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NEUROPHYSIOLOGY Dr. Steven Resnick, D.O. Neurology Resident Jackson Memorial Hospital
LECTURE OUTLINE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Basic Functions of the Nervous System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nervous System ,[object Object],[object Object],[object Object],[object Object]
Fine Anatomy of the Nervous System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Neurons Sensory Motor Interneurons
Sensory Neurons ,[object Object],Somatosensory neuron - spinal Vision,  hearing,  taste and smell - cranial Spinal Cord Brain Sensory Neuron Touch receptors in skin
Motor Neurons ,[object Object],Motor neurons in spinal cord Spinal Cord Brain Motor Neuron
Interneurons ,[object Object],Spinal Cord Brain Inter- Neurons Interneurons in brain
General Organisation of the Nervous System The Nervous System Central Nervous System Peripheral Nervous System Brain Spinal Cord Somatic Autonomic Sensory Motor Parasympathetic Sympathetic
The Nervous System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Divisions of the  PNS ,[object Object],[object Object],[object Object]
Divisions of the PNS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Divisions of the PNS ,[object Object],[object Object],[object Object],[object Object]
Major Divisions of the Nervous System { sensory motor autonomic nervous system { somatic nervous system { somatic nervous system { brain spinal cord { afferent nerves efferent nerves { parasympathetic nervous system sympathetic nervous system peripheral nervous system (PNS) nervous system central nervous system (CNS)
Peripheral  Nervous System: Afferent and  Efferent Neurons
Neurons ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
The Nerve Cell Body ,[object Object],[object Object],[object Object]
Nervous Tissue ,[object Object],[object Object],[object Object],[object Object]
The Dendrite  ,[object Object],[object Object],[object Object]
Nervous Tissue ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Axon Hillock ,[object Object],[object Object]
The Axon ,[object Object],[object Object],[object Object],[object Object]
Axon ,[object Object],[object Object],[object Object],[object Object],[object Object]
Axon Terminals ,[object Object],[object Object]
Nervous Tissue ,[object Object],[object Object]
Representative neuron in out Soma “ cell body”
Neuron that Delivers signal To the synapse Region where an Axon termimal Meets its target Cell The cell that Receives the signal
Nervous Tissue (2 Types) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neuroglia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Astrocytes: Nutrient Take up K+  And Neuro- Transmitters From ECF GLIAL CELLS OF THE CNS
GLIAL CELLS OF THE CNS Ependymal Cells: Epithelial Cells Create Selectively Permeable Barrier Between Compartments Of the Brain
GLIAL CELLS OF THE CNS Oligodendrocytes: Support and Insulate axons By creating myelin In CNS, one Oligodentrocyte Forms myelin Around portions of Several Axons
Glial Cells ,[object Object],[object Object],[object Object],[object Object],[object Object]
The Schwann Cell ,[object Object],[object Object],[object Object]
Nodes of Ranvier ,[object Object],[object Object]
The Myelin Sheath ,[object Object],[object Object]
Myelin Sheath ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Neurilemma ,[object Object],[object Object],[object Object]
Myelination ,[object Object],[object Object],[object Object]
Nerve Tissue Regeneration ,[object Object],[object Object],[object Object],[object Object],[object Object]
Regeneration ,[object Object],[object Object]
Regeneration ,[object Object],[object Object]
Nerve Tissue  Regeneration ,[object Object]
Nerve Tissue Regeneration ,[object Object],[object Object]
ACTION POTENTIAL ,[object Object],[object Object],[object Object]
ACTION POTENTIAL ,[object Object],[object Object],[object Object]
Membrane potential ,[object Object],[object Object],[object Object]
Ionic Concentration Gradients Cell Membrane in resting state K+ Na+ Cl- K+ A- Outside of Cell Inside of Cell Na + Cl- 0 mV
RESTING MEMBRANE POTENTIAL ,[object Object],[object Object],[object Object]
The Resting Potential: Ionic Gradients  & a Semi-Permeable Membrane Cell Membrane at rest Na+ Cl- K+ Na+ Cl- K+ A- Outside of Cell Inside of Cell Potassium (K+) can pass through open channels to equilibrate its concentration Sodium and Chlorine cannot pass through Result - inside is negative relative to outside - 70 mV
Resting Potential
ACTION POTENTIAL ,[object Object],[object Object],[object Object]
UPSTROKE OF A.P. ,[object Object],[object Object],[object Object],[object Object]
REPOLARIZATION OF A.P. ,[object Object],[object Object],[object Object],[object Object]
Action potential initiation S.I.Z.
Action potential termination Think “votes”
 
