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7/13/2023 Dr Amar N Ande 1
Physiology of Nervous Sytem
Lecture by- Dr Amar N Ande
Assistant Professor
Dept. of Kriya Sharir
School of Ayurveda and Siddha Studies
Shri Satya Sai University of Technical and
Medical Sciences, Pachama,Sehore, M.P.
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Objectives
1. General introduction to nervous system, neurons, mechanism of
propagation of nerve impulse, physiology of CNS,PNS, ANS.
2. Physiology of sensory and motor nervous system, functions of
different parts of brain and physiology of special senses,
intelligence, memory, learning and motivation.
3. Physiology of speech and articulation.
4. Physiology of temperature regulation.
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Physiology of Nervous System
• System which transmits messages and coordinates various body
functions is called as nervous system.
• Let us begin with general introduction to nervous system.
• Physiological Division of Nervous System is as follows-
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Physiological Division of Nervous
System
Central Nervous
System
Brain
Spinal
Cord
Peripheral
Nervous System
Afferent Nervous System
(Conveys information from
body to brain, spinal cord)
Efferent Nervous System
(Conveys information from CNS to
body)
Somatic Nervous System
(Conveys information from
CNS to skeletal muscles)
Autonomic Nervous System
Sympathetic Parasympathetic
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Physiology of Central Nervous System
Central nervous system consists of brain and spinal cord.
Parts of Brain
1. Cerebrum
2. Cerebellum
3. Diencephalon
I. Thalamus
II. Hypothalamus
4. Brain Stem
I. Medulla Oblongata
II. Pons
III. Mid Brain
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Physiology of Central Nervous System
Cerebrum
• Cerebrum is the largest part of brain.
Cerebral cortex:
• The surface of cerebrum is called as cortex.
• Cerebral cortex contains billions of nerve cell
bodies, Cerebral cortex is made of gray matter.
• Gray matter is non myelinated nervous tissue.
• White matter of cerebrum is situated below
the cerebral cortex.
• Cerebrum is divided into two equal halves,
called as cerebral hemisphere.
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Lobes of Cerebrum
• Each cerebral
hemisphere is
subdivided into four
lobes.
Four cerebral lobes
1. Frontal lobe
2. Parietal lobe
3. Temporal lobe
4. Occipital lobe
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• Both hemispheres are connected with transverse bundle of fibers called as
corpus callosum.
• Protection of brain : Cranial bones, meninges and cerebrospinal fluid
protect the brain.
• Coverings of brain: Brain is covered with cranial meninges. Cranial
meninges are continuous with spinal meninges.
• The cranial meninges are –
• 1. Duramater - Outermost covering
• 2. Arachnoid mater - Middle covering
• 3. Pia mater - Innermost covering
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Cerebrospinal Fluid (C.S.F.)
• Cranial bones and meninges protect brain and cerebrospinal fluid.
• Cerebrospinal fluid is a clear colourless fluid and it consists of
proteins, glucose, urea, salts and some lymphocytes.
• Cerebrospinal fluid is formed in the choroid plexuses and it is
circulated through the subarachnoid space, ventricles of brain and
through central canal of the spinal cord.
• Normal volume of CSF is 80 to 150 ml.
Functions of Cerebrospinal Fluid
• Brain actually floats in CSF.
• CSF protects brain and spinal cord from trauma.
• It acts as a shock absorber.
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Blood Supply of Brain
• Brain has a large demand of
oxygen and glucose.
• Cerebral arteries supply
brain.
• Lack of oxygen for more than
six seconds can lead to
damage of brain cells.
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Functional Areas of Cerebral
Cortex
• Functionally cerebral cortex is
divided into
(1) sensory areas
(2) motor areas
(3) Association areas
• Functional areas are located in
various cerebral lobes.
• Functional areas are
designated by particular
numbers.
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Sensory areas
Primary areas Association areas
General sensory area Association sensory area
Primary visual area Association visual area
Primary auditory area Association auditory area
Primary gustatory area
Primary olfactory area
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Function of General Sensory Area -
• Location - Parietal Lobe
• Area No. -1, 2, 3
• This area receives sensation from skin,
muscles and various organs of the body.
• Whole body is mapped in this area.
• This area can identify the exact point of
body from where the sensation is arising.
7/13/2023 Dr Amar N Ande 23
Functions of Association Sensory Areas
• Location - Parietal lobe
• Area No. -5,7
• Association sensory areas receives
sensory information(inputs) from the
thalamus.
• This area integrates and interprets the
sensation.
• Association area can detect shape and
texture of an object without looking at
it.
• This information is stored as memory
of past experience. Person can
compare sensations with past
experience.
7/13/2023 Dr Amar N Ande 24
Functions of Primary Visual Area
• Location- Occipital lobe
• Area No. -17
• Interpretation of shape, color and movement
of an object are the functions of primary
visual area.
Functions of Visual Association Area
• Location-Occipital lobe
• Area no. 18, 19
• Functions of visual association area are (1)
To store visual experiences. (2) To establish
present visual experience with past one and
to recognize the present object.
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Functions of Primary Gustatory Area
• Location- Parietal lobe
• Area no. - 43
• Primary gustatory area receives
sensations from taste buds.
• Its function is to interpret sensations of
taste.
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Functions of Primary Auditory Area
• Location- Temporal lobe
• Area no. 41, 42
• Primary auditory area receives sensations from
ears. It interprets pitch and rhythm of sound.
Functions of Auditory Association Area
• Location -Temporal lobe
• Area no.-22
• Auditory association area can identify the
nature of sound, whether sound is music, noise
or speech. Auditory association area converts
words into thoughts.
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Gnostic Area or Wernicke's Area
• Location- Area is located among visual
association area, auditory association
area and general association area.
• Area no. 5, 7, 39, 40
• Gnostic area (Gnosis - Knowledge)
receives information from all
association areas and from thalamus.
• It integrates interpretations from all
parts of brain.
