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Integration
Motor output
The Nervous System
• Anatomical divisions:
• Central nervous system
• Brain and spinal cord
• Integrating and command
center
• Peripheral nervous system
• Consists of:
• Cranial nerves
• Spinal nerves
• Ganglia
• Peripheral nerves link all
regions of the body to the CNS
The Nervous System
• Brain
• Maintains internal environment through control of autonomic nervous
system & endocrine system (homeostasis)
• Controls heart rate, respiratory rate, blood pressure
• Involved in innervation of the head, neck & viscera through cranial
nerves
• Performs complex functions associated with:
• Intelligence
• Consciousness
• Memory
• Sensory-motor integration
• Emotion
• Behavior
• Socialization
The Brain
Central
cavity
Outer white
matter
Inner gray
Spinal cord matter
The Brain
Lateral ventricle
• Brain stem
• 3 regions from caudal to rostral:
• Medulla oblongata
• Pons
• Midbrain
• General functions:
• Passageway for all tracts running between cerebrum and
spinal cord
• Attachment site for 10 of 12 cranial nerves
• Produces automatic behaviors necessary for survival
• Integrates auditory & visual reflexes
The Brain Stem
• Medulla Oblongata
• Continuous with the spinal cord at level of foramen
magnum
• Tracts connecting other regions of the brain with the
spinal cord must pass though medulla
• Pyramids – longitudinal ridges on ventral surface, contain
pyramidal tracts
• Decussation of the pyramids - cross over of fibers to
opposite side of brain
• Olive – lie lateral to pyramids, contains inferior olivary
nucleus
• Relay nuclei for sensory information traveling to
cerebellum
• Inferior cerebellar peduncles
• Fiber tracts connecting medulla to cerebellum
The Brain Stem
• Medulla Oblongata
• 4 pairs of cranial nerves attach to the medulla
• Nuclei of each located in the medulla near 4th ventricle
• Vestibulocochlear nerve VIII
• Vestibular & cochlear nuclei relay sensory input
• Glossopharyngeal nerve IX
• Nucleus ambiguus – motor nucleus
• Solitary nucleus – sensory nucleus
• Vagus nerve X
• Dorsal motor nucleus of vagus
• Solitary nucleus
• Nucleus ambiguus
• Hypoglossal nerve XII
• Hypoglossal nucleus – motor nucleus
Thalamus
Diencephalon
Hypothalamus
Midbrain
View (a) View (c)
Pons Brainstem
Medulla
oblongata
View (b)
Optic chiasma
Diencephalon Optic nerve (II)
Thalamus
Optic tract
Hypothalamus
Mammillary body
Spinal cord
Ventral view
The Brain Stem
• Medulla Oblongata
• Loose cluster of brain nuclei called reticular
formation run through brain stem
• Important nuclei located in medulla include:
• Cardiac center - force/rate of heart
• Vasomotor center - regulate BP
• Medullary respiratory center - rhythm & rate of
breathing
Dorsal
Superior
Tectum colliculus
Periaqueductal gray
matter Cerebral
aqueduct
Oculomotor nucleus (III) Reticular
formation
Medial lemniscus
Red
nucleus
Substantia
nigra
Fibers of
pyramidal tract
Solitary
Hypoglossal nucleus (XII) Fourth ventricle nucleus
nucleus
Middle Medial
cerebellar nuclear Nucleus
peduncle group ambiguus
• Pons
• “Bridge” between the midbrain
and medulla oblongata
• Separated from cerebellum by
4th ventricle
• Contains:
• Nuclei of CN V-VII
• Reticular formation nuclei
• Pyramidal motor tracts
• Pontine nuclei = relay nuclei
between motor cortex and
cerebellum
• Send axons to cerebellum
via middle cerebellar
peduncles
Thalamus
Diencephalon
Hypothalamus
Midbrain
View (a) View (c)
Pons Brainstem
Medulla
oblongata
View (b)
Infundibulum
Superior colliculus
Pituitary gland
Inferior colliculus
Crus cerebri of cerebral Trochlear nerve (IV)
peduncles (midbrain)
Trigeminal nerve (V) Superior cerebellar peduncle
Pons Middle cerebellar peduncle
Facial nerve (VII)
Inferior cerebellar peduncle
Abducens nerve (VI)
Vestibulocochlear nerve (VIII)
Olive
Hypoglossal nerve (XII)
• Midbrain
• Lies between the diencephalon and the pons
• Cerebral aqueduct – central cavity of midbrain
• Cerebral peduncles - ventral surface
• Contain pyramidal motor tracts
• Superior cerebellar peduncles – dorsal surface
• Connect midbrain to cerebellum
Thalamus
Diencephalon
Hypothalamus
Midbrain
View (a) View (c)
Pons Brainstem
Medulla
oblongata
View (b)
Infundibulum
Superior colliculus
Pituitary gland
Inferior colliculus
Crus cerebri of cerebral Trochlear nerve (IV)
peduncles (midbrain)
