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ANATOMY OF NERVOUS
SYSTEM
ANATOMYOF NERVOUS SYSTEM
ā€¢ It is also called Neuroanatomy.
ā€¢ Like other systems in the body, the nervous
system is composed of organs, principally the
brain, spinal cord, nerves, & ganglia. These, in
turn, consist of various tissues, including
nerve, blood, and connective tissue.
ā€¢ It is the major controlling, regulatory, and
communicating system in the body.
ā€¢ It is the center of all mental activity including
thought, learning, and memory.
7/23/2022 BY JEMAL 3
Brain
Skeletal Muscle
Spinal cord
Neurons
Neurons
Receptor
Neuron is
A Mechanism of Nervous
System Coordination &
Functions
ANATOMYOF NERVOUS SYSTEM
ā€¢ Together with the endocrine system, the
nervous system is responsible for regulating
and maintaining homeostasis.
ā€¢ Through its receptors, it keeps us in touch
with our envā€™t, both external and internal.
ā€¢ Nervous system is organized into two major
divisions: the Central Nervous System (CNS)
and the Peripheral Nervous System (PNS).
ā€¢ CNS: consists of the brain and spinal cord.
ā€¢ PNS: consists of the 12 pairs of cranial nerves, 31
pairs of spinal nerves and associated ganglia
including the Autonomic Nervous System (ANS).
Brain
Spinal
cord
CNS
Nerves
Ganglia
PNS
Basic Functions of the Nervous System
ļƒ¼Sensation: Monitors changes/events
occurring in and outside the body. Such
changes are known as stimuli and they are
monitored by receptors.
ļƒ¼Integration: The parallel processing and
interpretation of sensory information to
determine the appropriate response.
ļƒ¼Reaction: Motor output. The activation of
muscles or glands (via the release of
neurotransmitters).
CENTRAL NERVOUS SYSTEM (CNS)
ā€¢ is composed of the brain and spinal cord.
ā€¢ is the largest part of the nervous system.
ā€¢ The brain is within cranial cavity, & spinal cord
is in spinal canal.
ā€¢ The brain and spinal cord are covered by the
meninges (protective coverings).
ā€¢ Brain is also protected by the skull & spinal
cord by the vertebrae.
THE CENTRAL NERVOUS SYSTEM
Brain
Spinal Cord
THE BRAIN
ā€¢ is located in the cranial cavity.
ā€¢ is supported & protected by the cranial bones,
meninges, & cerebrospinal fluid.
ā€¢ Average adult human brain weighs in at 1.3-1.4 Kg
and is larger in male than females. In a newborn
human baby's brain weighs 350-400 g.
ā€¢ Brain size represents a proportional difference in
body size; but brain size is not correlated to
intelligence but is related to the complexity of the
neural connections within the brain.
ā€¢ Brain has four ventricles, cavities that are filled
with cerebrospinal fluid.
pg 348
1. Cerebrum
2. Diencephalon
3. Brain Stem
4. Cerebellum
The Brain Regions
-Brain has 4 major parts.
7/23/2022 11
BY JEMAL
The Brain Regions
Cerebellum
Cerebrum
Diencephalon
CEREBRUM
The Cerebrum
ā€¢ makes up the largest (83%) part of the brain.
ā€¢ has gyri (folds), sulci (shallow grooves), and
fissures (deep grooves) of the cerebral cortex.
ā€¢ has two (right & left) cerebral hemispheres
that are separated by the longitudinal cerebral
fissure, however, deeply connected by the
corpus callosum.
ā€¢ The right cerebral hemisphere controls the
left side of the body and the left one controls
the right side of the body.
The Cerebral Hemispheres
ā€¢ Each hemisphere has an outer cortex of gray
matter surrounding an interior that is mostly
white matter, except for a few small portions.
ā€¢ Deep sulci divide each hemisphere into five
lobes.
Right Cerebral
Hemisphere
Left Cerebral
Hemisphere
Longitudinal Cerebral Fissure
ā€¢ Each cerebral hemispheres has five lobes,
namely:
1. Frontal Lobe
2. Parietal Lobe
3. Occipital Lobe
4. Temporal Lobe
5. Insular Lobe
ā€¢ The main depressions that separate the lobes
are the Longitudinal cerebral fissure, Central
sulcus, Lateral cerebral fissure(sulcus),
Parieto-occipital fissure(sulcus).
The Lobes of Cerebral Hemispheres
ā€¢ Central sulcus ā€“ separates the frontal and
parietal lobes.
ā€¢ Parietal-occipital sulcus ā€“ separates the
parietal and occipital lobes.
ā€¢ Lateral sulcus ā€“ separates the parietal and
temporal lobes.
7/23/2022 BY JEMAL 18
ā€¢ Each cerebral hemisphere is divided into 3
regions:
ļƒ¼Cerebral Cortex (Gray Mater)
ļƒ¼Cerebral White Mater
ļƒ¼Basal Ganglia (Gray Mater)
7/23/2022 BY JEMAL 19
Regions of the Cerebrum
Cerebral Cortex
ā€¢ The cortex ā€“ superficial gray matter; accounts
for roughly 40% of the mass of the brain.
ā€¢ It enables recognition of sensation,
communication, memory, understanding, and
voluntary movements.
ā€¢ It has specific parts that are specialized for
specific functions, called functional areas.
ā€¢ No functional area acts alone; conscious
behavior involves the entire cortex.
Functional Areas of the Cerebral Cortex
ā€¢ Three types of functional areas are:
ļƒ¼Motor areas ā€“ control voluntary movement
ļƒ¼Sensory areas ā€“ conscious awareness of
sensation
ļƒ¼Association areas ā€“ integrate diverse
information
Primary Motor Cortex:-located in the frontal
lobe and allows conscious control of skilled,
voluntary movā€™ts.
Premotor Cortex:-located in the frontal lobe
and controls learned, repetitions, or patterned
motor skills.
Brocaā€™s Area:-is a motor area located in the
frontal lobe and directs muscles of tongue & is
active as one prepares to speak.
