ganglia
A ganglion is a cluster of cell bodies (somas) outside the CNS. It is enveloped in an epineurium. Among the somas are bundles of nerve fibers leading into and out of the ganglion



Spinal Nerves
There are 31 pairs of spinal nerves:
8 cervical (C1 - C8)
12 thoracic (T1 - T12)
5 lumbar (L1 - L5)
5 sacral (S1 - S5)
1 coccygeal (Co1)
Cutaneous Innervation and Dermatomes
Each spinal nerve except C1 receives sensory input from a specific area of skin called a dermatome as demonstrated below. Spinal nerve damage is assessed by testing the dermatomes with pinpricks and noting areas in which the patient has no sensation.

There are four major spinal nerve plexuses: the cervical plexus, the brachial plexus, the lumbar plexus, and the sacral plexus.
Cervical Plexus
The cervical plexus is formed by the ventral rami (branches) of C1–C4. Most of these rami are branches of the cutaneous nerves of the neck, ear, back of head and shoulders.
It also contains the major motor and sensory nerves of the diaphragm.

The brachial plexus is formed by C6 - C8 and T1, although C4 and T2 may also contribute. This plexus gives rise to nerves that innervate the upper limbs.

The lumbar plexus arises from L1 - L4 and innervates the thigh, the abdominal wall and psoas muscles. It also forms the femoral nerve and obturator nerve.

The sacral plexus arises from L4 - S4 and serves the buttock, lower limb, pelvis structures and the perineum. Its major nerve is the sciatic nerve, the longest and thickest nerve of the body.

Reflexes
Visceral Reflexes
Somatic Reflexes
Reflex Arc

Identify on the spinal cord the various spinal nerve plexus
Test Yourself


Brain and Cranial Nerves
The human brain is the most sophisticated brain compared to other species.

Gray and White Matter
Cortex
Superficial layer
Composed of gray matter - site of neuron cell bodies, dendrites and synapses
Medulla
Deep to cortex
Composed of white matter - composed primarily of tracts or bundles of myelinated axons, which connect one part of the brain to another and to the spinal cord
Meninges
Layers of connective tissue for protection of the brain

Ventricles
Several large 'spaces' filled with cerebrospinal fluid (CSF). CSF forms a liquid cushion in and around the brain and spinal cord that is constantly drained and replaced.


Cerebrospinal Fluid

Blood-Brain Barrier
Seals nearly all of the blood capillaries throughout the brain tissue.
Important protective device
Highly permeable to water, glucose, lipid-soluble substances such as oxygen and carbon dioxide, and drugs such as alcohol, caffeine, nicotine, and anesthetics.
Place the following components in order from internal to external layers of the brain


Medulla Oblongata

Pons

Midbrain
Diencephalon - thalamus, hypothalamus and epithalamus. All surround the third ventricle of the brain

Thalamus
Hypothalamus
Epithalamus

Reticular Formation consists of more than 100 small neural networks which include
Cerebellum - largest part of the hindbrain and second largest part of the brain as a whole

The Cerebrum
Largest and most conspicuous part of the human brain.


Cerebral medulla
Most of cerebrum is white matter.
Consists of nerve fibers conducting signals from one region of the cerebrum to another and between the cerebrum and lower brain centers.
Cerebral cortex
Neural integration is carried out in the gray matter of the cerebrum.
Basal nuclei
The basal nuclei are clusters of gray matter found deep within the cerebral medulla
The three pair of basal nuclei are

Limbic system
Series of interconnected rings that are an important center of emotion and learning.

Higher Forebrain Functions
Primary cortex
regions that receive input directly from the sense organs or brainstem, or issue motor commands directly to the brainstem for distribution to the cranial and spinal nerves.
Primary Somesthetic (Somatosensory) Cortex
Located on the anterior edge of the parietal lobe
Functions in the interpretation of the sensation of touch from areas of the body
Primary Motor Cortex
Located on the posterior edge of the frontal lobe
Functions in the initiation of skeletal muscle contractions
This is where we plan our behavior
Association cortex
Consists of all regions other than the primary cortex, involved in integrative functions.
75% of the mass of the cerebral cortex is association cortex.
Motor Control
Upper motor neurons
These tract decussate (cross from one side of the body to the other) in the pyramids of the medulla oblongata and then continue into the spinal cord.
Lower motor neurons
The fibers from the upper motor neurons synapse with the lower motor neurons whose axons innervate the skeletal muscle.