• It also receives sensory information
from all sensory areas of brain so that
a common thought can be formed.
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Functions of Motor Area of
Cerebral Cortex
Motor area of cerebral cortex is
located in frontal lobe.
motor areas of cerebral cortex
•Primary motor area (area 4)
•Premotor area (area 6)
•Frontal eye field area (area 8)
•Broca's area (area 44)
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Functions of Premotor Area
• Premotor area coordinates muscle
activity.
Functions of Primary Motor Area
• Primary motor area controls muscles
of opposite side of the body, more
than half of this area controls
muscles of hands as well as speech.
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Functions of Frontal Eyefield Area
• Frontal eyefield area controls voluntary
scanning movements of the eyes such
as searching a word in a dictionary.
Functions of Broca's Area
• Broca's area converts thoughts into
speech.
• Broca's area is located in the left frontal
lobe.
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Lobes Sensations
Parietal lobe Touch, pain, temperature, Taste
Temporal lobe Smell, Sound
Occipital lobe Vision
Lobes and Concerned Sensations
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Functions of Sensory Areas of Cerebrum
Lobe Areas Functions
parietal General Sensory area Receives sensation of touch, pain and
pressure from body.
Parietal Primary Gustatory area Receives sensations of taste
Temporal Primary Auditory area Interpretation of pitch and rhythm of sound
Occipital Primary visual area Receives sensory impulses from eyes
Temporal Primary olfactory area Receives sensations of smell.
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Limbic System or Emotional Brain
• Certain parts of cerebral hemisphere,
thalamus and hypothalamus
contributes limbic system.
Importance of Limbic System
1. This system is concerned with
memory and behavior pattern of a
person.
2. Limbic system is concerned with
emotions, love, anger, sexual feeling,
anger etc.
3.Limbic system controls emotions so it
is also called as emotional brain.
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Basal Ganglia
• The paired masses of gray matter are called as basal ganglia.
• Basal ganglia are present in both right and left hemisphere
of cerebrum.
• Corpus striatum is the largest basal ganglia in each
hemisphere.
• Basal cell ganglia are connected to the cerebral cortex,
hypothalamus and thalamus.
Functions of Basal Ganglia
• Basal ganglia control subconscious movements of skeletal
muscles.
• Swinging movements of arms while walking is an example
of subconscious movements.
• Damage to basal ganglia leads to abnormal body
movements.
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Functions of Cerebellum
1 Cerebellum maintains equilibrium of
body.
2. It maintains muscle tone.
3. Cerebellum coordinates subconscious
movements of skeletal muscles.
Clinical Importance
• Disturbance in walking, dizziness indicates
damage to cerebellum.
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Functions of Thalamus
1. Thalamus is a relay station for sensations
of touch, pain, pressure, vision, sound and
taste.
2. Only the sensation of smell is not
conducted in the thalamus.
3. Thalamus conveys sensations to cerebrum.
4. Anterior nucleus of thalamus is related to
emotions and brains.
5. Thalamus interprets the sensation of pain,
touch, pressure and temperature.
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FUNCTIONS OF HYPOTHALAMUS
1. Hypothalamus is located below the
thalamus
2. Hypothalamus controls normal body
temperature.
3. Hypothalamus controls food intake.
4. Satiety center in hypothalamus gives
feeling of satiety.
5. Feeding center of hypothalamus
regulated hunger.
6. Thirst center is present in hypothalamus.
Reduced extracellular fluid volume
stimulated thirst center. Thirst center
produces thirst sensation.
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7. Hypothalamus maintains walking
state and sleeping patterns.
8. Hypothalamus secretes regulatory
or inhibitory hormones.
9. Hypothalamus controls autonomic
nervous system.
10. Hypothalamus receives
information from external
environment.
11. Hypothalamus controls sexual
behaviour.
7/13/2023 Dr Amar N Ande 40
FUNCTIONS OF MIDBRAIN
• The midbrain extends from the pons to the lower part of
diencephalon.
FUNCTIONS
• Four eminences on the dorsal portion of the midbrain are
called as
(i) Superior colliculli (ii) Inferior colliculli.
• Superior colliculli are reflex centers for (i) Movements of
eyeballs and (ii) Movements of head and neck in response
to visual stimuli.
• Inferior colliculli are reflex centers for the movement of
head and neck in response to auditory stimuli so person
can head towards direction of sound.
• Red nucleus of midbrain gives origin to descending
rubrospinal tract. Rubrospinal tract is an extra-pyramidal
tract.
• Nuclei of oculomotor nerves are present in the midbrain
7/13/2023 Dr Amar N Ande 41
FUNCTIONS OF MEDULLA OBLONGATA
• Continuation of upper portion of spinal cord is
called as medulla oblongata.
FUNCTIONS
• Triangular structures on the ventral surface of the
medulla are called as pyramids.
• Nerve fibres of descending tracts coming from
cerebrum decussate (cross) in the pyramids and
pass to the spinal cord.
• Fibres from the left pyramids cross to right side of
the spinal cord and fibres from the right pyramid
cross to the left side of spinal cord.
7/13/2023 Dr Amar N Ande 42
• Due to decussation of motor fibres in pyramids, motor area of left cerebral
cortex controls right side of the body and right cerebral cortex controls left
side of the body.
• Dorsal surface of medulla receives sensory nerve fibres from ascending right
and left fascicular gracilis and fascicular cunestus.
• Cardiac center of medulla controls heart rate.
• Medullary rhythmicity area adjust the basic rhythm of breathing.
• Vasomotor center regulates diameter of blood vessels.
• Reflex centers for swallowing, vomiting, coughing, sneezing and hiccup are
present in the medulla.
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Nuclei of following cranial nerves are
present in the medulla.
• Vestibulo - Cochlear nerves (VIII)
• Glosso – Pharyngeal nerves (IX)
• Vagus nerves (X)
• Accessory nerves (XI)
• Hypoglossal nerves (XII)
7/13/2023 Dr Amar N Ande 45
FUNCTIONS OF PONS
• Pons connects spinal cord with brain
functions.