Trigeminal nerve (V) Superior cerebellar peduncle
Pons Middle cerebellar peduncle
Facial nerve (VII)
Inferior cerebellar peduncle
Abducens nerve (VI)
Vestibulocochlear nerve (VIII)
Olive
Hypoglossal nerve (XII)
• Midbrain
• Substantia nigra
• Neuronal cell bodies contain melanin pigment
• Linked to the basal nuclei & involved in controlling
voluntary movement
• Degeneration = Parkinson’s disease
• Red nucleus
• Rich blood supply & presence of iron pigment
• Closely associated with cerebellum
• Motor function includes flexion movements of limbs
The Midbrain
The Brainstem
• Midbrain
• Periaqueductal gray matter – surrounds cerebral
aqueduct
• Nuclei contribute to autonomic behaviors:
• Initiate flight or fight in response to fear
• Mediate response to visceral pain
• Cell bodies of CN III & IV
• Corpora quadrigemina – makes up tectum, dorsal
surface
• Brain nuclei form 4 large bumps:
• Superior colliculi - visual reflex center
• Inferior colliculi - auditory reflex center
Thalamus
Diencephalon
Hypothalamus
Midbrain
View (a) View (c)
Pons Brainstem
Medulla
oblongata
View (b)
Thalamus
Diencephalon
Midbrain
Superior
colliculus Corpora
quadrigemina
Inferior of tectum
colliculus
Pineal gland Superior cerebellar peduncle
Trochlear nerve (IV)
Pons
Middle cerebellar peduncle
Facial nerve (VII)
Floor of fourth
ventricle Medulla oblongata
Inferior cerebellar peduncle
Vestibulocochlear nerve (VIII)
Choroid plexus
(fourth ventricle) Glossopharyngeal nerve (IX)
Vagus nerve (X)
Dorsal median sulcus
Accessory nerve (XI)
Dorsal root of
first cervical nerve
Dorsal view
The Brain
• Cerebellum
• Located dorsal to the pons and medulla
• Consists of two cerebellar hemispheres
• Connected by the vermis
• Surface folded into ridges called folia
• Separated by deep grooves called fissures
• Each hemisphere divided into 3 lobes:
• Anterior - coordinate trunk/limb movements
• Posterior – coordinate trunk/limb movements
• Flocculonodular – adjust posture to maintain
equilibrium, coordinate head/eye movements
The Cerebellum
• Regions:
• Cerebellar cortex – external gray matter
• Functions to smooth body movements
• Cerebellar white matter = Arbor vitae
• Axons carry info. to & from cortex
• Deep cerebellar nuclei – internal gray matter
• Relay instructions from cortex to other brain regions
The Cerebellum
Cerebellar cortex
Arbor
vitae
Cerebellar
peduncles Posterior
Superior lobe
Middle
Choroid
Inferior plexus of
fourth
Medulla Flocculonodular lobe ventricle
oblongata
• Functions of cerebellum:
• Smooths and coordinates body movements
• Helps maintain posture & equilibrium
• Higher cognitive functions
• Motor memory
• Language, problem solving & task planning
• Recognize, use and predict sequences of events
The Cerebellum
• Coordinating movement:
1. The cerebellum receives information on
movement from the motor cortex of the cerebrum
2. The cerebellum compares intended movement
with body position
3. The cerebellum sends instructions back to the
cerebral cortex to continuously adjust and
fine-tune motor commands
The Brain
• Diencephalon
• Surrounded by the cerebral hemispheres
• Composed of three paired structures:
• Thalamus
• Hypothalamus
• Epithalamus
• Borders the third ventricle
• Primarily composed of gray matter
The Diencephalon and Brainstem
Figure 13.15
The Diencephalon
• Thalamus
• Main region of diencephalon
• Superolateral wall of 3rd ventricle
• Right & left parts of thalamus joined by
interthalamic adhesion
• Contains numerous nuclei that send axons to
cerebral cortex
• Relay center - “gateway”
• Information is processed and edited
• Mediates sensation, motor activity, and cortical arousal
• Involved in memory
The Diencephalon
• Hypothalamus
• Forms inferolateral walls
of 3rd ventricle
• Lies between the optic
chiasm and the posterior
border of mammillary
bodies
• Pituitary gland projects
inferiorly
• Contains multiple brain
nuclei
• Main visceral control
center
The Diencephalon - Hypothalamus
• Epithalamus
• Forms part of the “roof” of the third ventricle
• Includes choroid plexus
• Consists of a tiny group of nuclei
• Includes the pineal gland (body)
• Secretes the hormone melatonin
The Brain
• Cerebrum
• Most rostral portion of brain
• Composed of 2 cerebral hemisphere - accounts for 83% of
brain mass
• Fissures - deep grooves that separate major regions of the
brain
