1. The Nervous System

2. Protection of the Central Nervous System
Scalp and skin
Skull and vertebral column
Meninges
Cerebrospinal fluid (CSF)
Blood-brain barrier

3. Protection of the Central Nervous System
Figure 7.17a

4. Meninges: connective tissue membranes covering & protecting the CNS
Dura mater- outermost layer
Double-layered external covering
Periosteum—attached to inner surface of the skull
Meningeal layer—outer covering of the brain
Folds inward in several areas
Falx cerebri-attaches brain to cranial cavity
Tentorium cerebelli-seperates the cerebellum from the cerebrum

6. Meninges Arachnoid layer Middle layer Web-like Pia mater
Internal layer
Clings to the surface of the brain and spinal cord, following every fold

7. Meninges
Figure 7.17b

8. Cerebrospinal Fluid (CSF)
Similar to blood plasma composition
90% water, nutrients, more vitamin C
Formed by the choroid plexus (epithalamus)
Forms a watery cushion to protect the brain
Circulated in arachnoid space, ventricles, and central canal of the spinal cord

9. Ventricles and Location of the Cerebrospinal Fluid
Figure 7.18a–b

10. Trace the path of the CSF in the CNS
1. It circulates from the two lateral _____________ in the cerebral __________________.
2. Into the ___________ventricle in the _________
3. It goes through the cerebral ________________ into the fourth ____________________ to the pons ____________________.
4. some of the fluid reaching the _______________ continues down into _____________________________, but most of it circulates in the __________________ space.
5. The CSF returns to the __________________ in the _____________ through the _______________.

11. Ventricles and Location of the Cerebrospinal Fluid
Figure 7.18c

12. Cerebrospinal Fluid Normal volume of CSF=150 ml (half a cup)
Changes in composition of CSF may be caused by
Meningitis (viral or bacterial)
Tumors
Multiple sclerosis
Testing is called a Lumbar (Spinal) Tap
Withdrawal of fluid will decrease CSF pressure
Patients must lie down for 12 hours or will experience a painful “spinal headache”

13. Hydrocephalus in a Newborn
CSF accumulates and exerts pressure on the brain if not allowed to drain
Figure 7.19

14. Blood-Brain Barrier
Includes the least permeable capillaries of the body
Water, glucose, essential amino acids can easily pass through
Excludes many potentially harmful substances
Useless as a barrier against some substances
Fats and fat soluble molecules
Respiratory gases
Alcohol
Nicotine
Anesthesia

15. Traumatic Brain Injuries
Concussion
Slight brain injury
No permanent brain damage
Contusion
Nervous tissue destruction occurs
Nervous tissue does not regenerate
Cerebral edema
Swelling from the inflammatory response
May compress and kill brain tissue

16. Cerebrovascular Accident (CVA)
Commonly called a stroke
The result of a ruptured blood vessel supplying a region of the brain
Brain tissue supplied with oxygen from that blood source dies
Loss of some functions or death may result

17. Alzheimer’s Disease Progressive degenerative brain disease
Mostly seen in the elderly, but may begin in middle age
Structural changes in the brain include abnormal protein deposits and twisted fibers within neurons
Victims experience memory loss, irritability, confusion, and ultimately, hallucinations and death

18. Spinal Cord
Extends from the foramen magnum of the skull to the first or second lumbar vertebra
Approx. 17 inches (42 cm) long
Provides a two-way conduction pathway to and from the brain
A major reflex center
31 pairs of spinal nerves arise from the spinal cord (31st pair are coccyx nerves)
Cauda equina is a collection of spinal nerves at the inferior end

19. Spinal Cord Anatomy
Figure 7.20 (1 of 2)

20. Spinal Cord Anatomy
Figure 7.20 (2 of 2)

21. Spinal Cord Anatomy Internal gray matter is mostly cell bodies
Dorsal (posterior) horns
Anterior (ventral) horns
Gray matter surrounds the central canal
Central canal is filled with cerebrospinal fluid
Exterior white mater—conduction tracts
Dorsal, lateral, ventral columns

22. Spinal Cord Anatomy
Figure 7.21

23. Spinal Cord Anatomy Meninges cover the spinal cord
Spinal nerves leave at the level of each vertebrae
Dorsal root
Associated with the dorsal root ganglia—collections of cell bodies outside the central nervous system
Ventral root
Contains axons

24. Pathways Between Brain and Spinal Cord
Figure 7.22

25. Peripheral Nervous System (PNS)
Nerves and ganglia outside the central nervous system
Nerve = bundle of neuron fibers
Neuron fibers are bundled by connective tissue

26. PNS: Structure of a Nerve
Endoneurium surrounds each fiber
Groups of fibers are bound into fascicles by perineurium
Fascicles are bound together by epineurium

27. PNS: Structure of a Nerve
Figure 7.23

28. PNS: Classification of Nerves
Mixed nerves
Both sensory and motor fibers
Sensory (afferent) nerves
Carry impulses toward the CNS
Motor (efferent) nerves
Carry impulses away from the CNS