• Pneumotaxic area and apneustic area of pons
controls movements of breathing.
• Pons together with medullary rhythmicity area
control respiration.
7/13/2023 Dr Amar N Ande 46
FUNCTIONS OF SPINAL CORD
• Location – Vertebral column
• Length of the adult spinal cord – 42-45 cm.
• Circumference of the spinal cord-2.54 inches.
Meninges(coverings) of the spinal cord
1.Dura mater-Outer most covering
2.Arachnoid mater-Middle covering
3.Pia mater-Inner covering
7/13/2023 Dr Amar N Ande 47
• Epidural space: Space between the wall
of vertebral column and dura mater is
known as epidural space.
• Importance of epidural space: The
epidural space inferior to the second
lumber vertebra is the site for epidural
anaesthesia.
• Subarachnoid space: The space between
pia mater and arachnoid mater is called
as subarachnoid space. Cerebrospinal
fluid circulates in this space.
• Importance of subarachnoid space:
Spinal anaesthesia is given in
subarachnoid space between third and
fourth lumber vertebra.
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• Inner part of spinal cord consists of gray
matter.
• Shape of gray matter of cord is like the English
alphabet H.
• Gray matter consists of nerve cell bodies.
• The small space in the center of the gray
matter is called as central canal.
• Central canal contains cerebrospinal fluid.
• Central canal is continuous with the fourth
ventricle of the medulla.
• Divisions of gray matter are:
• Anterior gray horns.
• Posterior gray horns.
• Lateral gray horns.
Cross section of Spinal cord
7/13/2023 Dr Amar N Ande 49
• Gray horn contains nuclei which give origin to nerve fibres.
• Lateral gray horn cells(nuclei) are present only in thoracic, lumber and
sacral segments of cord.
• The outer part of the spinal cord consists of white matter.
• The white matter is formed of sensory and motor tracts of the spinal
cord.
• White matter is divided into
1. Anterior (ventral) white column.
2. Posterior(dorsal) white column.
3. Lateral white column.
• White columns consist of ascending(sensory) and
descending(motor)tracts.
• Myelin sheath of tracts gives white colour to the outer part of spinal cord.
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FUNCTIONS OF SPINAL CORD
1. Ascending tracts (sensory tracts) of spinal
cord conducts sensory impulses from
various parts of body to brain.
2. Descending tracts (motor tracts) convey
motor impulses from brain to muscles and
various parts of body.
3. Spinal segments give rise to 31 pairs of
spinal nerves.
4. The ventral rami of spinal nerves(except
T2,T11) from various nerve plexuses such
as cervical plexus, sacral plexus etc.
5. Dermatomes of all spinal nerves(except
C1) innervate specific skin segments.
7/13/2023 Dr Amar N Ande 51
Descending (Motor) Tracts
• Descending tracts conduct motor impulses from brain to periphery
• Types of descending tracts:-
1. Pyramidal (arise from cerebral cortex)
2. Extrapyramidal (arise from mid brain)
• Names of pyramidal tracts
1. Lateral cotricospinal tract
2. Anterior (ventral) cotricospinal tract.
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FUNCTIONS OF PYRAMIDAL TRACTS
• Descending pyramidal tract controls skeletal muscles of opposite side of
the body.
• Coordination of discrete movement.
• Coordination of movements of axial skeleton.
7/13/2023 Dr Amar N Ande 54
NAMES AND ORIGIN OF EXTRA PYRAMIDAL TRACT
Name Origin
1. Rubrospinal tract
2. Tectospinal tract
3. Vestibulospinal tract
4. Lateral reticulospinal tract
5. Anterior reticulospinal tract
Midbrain
Midbrain
Medulla
Medulla
Pons
7/13/2023 Dr Amar N Ande 55
• Rubrospinal and Tectospinal extra pyramidal tracts are crossed
extrapyramidal tract hence they control opposite side of the body.
FUNCTIONS OF EXTRAPYRAMIDAL TRACT
• Vestibulospinal tract maintains equilibrium.
• Tectospinal tract controls movements of head in response to visual and
auditory stimuli.
• Rubrospinal tract controls flexer muscle tone.
• Extra pyramidal tracts control complex movements of body such as
movements of hands and legs while walking.
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The cells of nervous system are called as
(1) Neurons and (2) Neuroglia.
Neurons:
a) Neurons are structural and functional cells
of nervous system.
b) Neurons conduct nerve impulses from
one part of the body to another.
7/13/2023 Dr Amar N Ande 57
Cells of Nervous System
Neuroglia –
a) Any of the cells that hold nerve
cells in place and help them work
the way they should.
b) The types of neuroglia
include oligodendrocytes,
astrocytes, microglia, and
ependymal cells.
c) Also called glial cell.
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7/13/2023 Dr Amar N Ande 59
• Parts of neurons:
(1) Cell body (2) Dendrites (3) Axon
• Cell body of neuron contains
nucleus and granular cytoplasm.
• Cytoplasm consists of nucleus,
lysosymes, golgi complex and
Nissl's bodies.
• Function of Nissl's bodies is
protein synthesis and
regeneration of peripheral nerve
fibers.
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7/13/2023 Dr Amar N Ande 61
Cytoplasm
• Dendrites: Dendrites are highly
branched cytoplasmic processes.
• Function of dendrites : Dendrites
conduct nerve impulse towards the cell
body.
• Axons: Axon is a long cytoplasmic
process.
• Function of axon : Axon conducts nerve
impulse away from the cell body to
another neuron or muscle or gland.
• Nerve fiber : Axon is called as nerve
fiber.
7/13/2023 Dr Amar N Ande 62
Types of Nerve Fibers
Myelinated
nerve fibers
Non-Myelinated
nerve Fibers
7/13/2023 Dr Amar N Ande 63
Myelinated nerve fibers:
• Nerve fibers or axons outside the brain and
spinal cord are surrounded by myelin
sheath.