Frontal eye field:-located in the frontal lobe
and controls voluntary eye movement.
7/23/2022 BY JEMAL 24
Somatosensory Areas:-located in the parietal
lobe. They receives information and
understand sensations such as determining
size, texture, & relationship of parts.
Visual Areas:-located in the occipital lobe.
They receives visual information from the
retinas and interpret the stimuli (e.g, color,
form, & movā€™t).
Auditory Areas:-located in the temporal lobe.
They receives information related to pitch,
rhythm, & loudness and also stores memories
of sounds & permits perception of sounds.
Olfactory Area:-located in the frontal lobe and
consciously identifying and recalling specific
odors and telling different smells apart.
Prefrontal Area: located in the anterior portions
of the frontal lobe involved with cognition,
recall, and personality. It is necessary for
judgment, reasoning, & ethics.
Functional Areas
CEREBRAL WHITE MATTER
ā€¢ Consists of deep myelinated long & short
fibers and their tracts.
ā€¢ It is responsible for communication b/n the
cerebrum and the other brain regions.
ā€¢ It also connects & communicates the cerebral
hemispheres, lobes, and functional areas of
the cerebrum.
CEREBRAL WHITE MATTER
ā€¢ According to the size and functions, the
fibers can be classified as follow:
ļƒ¼Association fibers ā€“ connect different parts
of the same hemisphere.
ļƒ¼Commissural fibers ā€“ connect corresponding
gray areas of the two hemispheres.
ļƒ¼Projection fibers ā€“ enter the cerebrum from
lower brain or cord centers.
30
Cerebral White Matter Fibers
CEREBRAL WHITE MATTER
ļƒ¼1. Association Fibers
ā€¢ are the shortest fibers of the white matter
region.
ā€¢ located only within each cerebral
hemisphere.
ā€¢ Short association fibers: connect adjacent
gyri in the same hemisphere.
ā€¢ Long association fibers: connect more
widely separated areas and lobes.
7/23/2022 BY JEMAL 31
Cerebral White Matter Fibers
ļƒ¼Commissural Fibers
ā€¢ interconnect the hemispheres.
ā€¢ integrates activity of the hemispheres.
ā€¢ communicate the hemispheres with each
other.
ā€¢ are responsible for coordinating the activities
of the two cerebral hemispheres
ā€¢ e.g, Corpus Callosum: the largest bundle of
commissural fibers.
33
ļƒ¼Projection Fibers
ā€¢ are the longest fibers of the white matter
region.
ā€¢ connect cerebrum with the other regions of
the brain and the spinal cord.
ā€¢ Afferent fibers: include the geniculocalcarine
radiation, auditory radiation and thalamic
radiations from the thalamic nuclei to specific
cerebrocortical areas.
ā€¢ Efferent fibers: to the thalamus, brain stem,
or spinal cord.
7/23/2022 BY JEMAL 34
35
Cerebral White Matter Fibers
DIENCEPHALON
DIENCEPHALON
ā€¢ located in the central core of the forebrain.
ā€¢ encloses the third ventricle.
ā€¢ consists of three structures.
ā€“Thalamus,
ā€“Hypothalamus,&
ā€“Epithalamus,
ā€¢ These structures effectively enclose the third
ventricle.
Hypothalamus
Thalamus
Epithalamus
Diencephalon
Thalamus
-composed of bilateral masses of gray matter
held together by a mid-line commissure called
the intermediate mass.
-is egg shaped with paired, gray matter masses.
-is the largest part, makes up 80%, of the
diencephalon.
ā€¢ All inputs ascending to the cerebral cortex
pass through the thalamus.
ā€¢ Afferent impulses from all senses converge
and synapse in the thalamus.
Diencephalon
Thalamus
Thalamic Function
ā€¢ It is relay station, afferent impulses from all
senses converge and synapse in the thalamus,
except those of olfactory nerves.
ā€¢ Impulses of similar function are ā€œsorted out,ā€
edited, and relayed as a group.
ā€¢ Plays a key role in mediating sensation, motor
activities, cortical arousal, learning, and
memory.
Hypothalamus
ā€¢ Located below the thalamus, it caps the
brainstem and forms the inferolateral walls
of the third ventricle.
ā€¢ Has three regions.
ļƒ¼Mamillary area, posteriorly
ļƒ¼Infundibulum & Tuber cinereum, centrally
ļƒ¼Chiasmatic region, anterioriy
Hypothalamic Function
ļƒ¼Regulates blood pressure, rate and force of
heartbeat, digestive tract motility, rate and
depth of breathing.
ļƒ¼Perception of pleasure, fear, and rage.
ļƒ¼Regulates feelings of hunger, satiety, & body
temperature.
ļƒ¼Regulates sleep and the sleep cycle.
ļƒ¼Release hormones to anterior pituitary, the
ADH & oxytocin.
Epithalamus
ā€¢ Most dorsal portion of the diencephalon;
forms roof of the third ventricle.
ā€¢ Pineal gland ā€“ extends from the posterior
border and secretes melatonin.
ā€¢ Melatonin ā€“ a hormone involved with sleep
regulation, sleep-wake cycles, and mood.
ā€¢ Choroid plexus ā€“ a structure that secretes
cerebrospinal fluid.
BRAINSTEM
Brainstem
ā€¢ constitutes 2.5% of total brain mass.
ā€¢ consists of three regions as external
divisions:
1. Midbrain
2. Pons
3. Medulla oblongata
ā€¢ Each region is roughly 2.5cm long.
ā€¢ Its internal anatomy is similar to that of
spinal cord but contains embedded nuclei.
Brainstem
Brainstem
Midbrain
Pons
Medulla oblongata
ā€¢ Internal Regions of Brainstem:
1. Tectum
2. Tegmentum
3. Basis
The main functions of brainstem:
ļƒ¼It produces the rigidly programmed,
automatic behaviors necessary for our
survival.
ļƒ¼Acts as a passageway for all the fiber tracts
running between the cerebrum and the
spinal cord.
