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SPINAL CORD
Section 9-6
BRAIN
Section 9-8
Brainstem
o The brainstem connects the spinal
cord to the remainder of the brain
o It consists of the medulla
oblongata, the pons, and the
midbrain
o The brainstem contains several
nuclei involved in vital body
functioning, such as the control of
heart rate, blood pressure, and
breathing
o Damage to small areas of the
brainstem can cause death
o Nuclei for all but the first two o Other nuclei in the pons control
cranial nerves are also located in the functions such as chewing and
brainstem salivation
Medulla Oblongata Midbrain
o It is the most inferior portion of the o The midbrain, just superior to the
brainstem and is continuous with pons, is the smallest region of the
the spinal cord brainstem
o It extends from the level of the o The dorsal part of the midbrain
foramen magnum to the pons consists of four mounds, called the
o In addition to ascending and colliculi
descending fiber tracts, the medulla o The two inferior colliculi are major
oblongata contains discrete nuclei relay centers for the auditory nerve
with specific functions, such as pathways of the CNS
regulation of heart rate and blood o The two superior colliculi are
vessel diameter, breathing, involved in visual reflexes and
swallowing, vomiting, coughing, receive touch and auditory input
sneezing, balance, and o The midbrain contains nuclei
coordination involved in coordinated eye
o On the anterior surface, two movements and controlling the
prominent enlargements called pupil diameter and lens shape
pyramids extend the length of the o The midbrain also contains a black
medulla oblongata nuclear mass, called substantia
o The pyramids consist of descending nigra, which is part of the basal
nerve tracts, which transmit action nuclei and is involved in regulating
potentials from the brain to motor general body movements
neurons of the spinal cord o The rest of the midbrain consists
o Pyramids are involved in the largely of ascending tracts from the
conscious control of skeletal spinal cord to the cerebrum and
muscles descending tracts from the
Pons cerebrum to the spinal cord and
o Immediately superior to the cerebellum
medulla oblongata is the pons, Reticular Formation
which contains ascending and o Scattered throughout the brainstem
descending tracts, as well as several is a group of nuclei collectively
nuclei called the reticular formation,
o Some of the nuclei in the pons relay which plays important regulatory
information between the cerebrum functions
and cerebellum o It is particularly involved in
o Several nuclei of the medulla regulating cyclical motor functions,
oblongata extend into the lower such as respiration, walking, and
part of the pons chewing
o Functions such as breathing, o The reticular formation is a major
swallowing, and balance are component of the reticular
controlled in the pons, as well as in activating system, which plays an
the medulla oblongata important role in arousing and
maintaining consciousness, and in o The pineal gland is an
regulating the sleep-wake cycle endocrine gland that may
Cerebellum influence the onset of puberty
o The cerebellum is attached to the and may play a role in
brainstem by several large controlling some long-term
connections called cerebellar cycles that are influenced by the
peduncles light-dark cycle
o These connections provide routes of Hypothalamus
communication between the o It is the most inferior part of the
cerebellum and other parts of the diencephalon and it contains
CNS several small nuclei that are very
Diencephalon important in maintaining
o The diencephalon is the part of the homeostasis
brain between the brainstem and the o Plays a central role in the control of
cerebrum body temperature, hunger, and
Its main components are the following: thirst
• Thalamus o Sensations such as sexual pleasure,
• Epithalamus rage, fear, and relaxation after a
• Hypothalamus meal are related to hypothalamic
functions
o Emotional responses that seem
Thalamus
inappropriate to the circumstances,
o Largest part of the diencephalon such as “nervous perspiration” in
o Consists of a cluster of nuclei and is response to stress or hunger as a
shaped somewhat like a yo-yo, with result of depression, also involve the
two large, lateral parts connected in hypothalamus
the center by a small interthalamic o Plays a major role in controlling the
adhesion secretion of hormones from the
o Most sensory input that ascends pituitary gland
through the spinal cord and o Mammillary bodies form
brainstem projects to the thalamus, externally visible swellings on the
where ascending neurons synapse posterior portion of the
with thalamic neurons hypothalamus and are involved in