Positive feedback loop Na+ enters (depolarization) V-gate Na+  channels open graded Na+ potential Reach “ threshold”? If YES, then...
 
 
Action Potential
Absolute Refractory Period. ,[object Object],[object Object],[object Object]
Relative refractory period ,[object Object],[object Object],[object Object]
Refractory periods
Saltatory Conduction ,[object Object],[object Object],[object Object],[object Object]
Saltatory Conduction
 
Terminology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Terminology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Direction of chemical synapse ,[object Object],[object Object],[object Object]
 
 
 
Chemical Synapses ,[object Object],[object Object],[object Object]
 
Synaptic Physiology
Locks and Keys ,[object Object],positive ions (NA+ ) depolarize the neuron  negative ions (CL-) hyperpolarize When NT binds to  receptor, ions enter Receptor molecules have binding sites
Synaptic transmission ,[object Object],[object Object],[object Object],[object Object],[object Object]
Postsynaptic Inhibition IPSP EPSP
Types of Neurotransmitters ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acetylcholine ,[object Object],[object Object],[object Object],[object Object],[object Object]
Neuromuscular Junction ,[object Object]
Neuromuscular Junction and Ach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Myasthenia gravis ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Disorders of Cholinergic Transmission
Synaptic Function - Drug Effects ,[object Object],[object Object],[object Object],[object Object]
Serotonin ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dopamine ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Parkinson’s Disease
[object Object],[object Object],[object Object],Gamma-Aminobutyric Acid (GABA)
Huntington’s Chorea ,[object Object],[object Object],[object Object],[object Object]
 
Central Nervous System ,[object Object],[object Object]
Basic Directions dorsal caudal or posterior rostral or anterior ventral dorsal neuraxis dorsal ventral lateral medial medial lateral dorsal lateral medial medial lateral ventral caudal or posterior caudal or posterior dorsal ventral rostral or anterior neuraxis
Basic Directions
Basic Directions FIGURES 4.3 & 4.4 on pgs. 90-91 X dorsal ventral
CNS - The REAL Forebrain
This is Your Brain ,[object Object],[object Object],[object Object],[object Object],Top Bottom Side Middle
6 Major Regions of the Brain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Brain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Functions of Brain Structures ,[object Object],[object Object],[object Object]
The Lobes of the Cortex
Functions of Brain Structures Continued: ,[object Object],[object Object],[object Object],[object Object]
Cerebrum
Lobes of the Cerebrum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Function of Brain Structures Continued ,[object Object],[object Object],[object Object]
(Parietal)
Brain Parts ,[object Object],[object Object],[object Object],[object Object]
Cerebrum ,[object Object],[object Object]
Cerebral Cortex ,[object Object],[object Object],[object Object],[object Object]
Cerebrum ,[object Object],[object Object]
Cerebrum ,[object Object],[object Object],[object Object]
Cerebrum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hemispheric Lateralization  (split-brain) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebral Lateralization ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Damage to Cerebral Cortex ,[object Object],[object Object],[object Object],[object Object]
Cerebrum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Basal Ganglia (Cerebral Nuclei) ,[object Object]
Thalamus ,[object Object],[object Object]
Limbic System ,[object Object],[object Object]
Limbic System ,[object Object],[object Object],[object Object]
Limbic System
Brain Parts ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebellum ,[object Object],[object Object],[object Object]
Similarities of the Cerebellum and Cerebrum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Functions of the Cerebellum ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebellum
Brain Parts ,[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Stem ,[object Object]
Functions of Brain Structures Continued ,[object Object],[object Object],[object Object]
Medulla ,[object Object],[object Object],[object Object],[object Object]
Medulla ,[object Object],[object Object],[object Object]
Pons ,[object Object],[object Object],[object Object],[object Object],[object Object]
Midbrain ,[object Object],[object Object],[object Object],[object Object]
Oxygen And Glucose Requirements Of The Brain ,[object Object],[object Object]
External Support For Nervous Tissue ,[object Object],[object Object],[object Object]
Brain Structure Functions Continued ,[object Object],[object Object],[object Object],[object Object]
Brain Structure Functions Continued ,[object Object],[object Object]
External Support For Nervous Tissue ,[object Object],[object Object]
External Support for Nervous Tissue ,[object Object]
External Support for Nervous Tissue ,[object Object]
 
