CNS vs PNS
review the parts of a neuron (neurone)
dendrites
cell body or soma
axon and its collaterals
gray matter vs white matter
nucleus
ganglion
tract, pathway
nerves, roots
(most of the following come from the introductory reading in studyguide)
spinal vertebrae
5 levels of the spinal cord with 31 pairs of spinal nerves
cervical
thoracic
lumbar
sacral
coccygeal (not named in reading -31st pair of nerves
connects here)
each nerve formed by joining of these:
dorsal root (the sensory or afferent part of the
nerve)
ventral root (the motor or efferent part of the
nerve)
spinal reflexes mediated by these nerves (see figure in reading)
There are also 12 pairs of cranial nerves which connect to brain rather
than cord
The Brain - From Bottom to Top
brainstem
hindbrain
medulla (aka myelencephalon
or rear-most portion of hindbrain)
pons
reticular formation (extends through all levels of brain stem)
ascending reticular activating system
descending reticular formation
cerebellum
(pons and cerebellum together
aka metencephalon - the front-most portion of hindbrain)
midbrain (aka mesencephalon)
the sensory portion of midbrain
superior colliculus
inferior colliculus
the motor portion of midrbrain
substantia nigra (not named in reading - area related to Parkinson's disease)
forebrain
hypothalamus
pituitary gland (connected
to and controlled by hypothalamus)
thalamus
(hypothalamus and thalamus are parts of the diencephalon;
the remaining forebrain structures below are telencephalon)
basal ganglia system
limbic system
hippocampus
amygdala
right and left cerebral hemispheres
longitudinal fissure or
sulcus (not named in reading - space between 2 hemispheres)
corpus callosum
cortex
gyrus (plural = gyri) vs sulcus (plural = sulci)
frontal lobe
primary motor area of cortex ("precentral gyrus")
central sulcus
parietal lobe
somatosensory area of cortex ("postcentral gyrus")
` occipital
lobe
visual area of cortex
temporal lobe
auditory area of cortex
lateral fissure or sulcus
higher level or association areas of cortex
imaging techniques (see web-links and studyguide)
CAT or CT scan
MNR scan
PET scan
SPECT scan
fMNR scan
cranial fossae
anterior
middle
posterior
foramina (opening in skull for nerves or brainstem/cord to pass through)
meninges (touched on in Chap 1, continued in Chap 5)
dura mater
outer layer (periosteum
of skull)
inner or meningeal layer
dural septum (plural = septa) or partition
falx cerebri
tentorium cerebelli
dural venous sinus
arachnoid mater
subarachnoid space
cerebrospinal fluid (CSF)
surface blood vessels supplying
brain
subarachnoid cisterms
pia mater
clinical applications:
meningioma
epidural anesthesia vs spinal/intrathecal anesthesia
lumbar puncture (spinal tap)
meningitis
causes; who is most at risk
viral meningitis
bacterial meningitis
Hib related meningitis and
vaccine
meningococcal meningitis
and meningococcal sepsis; problems with meningococcal vaccine
symptoms
Kernig's sign
Brudzinski's sign
dangers and possible aftereffects
treatment
ventricular system (touched on in Chap 1, continued in Chap 6)
2 lateral ventricles
interventricular foramina
third ventricle
cerebral aqueduct
fourth ventricle
1 median and 2 lateral apertures or foramina
subarachnoid space
central canal of cord
choroid plexus
circulation path of CSF
arachnoid villi or granulations into dural sinus
hydrocephalus
noncommunicating
communicating
symptoms in infant (flexible skull) vs adult
signs of increased intracranial pressure (ICP)
treatment/prevention
"normal pressure" hydrocephalus
hydrocephalus ex vacuo
traumatic brain injury (TBI)
concussion
contusion
coup vs contrecoup injuries
laceration or penetrating injury
closed-head injury (CHI) vs open head injury
hemorrhages
epidural or extradural hematoma
subdural hematoma
subarachnoid bleeding
intracerebral hematoma
edema (swelling) of brain
increased incranial pressure (ICP)
herniation of brain tissue
loss of consciousness (LOC)
coma (light and deep)
Glasgow Coma Scale (GCS) (in study guide)
persistent vegetative state
vs locked-in syndrome
possible post-traumatic sequelae (aftereffects)
meningitis if skull was opened
post-traumatic amnesia (PTA)
post-traumatic epilepsy
post-traumatic hydrocephalus
post-traumatic dementia or cognitive decline
"punch-drunk syndrome" (dementia
pugilistica)