o Thalamic neurons, in turn, send emotional responses to odors and in
their axons to the cerebral cortex memory
o The thalamus also influences mood
and registers an unlocalized,
Cerebrum
uncomfortable perception of pain
o It is the largest part of the brain and
Epithalamus
is divided into left and right
o It is a small area superior and
hemispheres by a longitudinal
posterior to the thalamus
fissure
o Consists of a few small nuclei,
o The most conspicuous features on
which are involved in the
the surface of each hemisphere are
emotional and visceral response
numerous folds called gyri, which
to odors, and the pineal gland
greatly increase the surface area of
the cortex, and intervening grooves o Sensory input to the cerebrum and
called sulci cerebellum keeps us informed about
o Each cerebral hemisphere is divided our environment and allows the
into lobes, which are named for the CNS to control motor functions
skull bones overlying them o A small portion of sensory input
o The frontal lobe is important in the results in perception, the conscious
control of voluntary motor awareness of stimuli
functions, motivation, aggression,
mood, and olfactory reception SENSORY AREAS TO THE
o The parietal lobe is the principal CEREBRAL CORTEX
center for receiving and consciously o Ascending tracts project to specific
perceiving most sensory regions of the cerebral cortex, called
information, such as touch, pain, primary sensory areas, where
temperature, and balance sensations are perceived
o The frontal and parietal lobes are o The primary somatic sensory
separated by the central sulcus cortex, or general sensory area, is
o The occipital lobe functions in located in the parietal lobe posterior
receiving and perceiving visual to the central sulcus
input and is not distinctly separate o Sensory fibers carrying general
from other lobes sensory input, such as pain,
o The temporal lobe is involved in pressure, and temperature, synapse
olfactory and auditory sensations, in the thalamus, and thalamic
and plays an important role in neurons relay the information to the
memory primary somatic sensory cortex
o The anterior and inferior portions of o Other primary sensory areas
the temporal lobe, called the include the visual cortex of the
“psychic cortex,” are associated occipital lobe, the primary
with function such as abstract auditory cortex of the temporal
thought and judgment lobe, and the taste area in the
o Most of the temporal lobe is insula
separated from the rest of the o Cortical areas immediately adjacent
cerebrum by the lateral fissure, and to the primary sensory areas, called
deep within the fissure is the insula, association areas, are involved in
often referred to as the fifth lobe the process of recognition
o Examples include somatic sensory
SENSORY FUNCTIONS association area, visual association
Section 9-9 area, and the auditory association
o The CNS constantly receives a area
variety of stimuli originating both
inside and outside the body MOTOR FUNCTIONS
o We are unaware of a large part of Section 9-10
this sensory input, but it is vital to o The motor system of the brain and
our survival and normal functions spinal cord is responsible for
o Sensory input to the brainstem and maintaining the body’s posture and
diencephalon helps maintain balance, as well as moving the
homeostasis
trunk, head, limbs, tongue and eyes, o Action potentials from the
and communicating through facial premotor area are passed to the
expressions and speech upper motor neurons of the primary
o Reflexes mediated through the motor cortex, which initiate each
spinal cord and brainstem are planned movement
responsible for some body o The motivation and foresight to
movements without conscious plan and initiate movements occur
thought called involuntary in the anterior portion of the frontal
movements lobes, called the prefrontal area
o Voluntary movements, on the o This region of association cortex is
other hand, are consciously well developed only in primates,
activated to achieve a specific goal, especially in humans
such as walking or typing o It is involved in motivation and
o Although consciously activated, the regulation of emotional behavior
details of most voluntary and mood
movements occur automatically o The large size of this area in
o Voluntary movements result from humans may account for our
the stimulation of upper and lower emotional complexity and our
motor neurons relatively well-developed capacity
o Upper motor neurons have cell to think ahead and feel motivated
bodies in the cerebral cortex and
their axons form descending tracts BASAL NUCLEI
that connect to lower motor The basal nuclei are a group of
neurons functionally related nuclei
o Lower motor neurons have cell o Two primary nuclei are the corpus