ļƒ¼It is heavily involved with the innervation of
the face and head b/c 10 cranial nerve are
attach to it.
MIDBRAIN
ā€¢ Located b/n the diencephalon and the pons.
ā€¢ Midbrain structures include:
ļƒ¼Cerebral peduncles ā€“ two bulging structures
that contain descending pyramidal motor
tracts & various nuclei.
ļƒ¼Cerebral aqueduct ā€“ hollow tube that
connects the third and fourth ventricles.
ļƒ¼Tectum ā€“ forming the roof of the midbrain
and contains visual & auditory reflex centers.
7/23/2022 BY JEMAL 52
PONS
ā€¢ Bulging brainstem region between the
midbrain and the medulla oblongata.
ā€¢ Forms part of ant wall of the fourth ventricle.
ā€¢ Forms the largest connection with
cerebellum.
ā€¢ Its fibers connect higher brain centers and
the spinal cord.
ā€¢ It is origin of cranial nerves V (trigeminal), VI
(abducens), VII (facial), & VIII
(vestibulocochlear).
MEDULLA OBLONGATA
ā€¢ is the most inferior part of the brain stem.
ā€¢ forms the ant wall of the fourth ventricle.
ā€¢ contains the nuclei of the last 4 cranial nerves.
ā€¢ has two pairs of prominent projections:
i. Olives:- are two pos longitudinal ridges of
gray matter.
ii. Pyramids:- are two ant longitudinal ridges
formed by corticospinal tracts, w/h form
the pyramidal decussation, crossover point.
7/23/2022 BY JEMAL 55
Pyramid
Olive
Cranial Nerve of Brainstem
CEREBELLUM
CEREBELLUM
ā€¢ Located pos to the pons and medulla.
ā€¢ Protrudes under the occipital lobes of the
cerebrum.
ā€¢ Makes up 11% of the brainā€™s mass.
ā€¢ Provides precise timing and appropriate
patterns of skeletal muscle contraction.
ā€¢ Cerebellar activity occurs subconsciously.
CEREBELLUM
Cerebellum
un
External Anatomy of the Cerebellum
ā€¢ It has two bilaterally symmetrical cerebellar
hemispheres that are connected medially by
the vermis.
ā€¢ Cerebellum appears as a large sheet with
folds, called folia ā€“ transversely oriented folds.
ā€¢ Externally, it has outer gray matter cortex,
surrounding the white matter.
ā€¢ It has three main anatomical lobes, the Ant,
Pos, & Flocculonodular lobes.
Anatomical Lobes
Regions of the Cerebellum
ā€¢ Each fold or folium contains a core of white
matter covered superficially by gray matter.
ā€¢ cerebellum has 3 regions:
ā€¢ Gray Matter: outer layer called the cortex.
ā€¢ White Matter: inner to the gray matter.
ā€¢ Intracerebellar Nuclei: are 4 masses of gray
matter embedded in the white matter.
Cerebellar Peduncles
ā€¢ Three paired fiber tracts that connect the
cerebellum to the brain stem.
ā€¢ All fibers in the cerebellum are ipsilateral.
ā€¢ Superior cerebellar peduncles: connect the
cerebellum to the midbrain.
ā€¢ Middle cerebellar peduncles: connect the
pons to the cerebellum.
ā€¢ Inferior cerebellar peduncles: connect the
medulla to the cerebellum.
7/23/2022 BY JEMAL 64
ā€¢ Cerebellum coordinates rapid
equilibrium and balance, and
it may be temporarily affected
by alcohol. These alterations
can produce ataxia ā€“ a
disturbance in balance.
Cerebellar Processing Function
ā€¢ Cerebellum receives impulses of the
intention to initiate voluntary muscle
contraction.
ā€¢ Proprioceptors and visual signals ā€œinformā€
the cerebellum of the bodyā€™s condition.
ā€¢ Cerebellar cortex calculates the best way to
perform a movement.
ā€¢ A ā€œblueprintā€ of coordinated movement is
sent to the cerebral motor cortex.
SPINAL CORD
SPINAL CORD
ā€¢ is the second division of the CNS enclosed
within the vertebral column.
ā€¢ extends from the foramen magnum to L1.
ā€¢ its average length is about 45 cm.
ā€¢ protected mainly by the vertebral column,
meninges, and CSF.
ā€¢ provides two-way communication to and
from the brain and also gives reflex
response.
SPINAL CORD
Brain
Spinal Cord
External Anatomy of Spinal Cord
ā€¢ Conus medullaris ā€“ terminal portion of the
spinal cord.
ā€¢ Cauda equina ā€“ collection of nerve roots at
the inferior end of the vertebral canal.
ā€¢ Filum terminale ā€“ fibrous extension of the pia
mater; anchors the spinal cord to the coccyx.
ā€¢ Cervical & lumbar enlargements ā€“widens
laterally b/c of increased numbers of lower
motor neurons, where nerves serving the
upper and lower limbs emerge.
External Anatomy of Spinal Cord
ā€¢ Posterior median sulcus ā€“ a shallow groove
that divides posterior funiculi.
ā€¢ Anterior median fissure ā€“ a deep groove
that separates the anterior funiculi.
ā€¢ Right & left Hemispheres ā€“ externally
indicated by the above posterior median
sulcus & anterior median fissure.
ā€¢ Spinal nerves ā€“ 31 of nerves pairs attached
to the cord by paired roots.
Spinal Cord
7/23/2022 71
Ant Median Fissure
Pos Median Sulcus
Lumbar Enlargement
Cervical Enlargement
Conus Medullaris
Filum Terminale
Gray Matter in the Spinal Cord
ā€¢ is surrounded by the white matter.
ā€¢ consists of cell body, neural processes, and
neuroglia and has the following regions.
ā€“Gray Commissure ā€“ connects masses of
gray matter; encloses central canal.
ā€“Anterior Gray Horns ā€“ interneurons and
somatic motor neurons.
ā€“Posterior Gray Horns ā€“ interneurons.
ā€“Lateral Gray Horns ā€“ contain sympathetic
nerve fibers.