• Transverse fissure – separates cerebral hemispheres from
cerebellum
• Longitudinal fissure – separates R/L cerebral hemispheres
• Regions of the cerebrum:
• Cerebral cortex
• Cerebral white matter
• Deep gray matter
The Brain - Cerebrum
The Cerebrum
The Brain - Cerebrum
• Cerebral cortex
• Home of the conscious mind
• Enables us to:
• Be aware of ourselves and our sensations
• Initiate and control voluntary movements
• Communicate, remember, and understand
• Approximately 40% of brain’s mass
• Brodmann areas – 47 structurally distinct areas
• Functional areas are categorized as follows:
• Sensory areas – allow conscious awareness of sensation
• Association areas – integrate diverse info. to enable
purposeful action
• Motor areas – control voluntary motor functions
Motor areas Central sulcus Sensory areas and related
association areas
Primary motor cortex
Primary somatosensory
Premotor cortex cortex
Somatic
Frontal Somatosensory sensation
eye field association cortex
Broca’s area
(outlined by dashes) Gustatory cortex
(in insula) Taste
Anterior association area
(Prefrontal cortex)
Wernicke’s area
Working memory (within the posterior
for spatial tasks association area
Executive area for outlined by dashes)
task management
Working memory for Primary visual
object-recall tasks cortex
Visual Vision
Solving complex,
multitask problems association
area
Auditory
association area
Hearing
Primary
auditory cortex
Lateral view, left cerebral hemisphere
Primary motor cortex Motor association cortex Primary sensory cortex Sensory association cortex Multimodal association cortex
The Cerebral Cortex
• Sensory areas
• Cortical areas involved in conscious awareness of
sensation
• Primary sensory cortex exists for each of the major
senses
• Make you aware of sensory stimuli
• Sensory association areas are adjacent to the primary
• Interpret the stimulus and give meaning to the sensation
• Occur in parts of the parietal, temporal, occipital and
insula lobes
Premotor Primary Central sulcus
cortex motor cortex
Visual association
Orbitofrontal area
cortex
Olfactory bulb
Primary
Olfactory tract Calcarine visual cortex
sulcus
Fornix
Temporal Primary Uncus Parahippocampal
lobe olfactory gyrus
cortex
Parasagittal view, right hemisphere
Primary motor cortex Motor association cortex Primary sensory cortex Sensory association cortex Multimodal association cortex
Sensory Areas
Motor Sensory
Motor map in Anterior Sensory map in
precentral gyrus postcentral gyrus
Knee
Foot
Toes
Genitals
Lips
Jaw
• Vestibular cortex
• Located in the insula
• Conscious awareness of sense of balance, position of head in space
• Gustatory cortex
• Located in the insula
• Involved in the conscious awareness of taste stimuli
• Olfactory cortex
• Located in the piriform cortex (uncus)
• Provides conscious awareness of smells
• Part of rhinencephalon which connects to limbic system
• Visceral sensory cortex
• Located on the insula
• Receives general sensory input from thoracic and abdominal
organs
Association Areas
Motor Sensory
Motor map in Anterior Sensory map in
precentral gyrus postcentral gyrus
Knee
Foot
Toes
Genitals
Lips
Jaw
• Premotor cortex
• Located anterior to the precentral gyrus
• Controls more complex movements
• Receives processed sensory information
• Visual, auditory, and general somatic sensory
• Controls voluntary actions dependent on sensory
feedback
• Involved in the planning of movements
Motor Areas
• Limbic system
• Location
• Medial aspect of cerebral hemispheres &
diencephalon
• Composed of:
• Septal nuclei, cingulate gyrus, and hippocampal
formation, amygdaloid body
• Anterior thalamic nuclei, hypothalamus
• Fornix and other tracts link the limbic system
together
Septum
pellucidum Corpus callosum
• Reticular formation
• Runs through the central core of brainstem &
consist of 3 columns:
• Raphe nuclei
• Medial nuclear group
• Lateral nuclear group
• Involved in arousal of the whole brain
• Three main portions:
• Motor component- helps control coarse skeletal
movements
• Visceral component- helps regulate visceral motor
functions
• Reticular activating system (RAS)
The Reticular Formation
2 RAS neurons
relay sensory stimuli
to the cerebrum
through the
thalamus. Reticular formation
nuclei in brain stem
Visual
impulses
1 Sensory tracts
synapse on reticular Auditory impulses
activating system (RAS)
neurons in the brain stem.