• Axons of peripheral nervous system are
myelinated.
• They have capacity of regeneration.
Non-myelinated nerve fibers:
• Axon without myelin sheath is called as
non-myelinated.
• Non myelinated nerve fibers can not
regenerate.
7/13/2023 Dr Amar N Ande 64
Functional Classification of
Neurons
1. Sensory neurons (Afferent
neurons): Convey impulses from
skin, muscles, or joints to brain
and spinal cord.
2.Motor neurons (Efferent
neurons): Convey impulse from
brain, spinal cord to muscles, skin
and glands.
3. Association neurons: Carry
impulses from sensory to motor
neuron.
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7/13/2023 Dr Amar N Ande 66
REFLEX ACTION
• Definition: Reflexes are the fast responses
of the body to certain changes in the
external or internal environment.
• Example of reflex action: Taking away
hand quickly from the pricking needle.
• Types of Reflexes:
• Somatic (Results in contraction of skeletal
muscle)
• Visceral (Related to heart rate, respiration,
sneezing, etc)
7/13/2023 Dr Amar N Ande 67
Somatic reflexes :
• Superficial reflexes
1. Corneal
2. Pupillary
3. Planter
4. Abdominal
5. Scrotal
• Deep reflexes
1. Triceps reflex
2. Biceps reflex
3. Knee jerk
4. Ankle jerk
5. Jaw jerk
7/13/2023 Dr Amar N Ande 68
Reflex arc
• Reflex arc consists of (i) sensory
receptor (ii) sensory neuron (iii)
reflex center (iv) motor neuron (v)
effector
• Receptor
• Receptor convey sensation to sensor
nerve. Sensory nerve conduct
sensation to the spinal cord.
• Reflex center
• Reflex center is present in the spinal
segment. In the reflex center, reflex
from sensory neuron is transferred to
motor neuron via association neuron.
7/13/2023 Dr Amar N Ande 69
Motor neuron
• Association neuron transmits the impulse
to motor neuron.
• Effector
• Motor neuron conducts motor impulse to
effector organ.
• Effector responds to the motor nerve
impulse and reflex arc is completed.
• Reflexes which result in the contraction of
skeletal muscles are called as somatic
reflexes.
• Reflexes are carried out by spinal cord are
called as spinal reflexes.
7/13/2023 Dr Amar N Ande 70
PHYSIOLOGY OF AUTONOMIC NERVOUS SYSTEM
• Autonomic nervous system regulated activities of glands cardiac
muscles and smooth muscles.
• Autonomic nervous system
• Sympathetic – Thoracolumbar outflow
• Parasympathetic – Cranio sacral outflow
• Sympathetic nervous system
• It is also called as Thoracolumbar nervous system.
• Cell bodies of sympathetic nerves are located in the lateral gray horns
of 12 thoracic segments and first 2 or 3 lumber segments of spinal
cord hence sympathetic nervous system is called as Thoracolumbar
outflow.
7/13/2023 Dr Amar N Ande 71
7/13/2023 Dr Amar N Ande 72
FUNCTIONS OF SYMPATHETIC NERVOUS SYSTEM
1. Sympathetic nervous system is concerned with energy expenditure.
2. Stimulation of sympathetic nervous system results in increased
heart rate and blood pressure.
3. It increases respiratory rate.
4. Sympathetic nervous system slows down digestion as it inhibits
secretion of digestive enzymes.
5. It reduces peristaltic movements.
6. It inhibits secretion of insulin and increases blood sugar level.
7. It reduces urine volume.
8. Dilation of pupils.
9. Increased sweating.
7/13/2023 Dr Amar N Ande 73
7/13/2023 Dr Amar N Ande 74
Sympathetic receptors
• Two types of sympathetic receptors are present on the surface of every
organ of the body.
1. Alpha receptor
2. Beta receptor
• Action of Alpha receptors: Excitatory
• Action of Beta receptors: Inhibitory but beta receptors on heart muscles
are excitatory hence sympathetic nervous system increases heart rate.
7/13/2023 Dr Amar N Ande 75
• Parasympathetic nervous system
• It Is derived from the nuclei in the
oculomotor (III), facial nerve (VII)
Glossopharyngeal nerve (IX) and
vagus nerve (X).
• Sacral outflow of parasympathetic
nerve fibres arise from sacral part of
spinal cord.