29. PNS: Cranial Nerves
12 pairs of nerves that mostly serve the head and neck
Only the pair of vagus nerves extend to thoracic and abdominal cavities
Most are mixed nerves, but three are sensory only

30. PNS: Cranial Nerves I Olfactory nerve—sensory for smell
II Optic nerve—sensory for vision
III Oculomotor nerve—motor fibers to eye muscles
IV Trochlear—motor fiber to eye muscles

31. PNS: Cranial Nerves
V Trigeminal nerve—sensory for the face; motor fibers to chewing muscles
VI Abducens nerve—motor fibers to eye muscles
VII Facial nerve—sensory for taste; motor fibers to the face
VIII Vestibulocochlear nerve—sensory for balance and hearing

32. PNS: Cranial Nerves
IX Glossopharyngeal nerve—sensory for taste; motor fibers to the pharynx
X Vagus nerves—sensory and motor fibers for pharynx, larynx, and viscera
XI Accessory nerve—motor fibers to neck and upper back
XII Hypoglossal nerve—motor fibers to tongue

33. Cranial Nerves

34. PNS: Distribution of Cranial Nerves
Figure 7.24

35. PNS: Spinal Nerves
There is a pair of spinal nerves at the level of each vertebrae for a total of 31 pairs
Formed by the combination of the ventral and dorsal roots of the spinal cord
Named for the region from which they arise

36. Spinal Nerves

37. PNS: Anatomy of Spinal Nerves
Spinal nerves divide soon after leaving the spinal cord
Dorsal rami—serve the skin and muscles of the posterior trunk
Ventral rami—form a complex of networks (plexuses) for the anterior
The rami, like spinal nerves, contain both motor and sensory fibers

38. Nerve Plexuses
The ventral rami also form complex networks of nerves called plexuses
Plexuses serve the motor and sensory needs of the limbs.

39. PNS: Spinal Nerve Plexuses

40. PNS: Spinal Nerve Plexuses

41. PNS: Distribution of Major Peripheral Nerves of the Upper and Lower Limbs
Brachial Plexus

42. PNS: Distribution of Major Peripheral Nerves of the Upper and Lower Limbs
Lumbar Plexus

43. PNS: Distribution of Major Peripheral Nerves of the Upper and Lower Limbs
Sacral Plexus

44. PNS: Autonomic Nervous System
Motor subdivision of the PNS
Consists only of motor nerves
Also known as the involuntary nervous system
Regulates activities of cardiac and smooth muscles and glands
Two subdivisions
Sympathetic division
Parasympathetic division

45. PNS: Differences Between Somatic and Autonomic Nervous Systems
Nerves
Somatic: one motor neuron
Autonomic: preganglionic and postganglionic nerves
Effector organs
Somatic: skeletal muscle
Autonomic: smooth muscle, cardiac muscle, and glands

46. PNS: Differences Between Somatic and Autonomic Nervous Systems
Neurotransmitters
Somatic: always use acetylcholine
Autonomic: use acetylcholine, epinephrine, or norepinephrine

47. PNS: Comparison of Somatic and Autonomic Nervous Systems
Figure 7.27

48. PNS: Anatomy of the Sympathetic Division
Originates from T1 through L2
Ganglia are at the sympathetic trunk (near the spinal cord)
Short pre-ganglionic neuron and long post-ganglionic neuron transmit impulse from CNS to the effector
Norepinephrine and epinephrine are neurotransmitters to the effector organs

49. PNS: Anatomy of the Autonomic Nervous System
Figure 7.28

50. PNS: Sympathetic Pathways
Figure 7.29

51. PNS: Anatomy of the Parasympathetic Division
Originates from the brain stem and S1 through S4
Terminal ganglia are at the effector organs
Always uses acetylcholine as a neurotransmitter

52. PNS: Autonomic Functioning
Sympathetic—“fight or flight”
Response to unusual stimulus
Takes over to increase activities
Remember as the “E” division
Exercise, excitement, emergency, and embarrassment

53. PNS: Autonomic Functioning
Parasympathetic—“housekeeping” activities
Conserves energy
Maintains daily necessary body functions
Remember as the “D” division
digestion, defecation, and diuresis

54. Effects of the Sympathetic and Parasympathetic Divisions of the Autonomic Nervous System

55. Effects of the Sympathetic and Parasympathetic Divisions of the ANS
Table 7.3 (1 of 2)

56. Effects of the Sympathetic and Parasympathetic Divisions of the ANS
Table 7.3 (2 of 2)

57. Development Aspects of the Nervous System
The nervous system is formed during the first month of embryonic development
Any maternal infection can have extremely harmful effects
The hypothalamus is one of the last areas of the brain to develop

58. Development Aspects of the Nervous System
No more neurons are formed after birth, but growth and maturation continues for several years
The brain reaches maximum weight as a young adult

59. PNS: The Cranial Nerves
Table 7.1 (4 of 4)