7/23/2022 73
BY JEMAL
WHITE
MATTER
Gray Matter
White Matter in the Spinal Cord
ā€¢ surrounds the gray matter.
ā€¢ consists of fibers that run in three directions
ā€“ ascending, descending, and transversely.
ā€¢ divided into three funiculi (columns):
ā€“Posterior White Columns
ā€“Lateral White Columns
ā€“Anterior White Columns
White Matter in the Spinal Cord
ā€¢ Each funiculus contains several fiber tracks.
ā€¢ Fiber tract names reveal their origin and
destination.
ā€¢ Fiber tracts are composed of axons with
similar functions.
ā€¢ Most pathways consist of two or three
neurons.
ā€¢ The pathways are paired (one on each side of
the spinal cord or brain).
7/23/2022 76
BY JEMAL
WHITE
MATTER
White Matter
Spinal Roots & Spinal Nerves
ā€¢ Each segment pertains to 4 roots.
ā€¢ Ventral roots: motor outflow tracts
ā€¢ Dorsal roots: largely sensory tracts
ā€¢ Dorsal root (spinal) ganglia: swellings of soma
ā€¢ Peripheral nerves: spinal nerves outside the
vertebral column.
BY JEMAL 77
7/23/2022 BY JEMAL 78
PERIPHERAL NERVOUS SYSTEM
(PNS)
7/23/2022 BY JEMAL 79
Peripheral Nervous System
ā€¢ communicates b/n CNS & rest body parts.
ā€¢ Formed by 31 pairs of spinal nerves & 12 pairs
of cranial nerves.
ļƒ¼Sensory Nerve Fibers: may be somatic (from
skin, skeletal muscles or joints) or visceral
(from organs).
ļƒ¼Motor Nerve Fibers: may be somatic nervous
system (skeletal muscles) or autonomic
nervous system (involuntary to smooth
muscle, cardiac muscle, & glands).
BY JEMAL
8
PNC
Spinal Nerves
Cranial Nerves
7/23/2022 BY JEMAL 82
Spinal Nerves
ā€¢ are 31 pairs of nerves, each connected
to spinal cord by the dorsal & ventral
roots and grouped based on the
backbone regions:
ļƒ¼8 paired cervical nerves
ļƒ¼12 paired thoracic nerves
ļƒ¼5 paired lumbar nerves
ļƒ¼5 paired sacral nerves
ļƒ¼1 pair of coccygeal nerves
7/23/2022 BY JEMAL 83
Spinal Nerves
Trochlear (IV)
Trigeminal (V)
Abducens (VI)
Facial (VII)
Vestibulocochlear (VIII)
Glossopharyngeal (IX)
Vagus (X)
Hypoglossal (XII)
Accessory (XI)
CRANIAL NERVES
7/23/2022 84
BY JEMAL
BY JEMAL 85
CN I (Olfactory nerves)
ā€¢ are pure sensory, transmit sense of smell
from nasal mucosa to brain.
ā€¢ form olfactory bulb then olfactory tract.
Brain
Nasal Cavity
Olfactory
nerve
7/23/2022 BY JEMAL 86
CN II (Optic Nerves)
ā€¢ are pure sensory, transmit sense of vision
from the eyes to the brain.
ā€¢ Crossing over occurs at the optic chiasma.
7/23/2022 BY JEMAL 87
CN III (Oculomotor Nerves)
ā€¢ are pure motor and arise from midbrain.
ā€¢ innervate most of the extraocular muscles.
ā€¢ Disorders of these nerves or muscles can
result in eye paralysis, such as diplopia
(double vision) or ptosis (dropping of the
eyelid).
7/23/2022 BY JEMAL 88
Oculomotor Nerve
CN IV (Trochlear Nerves)
ā€¢ are pure motor and arise from midbrain.
ā€¢ innervate one of the extraocular muscles.
7/23/2022 BY JEMAL 89
CN V (Trigeminal Nerves)
ā€¢ arise from pons and each nerve has 3 parts:
ophthalmic, maxillary, & mandibular.
ā€¢ are mixed nerve, containing both sensory part
that transmits sense of touch, T0, & pain from
the face to the brain and motor part that
innervate muscles of mastication.
7/23/2022 BY JEMAL 90
Trigeminal
Nerve
Ophthalmic
Maxillary
Mandibular
BY JEMAL 91
medially deviated
eyeball
CN VI (Abducens Nerves)
ā€¢ are pure motor and arise from pons.
ā€¢ innervate one of the extraocular muscles,
the lateral rectus muscle.
ā€¢ injury to one nerve results in medial
deviation of the eyeball.
7/23/2022 BY JEMAL 92
Facial
Nerve
CN VII (Facial Nerves)
ā€¢ arise from pons and supplies facial region.
ā€¢ are mixed nerve, containing both sensory part
(w/h transmits sense from the anterior 2/3 of
the tongue to the brain) and motor part (w/h
innervate facial expression muscles & salivary,
lacrimal, & nasal glands). Pons
Tongue
ā€¢ injury to one of the two facial nerves results
in a deviation of the affected side of the face
to the normal side.
ā€¢ is b/c of facial expression muscles paralysis.
7/23/2022 BY JEMAL 93
Facial Expression Muscles
Deviated
facial part
CN VIII (Vestibulocochlear Nerves)
ā€¢ are pure sensory and extend b/n the pons and
inner ear.
ā€¢ each has two parts:
i. Vestibular nerve, concerned to body
balance.
ii. Cochlear nerve, transmits sound, thus, it
is concerned to hearing.
7/23/2022 BY JEMAL 94
Vestibulocochlear Nerve
7/23/2022 BY JEMAL 95
CN IX (Glossopharyngeal Nerves)
ā€¢ arise from medulla and are mixed nerves.
ā€¢ Motor part supplies the swallowing muscles.
ā€¢ Sensory part supplies taste, touch, heat from
pharynx & pos tongue.
7/23/2022 BY JEMAL 96
Glossopharyngeal
Nerve
Tongue
swallowing muscles
CN X (Vagus Nerves)
ā€¢ are mixed nerves w/h arise
from medulla and descend
to thorax and abdomen.