7/13/2023 Dr Amar N Ande 76
FUNCTIONS OF PARASYMPATHETIC NERVOUS SYSTEM
1. Parasympathetic nervous system is the energy savour system.
2. PNS reduce blood pressure, heart rate and respiratory rate.
3. It stimulates secretion of saliva, digestive juices and insulin.
4. PNS does not have effect on pupils of the eye and urine volume.
5. PNS increases gastric motility and peristaltic movements.
6. It reduces blood sugar level.
7. PNS stimulates secretion of lacrimal glands of eyes.
7/13/2023 Dr Amar N Ande 77
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Physiology of Nervous System.pptx

  • 1. 7/13/2023 Dr Amar N Ande 1
  • 2. Physiology of Nervous Sytem Lecture by- Dr Amar N Ande Assistant Professor Dept. of Kriya Sharir School of Ayurveda and Siddha Studies Shri Satya Sai University of Technical and Medical Sciences, Pachama,Sehore, M.P. 7/13/2023 Dr Amar N Ande 2
  • 3. Objectives 1. General introduction to nervous system, neurons, mechanism of propagation of nerve impulse, physiology of CNS,PNS, ANS. 2. Physiology of sensory and motor nervous system, functions of different parts of brain and physiology of special senses, intelligence, memory, learning and motivation. 3. Physiology of speech and articulation. 4. Physiology of temperature regulation. 7/13/2023 Dr Amar N Ande 3
  • 4. Physiology of Nervous System • System which transmits messages and coordinates various body functions is called as nervous system. • Let us begin with general introduction to nervous system. • Physiological Division of Nervous System is as follows- 7/13/2023 Dr Amar N Ande 4
  • 5. Physiological Division of Nervous System Central Nervous System Brain Spinal Cord Peripheral Nervous System Afferent Nervous System (Conveys information from body to brain, spinal cord) Efferent Nervous System (Conveys information from CNS to body) Somatic Nervous System (Conveys information from CNS to skeletal muscles) Autonomic Nervous System Sympathetic Parasympathetic 7/13/2023 Dr Amar N Ande 5
  • 6. Physiology of Central Nervous System Central nervous system consists of brain and spinal cord. Parts of Brain 1. Cerebrum 2. Cerebellum 3. Diencephalon I. Thalamus II. Hypothalamus 4. Brain Stem I. Medulla Oblongata II. Pons III. Mid Brain 7/13/2023 Dr Amar N Ande 6
  • 7. 7/13/2023 Dr Amar N Ande 7
  • 8. 7/13/2023 Dr Amar N Ande 8
  • 9. 7/13/2023 Dr Amar N Ande 9
  • 10. 7/13/2023 Dr Amar N Ande 10
  • 11. 7/13/2023 Dr Amar N Ande 11
  • 12. Physiology of Central Nervous System Cerebrum • Cerebrum is the largest part of brain. Cerebral cortex: • The surface of cerebrum is called as cortex. • Cerebral cortex contains billions of nerve cell bodies, Cerebral cortex is made of gray matter. • Gray matter is non myelinated nervous tissue. • White matter of cerebrum is situated below the cerebral cortex. • Cerebrum is divided into two equal halves, called as cerebral hemisphere. 7/13/2023 Dr Amar N Ande 12
  • 13. Lobes of Cerebrum • Each cerebral hemisphere is subdivided into four lobes. Four cerebral lobes 1. Frontal lobe 2. Parietal lobe 3. Temporal lobe 4. Occipital lobe 7/13/2023 Dr Amar N Ande 13
  • 14. • Both hemispheres are connected with transverse bundle of fibers called as corpus callosum. • Protection of brain : Cranial bones, meninges and cerebrospinal fluid protect the brain. • Coverings of brain: Brain is covered with cranial meninges. Cranial meninges are continuous with spinal meninges. • The cranial meninges are – • 1. Duramater - Outermost covering • 2. Arachnoid mater - Middle covering • 3. Pia mater - Innermost covering 7/13/2023 Dr Amar N Ande 14
  • 15. 7/13/2023 Dr Amar N Ande 15
  • 16. 7/13/2023 Dr Amar N Ande 16
  • 17. Cerebrospinal Fluid (C.S.F.) • Cranial bones and meninges protect brain and cerebrospinal fluid. • Cerebrospinal fluid is a clear colourless fluid and it consists of proteins, glucose, urea, salts and some lymphocytes. • Cerebrospinal fluid is formed in the choroid plexuses and it is circulated through the subarachnoid space, ventricles of brain and through central canal of the spinal cord. • Normal volume of CSF is 80 to 150 ml. Functions of Cerebrospinal Fluid • Brain actually floats in CSF. • CSF protects brain and spinal cord from trauma. • It acts as a shock absorber. 7/13/2023 Dr Amar N Ande 17
  • 18. 7/13/2023 Dr Amar N Ande 18
  • 19. Blood Supply of Brain • Brain has a large demand of oxygen and glucose. • Cerebral arteries supply brain. • Lack of oxygen for more than six seconds can lead to damage of brain cells. 7/13/2023 Dr Amar N Ande 19
  • 20. Functional Areas of Cerebral Cortex • Functionally cerebral cortex is divided into (1) sensory areas (2) motor areas (3) Association areas • Functional areas are located in various cerebral lobes. • Functional areas are designated by particular numbers. 7/13/2023 Dr Amar N Ande 20
  • 21. 7/13/2023 Dr Amar N Ande 21
  • 22. Sensory areas Primary areas Association areas General sensory area Association sensory area Primary visual area Association visual area Primary auditory area Association auditory area Primary gustatory area Primary olfactory area 7/13/2023 Dr Amar N Ande 22
  • 23. Function of General Sensory Area - • Location - Parietal Lobe • Area No. -1, 2, 3 • This area receives sensation from skin, muscles and various organs of the body. • Whole body is mapped in this area. • This area can identify the exact point of body from where the sensation is arising. 7/13/2023 Dr Amar N Ande 23
  • 24. Functions of Association Sensory Areas • Location - Parietal lobe • Area No. -5,7 • Association sensory areas receives sensory information(inputs) from the thalamus. • This area integrates and interprets the sensation. • Association area can detect shape and texture of an object without looking at it. • This information is stored as memory of past experience. Person can compare sensations with past experience. 7/13/2023 Dr Amar N Ande 24