Other areas of the brain important for muscle control
Basal nuclei
The basal nuclei assume control of highly practiced behaviors that one carries out with little thought - writing, typing, driving a car, etc.
Cerebellum
Highly important in motor coordination
Aids in learning motor skills
Maintains muscle tone and posture as well as smooth muscle contractions
Coordinates eye and body movements
Coordinates the motions of different joints with each other
Language
Includes several abilities - reading, writing, speaking and understanding spoken and printed words
Assigned to different regions of the cerebral cortex

Emotion
Result from an interaction between areas of the prefrontal cortex and the diencephalon
The hypothalamus and amygdala play especially important roles in emotion
Cognition
Acquisition and use of knowledge - sensory perception, thought, reasoning, judgment, memory, imagination, and intuition.
The prefrontal cortex is concerned with many of our most distinctive abilities, such as abstract thought, foresight, judgment, responsibility, a sense of purpose and a sense of socially appropriate behavior.
Cerebral lateralization
Are You Right or Left Brained? Take the Quiz.
Here is another quiz.

The Cranial Nerves

|
Cranial Nerve |
Composition |
Function |
Origin |
Effect of Damage |
Clinical Test |
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I Olfactory Nerve |
Sensory |
Smell |
Olfactory mucosa in nasal cavity |
Impaired sense of smell |
Use an aromatic substance |
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II Optic Nerve |
Sensory |
Vision |
Retina |
Blindness in part of all of the visual field |
Inspect retina with ophthalmoscope, test peripheral vision and visual acuity |
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III Oculomotor Nerve |
Predominantly motor |
Eye movements |
Midbrain |
Drooping eyelid; dilated pupil; inability to move eye in some directions; double vision |
Look for differences in size and shape of right and left pupils; test pupillary response to light; test ability to track moving objects |
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IV Trochlear Nerve |
Predominantly motor |
Eye Movements |
Midbrain |
Double vision and inability to rotate eye inferolaterally |
Test ability of eye to rotate inferolaterally |
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V Trigeminal Nerve - largest nerve, has three divisions |
Sensory Mixed |
Touch, temperature, and pain sensations from upper face, mastication |
Superior, middle, and inferior region of the face |
Loss of sensation from upper and middle face; impaired chewing |
Test corneal reflex; test sense of touch, pain and temperature with light touch, pinpricks, hot and cold objects; assess motor functions by palpating while subject clenches teeth |
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VI Abducens Nerve |
Predominantly motor |
Lateral eye movement |
Inferior pons |
Inability to turn eye laterally |
Test lateral eye movement |
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VII Facial Nerve |
Mixed |
Sensory - taste Motor - facial expression, secretion of tears, salvia, nasal & oral mucus |
Sensory: taste buds of anterior two-thirds of tongue Motor: Pons |
Inability to control facial muscles; sagging due to loss of muscle tone; distorted sense of taste, especially for sweets |
Test tongue with substances - sugar, salt, vinegar Test response of tear glands Test ability to smile, frown, whistle, raise eyebrows |
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VIII Vestibulocochlear Nerve |
Predominantly sensory |
Hearing and equilibrium |
Sensor: Cochlea, vestibule & semicircular ducts of inner ear Motor: Pons |
Nerve deafness, dizziness, nausea, loss of balance and nystagmus |
Look for nystagmus Test hearing, balance and ability to walk a straight line |
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IX Glossopharyngeal Nerve |
Mixed |
Sensory: taste, tough, pressure, pain & temperature sensations from tongue & other ear Motor: salivation, swallowing, gagging |
Sensory: pharynx, middle and outer ear Motor: medulla oblongata |
Loss of bitter and sour taste, impaired swallowing |
Test gag reflex, swallowing, and coughing Test tongue with bitter and sour substances |
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X Vagus Nerve |
Mixed |
Sensory: taste, sensations of hunger, fullness & GI discomfort Motor: swallowing, speech, deceleration of heart, bronchoconstriction |
Sensory: thoracic & abdominal viscera, root of tongue, pharynx, larynx, etc Motor: medulla oblongata |
Hoarseness or loss of voice Impaired swallowing and GI motility
|
Examine palatal movements during speech Check for abnormalities of swallowing, absence of gag reflex, weak hoarse voice, inability to cough forcefully |
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XI Accessory Nerve |
Predominantly motor |
Swallowing, head, neck, and shoulder movements |
Medulla oblongata and spinal cord segments C1 to C6 |
Impaired movement of head, neck & shoulders; difficult shrugging shoulder on damaged side; paralysis of sternocleidomastoid |
Test ability to rotate head and shrug shoulders against resistance |
|
XII Hypoglossal Nerve |
Predominantly motor |
Tongue movements of speech, food manipulation and swallowing |
Medulla oblongata |
Impaired speech and swallowing; inability to protrude tongue; deviation of tongue toward injured side |
Note deviations of tongue Test ability to protrude tongue against resistance |
Scenario and Activities
CLICK ON HERE TO TAKE THE HUMAN BRAIN QUIZ
CLICK ON HERE TO TAKE AN ANATOMY QUIZ
CRANIAL NERVES
SPINAL NERVES