bodies in the anterior horn of the striatum, located deep within the
spinal cord gray matter or in cranial cerebrum, and the substantia nigra,
nerve nuclei and their axons leave a group of darkly pigmented cells in
the CNS and extend through spinal the midbrain
or cranial nerves to skeletal muscles o Important in planning, organizing,
and coordinating motor movements
MOTOR AREAS OF THE CEREBRAL and posture
CORTEX o Complex neural circuits link the
o The primary motor cortex is basal nuclei with each other, with
located in the posterior portion of the thalamus, and with the cerebral
the frontal lobe, directly anterior to cortex
the central sulcus o These connections form several
o Action potentials initiated in this feedback loops, some of which are
region control voluntary stimulatory and others inhibitory
movements of skeletal muscles o The stimulatory circuits facilitate
o The premotor area of the frontal muscle activity, especially at the
lobe is where motor functions are beginning of a voluntary
organized before they are actually movement, such as rising from a
initiated in the primary motor sitting position or beginning to walk
complex o Inhibitory circuits facilitate the
actions of the stimulating circuits by
inhibiting muscle activity in spinal cord to initiate voluntary
antagonist muscles movements
o In addition, inhibitory circuits o Collateral branches are also sent
inhibit random movements of the from the motor cortex to the
trunks and limbs, and decrease cerebellum, giving information
muscle tone when the body, limbs, representing the intended
and head are at rest movement
Disorders of the basal nuclei result in the o In addition, simultaneously,
following: reaching the cerebellum are action
• Difficulty rising from a sitting potentials from proprioceptive
position neurons, which innervate joints,
• Difficulty initiating walking tendons, and muscles and provide
• Increased muscle tone information about the position of
• Exaggerated, uncontrolled body parts
movement when they are at rest o The cerebellum compares
information about the intended
• Resting tremor, which is a slight
movement from the motor cortex to
shaking of the hands when a person
sensory information from the
is not performing a task
moving structures
o Parkinson disease, Huntington
o If a difference is detected, the
disease, and cerebral palsy are basal
cerebellum sends action potentials
nuclei disorders
to motor neurons in the motor
Cerebellum
cortex and the spinal cord to correct
o It is attached by cerebellar
the discrepancy
peduncles to the brainstem
o The result is smooth and
o The cerebellar cortex is composed
coordinated movements (e.g.
of gray matter and has gyri and
finger-to-nose test with eyes closed)
sulci, but the gyri are much smaller
o One effect of alcohol is to inhibit the
than those of the cerebrum
function of the cerebellum
o Internally, the cerebellum is
o Another function of the cerebellum
composed of gray matter and white
involves participating with the
nerve tracts
cerebrum in learning motor skills,
o The cerebellum is involved in
such as playing the piano
maintaining balance and muscle o Once the cerebrum and cerebellum
tone, and in coordinating fine “learn” these skills, the specialized
motor movement movements can be accomplished
o If damaged, muscle tone decreases, smoothly and automatically
and fine motor movements become
very clumsy
OTHER BRAIN FUNCTIONS
o A major function of the cerebellum
is that of a comparator, which is a Section 9-11
sensing device that compare data RIGHT AND LEFT HEMISPHERIC
from two sources – in this case, the COMMUNICATION
motor cortex and the peripheral o The right cerebral hemisphere
structures receives sensory input from and
o Action potentials from the cerebral controls muscular activity in the left
motor cortex descend into the half of the body
o The left cerebral hemisphere BRAIN WAVES AND
receives input from and controls CONSCIOUSNESS
muscles in the right half of the body o Electrodes placed on a person’s
o Sensory information received by scalp and attached to a recording
one hemisphere is shared with the device can record the brain’s
other through connections between electrical activity, producing an
the two hemispheres called electroencephalogram (EEG)
commissures o EEG patterns can be detected as
o The largest of these commissures is wavelike patterns known as brain
the corpus callosum, a broad band waves
of nerve tracts at the base of the o The different levels of
longitudinal fissure consciousness in an awake and a
o Researchers believe the left sleeping person are marked by
hemisphere is the more analytical different types of brain waves
hemisphere, emphasizing such o Alpha waves are observed in a
skills as mathematics and speech normal person who is awake but in