ā€¢ Sensory part supplies taste
buds in pos tongue &
pharynx.
ā€¢ Motor part innervates the
thoracic & abdominal
organs.
7/23/2022 97
CN XI (Accessory Nerves)
ā€¢ are pure motor and arise from medulla.
ā€¢ innervate muscles of the larynx, pharynx, &
soft palate.
7/23/2022 BY JEMAL 98
7/23/2022 BY JEMAL 99
CN XII (Hypoglossal Nerves)
ā€¢ are pure motor and arise from medulla.
ā€¢ innervate muscles of the tongue.
ā€¢ If one nerve injured, tongue deviates to the
normal side.
Tongue deviated to left

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Anatomy of the Nervous System

  • 2. ANATOMYOF NERVOUS SYSTEM ā€¢ It is also called Neuroanatomy. ā€¢ Like other systems in the body, the nervous system is composed of organs, principally the brain, spinal cord, nerves, & ganglia. These, in turn, consist of various tissues, including nerve, blood, and connective tissue. ā€¢ It is the major controlling, regulatory, and communicating system in the body. ā€¢ It is the center of all mental activity including thought, learning, and memory.
  • 3. 7/23/2022 BY JEMAL 3 Brain Skeletal Muscle Spinal cord Neurons Neurons Receptor Neuron is A Mechanism of Nervous System Coordination & Functions
  • 4. ANATOMYOF NERVOUS SYSTEM ā€¢ Together with the endocrine system, the nervous system is responsible for regulating and maintaining homeostasis. ā€¢ Through its receptors, it keeps us in touch with our envā€™t, both external and internal. ā€¢ Nervous system is organized into two major divisions: the Central Nervous System (CNS) and the Peripheral Nervous System (PNS).
  • 5. ā€¢ CNS: consists of the brain and spinal cord. ā€¢ PNS: consists of the 12 pairs of cranial nerves, 31 pairs of spinal nerves and associated ganglia including the Autonomic Nervous System (ANS). Brain Spinal cord CNS Nerves Ganglia PNS
  • 6. Basic Functions of the Nervous System ļƒ¼Sensation: Monitors changes/events occurring in and outside the body. Such changes are known as stimuli and they are monitored by receptors. ļƒ¼Integration: The parallel processing and interpretation of sensory information to determine the appropriate response. ļƒ¼Reaction: Motor output. The activation of muscles or glands (via the release of neurotransmitters).
  • 7.
  • 8. CENTRAL NERVOUS SYSTEM (CNS) ā€¢ is composed of the brain and spinal cord. ā€¢ is the largest part of the nervous system. ā€¢ The brain is within cranial cavity, & spinal cord is in spinal canal. ā€¢ The brain and spinal cord are covered by the meninges (protective coverings). ā€¢ Brain is also protected by the skull & spinal cord by the vertebrae.
  • 9. THE CENTRAL NERVOUS SYSTEM Brain Spinal Cord
  • 10. THE BRAIN ā€¢ is located in the cranial cavity. ā€¢ is supported & protected by the cranial bones, meninges, & cerebrospinal fluid. ā€¢ Average adult human brain weighs in at 1.3-1.4 Kg and is larger in male than females. In a newborn human baby's brain weighs 350-400 g. ā€¢ Brain size represents a proportional difference in body size; but brain size is not correlated to intelligence but is related to the complexity of the neural connections within the brain. ā€¢ Brain has four ventricles, cavities that are filled with cerebrospinal fluid.
  • 11. pg 348 1. Cerebrum 2. Diencephalon 3. Brain Stem 4. Cerebellum The Brain Regions -Brain has 4 major parts. 7/23/2022 11 BY JEMAL
  • 14. The Cerebrum ā€¢ makes up the largest (83%) part of the brain. ā€¢ has gyri (folds), sulci (shallow grooves), and fissures (deep grooves) of the cerebral cortex. ā€¢ has two (right & left) cerebral hemispheres that are separated by the longitudinal cerebral fissure, however, deeply connected by the corpus callosum. ā€¢ The right cerebral hemisphere controls the left side of the body and the left one controls the right side of the body.
  • 15. The Cerebral Hemispheres ā€¢ Each hemisphere has an outer cortex of gray matter surrounding an interior that is mostly white matter, except for a few small portions. ā€¢ Deep sulci divide each hemisphere into five lobes. Right Cerebral Hemisphere Left Cerebral Hemisphere Longitudinal Cerebral Fissure
  • 16. ā€¢ Each cerebral hemispheres has five lobes, namely: 1. Frontal Lobe 2. Parietal Lobe 3. Occipital Lobe 4. Temporal Lobe 5. Insular Lobe ā€¢ The main depressions that separate the lobes are the Longitudinal cerebral fissure, Central sulcus, Lateral cerebral fissure(sulcus), Parieto-occipital fissure(sulcus).
  • 17. The Lobes of Cerebral Hemispheres
  • 18. ā€¢ Central sulcus ā€“ separates the frontal and parietal lobes. ā€¢ Parietal-occipital sulcus ā€“ separates the parietal and occipital lobes. ā€¢ Lateral sulcus ā€“ separates the parietal and temporal lobes. 7/23/2022 BY JEMAL 18
  • 19. ā€¢ Each cerebral hemisphere is divided into 3 regions: ļƒ¼Cerebral Cortex (Gray Mater) ļƒ¼Cerebral White Mater ļƒ¼Basal Ganglia (Gray Mater) 7/23/2022 BY JEMAL 19 Regions of the Cerebrum
  • 20.
  • 21. Cerebral Cortex ā€¢ The cortex ā€“ superficial gray matter; accounts for roughly 40% of the mass of the brain. ā€¢ It enables recognition of sensation, communication, memory, understanding, and voluntary movements. ā€¢ It has specific parts that are specialized for specific functions, called functional areas. ā€¢ No functional area acts alone; conscious behavior involves the entire cortex.
