Central Nervous System Students Intrnational Program (2)

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    BYProf Dr: LOBNA BAYOUMI

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    Central NervousSystem

    CNS

    Brain

    Spinal cord

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    Four Main Regions ofthe Brain

    Cerebralhemispheres

    Diencephalon

    Brain stem:midbrain

    Pons

    medulla

    Cerebellum

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    Directional Terms of the Central

    Nervous System

    Directionalterms unique

    to the CNSRostral :

    toward thenose(anterior)

    Caudal: toward thetail (posterior)

    Dorsal :superior

    Ventral :-inferior

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    rostral caudal

    cerebellum

    dorsal

    ventral

    Anatomical directions

    PosteriorAnterior

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    Cerebrum -The largest division of the

    brain. It is divided into two hemispheres,each of which is divided into four lobes.

    Cerebrum

    Cerebrum

    Cerebellum

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    Superior and inferior

    surfaces of the brain

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    Gyri (ridge)

    Fissure

    (deep groove)

    Sulci(groove)

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    CerebralCortex

    Cerebral

    Cortex

    Cerebral Cortex - The outermost layerof gray matter making up thesuperficial aspect of the cerebrum.

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    SPINAL CORD

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    White and Gra Matter

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    White and Gray Matter

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    Lateralventricles

    Fourthventricle

    Thirdventricle

    Cerebralaqueduct Lateral

    ventricle

    Thirdventricle

    Cerebralaqueduct

    Lateralaperture

    Fourthventricle

    Median

    aperture

    Ventricles are filled with CS

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    General Senses

    Sensation of temperature, pain, touch,pressure, vibration, andproprioception

    Sensation: Information provided bysensory receptors to the CNS.

    Perception:The conscious awarenessof sensation(to give a meaning to

    sensation).

    General Senses

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    General Senses

    Classification by sensation1-nociceptors

    pain

    2-thermoreceptors

    temperature3-mechanoreceptors

    deformed by force

    touch, pressure (BP), vibration, stretch, itch

    4-chemoreceptorschemicals in solution

    Smell, taste, blood chemistry.

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    Pacinian corpuscle

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    Golgi tendon organs

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    Muscle spindles

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    Generator

    Potential(Receptor Potential)

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    Sensory Receptors

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    The generator potentials [=receptorThe generator potentials [=receptor

    potential]: its the change in thepotential]: its the change in the

    membrane potential of the receptormembrane potential of the receptorwhen excited by a stimulus.when excited by a stimulus.

    Its a non-propagated depolarizingIts a non-propagated depolarizing

    potential resembling EPSP.potential resembling EPSP.

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    Receptorpotential

    #gradedeffect:strongerstimulus= largerreceptor

    potential.#when the

    receptorpotentialexceeds

    thethreshold ,an actionpotentialis fired

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    RECEPTOR POTENTIAL & ACTION POTENTIAL

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    Sensory Transduction

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    Generator potential

    *Is a non propagated localised state ofpartial depolarization,

    *It has a long duration(more than5msec),

    *Not obeying the all or none rule,then itcan be graded,

    *Not having a refractory period ,then itcan be summated,

    *Not blocked by local anaesthesia.

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    Differences between generator and action potential:Differences between generator and action potential:

    Generator potential

    GradedDoesnt obey all or

    none ruleCan be summated

    Unpropagated5 millisec

    Action potential

    NotObeys all or

    non ruleNot summated

    Propagated2 millisec

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    ADAPTATION OF RECEPTOR

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    Somatic sensations

    Mechanoreceptive

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    Mechanoreceptivesensations:

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    Objective 3b: Somatotopic organization ofthe tracts

    Sacral

    D l l l i l t

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    Dosal column lemniscal system

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    Fasiculus gracilis and

    cuneatus

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    Characteristics of dorsalcolumn system

    *Its fibres are heavily myelinated,

    *High velocity of conduction(35-70

    meters/sec),*Modality,locality and intensity of

    sensations are transmitted with extremeaccuracy,

    *DCN fibres reflec Cutaneous nervesdematomal arrangement of,

    *Somatotopic(topographic)organization of

    the body.

    Somatotopic

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    SomatotopicRepresentation ofthe SpinothalamicTract

    Spinothalamic Tract

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    Dorsal column and

    ventralspinothalamic

    pathways

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    Dorsalcolumn and

    spino-thalamictracts

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    Spinothalamic systems

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    Objective 3b: Somatotopic organization ofthe tracts

    Sacral

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    The Spinocerebellar

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    pPathway

    proprioceptiveinput frommuscles,tendons and

    joints

    first-order

    neurons synapse onsecond-orderneurons in dorsalgray horn

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    The Spinocerebellar

    Pathway second-order neurons soma in spinal cord

    axons ascend in: posterior spinocerebellar

    tract

    dont decussate

    anterior spinocerebellartract

    usually decussate

    Posterior Spinocerebellar TractsPosterior Spinocerebellar Tracts

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    Posterior Spinocerebellar TractsPosterior Spinocerebellar Tracts

    The cell bodies of 2ndorder neuron lie in

    Clarks column

    Axons of 2nd order

    neuron terminate

    ipsilaterally (uncrossed)

    in the cerebellar cortex

    by entering through theinferior cerebellar

    peduncle

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    i d

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    Neurotransmitters and

    Pain Sensory Neurons glutamate and Substance P

    excitatory

    facilitate neurons along pain pathway

    i d

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    Neurotransmitters and

    Pain Natural painkillers endorphins and enkephalins (in small

    red neuron)

    inhibit the perception of pain by the CNSby inhibiting the release of Substance Pfrom sensory neurons

    Keep in mind:

    The perception of pain may be

    gone, but the stimulus remains.

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