  • 25. Functions of Primary Visual Area • Location- Occipital lobe • Area No. -17 • Interpretation of shape, color and movement of an object are the functions of primary visual area. Functions of Visual Association Area • Location-Occipital lobe • Area no. 18, 19 • Functions of visual association area are (1) To store visual experiences. (2) To establish present visual experience with past one and to recognize the present object. 7/13/2023 Dr Amar N Ande 25
  • 26. Functions of Primary Gustatory Area • Location- Parietal lobe • Area no. - 43 • Primary gustatory area receives sensations from taste buds. • Its function is to interpret sensations of taste. 7/13/2023 Dr Amar N Ande 26
  • 27. Functions of Primary Auditory Area • Location- Temporal lobe • Area no. 41, 42 • Primary auditory area receives sensations from ears. It interprets pitch and rhythm of sound. Functions of Auditory Association Area • Location -Temporal lobe • Area no.-22 • Auditory association area can identify the nature of sound, whether sound is music, noise or speech. Auditory association area converts words into thoughts. 7/13/2023 Dr Amar N Ande 27
  • 28. Gnostic Area or Wernicke's Area • Location- Area is located among visual association area, auditory association area and general association area. • Area no. 5, 7, 39, 40 • Gnostic area (Gnosis - Knowledge) receives information from all association areas and from thalamus. • It integrates interpretations from all parts of brain. • It also receives sensory information from all sensory areas of brain so that a common thought can be formed. 7/13/2023 Dr Amar N Ande 28
  • 29. 7/13/2023 Dr Amar N Ande 29
  • 30. Functions of Motor Area of Cerebral Cortex Motor area of cerebral cortex is located in frontal lobe. motor areas of cerebral cortex •Primary motor area (area 4) •Premotor area (area 6) •Frontal eye field area (area 8) •Broca's area (area 44) 7/13/2023 Dr Amar N Ande 30
  • 31. Functions of Premotor Area • Premotor area coordinates muscle activity. Functions of Primary Motor Area • Primary motor area controls muscles of opposite side of the body, more than half of this area controls muscles of hands as well as speech. 7/13/2023 Dr Amar N Ande 31
  • 32. Functions of Frontal Eyefield Area • Frontal eyefield area controls voluntary scanning movements of the eyes such as searching a word in a dictionary. Functions of Broca's Area • Broca's area converts thoughts into speech. • Broca's area is located in the left frontal lobe. 7/13/2023 Dr Amar N Ande 32
  • 33. Lobes Sensations Parietal lobe Touch, pain, temperature, Taste Temporal lobe Smell, Sound Occipital lobe Vision Lobes and Concerned Sensations 7/13/2023 Dr Amar N Ande 33
  • 34. Functions of Sensory Areas of Cerebrum Lobe Areas Functions parietal General Sensory area Receives sensation of touch, pain and pressure from body. Parietal Primary Gustatory area Receives sensations of taste Temporal Primary Auditory area Interpretation of pitch and rhythm of sound Occipital Primary visual area Receives sensory impulses from eyes Temporal Primary olfactory area Receives sensations of smell. 7/13/2023 Dr Amar N Ande 34
  • 35. Limbic System or Emotional Brain • Certain parts of cerebral hemisphere, thalamus and hypothalamus contributes limbic system. Importance of Limbic System 1. This system is concerned with memory and behavior pattern of a person. 2. Limbic system is concerned with emotions, love, anger, sexual feeling, anger etc. 3.Limbic system controls emotions so it is also called as emotional brain. 7/13/2023 Dr Amar N Ande 35
  • 36. Basal Ganglia • The paired masses of gray matter are called as basal ganglia. • Basal ganglia are present in both right and left hemisphere of cerebrum. • Corpus striatum is the largest basal ganglia in each hemisphere. • Basal cell ganglia are connected to the cerebral cortex, hypothalamus and thalamus. Functions of Basal Ganglia • Basal ganglia control subconscious movements of skeletal muscles. • Swinging movements of arms while walking is an example of subconscious movements. • Damage to basal ganglia leads to abnormal body movements. 7/13/2023 Dr Amar N Ande 36
  • 37. Functions of Cerebellum 1 Cerebellum maintains equilibrium of body. 2. It maintains muscle tone. 3. Cerebellum coordinates subconscious movements of skeletal muscles. Clinical Importance • Disturbance in walking, dizziness indicates damage to cerebellum. 7/13/2023 Dr Amar N Ande 37
  • 38. Functions of Thalamus 1. Thalamus is a relay station for sensations of touch, pain, pressure, vision, sound and taste. 2. Only the sensation of smell is not conducted in the thalamus. 3. Thalamus conveys sensations to cerebrum. 4. Anterior nucleus of thalamus is related to emotions and brains. 5. Thalamus interprets the sensation of pain, touch, pressure and temperature. 7/13/2023 Dr Amar N Ande 38
  • 39. FUNCTIONS OF HYPOTHALAMUS 1. Hypothalamus is located below the thalamus 2. Hypothalamus controls normal body temperature. 3. Hypothalamus controls food intake. 4. Satiety center in hypothalamus gives feeling of satiety. 5. Feeding center of hypothalamus regulated hunger. 6. Thirst center is present in hypothalamus. Reduced extracellular fluid volume stimulated thirst center. Thirst center produces thirst sensation. 7/13/2023 Dr Amar N Ande 39
  • 40. 7. Hypothalamus maintains walking state and sleeping patterns. 8. Hypothalamus secretes regulatory or inhibitory hormones. 9. Hypothalamus controls autonomic nervous system. 10. Hypothalamus receives information from external environment. 11. Hypothalamus controls sexual behaviour. 7/13/2023 Dr Amar N Ande 40
  • 41. FUNCTIONS OF MIDBRAIN • The midbrain extends from the pons to the lower part of diencephalon. FUNCTIONS • Four eminences on the dorsal portion of the midbrain are called as (i) Superior colliculli (ii) Inferior colliculli. • Superior colliculli are reflex centers for (i) Movements of eyeballs and (ii) Movements of head and neck in response to visual stimuli. • Inferior colliculli are reflex centers for the movement of head and neck in response to auditory stimuli so person can head towards direction of sound. • Red nucleus of midbrain gives origin to descending rubrospinal tract. Rubrospinal tract is an extra-pyramidal tract. • Nuclei of oculomotor nerves are present in the midbrain 7/13/2023 Dr Amar N Ande 41