  • 22. Functional Areas of the Cerebral Cortex ā€¢ Three types of functional areas are: ļƒ¼Motor areas ā€“ control voluntary movement ļƒ¼Sensory areas ā€“ conscious awareness of sensation ļƒ¼Association areas ā€“ integrate diverse information
  • 23. Primary Motor Cortex:-located in the frontal lobe and allows conscious control of skilled, voluntary movā€™ts. Premotor Cortex:-located in the frontal lobe and controls learned, repetitions, or patterned motor skills. Brocaā€™s Area:-is a motor area located in the frontal lobe and directs muscles of tongue & is active as one prepares to speak. Frontal eye field:-located in the frontal lobe and controls voluntary eye movement.
  • 25. Somatosensory Areas:-located in the parietal lobe. They receives information and understand sensations such as determining size, texture, & relationship of parts. Visual Areas:-located in the occipital lobe. They receives visual information from the retinas and interpret the stimuli (e.g, color, form, & movā€™t). Auditory Areas:-located in the temporal lobe. They receives information related to pitch, rhythm, & loudness and also stores memories of sounds & permits perception of sounds.
  • 26. Olfactory Area:-located in the frontal lobe and consciously identifying and recalling specific odors and telling different smells apart. Prefrontal Area: located in the anterior portions of the frontal lobe involved with cognition, recall, and personality. It is necessary for judgment, reasoning, & ethics.
  • 28. CEREBRAL WHITE MATTER ā€¢ Consists of deep myelinated long & short fibers and their tracts. ā€¢ It is responsible for communication b/n the cerebrum and the other brain regions. ā€¢ It also connects & communicates the cerebral hemispheres, lobes, and functional areas of the cerebrum.
  • 29. CEREBRAL WHITE MATTER ā€¢ According to the size and functions, the fibers can be classified as follow: ļƒ¼Association fibers ā€“ connect different parts of the same hemisphere. ļƒ¼Commissural fibers ā€“ connect corresponding gray areas of the two hemispheres. ļƒ¼Projection fibers ā€“ enter the cerebrum from lower brain or cord centers.
  • 31. CEREBRAL WHITE MATTER ļƒ¼1. Association Fibers ā€¢ are the shortest fibers of the white matter region. ā€¢ located only within each cerebral hemisphere. ā€¢ Short association fibers: connect adjacent gyri in the same hemisphere. ā€¢ Long association fibers: connect more widely separated areas and lobes. 7/23/2022 BY JEMAL 31
  • 33. ļƒ¼Commissural Fibers ā€¢ interconnect the hemispheres. ā€¢ integrates activity of the hemispheres. ā€¢ communicate the hemispheres with each other. ā€¢ are responsible for coordinating the activities of the two cerebral hemispheres ā€¢ e.g, Corpus Callosum: the largest bundle of commissural fibers. 33
  • 34. ļƒ¼Projection Fibers ā€¢ are the longest fibers of the white matter region. ā€¢ connect cerebrum with the other regions of the brain and the spinal cord. ā€¢ Afferent fibers: include the geniculocalcarine radiation, auditory radiation and thalamic radiations from the thalamic nuclei to specific cerebrocortical areas. ā€¢ Efferent fibers: to the thalamus, brain stem, or spinal cord. 7/23/2022 BY JEMAL 34
  • 37. DIENCEPHALON ā€¢ located in the central core of the forebrain. ā€¢ encloses the third ventricle. ā€¢ consists of three structures. ā€“Thalamus, ā€“Hypothalamus,& ā€“Epithalamus, ā€¢ These structures effectively enclose the third ventricle.
  • 39. Thalamus -composed of bilateral masses of gray matter held together by a mid-line commissure called the intermediate mass. -is egg shaped with paired, gray matter masses. -is the largest part, makes up 80%, of the diencephalon. ā€¢ All inputs ascending to the cerebral cortex pass through the thalamus. ā€¢ Afferent impulses from all senses converge and synapse in the thalamus.
  • 42. Thalamic Function ā€¢ It is relay station, afferent impulses from all senses converge and synapse in the thalamus, except those of olfactory nerves. ā€¢ Impulses of similar function are ā€œsorted out,ā€ edited, and relayed as a group. ā€¢ Plays a key role in mediating sensation, motor activities, cortical arousal, learning, and memory.
  • 43. Hypothalamus ā€¢ Located below the thalamus, it caps the brainstem and forms the inferolateral walls of the third ventricle. ā€¢ Has three regions. ļƒ¼Mamillary area, posteriorly ļƒ¼Infundibulum & Tuber cinereum, centrally ļƒ¼Chiasmatic region, anterioriy
  • 44. Hypothalamic Function ļƒ¼Regulates blood pressure, rate and force of heartbeat, digestive tract motility, rate and depth of breathing. ļƒ¼Perception of pleasure, fear, and rage. ļƒ¼Regulates feelings of hunger, satiety, & body temperature. ļƒ¼Regulates sleep and the sleep cycle. ļƒ¼Release hormones to anterior pituitary, the ADH & oxytocin.
  • 45. Epithalamus ā€¢ Most dorsal portion of the diencephalon; forms roof of the third ventricle. ā€¢ Pineal gland ā€“ extends from the posterior border and secretes melatonin. ā€¢ Melatonin ā€“ a hormone involved with sleep regulation, sleep-wake cycles, and mood. ā€¢ Choroid plexus ā€“ a structure that secretes cerebrospinal fluid.
  • 47. Brainstem ā€¢ constitutes 2.5% of total brain mass. ā€¢ consists of three regions as external divisions: 1. Midbrain 2. Pons 3. Medulla oblongata ā€¢ Each region is roughly 2.5cm long. ā€¢ Its internal anatomy is similar to that of spinal cord but contains embedded nuclei.
  • 49. ā€¢ Internal Regions of Brainstem: 1. Tectum 2. Tegmentum 3. Basis
  • 50. The main functions of brainstem: ļƒ¼It produces the rigidly programmed, automatic behaviors necessary for our survival. ļƒ¼Acts as a passageway for all the fiber tracts running between the cerebrum and the spinal cord. ļƒ¼It is heavily involved with the innervation of the face and head b/c 10 cranial nerve are attach to it.
