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Dr. Abdul Qadeer 
MBBS; FCPS; FICS
Introduction 
ο‚— Nervous system is divided into: 
1. Central nervous system: consists of brain & spinal 
cord 
2. Peripheral nervous system: consists of cranial & 
spinal nerves 
3. Somatic nervous system 
4. Autonomic nervous system
Cell types of nervous system 
ο‚—Neurons: excitable cells 
ο‚—Neuroglia : non-excitable / supporting cells 
e.g. neuroglia and ependymal cells in CNS, 
and Schwann cells in PNS
Neuron 
ο‚— It is nerve cell along with all its processes 
ο‚— It consists of: 
- cell body or soma or perikaryon 
- cell processes: two types 1. axon 2. dendrites 
ο‚— Dendrites are afferent processes, and usually multiple in 
number 
ο‚— Axon is an efferent process, and usually single in number 
ο‚— Telodendria or terminals are the branches of an axon 
ο‚— Somata (cell bodies) form grey matter and nuclei in CNS 
ο‚— Axons form tracts in CNS & nerves in PNS
Neuron
Types of neurons 
ο‚— According to the number of processes: 
1. Unipolar 
2. Psudo-unipolar 
3. Bipolar 
4. Multipolar 
ο‚— According to the length of axon: 
1. Golgi type I neuron; with a long axon 
2. Golgi type II neuron (microneuron); with short or no 
axon
Neuroglia 
ο‚— Non-excitable supporting cells of nervous system 
ο‚— These include: 
1. Neuroglial cells: found in parenchyma of CNS 
2. Ependymal cells: lining the internal cavities 
3. Capsular or satellite cells: surrounding neurons of 
the sensory and autonomic ganglia 
4. Schwann cells: forming sheaths of axons of 
peripheral nerves
Neuroglia 
ο‚— Neuroglial cells found in the parenchyma of CNS are: 
1. Macroglia : e.g. astrocytes, oligodendrocytes, 
glioblasts 
2. Microglia (mesodermal origin)
Astrocytes (Star-shaped)
Oligodendrocytes (fewer cell 
processes)
Glioblasts 
ο‚— Are stem cells, which can differentiate into macroglial 
cells
Microglial cells 
ο‚— Smallest of glial cells 
ο‚— Phagocytic activity 
ο‚— Mesenchymal origin
Functions of glial/ependymal cells 
1. Provide mechanical support to neurons 
2. Non-excitable cells, hence act as insulators and 
prevent neuronal impulses from spreading in 
unwanted directions 
3. Phagocytosis, hence remove foreign material and cell 
debris 
4. Can repair the damaged areas of nervous system 
5. Store neurotransmitter chemical substances 
6. Myelination of tracts 
7. Exchange materials between brain & CSF
CNS 
ο‚— Consists of: 
1. Brain 
2. Spinal cord
PNS 
ο‚— Cranial nerves: 12 pairs 
ο‚— Spinal nerves: 31 pairs as under 
ο‚— 8 cervical 
ο‚— 12 thoracic 
ο‚— 5 lumbar 
ο‚— 5 sacral 
ο‚— 1 coccygeal 
ο‚— Note that there are 8 cervical nerves and 7 cervical 
vertebrae, while 1 coccygeal nerve & 4 coccygeal 
vertebrae fused.
A typical spinal nerve
A typical spinal nerve 
ο‚— Connected to the spinal cord by two roots, anterior 
root and posterior root 
ο‚— Anterior roots are efferent i.e. carry nerve impulses 
away from CNS 
ο‚— The efferent fibers that go to skeletal muscles and 
cause them to contract are called Motor fibers. 
ο‚— Their cells of origin lie in the anterior gray horn of the 
spinal cord
A typical spinal nerve 
ο‚— Posterior roots are afferent and connected to the 
spinal cord with nerve fibers which carry impulses to 
the CNS 
ο‚— These fibers convey information about sensation of 
touch, pain, temperature and vibrations, they are 
called sensory fibers. 