o The right hemisphere is more a quiet, resting state with the eyes
involved in functions such as three- closed
dimensional or spatial perception o Beta waves have a higher frequency
and musical ability than alpha waves and occur during
intense mental activity
SPEECH o During the beginning of sleep, a
In most people, the speech area is in the left rapid transition takes place from a
cerebral cortex beta rhythm to an alpha rhythm
Two major cortical areas are involved in o As sleep deepens, progressively
speech: more delta waves occur
1. The sensory speech area o Delta waves occur during deep
(Wernicke area), located in the sleep, in infants, and in patients
parietal lobe, functions in with severe brain disorders
understanding and formulating o A fourth type of brain waves, theta
coherent speech waves, are usually observed in
2. The motor speech area (Broca children, but they can also occur in
area), located in the frontal lobe, adults who are experiencing
controls the movement necessary frustration or who have certain
for speech brain disorders
o Damage to these parts of the brain o Neurologists use these patterns to
or to associated brain regions may diagnose and determine the
result in aphasia, absent or treatment for the disorders
defective speech or language
comprehension MEMORY
o The most common cause is a stroke Storage of memory can be divided into
o It is estimated that 25 to 40 percent three stages:
of stroke survivors exhibit aphasia I. Working
II. Short-term
III. Long-term
Long-term memories o Declarative memory, or explicit
o can also be subdivided based on the memory, involves the retention of
type of the memory: facts, such as names, dates, and
• Those dealing with facts places, as well as related emotional
(declarative) undertones
• Those dealing with skills o Emotion and mood apparently
(procedural) serve as gates in the brain and
Working Memory determine what is stored in long-
o Task-associated memory term declarative memory
o Brain briefly stores information o Procedural memory, or reflective
required for the immediate memory, involved the development
performance of a task of motor skills, such as riding a
o Lasts only a few seconds to bicycle
minutes o Only a small amount of procedural
o Occurs mostly in the frontal memory is lost over time
cortex o Long-term memory involves
o Limited primarily by the structural and functional changes in
number of bits of information neurons that lead to long-term
that can be stored at one time enhancement of synaptic
o When new information is transmission
presented, old information o A whole series of neurons, called
previously stored in working memory engrams, or memory trace,
memory is eliminated are probably involved in the long-
Short-Term Memory term retention of a given piece of
o Lasts longer than working memory information, a thought, or an idea
and can be retained for a few o Repeating the information and
minutes to a few days associating it with existing
o Stored by a mechanism involving memories help us transfer
increased synaptic transmission information from short-term to
o Susceptible to brain trauma, such as long-term memory
physical injury or decreased oxygen
o Susceptible to certain drugs that LIMBIC SYSTEM AND EMOTIONS
affect neural function, such as o The olfactory cortex and certain
general anesthetics deep cortical regions and nuclei of
the cerebrum and the diencephalon
Long-Term Memory are grouped together under the
o Short-term memory is transferred to limbic system
long-term memory, where it may o The limbic system influences long-
be stored for only a few minutes or term declarative memory,
become permanent by emotions, visceral responses to
consolidation, a gradual process emotions, motivation, and mood
involving formation of new and o A major source of sensory input to
stronger synaptic connections the limbic system is the olfactory
o Length of time memory stored may nerves
depend on how often it is retrieved o The limbic system responds to
and used olfactory stimulation by initiating
responses necessary for survival, o In contrast, within the vertebral
such as hunger and thirst canal is an epidural space between
o The limbic system is connected to, the dura mater and the vertebrae
and functionally associated with, o The epidural space is clinically
the hypothalamus important as the injection site for
o Lesions in the limbic system can epidural anesthesia of the spinal
result in voracious appetite, nerves, which is often given to
increased (often perverse) sexual women during childbirth
activity, and docility (including Arachnoid Mater
loss of normal fear and anger o The second meningeal membrane is
responses very thin and wispy
o The space between the dura mater
