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الكلية كلية التمريض
القسم قسم العلوم الطبية الاساسية
المرحلة 1
أستاذ المادة اسراء حرجان محسن خشان
30/11/2018 20:50:20
1 Anatomy Dr.Israa H. Mohsen Lecture 9 The nervous system—consisting of the brain, spinal cord, and nerves—constantly receives signals about changes within the body as well the external environment. The nervous system contains two main divisions: 1.The central nervous system consists of the brain and spinal cord. 2.The peripheral nervous system consists of the vast network of nerves throughout the body. Two types of cells make up the nervous system: neurons and neuroglia. Neurons are the excitable, impulse-conducting cells that perform the work of the nervous system, while neuroglia protect ,support and bind the neurons together. The nervous system contains five major types of glia . Neuroglia of CNS are include Oligodendrocytes, Ependymal cells, Microglia and Astrocytes. Neuroglia of PNS is Schwann cells Neurons Nerve cells called neurons handle the nervous system’s role of communication. There are three classes of neurons: 2 1. Sensory (afferent) neurons: detect stimuli—such as touch, pressure, heat, cold, or chemicals— and then transmit information about the stimuli to the CNS. 2. Interneurons: which are found only in the CNS, connect the incoming sensory pathways with the outgoing motor pathways. Besides receiving, processing, and storing information, the connections made by these neurons make each of us unique in how we think, feel, and act. 3. motor (efferent) neurons: relay messages from the brain (which the brain emits in response to stimuli) to the muscle or gland cells. Types of Neurons Neurons vary greatly in both size and shape. They also vary according to the type, number, and length of projections. Multipolar neurons Multipolar neurons have one axon and multiple dendrites Bipolar neurons Bipolar neurons have two processes: an axon and a dendrite with the cell body in between the two processes. Unipolar neurons Unipolar neurons have one process—an axon—that extends from the cell body before branching in a T shape 3 Neuron structure Myelin Not all nerve fibers are myelinated. However, because myelin helps speed impulse conduction, unmyelinated fibers conduct nerve impulses more slowly. Typically, unmyelinated nerve fibers perform functions in which speed isn’t essential, such as stimulating the secretion of stomach acid. In contrast, nerve fibers stimulating skeletal muscles, where speed is more important, are myelinated. In the peripheral nervous system, the myelin sheath is formed when Schwann cells wrap themselves around the axon, laying down multiple layers of cell membrane. It’s these inside layers that form the myelin sheath. The nucleus and most of the cytoplasm of the Schwann cell are located in the outermost layer. This outer layer, called the neurilemma, is essential for an injured nerve to regenerate. In the CNS, the myelin sheath is formed by oligodendrocytes. one oligodendrocyte forms the myelin sheath for several axons. As a result, there is no neurilemma, which prevents injured CNS neurons from regenerating. cell body Dendrites axon myelin sheath synaptic knob nodes of Ranvier 4 Structure of the Spinal Cord The spinal cord sits inside a protective, bony tunnel created by the stacked vertebrae. A cross section clearly shows the two types of nervous tissue (white matter and gray matter) that make up the spinal cord. Gray matter—which appears gray because of its lack of myelin— contains mostly the cells bodies of motor neurons and interneurons. This H-shaped mass is divided into two sets of horns: the posterior (dorsal) horns and the ventral (anterior) horns. White matter appears white because of its abundance of myelin. It contains bundles of axons (called tracts) that carry impulses from one part of the nervous system to another. A small space—called the epidural space—lies between the outer covering of the spinal cord and the vertebrae; it contains a cushioning layer of fat as well as blood vessels and connective tissue. Meninges of the Spinal Cord The spinal cord is further protected by three layers of fibrous connective tissue, called the meninges. (The meninges also covers the brain.) The three layers of the meninges, from the inside out, are the pia mater, the arachnoid mater, and the dura mater. 1. The pia mater is the innermost layer. This transparent membrane clings to the outer surface of the brain and spinal cord. It also contains blood vessels.The subarachnoid space lies between the arachnoid mater and the pia mater. It is filled with cerebrospinal fluid. 2. The arachnoid mater—a delicate layer resembling a cobweb—lies between the dura mater and the pia mater. 3. The dura mater is the tough outer layer. NOTE: Cell bodies of the dorsal neurons are clustered in a knot-like structure called a ganglion. epidural space A minute opening called the central canal carries cerebrospinal fluid through the spinal cord. White matter Gray matter 5 Categories of Spinal Nerves Thirty-one pairs of spinal nerves connect to the spinal cord. They include: ? 8 cervical nerves (C1-C8) ? 12 thoracic nerves (T1-T12) ? 5 lumbar nerves (L1-L5) ? 5 sacral nerves (S1-S5) ? 