Brain Structure Functions Continued ,[object Object],[object Object],[object Object]
External Support for Nervous Tissue ,[object Object],[object Object]
CSF ,[object Object],[object Object],[object Object],[object Object]
Composition of CSF vs Plasma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ventricles ,[object Object]
2 lateral ventricles, one in each cerebral  Hemisphere; no direct connection between The 2, but both open into the third ventricle of  The diencephalon Midbrain has a slender canal known as the  cerebral Aqueduct  which connects the third ventricle with the  Fourth ventricle of the pons and superior portion Of the medulla oblongata
Within the medulla oblongata the fourth ventricle Narrows and joins the central canal of the spinal cord
Choroid Plexus ,[object Object],[object Object],[object Object],[object Object]
 
CNS - Flow of CSF in CNS 1) Choroid Plexus makes CSF in Lateral Ventricle 2) CSF moves around fornix 3) Joins fluids from choroid plexus in 3rd Ventricle 4) Down cerebral aqueduct 5) Joins 4th Ventricle fluids from choroid plexus 6) Leaves aperatures or goes down central canal in spine 7) Circulates in arachnoid 8) Reabsorbed into blood of dural sinus by arachnoid villi
 
Arachnoid Villi ,[object Object],[object Object],[object Object]
 

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Brain Anatomy & Physiology

  • 1. NEUROPHYSIOLOGY Dr. Steven Resnick, D.O. Neurology Resident Jackson Memorial Hospital
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. General Organisation of the Nervous System The Nervous System Central Nervous System Peripheral Nervous System Brain Spinal Cord Somatic Autonomic Sensory Motor Parasympathetic Sympathetic
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Major Divisions of the Nervous System { sensory motor autonomic nervous system { somatic nervous system { somatic nervous system { brain spinal cord { afferent nerves efferent nerves { parasympathetic nervous system sympathetic nervous system peripheral nervous system (PNS) nervous system central nervous system (CNS)
  • 15. Peripheral Nervous System: Afferent and Efferent Neurons
  • 16.
  • 17.  
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27. Representative neuron in out Soma “ cell body”
  • 28. Neuron that Delivers signal To the synapse Region where an Axon termimal Meets its target Cell The cell that Receives the signal
  • 29.
  • 30.
  • 31. Astrocytes: Nutrient Take up K+ And Neuro- Transmitters From ECF GLIAL CELLS OF THE CNS
  • 32. GLIAL CELLS OF THE CNS Ependymal Cells: Epithelial Cells Create Selectively Permeable Barrier Between Compartments Of the Brain
  • 33. GLIAL CELLS OF THE CNS Oligodendrocytes: Support and Insulate axons By creating myelin In CNS, one Oligodentrocyte Forms myelin Around portions of Several Axons
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49. Ionic Concentration Gradients Cell Membrane in resting state K+ Na+ Cl- K+ A- Outside of Cell Inside of Cell Na + Cl- 0 mV
  • 50.
  • 51. The Resting Potential: Ionic Gradients & a Semi-Permeable Membrane Cell Membrane at rest Na+ Cl- K+ Na+ Cl- K+ A- Outside of Cell Inside of Cell Potassium (K+) can pass through open channels to equilibrate its concentration Sodium and Chlorine cannot pass through Result - inside is negative relative to outside - 70 mV
  • 53.
  • 54.
  • 55.
  • 57. Action potential termination Think “votes”
  • 58.  