  • 51. MIDBRAIN ā€¢ Located b/n the diencephalon and the pons. ā€¢ Midbrain structures include: ļƒ¼Cerebral peduncles ā€“ two bulging structures that contain descending pyramidal motor tracts & various nuclei. ļƒ¼Cerebral aqueduct ā€“ hollow tube that connects the third and fourth ventricles. ļƒ¼Tectum ā€“ forming the roof of the midbrain and contains visual & auditory reflex centers.
  • 53. PONS ā€¢ Bulging brainstem region between the midbrain and the medulla oblongata. ā€¢ Forms part of ant wall of the fourth ventricle. ā€¢ Forms the largest connection with cerebellum. ā€¢ Its fibers connect higher brain centers and the spinal cord. ā€¢ It is origin of cranial nerves V (trigeminal), VI (abducens), VII (facial), & VIII (vestibulocochlear).
  • 54. MEDULLA OBLONGATA ā€¢ is the most inferior part of the brain stem. ā€¢ forms the ant wall of the fourth ventricle. ā€¢ contains the nuclei of the last 4 cranial nerves. ā€¢ has two pairs of prominent projections: i. Olives:- are two pos longitudinal ridges of gray matter. ii. Pyramids:- are two ant longitudinal ridges formed by corticospinal tracts, w/h form the pyramidal decussation, crossover point.
  • 55. 7/23/2022 BY JEMAL 55 Pyramid Olive Cranial Nerve of Brainstem
  • 57. CEREBELLUM ā€¢ Located pos to the pons and medulla. ā€¢ Protrudes under the occipital lobes of the cerebrum. ā€¢ Makes up 11% of the brainā€™s mass. ā€¢ Provides precise timing and appropriate patterns of skeletal muscle contraction. ā€¢ Cerebellar activity occurs subconsciously.
  • 60. External Anatomy of the Cerebellum ā€¢ It has two bilaterally symmetrical cerebellar hemispheres that are connected medially by the vermis. ā€¢ Cerebellum appears as a large sheet with folds, called folia ā€“ transversely oriented folds. ā€¢ Externally, it has outer gray matter cortex, surrounding the white matter. ā€¢ It has three main anatomical lobes, the Ant, Pos, & Flocculonodular lobes.
  • 62. Regions of the Cerebellum ā€¢ Each fold or folium contains a core of white matter covered superficially by gray matter. ā€¢ cerebellum has 3 regions: ā€¢ Gray Matter: outer layer called the cortex. ā€¢ White Matter: inner to the gray matter. ā€¢ Intracerebellar Nuclei: are 4 masses of gray matter embedded in the white matter.
  • 63. Cerebellar Peduncles ā€¢ Three paired fiber tracts that connect the cerebellum to the brain stem. ā€¢ All fibers in the cerebellum are ipsilateral. ā€¢ Superior cerebellar peduncles: connect the cerebellum to the midbrain. ā€¢ Middle cerebellar peduncles: connect the pons to the cerebellum. ā€¢ Inferior cerebellar peduncles: connect the medulla to the cerebellum.
  • 64. 7/23/2022 BY JEMAL 64 ā€¢ Cerebellum coordinates rapid equilibrium and balance, and it may be temporarily affected by alcohol. These alterations can produce ataxia ā€“ a disturbance in balance.
  • 65. Cerebellar Processing Function ā€¢ Cerebellum receives impulses of the intention to initiate voluntary muscle contraction. ā€¢ Proprioceptors and visual signals ā€œinformā€ the cerebellum of the bodyā€™s condition. ā€¢ Cerebellar cortex calculates the best way to perform a movement. ā€¢ A ā€œblueprintā€ of coordinated movement is sent to the cerebral motor cortex.
  • 67. SPINAL CORD ā€¢ is the second division of the CNS enclosed within the vertebral column. ā€¢ extends from the foramen magnum to L1. ā€¢ its average length is about 45 cm. ā€¢ protected mainly by the vertebral column, meninges, and CSF. ā€¢ provides two-way communication to and from the brain and also gives reflex response.
  • 69. External Anatomy of Spinal Cord ā€¢ Conus medullaris ā€“ terminal portion of the spinal cord. ā€¢ Cauda equina ā€“ collection of nerve roots at the inferior end of the vertebral canal. ā€¢ Filum terminale ā€“ fibrous extension of the pia mater; anchors the spinal cord to the coccyx. ā€¢ Cervical & lumbar enlargements ā€“widens laterally b/c of increased numbers of lower motor neurons, where nerves serving the upper and lower limbs emerge.
  • 70. External Anatomy of Spinal Cord ā€¢ Posterior median sulcus ā€“ a shallow groove that divides posterior funiculi. ā€¢ Anterior median fissure ā€“ a deep groove that separates the anterior funiculi. ā€¢ Right & left Hemispheres ā€“ externally indicated by the above posterior median sulcus & anterior median fissure. ā€¢ Spinal nerves ā€“ 31 of nerves pairs attached to the cord by paired roots.
  • 71. Spinal Cord 7/23/2022 71 Ant Median Fissure Pos Median Sulcus Lumbar Enlargement Cervical Enlargement Conus Medullaris Filum Terminale
  • 72. Gray Matter in the Spinal Cord ā€¢ is surrounded by the white matter. ā€¢ consists of cell body, neural processes, and neuroglia and has the following regions. ā€“Gray Commissure ā€“ connects masses of gray matter; encloses central canal. ā€“Anterior Gray Horns ā€“ interneurons and somatic motor neurons. ā€“Posterior Gray Horns ā€“ interneurons. ā€“Lateral Gray Horns ā€“ contain sympathetic nerve fibers.