MENINGES, VENTRICLES, AND and the arachnoid mater is the
CEREBROSPINAL FLUID subdural space, which is normally
SECTION 9-12 only a potential space containing a
MENINGES very small amount of serous fluid
Three connective tissue membranes, the o The spinal cord extends only to
approximately the level of the
meninges, surround and protect the brain
second lumbar vertebra
and the spinal cord o Spinal nerves surrounded by
1. Dura mater meninges extend to the end of the
2. Arachnoid mater vertebral column
3. Pia mater o Because there is no spinal cord in
the inferior portion of the vertebral
Dura Mater canal, a needle can be introduced
o Most superficial and thickest of the into the subarachnoid space at that
meninges level without damaging the spinal
o Around the brain, it consists of two cord
layers, which function as a single o Physicians use such a needle to
layer but are physically separated inject anesthetic into the area as a
into several regions to form dural spinal block or to take a sample of
folds and dural venous sinuses CSF in a spinal tap
o Folds of dura mater extend into the o The CSF can then be examined for
longitudinal fissure between the two infectious agents (meningitis) or for
cerebral hemispheres and between blood (hemorrhage)
the cerebrum and cerebellum Pia Mater
o These folds help the brain in place o The third membrane, called the pia
within the skull mater, is very tightly bound to the
o The dural venous sinuses collect surface of the brain and the spinal
blood from the small veins of the cord
brain and empty into the internal o Between the arachnoid mater and
jugular vein, which exit the skull the pia mater is the subarachnoid
o Within the skull, the dura mater space, which is filled with CSF and
adheres tightly to the cranial bones contains blood vessels
VENTRICLES o CSF fills the brain ventricles, the
o The CNS contains fluid-filled central canal of the spinal cord, and
cavities, called ventricles, which the subarachnoid space
are quite small in some areas and
large in others Flow of CSF
o Each cerebral hemisphere contains o The CSF flows from the lateral
a relatively large cavity called the ventricles into the third ventricle via
lateral ventricle the foramina of Monroe, and then
o The third ventricle is a smaller, through the cerebral aqueduct of
midline cavity located in the center Sylvia into the fourth ventricle
of the diencephalon between the o A small amount of CSF enters the
two halves of the thalamus and central canal of the spinal cord
connected by an interventricular o The CSF exits the fourth ventricle
foramen (holes) or foramina of through small openings in its walls
Monroe to the lateral ventricles (aperture of Magendie) and roof
o The fourth ventricle is located at (aperture of Luschka) and enters the
the base of the cerebellum and subarachnoid space
connected to the third ventricle by a o Masses of arachnoid tissue, called
narrow canal, called the cerebral arachnoid granulations, penetrate
aqueduct or Sylvian aqueduct the superior sagittal sinus, a dural
o It is continuous with the central venous sinus in the longitudinal
canal of the spinal cord, and it also fissure, and CSF passes from the
opens into the subarachnoid space subarachnoid space into the blood
through foramina in its walls and through these granulations
roof o Blockage of the openings in the
• Median aperture of fourth ventricle or the cerebral
Magendie (subarachnoid aqueduct can cause CSF to
space via the cisterna accumulate in the ventricles, a
magna) condition known as hydrocephalus
• Right and left lateral o The accumulation of fluid creates
apertures of Luschka increased pressure that dilates the
(subarachnoid space via ventricles and compresses the brain
the cistern of great tissue, which usually results in
cerebral vein of Galen irreversible brain damage
o If the skull bones are not completely
CEREBROSPINAL FLUID ossified when the hydrocephalus
Cerebrospinal fluid (CSF) bathes the brain occurs, as in a fetus or newborn, the
pressure can also cause severe
and spinal cord, providing a protective
enlargement of the head
cushion around the CNS o Hydrocephalus is treated by placing
o It is produced by the choroid a drainage tube (shunt) from the
plexuses, specialized structures ventricles to the abdominal cavity to
made up of ependymal cells, which eliminate the high internal pressures
are located in the ventricles
CRANIAL NERVES o The first is called the preganglionic
Section 9-13 neuron and the second is the
postganglionic neuron
o The neurons are so named because
the preganglionic neurons synapse
with the postganglionic neurons in
the autonomic ganglia outside the
CNS
o An exception is the preganglionic
neuron that extends to the adrenal
gland
o There, the postganglionic neurons