1 coccygeal nerve (Co) The first cervical nerve exits the spinal cord between the skull and the axis. Once outside the spinal column, each spinal nerve forms several largebranches. Some of these branches subdivide further to form nerve networks called plexuses. The four major plexuses are the cervical plexus, the brachial plexus, the lumbar plexus, and the sacral plexus. Cerebrospinal fluid (C SF) Cerebrospinal fl uid is produced by the choroid plexus in the ventricles of the brain There is approximately 150 ml of CSF circulating around the brain, in the ventricles and around the spinal cord. The CSF is replaced every eight hours . It is a thin fluid similar to plasma and has several important functions: • It acts as a cushion supporting the weight of the brain and protecting it from damage • It helps to maintain a uniform pressure around the brain and spinal cord • There is a limited exchange of nutrients and waste products between neurons and CSF. pia mater subarachnoid space arachnoid mater dura mater 6 The brain The brain is the site for thought, learning, reasoning, memory, and creativity. Indeed, the brain performs numerous amazing functions, many of which remain beyond our grasp. The brain is divided into four major regions: the cerebrum, the diencephalon, the cerebellum, and the brainstem. 1.The cerebrum is the largest portion of the brain. Its surface is marked by thick ridges called gyri (singular: gyrus). Shallow grooves called sulci (singular: sulcus) The cervical plexus contains nerves that supply the muscles and skin of the neck, tops of the shoulders, and part of the head. The brachial plexus innervates the lower part of the shoulder and the arm The lumbar plexus — supplies the thigh and leg. A key nerve in this region is the large femoral nerve. The sacral plexus is formed from fibers from nerves L4, L5, and S1 through S4. The sciatic nerve, the largest nerve in the body, arises here and runs down the back of the thigh. 7 divide the gyri. Deep sulci are called fissures. Your ability to think, remember, feel, use judgment, and move can be credited to the cerebrum. 2.The diencephalon sits between the cerebrum and the midbrain.It contain thalamus and the hypothalamus. The thalamus acts as a gateway for nearly every sensory impulse (including smell, sight, taste, pain, pressure, heat, cold, and touch) travelling to the cerebral cortex while hypothalamus Controls the autonomic nervous system (which is responsible for such vital functions as heart rate and blood pressure); Contains centers responsible for hunger, thirst, and temperature regulation;Controls the pituitary gland—often called the “master gland” because of its influence on most endocrine glands (such as the thyroid, testes, ovaries, and adrenal glands) and Is involved in multiple emotional responses, including fear, anger, pleasure, and aggression 3.The cerebellum is the second largest region of the brain. Although smaller than the cerebrum, it contains more neurons than the rest of the brain combined. In brief, the cerebellum: • Joins forces with the cerebral cortex to monitor body movements and send messages crucial for balance, coordination, and posture • Stores the information necessary for muscle groups to work together to perform smooth, efficient, and coordinated movements • Evaluates sensory input, such as touch, spatial perception, and sound 4.The brainstem makes up the rest of the brain. It consists of three structures: • Midbrain: contains tracts that relay sensory and motor impulses. It also contains centers for auditory and visual reflexes as well as clusters of neurons integral to muscle control. • Pons: contains tracts that convey signals to and from different parts of the brain. • Medulla oblongata :attaches the brain to the spinal cord. Besides relaying sensory and motor signals between the brain and spinal cord, the medulla contains nuclei that perform functions vital to human life. These include: • The cardiac center, which regulates heart rate • The vasomotor center, which controls blood vessel diameter, which, in turn, affects blood pressure • Two respiratory centers, which regulate breathing The medulla also houses reflex centers for coughing, sneezing, swallowing, and vomiting.: cerebrum diencephalon cerebellum The brainstem It consists of three structures: • Midbrain • Pons • Medulla oblongata 8 AUTONOMIC NERVOUS SYSTEM The autonomic nervous system (ANS) is a subdivision of the nervous system responsible for regulating the activities that maintain homeostasis. These activities include such things as the secretion of digestive enzymes, the constriction and dilation of blood vessels for the maintenance of blood pressure, and the secretion of hormones. Most of these activities occur without your awareness or control; in other words, they happen independently, or autonomously, which is how the ANS received its name. The ANS sends motor impulses to cardiac muscle, glands, and smooth muscle (as opposed to skeletal muscle, which is innervated by the peripheral nervous system). Because the ANS targets organs, it’s sometimes called the visceral motor system. The ANS consists of two divisions: the sympathetic division and the parasympathetic division. These two divisions have separate neural pathways and perform different functions; however, they often both innervate the same organ. Sympathetic Division • Increases alertness • Increases heart rate • Dilates bronchial tubes to increase air flow in the lungs • Dilates blood vessels of skeletal muscles to increase blood flow • Inhibits intestinal motility • Stimulates secretion of thick salivary mucus • Stimulates sweat glands • Stimulates adrenal medulla to secrete epinephrine • Has no effect on the urinary bladder or internal sphincter • Causes “fight or flight” response Parasympathetic Division • Has a calming effect • Decreases heart rate • Constricts bronchial tubes to decrease air flow in lungs • Has no effect on blood vessels of skeletal muscles • Stimulates intestinal motility and secretion to promote digestion • Stimulates secretion of thin salivary mucus • Has no effect on sweat glands • Has no effect on adrenal medulla • Stimulates the bladder wall to contract and the internal sphincter to relax to cause urination • Causes the “resting and digesting” state
المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .
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