  • 74. White Matter in the Spinal Cord ā€¢ surrounds the gray matter. ā€¢ consists of fibers that run in three directions ā€“ ascending, descending, and transversely. ā€¢ divided into three funiculi (columns): ā€“Posterior White Columns ā€“Lateral White Columns ā€“Anterior White Columns
  • 75. White Matter in the Spinal Cord ā€¢ Each funiculus contains several fiber tracks. ā€¢ Fiber tract names reveal their origin and destination. ā€¢ Fiber tracts are composed of axons with similar functions. ā€¢ Most pathways consist of two or three neurons. ā€¢ The pathways are paired (one on each side of the spinal cord or brain).
  • 77. Spinal Roots & Spinal Nerves ā€¢ Each segment pertains to 4 roots. ā€¢ Ventral roots: motor outflow tracts ā€¢ Dorsal roots: largely sensory tracts ā€¢ Dorsal root (spinal) ganglia: swellings of soma ā€¢ Peripheral nerves: spinal nerves outside the vertebral column. BY JEMAL 77
  • 80. Peripheral Nervous System ā€¢ communicates b/n CNS & rest body parts. ā€¢ Formed by 31 pairs of spinal nerves & 12 pairs of cranial nerves. ļƒ¼Sensory Nerve Fibers: may be somatic (from skin, skeletal muscles or joints) or visceral (from organs). ļƒ¼Motor Nerve Fibers: may be somatic nervous system (skeletal muscles) or autonomic nervous system (involuntary to smooth muscle, cardiac muscle, & glands). BY JEMAL 8
  • 82. 7/23/2022 BY JEMAL 82 Spinal Nerves ā€¢ are 31 pairs of nerves, each connected to spinal cord by the dorsal & ventral roots and grouped based on the backbone regions: ļƒ¼8 paired cervical nerves ļƒ¼12 paired thoracic nerves ļƒ¼5 paired lumbar nerves ļƒ¼5 paired sacral nerves ļƒ¼1 pair of coccygeal nerves
  • 83. 7/23/2022 BY JEMAL 83 Spinal Nerves
  • 84. Trochlear (IV) Trigeminal (V) Abducens (VI) Facial (VII) Vestibulocochlear (VIII) Glossopharyngeal (IX) Vagus (X) Hypoglossal (XII) Accessory (XI) CRANIAL NERVES 7/23/2022 84 BY JEMAL
  • 85. BY JEMAL 85 CN I (Olfactory nerves) ā€¢ are pure sensory, transmit sense of smell from nasal mucosa to brain. ā€¢ form olfactory bulb then olfactory tract. Brain Nasal Cavity Olfactory nerve
  • 86. 7/23/2022 BY JEMAL 86 CN II (Optic Nerves) ā€¢ are pure sensory, transmit sense of vision from the eyes to the brain. ā€¢ Crossing over occurs at the optic chiasma.
  • 87. 7/23/2022 BY JEMAL 87 CN III (Oculomotor Nerves) ā€¢ are pure motor and arise from midbrain. ā€¢ innervate most of the extraocular muscles. ā€¢ Disorders of these nerves or muscles can result in eye paralysis, such as diplopia (double vision) or ptosis (dropping of the eyelid).
  • 88. 7/23/2022 BY JEMAL 88 Oculomotor Nerve
  • 89. CN IV (Trochlear Nerves) ā€¢ are pure motor and arise from midbrain. ā€¢ innervate one of the extraocular muscles. 7/23/2022 BY JEMAL 89
  • 90. CN V (Trigeminal Nerves) ā€¢ arise from pons and each nerve has 3 parts: ophthalmic, maxillary, & mandibular. ā€¢ are mixed nerve, containing both sensory part that transmits sense of touch, T0, & pain from the face to the brain and motor part that innervate muscles of mastication. 7/23/2022 BY JEMAL 90 Trigeminal Nerve Ophthalmic Maxillary Mandibular
  • 91. BY JEMAL 91 medially deviated eyeball CN VI (Abducens Nerves) ā€¢ are pure motor and arise from pons. ā€¢ innervate one of the extraocular muscles, the lateral rectus muscle. ā€¢ injury to one nerve results in medial deviation of the eyeball.
  • 92. 7/23/2022 BY JEMAL 92 Facial Nerve CN VII (Facial Nerves) ā€¢ arise from pons and supplies facial region. ā€¢ are mixed nerve, containing both sensory part (w/h transmits sense from the anterior 2/3 of the tongue to the brain) and motor part (w/h innervate facial expression muscles & salivary, lacrimal, & nasal glands). Pons Tongue
  • 93. ā€¢ injury to one of the two facial nerves results in a deviation of the affected side of the face to the normal side. ā€¢ is b/c of facial expression muscles paralysis. 7/23/2022 BY JEMAL 93 Facial Expression Muscles Deviated facial part
  • 94. CN VIII (Vestibulocochlear Nerves) ā€¢ are pure sensory and extend b/n the pons and inner ear. ā€¢ each has two parts: i. Vestibular nerve, concerned to body balance. ii. Cochlear nerve, transmits sound, thus, it is concerned to hearing. 7/23/2022 BY JEMAL 94
  • 96. CN IX (Glossopharyngeal Nerves) ā€¢ arise from medulla and are mixed nerves. ā€¢ Motor part supplies the swallowing muscles. ā€¢ Sensory part supplies taste, touch, heat from pharynx & pos tongue. 7/23/2022 BY JEMAL 96 Glossopharyngeal Nerve Tongue swallowing muscles
  • 97. CN X (Vagus Nerves) ā€¢ are mixed nerves w/h arise from medulla and descend to thorax and abdomen. ā€¢ Sensory part supplies taste buds in pos tongue & pharynx. ā€¢ Motor part innervates the thoracic & abdominal organs. 7/23/2022 97
  • 98. CN XI (Accessory Nerves) ā€¢ are pure motor and arise from medulla. ā€¢ innervate muscles of the larynx, pharynx, & soft palate. 7/23/2022 BY JEMAL 98
  • 99. 7/23/2022 BY JEMAL 99 CN XII (Hypoglossal Nerves) ā€¢ are pure motor and arise from medulla. ā€¢ innervate muscles of the tongue. ā€¢ If one nerve injured, tongue deviates to the normal side. Tongue deviated to left