  • 42. FUNCTIONS OF MEDULLA OBLONGATA • Continuation of upper portion of spinal cord is called as medulla oblongata. FUNCTIONS • Triangular structures on the ventral surface of the medulla are called as pyramids. • Nerve fibres of descending tracts coming from cerebrum decussate (cross) in the pyramids and pass to the spinal cord. • Fibres from the left pyramids cross to right side of the spinal cord and fibres from the right pyramid cross to the left side of spinal cord. 7/13/2023 Dr Amar N Ande 42
  • 43. • Due to decussation of motor fibres in pyramids, motor area of left cerebral cortex controls right side of the body and right cerebral cortex controls left side of the body. • Dorsal surface of medulla receives sensory nerve fibres from ascending right and left fascicular gracilis and fascicular cunestus. • Cardiac center of medulla controls heart rate. • Medullary rhythmicity area adjust the basic rhythm of breathing. • Vasomotor center regulates diameter of blood vessels. • Reflex centers for swallowing, vomiting, coughing, sneezing and hiccup are present in the medulla. 7/13/2023 Dr Amar N Ande 43
  • 44. 7/13/2023 Dr Amar N Ande 44
  • 45. Nuclei of following cranial nerves are present in the medulla. • Vestibulo - Cochlear nerves (VIII) • Glosso – Pharyngeal nerves (IX) • Vagus nerves (X) • Accessory nerves (XI) • Hypoglossal nerves (XII) 7/13/2023 Dr Amar N Ande 45
  • 46. FUNCTIONS OF PONS • Pons connects spinal cord with brain functions. • Pneumotaxic area and apneustic area of pons controls movements of breathing. • Pons together with medullary rhythmicity area control respiration. 7/13/2023 Dr Amar N Ande 46
  • 47. FUNCTIONS OF SPINAL CORD • Location – Vertebral column • Length of the adult spinal cord – 42-45 cm. • Circumference of the spinal cord-2.54 inches. Meninges(coverings) of the spinal cord 1.Dura mater-Outer most covering 2.Arachnoid mater-Middle covering 3.Pia mater-Inner covering 7/13/2023 Dr Amar N Ande 47
  • 48. • Epidural space: Space between the wall of vertebral column and dura mater is known as epidural space. • Importance of epidural space: The epidural space inferior to the second lumber vertebra is the site for epidural anaesthesia. • Subarachnoid space: The space between pia mater and arachnoid mater is called as subarachnoid space. Cerebrospinal fluid circulates in this space. • Importance of subarachnoid space: Spinal anaesthesia is given in subarachnoid space between third and fourth lumber vertebra. 7/13/2023 Dr Amar N Ande 48
  • 49. • Inner part of spinal cord consists of gray matter. • Shape of gray matter of cord is like the English alphabet H. • Gray matter consists of nerve cell bodies. • The small space in the center of the gray matter is called as central canal. • Central canal contains cerebrospinal fluid. • Central canal is continuous with the fourth ventricle of the medulla. • Divisions of gray matter are: • Anterior gray horns. • Posterior gray horns. • Lateral gray horns. Cross section of Spinal cord 7/13/2023 Dr Amar N Ande 49
  • 50. • Gray horn contains nuclei which give origin to nerve fibres. • Lateral gray horn cells(nuclei) are present only in thoracic, lumber and sacral segments of cord. • The outer part of the spinal cord consists of white matter. • The white matter is formed of sensory and motor tracts of the spinal cord. • White matter is divided into 1. Anterior (ventral) white column. 2. Posterior(dorsal) white column. 3. Lateral white column. • White columns consist of ascending(sensory) and descending(motor)tracts. • Myelin sheath of tracts gives white colour to the outer part of spinal cord. 7/13/2023 Dr Amar N Ande 50
  • 51. FUNCTIONS OF SPINAL CORD 1. Ascending tracts (sensory tracts) of spinal cord conducts sensory impulses from various parts of body to brain. 2. Descending tracts (motor tracts) convey motor impulses from brain to muscles and various parts of body. 3. Spinal segments give rise to 31 pairs of spinal nerves. 4. The ventral rami of spinal nerves(except T2,T11) from various nerve plexuses such as cervical plexus, sacral plexus etc. 5. Dermatomes of all spinal nerves(except C1) innervate specific skin segments. 7/13/2023 Dr Amar N Ande 51
  • 52. Descending (Motor) Tracts • Descending tracts conduct motor impulses from brain to periphery • Types of descending tracts:- 1. Pyramidal (arise from cerebral cortex) 2. Extrapyramidal (arise from mid brain) • Names of pyramidal tracts 1. Lateral cotricospinal tract 2. Anterior (ventral) cotricospinal tract. 7/13/2023 Dr Amar N Ande 52
  • 53. 7/13/2023 Dr Amar N Ande 53
  • 54. FUNCTIONS OF PYRAMIDAL TRACTS • Descending pyramidal tract controls skeletal muscles of opposite side of the body. • Coordination of discrete movement. • Coordination of movements of axial skeleton. 7/13/2023 Dr Amar N Ande 54
  • 55. NAMES AND ORIGIN OF EXTRA PYRAMIDAL TRACT Name Origin 1. Rubrospinal tract 2. Tectospinal tract 3. Vestibulospinal tract 4. Lateral reticulospinal tract 5. Anterior reticulospinal tract Midbrain Midbrain Medulla Medulla Pons 7/13/2023 Dr Amar N Ande 55
  • 56. • Rubrospinal and Tectospinal extra pyramidal tracts are crossed extrapyramidal tract hence they control opposite side of the body. FUNCTIONS OF EXTRAPYRAMIDAL TRACT • Vestibulospinal tract maintains equilibrium. • Tectospinal tract controls movements of head in response to visual and auditory stimuli. • Rubrospinal tract controls flexer muscle tone. • Extra pyramidal tracts control complex movements of body such as movements of hands and legs while walking. 7/13/2023 Dr Amar N Ande 56