ο‚— Cell bodies of sensory fibers are situated in a swelling 
on the posterior root, hence called the posterior root 
ganglion
A typical spinal nerve 
ο‚— At each inter-vertebral foramen the anterior and 
posterior roots unite to form a spinal nerve 
ο‚— Here the motor and sensory fibers become mixed 
together 
ο‚— On emerging from the foramen, the spinal nerve 
divides into two rami, anterior and posterior. 
ο‚— Anterior ramus is large while posterior ramus is 
smaller
A typical spinal nerve 
ο‚— The posterior ramus passes posteriorly around the 
vertebral column to supply the muscles and skin of the 
back 
ο‚— Anterior ramus continues anteriorly to supply: 
1. the muscles and skin over the anterolateral body wall 
2. All the muscles and skin of the limbs
A spinal nerve 
ο‚— Spinal nerves also give rise to a small meningeal 
branch that supplies the vertebrae and coverings of the 
spinal cord (the meninges) 
ο‚— Thoracic spinal nerves also have branches called rami 
communicantes, that are associated with the 
sympathetic part of autonomic nervous system
Nerve plexuses 
ο‚— At the root of the limbs, the anterior rami join one 
another to form nerve plexuses e.g. cervical plexus, 
brachial plexus, lumbar plexus & sacral plexus.
Reflex arc 
ο‚— A reflex arc is a neural pathway that controls an 
action reflex. In higher animals, most sensory neurons 
do not pass directly into the brain, but synapse in 
the spinal cord. This characteristic allows reflex 
actions to occur relatively quickly by activating spinal 
motor neurons without the delay of routing signals 
through the brain, although the brain will receive 
sensory input while the reflex action occurs.
Reflex arc 
ο‚— A reflex arc is made up of 
1. A receptor e.g. skin 
2. A sensory or afferent neuron 
3. A motor or efferent neuron 
4. An effector organ e.g. muscle
Reflex action 
ο‚— An involuntary motor response of the body is called a 
reflex action 
ο‚— Monosynaptic reflex = stretch reflex e.g. tendon jerk 
(knee jerk) 
ο‚— Polysynaptic reflex = withdrawal reflex, response to a 
pain stimulus

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Nervous system

  • 1. Dr. Abdul Qadeer MBBS; FCPS; FICS
  • 2. Introduction ο‚— Nervous system is divided into: 1. Central nervous system: consists of brain & spinal cord 2. Peripheral nervous system: consists of cranial & spinal nerves 3. Somatic nervous system 4. Autonomic nervous system
  • 3. Cell types of nervous system ο‚—Neurons: excitable cells ο‚—Neuroglia : non-excitable / supporting cells e.g. neuroglia and ependymal cells in CNS, and Schwann cells in PNS
  • 4. Neuron ο‚— It is nerve cell along with all its processes ο‚— It consists of: - cell body or soma or perikaryon - cell processes: two types 1. axon 2. dendrites ο‚— Dendrites are afferent processes, and usually multiple in number ο‚— Axon is an efferent process, and usually single in number ο‚— Telodendria or terminals are the branches of an axon ο‚— Somata (cell bodies) form grey matter and nuclei in CNS ο‚— Axons form tracts in CNS & nerves in PNS
  • 6. Types of neurons ο‚— According to the number of processes: 1. Unipolar 2. Psudo-unipolar 3. Bipolar 4. Multipolar ο‚— According to the length of axon: 1. Golgi type I neuron; with a long axon 2. Golgi type II neuron (microneuron); with short or no axon
  • 7.
  • 8.