Ascending general Descending projections from
sensory tracts reticular formation nuclei to
(touch, pain, temperature) the spinal cord:
Reticular activating • Control postural muscles
system (RAS) • Diminish muscle tone
• Influence visceral motor activity
• Modulate pain
The Brain
• Dura mater
• Outermost, strongest layer of the meninges
• Composed of two layers:
• Periosteal layer - attached to skull bones
• Meningeal layer - true external cover
• Encloses dural sinuses
• Partitions of dura mater:
• Falx cerebri
• Tentorium cerebelli
• Falx cerebelli
Partitions of Dura Mater
Superior
sagittal sinus
Falx cerebri
Straight
sinus
Tentorium
Crista galli cerebelli
of the Falx cerebelli
ethmoid
bone
Pituitary
gland
Meninges of the Brain
Skin of scalp
Periosteum
Bone of skull
Periosteal Dura
Meningeal mater
Superior sagittal Arachnoid mater
sinus
Pia mater
Subdural
space Arachnoid granulation
Subarachnoid Blood vessel
space
Falx cerebri
(in longitudinal
fissure only)
Protection of the Brain
Superior
sagittal sinus Arachnoid granulation
Choroid plexus
of fourth ventricle
Cerebral aqueduct
Lateral aperture
Fourth ventricle
Median aperture 2
Central canal
of spinal cord
Protection of the Brain
• Blood-brain barrier
• Prevents most blood borne toxins from entering
the brain
• Low-permeability capillaries
• Not an absolute barrier
• Nutrients pass through – O2, ions
• Allows passage of alcohol, nicotine, and
anesthetics
Central Nervous System
• Spinal Cord
• Extends from the foramen magnum to the level of
L1 or L2 vertebra
• Runs through the vertebral canal
• Protected by bone, meninges, and CSF
• Functions:
• 31 pairs of spinal nerves attach to the cord
• Provides 2-way conduction pathway
• Major center for reflexes
The Spinal Cord
Dorsal
median sulcus
of spinal cord
Dura and
arachnoid Cervical spinal cord
mater
Thoracic Vertebral arch
spinal nerves Spinal cord
Cut edge
Lumbar of dura
enlargement mater
Dorsal root
Conus ganglia Dorsal median
medullaris sulcus
Lumbar
Cauda Dorsal root
spinal nerves
equina
Filum
terminale Thoracic spinal cord
Sacral
spinal nerves Spinal cord
First lumbar
vertebral arch
(cut across)
Conus
medullaris
The spinal cord and its nerve roots,
with the bony vertebral arches removed. Cauda
The dura mater and arachnoid mater equina
are cut open and reflected laterally.
Filum terminale
The Spinal Cord
Spinal cord Spinal nerve C1
segment C1
• Designated by the
spinal nerve that issues
from it Spinal cord
segment L1
Spinal nerve L1
Spinal nerve S1
The Spinal Cord
Spinal nerve
Central canal
Dorsal root
(fans out into Ventral median
dorsal rootlets) fissure
Ventral root
Pia mater
(derived from several
ventral rootlets)
Arachnoid mater
Somatic sensory
neuron
Visceral sensory
neuron
Visceral motor
neuron
Somatic motor
Spinal Ventral horn
neuron Ventral root
nerve (motor neurons)
(motor)
Spinothalamic tracts
Lateral
Ventral Rubrospinal tract
Vestibulospinal tract
Tectospinal tract
The Spinal Cord
• Spinal Meninges
• Dura mater – single, outer layer
• Spinal dural sheath
• Epidural space - anesthetic injection site
• Arachnoid mater – lies deep to dura mater
• Subdural space
• Subarachnoid space
• Holds CSF and large blood vessels
• Pia mater
• Clings tightly to spinal cord
• Extends to coccyx
• Covers filum terminale
• Denticulate ligaments – lateral thickening of pia mater
• Anchor spinal cord to dura mater
Spinal Meninges
Spinal nerve
Central canal
Dorsal root
(fans out into Ventral median
dorsal rootlets) fissure
Ventral root
Pia mater
(derived from several
ventral rootlets)
Arachnoid mater
Pia mater
Epidural space
(contains fat) Arachnoid mater Spinal
Dura mater meninges
Subdural space
Subarachnoid
space
(contains CSF)
Dorsal root
ganglion
Body of
vertebra
T12
L5
Ligamentum
flavum
Lumbar puncture
needle entering
subarachnoid
space
L4
Supra-
spinous
ligament
L5
Filum
terminale
S1
Inter- Cauda equina
vertebral Arachnoid Dura in subarachnoid
disc mater mater space