  • 57. The cells of nervous system are called as (1) Neurons and (2) Neuroglia. Neurons: a) Neurons are structural and functional cells of nervous system. b) Neurons conduct nerve impulses from one part of the body to another. 7/13/2023 Dr Amar N Ande 57 Cells of Nervous System
  • 58. Neuroglia – a) Any of the cells that hold nerve cells in place and help them work the way they should. b) The types of neuroglia include oligodendrocytes, astrocytes, microglia, and ependymal cells. c) Also called glial cell. 7/13/2023 Dr Amar N Ande 58
  • 59. 7/13/2023 Dr Amar N Ande 59
  • 60. • Parts of neurons: (1) Cell body (2) Dendrites (3) Axon • Cell body of neuron contains nucleus and granular cytoplasm. • Cytoplasm consists of nucleus, lysosymes, golgi complex and Nissl's bodies. • Function of Nissl's bodies is protein synthesis and regeneration of peripheral nerve fibers. 7/13/2023 Dr Amar N Ande 60
  • 61. 7/13/2023 Dr Amar N Ande 61 Cytoplasm
  • 62. • Dendrites: Dendrites are highly branched cytoplasmic processes. • Function of dendrites : Dendrites conduct nerve impulse towards the cell body. • Axons: Axon is a long cytoplasmic process. • Function of axon : Axon conducts nerve impulse away from the cell body to another neuron or muscle or gland. • Nerve fiber : Axon is called as nerve fiber. 7/13/2023 Dr Amar N Ande 62
  • 63. Types of Nerve Fibers Myelinated nerve fibers Non-Myelinated nerve Fibers 7/13/2023 Dr Amar N Ande 63
  • 64. Myelinated nerve fibers: • Nerve fibers or axons outside the brain and spinal cord are surrounded by myelin sheath. • Axons of peripheral nervous system are myelinated. • They have capacity of regeneration. Non-myelinated nerve fibers: • Axon without myelin sheath is called as non-myelinated. • Non myelinated nerve fibers can not regenerate. 7/13/2023 Dr Amar N Ande 64
  • 65. Functional Classification of Neurons 1. Sensory neurons (Afferent neurons): Convey impulses from skin, muscles, or joints to brain and spinal cord. 2.Motor neurons (Efferent neurons): Convey impulse from brain, spinal cord to muscles, skin and glands. 3. Association neurons: Carry impulses from sensory to motor neuron. 7/13/2023 Dr Amar N Ande 65
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  • 67. REFLEX ACTION • Definition: Reflexes are the fast responses of the body to certain changes in the external or internal environment. • Example of reflex action: Taking away hand quickly from the pricking needle. • Types of Reflexes: • Somatic (Results in contraction of skeletal muscle) • Visceral (Related to heart rate, respiration, sneezing, etc) 7/13/2023 Dr Amar N Ande 67
  • 68. Somatic reflexes : • Superficial reflexes 1. Corneal 2. Pupillary 3. Planter 4. Abdominal 5. Scrotal • Deep reflexes 1. Triceps reflex 2. Biceps reflex 3. Knee jerk 4. Ankle jerk 5. Jaw jerk 7/13/2023 Dr Amar N Ande 68
  • 69. Reflex arc • Reflex arc consists of (i) sensory receptor (ii) sensory neuron (iii) reflex center (iv) motor neuron (v) effector • Receptor • Receptor convey sensation to sensor nerve. Sensory nerve conduct sensation to the spinal cord. • Reflex center • Reflex center is present in the spinal segment. In the reflex center, reflex from sensory neuron is transferred to motor neuron via association neuron. 7/13/2023 Dr Amar N Ande 69
  • 70. Motor neuron • Association neuron transmits the impulse to motor neuron. • Effector • Motor neuron conducts motor impulse to effector organ. • Effector responds to the motor nerve impulse and reflex arc is completed. • Reflexes which result in the contraction of skeletal muscles are called as somatic reflexes. • Reflexes are carried out by spinal cord are called as spinal reflexes. 7/13/2023 Dr Amar N Ande 70
  • 71. PHYSIOLOGY OF AUTONOMIC NERVOUS SYSTEM • Autonomic nervous system regulated activities of glands cardiac muscles and smooth muscles. • Autonomic nervous system • Sympathetic – Thoracolumbar outflow • Parasympathetic – Cranio sacral outflow • Sympathetic nervous system • It is also called as Thoracolumbar nervous system. • Cell bodies of sympathetic nerves are located in the lateral gray horns of 12 thoracic segments and first 2 or 3 lumber segments of spinal cord hence sympathetic nervous system is called as Thoracolumbar outflow. 7/13/2023 Dr Amar N Ande 71
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  • 73. FUNCTIONS OF SYMPATHETIC NERVOUS SYSTEM 1. Sympathetic nervous system is concerned with energy expenditure. 2. Stimulation of sympathetic nervous system results in increased heart rate and blood pressure. 3. It increases respiratory rate. 4. Sympathetic nervous system slows down digestion as it inhibits secretion of digestive enzymes. 5. It reduces peristaltic movements. 6. It inhibits secretion of insulin and increases blood sugar level. 7. It reduces urine volume. 8. Dilation of pupils. 9. Increased sweating. 7/13/2023 Dr Amar N Ande 73
  • 74. 7/13/2023 Dr Amar N Ande 74
  • 75. Sympathetic receptors • Two types of sympathetic receptors are present on the surface of every organ of the body. 1. Alpha receptor 2. Beta receptor • Action of Alpha receptors: Excitatory • Action of Beta receptors: Inhibitory but beta receptors on heart muscles are excitatory hence sympathetic nervous system increases heart rate. 7/13/2023 Dr Amar N Ande 75
  • 76. • Parasympathetic nervous system • It Is derived from the nuclei in the oculomotor (III), facial nerve (VII) Glossopharyngeal nerve (IX) and vagus nerve (X). • Sacral outflow of parasympathetic nerve fibres arise from sacral part of spinal cord. 7/13/2023 Dr Amar N Ande 76
  • 77. FUNCTIONS OF PARASYMPATHETIC NERVOUS SYSTEM 1. Parasympathetic nervous system is the energy savour system. 2. PNS reduce blood pressure, heart rate and respiratory rate. 3. It stimulates secretion of saliva, digestive juices and insulin. 4. PNS does not have effect on pupils of the eye and urine volume. 5. PNS increases gastric motility and peristaltic movements. 6. It reduces blood sugar level. 7. PNS stimulates secretion of lacrimal glands of eyes. 7/13/2023 Dr Amar N Ande 77
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