  • 9. Neuroglia ο‚— Non-excitable supporting cells of nervous system ο‚— These include: 1. Neuroglial cells: found in parenchyma of CNS 2. Ependymal cells: lining the internal cavities 3. Capsular or satellite cells: surrounding neurons of the sensory and autonomic ganglia 4. Schwann cells: forming sheaths of axons of peripheral nerves
  • 10. Neuroglia ο‚— Neuroglial cells found in the parenchyma of CNS are: 1. Macroglia : e.g. astrocytes, oligodendrocytes, glioblasts 2. Microglia (mesodermal origin)
  • 13. Glioblasts ο‚— Are stem cells, which can differentiate into macroglial cells
  • 14. Microglial cells ο‚— Smallest of glial cells ο‚— Phagocytic activity ο‚— Mesenchymal origin
  • 15. Functions of glial/ependymal cells 1. Provide mechanical support to neurons 2. Non-excitable cells, hence act as insulators and prevent neuronal impulses from spreading in unwanted directions 3. Phagocytosis, hence remove foreign material and cell debris 4. Can repair the damaged areas of nervous system 5. Store neurotransmitter chemical substances 6. Myelination of tracts 7. Exchange materials between brain & CSF
  • 16. CNS ο‚— Consists of: 1. Brain 2. Spinal cord
  • 17. PNS ο‚— Cranial nerves: 12 pairs ο‚— Spinal nerves: 31 pairs as under ο‚— 8 cervical ο‚— 12 thoracic ο‚— 5 lumbar ο‚— 5 sacral ο‚— 1 coccygeal ο‚— Note that there are 8 cervical nerves and 7 cervical vertebrae, while 1 coccygeal nerve & 4 coccygeal vertebrae fused.
  • 18.
  • 20. A typical spinal nerve ο‚— Connected to the spinal cord by two roots, anterior root and posterior root ο‚— Anterior roots are efferent i.e. carry nerve impulses away from CNS ο‚— The efferent fibers that go to skeletal muscles and cause them to contract are called Motor fibers. ο‚— Their cells of origin lie in the anterior gray horn of the spinal cord
  • 21. A typical spinal nerve ο‚— Posterior roots are afferent and connected to the spinal cord with nerve fibers which carry impulses to the CNS ο‚— These fibers convey information about sensation of touch, pain, temperature and vibrations, they are called sensory fibers. ο‚— Cell bodies of sensory fibers are situated in a swelling on the posterior root, hence called the posterior root ganglion
  • 22.
  • 23.
  • 24. A typical spinal nerve ο‚— At each inter-vertebral foramen the anterior and posterior roots unite to form a spinal nerve ο‚— Here the motor and sensory fibers become mixed together ο‚— On emerging from the foramen, the spinal nerve divides into two rami, anterior and posterior. ο‚— Anterior ramus is large while posterior ramus is smaller
  • 25. A typical spinal nerve ο‚— The posterior ramus passes posteriorly around the vertebral column to supply the muscles and skin of the back ο‚— Anterior ramus continues anteriorly to supply: 1. the muscles and skin over the anterolateral body wall 2. All the muscles and skin of the limbs
  • 26. A spinal nerve ο‚— Spinal nerves also give rise to a small meningeal branch that supplies the vertebrae and coverings of the spinal cord (the meninges) ο‚— Thoracic spinal nerves also have branches called rami communicantes, that are associated with the sympathetic part of autonomic nervous system
  • 27.
  • 28. Nerve plexuses ο‚— At the root of the limbs, the anterior rami join one another to form nerve plexuses e.g. cervical plexus, brachial plexus, lumbar plexus & sacral plexus.
  • 29. Reflex arc ο‚— A reflex arc is a neural pathway that controls an action reflex. In higher animals, most sensory neurons do not pass directly into the brain, but synapse in the spinal cord. This characteristic allows reflex actions to occur relatively quickly by activating spinal motor neurons without the delay of routing signals through the brain, although the brain will receive sensory input while the reflex action occurs.
  • 30. Reflex arc ο‚— A reflex arc is made up of 1. A receptor e.g. skin 2. A sensory or afferent neuron 3. A motor or efferent neuron 4. An effector organ e.g. muscle
  • 31.
  • 32. Reflex action ο‚— An involuntary motor response of the body is called a reflex action ο‚— Monosynaptic reflex = stretch reflex e.g. tendon jerk (knee jerk) ο‚— Polysynaptic reflex = withdrawal reflex, response to a pain stimulus