  • 59. Positive feedback loop Na+ enters (depolarization) V-gate Na+ channels open graded Na+ potential Reach “ threshold”? If YES, then...
  • 60.  
  • 61.  
  • 63.
  • 64.
  • 66.
  • 68.  
  • 69.
  • 70.
  • 71.
  • 72.  
  • 73.  
  • 74.  
  • 75.
  • 76.  
  • 78.
  • 79.
  • 81.
  • 82.
  • 83.
  • 84.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89.
  • 90.
  • 91.
  • 92.
  • 93.  
  • 94.
  • 95. Basic Directions dorsal caudal or posterior rostral or anterior ventral dorsal neuraxis dorsal ventral lateral medial medial lateral dorsal lateral medial medial lateral ventral caudal or posterior caudal or posterior dorsal ventral rostral or anterior neuraxis
  • 97. Basic Directions FIGURES 4.3 & 4.4 on pgs. 90-91 X dorsal ventral
  • 98. CNS - The REAL Forebrain
  • 99.
  • 100.
  • 101.  
  • 102.
  • 103.
  • 104.
  • 105. The Lobes of the Cortex
  • 106.
  • 108.
  • 109.
  • 111.
  • 112.
  • 113.
  • 114.
  • 115.
  • 116.
  • 117.
  • 118.
  • 119.  
  • 120.
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  • 123.
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  • 128.
  • 129.
  • 130.
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  • 152. 2 lateral ventricles, one in each cerebral Hemisphere; no direct connection between The 2, but both open into the third ventricle of The diencephalon Midbrain has a slender canal known as the cerebral Aqueduct which connects the third ventricle with the Fourth ventricle of the pons and superior portion Of the medulla oblongata
  • 153. Within the medulla oblongata the fourth ventricle Narrows and joins the central canal of the spinal cord
  • 154.
  • 155.  
  • 156. CNS - Flow of CSF in CNS 1) Choroid Plexus makes CSF in Lateral Ventricle 2) CSF moves around fornix 3) Joins fluids from choroid plexus in 3rd Ventricle 4) Down cerebral aqueduct 5) Joins 4th Ventricle fluids from choroid plexus 6) Leaves aperatures or goes down central canal in spine 7) Circulates in arachnoid 8) Reabsorbed into blood of dural sinus by arachnoid villi
  • 157.  
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Editor's Notes

  1. key words: peripheral nervous system
  2. Key words: sensory neurons; afferent nerves; types of neurons
  3. Key words: Motor neurons; efferent nerves; types of neurons
  4. Key words: interneurons; types of neurons
  5. Key words: ion concentrations; cell membrane; intracellular fluid; extracellular fluid; Na+; Cl-; K+ Slide ten represents a schematic of the typical concentrations of the intracellular and extracellular fluids. There are large concentrations of sodium and chloride ions concentrations of on the outside of the cell (relative to inside the cell). There are large concentrations of potassium ions and protein molecules on the insde of the cell (relative to concentrations on the outside of the cell).
  6. Key words: Cell membrane; semi-permeable; K+; Na+; Cl- The cell membrane is semi-permeable. That is, when the neuron is at rest, the cell membrane allows some ions (K+) to pass freely through the cell membrane, whereas other ions (such as Na+ and Cl-) cannot. Hit enter once and K+ ions will slowly pass through the cell membrane. After K+ animation is finished, hit enter again and animation showing that Na+ and l- ions cannot pass through the membrane will occur.
  7. The slides following this can be viewed sequentially or by using the branching icons on each slide to go forward from this index slide and come back to it. This permits the instructor to select which subsets of slides to present.