are actually the hormone-secreting
cells of the adrenal medulla
o The ANS is composed of the
sympathetic division and the
parasympathetic division
o Increased activity in sympathetic
neurons generally prepares the
individual for physical activity,
whereas parasympathetic
stimulation generally activates
involuntary functions, such as
digestion, that are normally
AUTONOMIC NERVOUS SYSTEM associated with the body at rest
Section 9-14
Organization of ANS ANATOMY OF THE SYMPATHETIC
o The ANS comprises motor neurons DIVISION
that carry action potentials from the o Cell bodies of sympathetic
CNS to the periphery preganglionic neurons are in the
o The autonomic neurons innervate lateral horn of the spinal cord gray
smooth muscle, cardiac muscle, matter between the first thoracic
and glands (T1) and the second lumbar (L2)
o Autonomic functions are largely segments
controlled unconsciously o Axons of the preganglionic neurons
o Axons from autonomic neurons do exit through ventral roots and
not extend all the way from the project to either the sympathetic
CNS to target tissues chain ganglia or collateral ganglia
o This is in contrast to somatic motor o The sympathetic chain ganglia are
neurons, which extend axons from connected to one another and are so
the CNS to skeletal muscle named because they form a chain
o In the ANS, two neurons in series along both sides of the spinal cord
extend from the CNS to the effector o Some preganglionic fibers synapse
organs with postganglionic fibers in the
sympathetic chain ganglia
o The postganglionic axons form preganglionic neurons of the vagus
sympathetic nerves that innervate nerve extending from the brainstem
structures of the thoracic cavity o The vagus nerve branches to
o The axons of those preganglionic provide parasympathetic
fibers that do not synapse in the innervation to the heart, the lungs,
sympathetic chain ganglia form the liver, and the stomach and other
splanchnic nerves that extend to digestive organs
collateral ganglia
o Collateral ganglia are located AUTONOMIC
nearer target organs and consist of NEUROTRANSMITTERS
the celiac, superior mesenteric, and o All preganglionic neurons of both
inferior mesenteric ganglia the sympathetic and the
o Preganglionic neurons synapse with parasympathetic divisions and all
postganglionic neurons in the the postganglionic neurons of the
collateral ganglia parasympathetic division secrete
o Postganglionic neurons in the the neurotransmitter acetylcholine
collateral ganglia project to target o Most postsynaptic neurons of the
tissues in the abdominal and pelvic sympathetic division secrete
regions norepinephrine
o Many body functions can be
ANATOMY OF THE stimulated or inhibited by drugs that
PARASYMPATHETIC DIVISION either mimic these
Preganglionic cell bodies of the neurotransmitters or prevent the
parasympathetic division are located neurotransmitters from activating
either: their target tissues
▪ Within the brainstem nuclei of the
oculomotor nerve (III), facial nerve ENTERIC NERVOUS SYSTEM
(VII), glossopharyngeal nerve (IX), Section 9-15
or vagus nerve (X); or The enteric nervous system (ENS) consists
▪ Within the lateral part of the central of plexuses within the wall of the digestive
gray matter of the spinal cord in the tract
regions that give rise to spinal The plexuses include:
nerves S2 through S4
▪ Sensory neurons that connect the
o Axons of the preganglionic neurons
digestive tract to the CNS
extend through spinal nerves or
▪ Sympathetic and parasympathetic
cranial nerves to terminal ganglia neurons that connect the CNS to
either located near effector organs the digestive tract
in the head or embedded in the ▪ Enteric neurons, located entirely
walls of effector organs in the within the enteric plexuses
thorax, abdomen, and pelvis A unique feature of enteric neurons is
o The axons of the postganglionic
that they are capable of monitoring and
neurons extend a relatively short
distance from the terminal ganglia controlling the digestive tract
to the target organ independently of the CNS through
o Most of the thoracic and abdominal local reflexes
organs are supplied by
o For example, stretching of the
digestive tract is detected by enteric
sensory neurons, which stimulate
enteric interneurons
o The enteric interneurons stimulate
enteric motor neurons, which
stimulate glands to secrete
o Although the ENS is capable of
controlling the activities of the
digestive tract completely
independently of the CNS,
normally the two systems work
together
o CNS control of parasympathetic
branches of the vagus nerve and
sympathetic nerves (primarily the
splanchnic nerves) can override the
actions of the enteric neurons
o Hence, the ENS is an independent
subdivision of the PNS that is
integrated with the ANS