Topography of the Brain Flashcards

1
Q

Neurulation

A

The process by which the neural plate becomes the neural tube. The mesoderm and the ectoderm form the neural tube

  • folding occurs in the middle then anteriorly than posteriorly
  • during folding the mesoderm forms somites which develop into the 33 individual vertebrae of the spinal column and related skeletal muscles
    • nerves that innervate these skeletal muscles are called somatic nerves
  • Folic acid is essential for this process
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2
Q

What are the layers of the Neural tube?

A
  • Neural Crest cells
  • Mantle Layer
  • Ependymal layer
  • Lumen
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3
Q

Anencephaly

A
  • the failure of the anterior neural tube to close
  • results in the degeneration of the forebrain, as it herniates out of the foetus​
    • always fatal
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4
Q

Spina bifida

A
    • Failure of the posterior neural tube to close
      • leads to an open vertebral canal
  • most severs is when posterior spinal cord fails to form from the neural plates (Spina Bifida Cystic)
    • the meninges projects out posterior from the spinal cord: can be filled the cerebrospinal fluid
  • less severe cases present as defects in the meninges and vertebrae overlying the posterior spinal cord (Spina Bifida Occulta)
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5
Q

Primary Brain Vesicles

A

These develop at the rostral end of the neural tube

  • Prosencephalon (forebrain)
  • Mesencephalon (midbrain)
  • Rhimbencephalon (hindbrain)
    *
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6
Q

Secondary brain Vesicles

A

From the Prosencephalon

  • Telencephalon
    • Cerebrum
  • Diencephalon
    • Eye Cup
    • Thalamus (hypo, epi)

From the Mesencephalon

  • Mesencephalon
    • Midbrain

From the Rhomencephalon

  • Metencephalon
    • Pons
    • Cerebellum
  • Myecenphalon
    • Medulla oblongata
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7
Q

the Adult Brain

A
  • Frontal Lobe
  • Parietal Lobe
  • Temporal Lobe
  • Occipital Lobe
  • Cerebellum
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8
Q

Grey Matter

A
  • mainly neuronal cell bodies i.e cereberal cortex, brain nuclei
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9
Q

White Matter

A
  • myelinated neurons
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10
Q

Telencephalon- Cerebral hemispheres

A
  • Frontal Lobe
  • Parietal Lobe
  • Occipital Lobe
  • Temporal Lobe
  • folded to form gyri and sulci
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11
Q

The Cerebral cortex

A
  • Central Sulcus
  • Lateral Sulcus
  • Precentral gyrus
  • Postcentral gyrus
    *
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12
Q

Corpus callosum

A
  • Seen as a large C-shaped tract of white matter when a midsagittal cut is made
  • connects the two cerebral hemispheres of the brain
  • the Coronal radiator is seen in a coronal view of the brain
    • all the wires connecting the brain together
  • has a Genu, Body and Splenium
    • Genu- many motor axons, connecting the motor regions
    • Body- many sensory axons, connecting the sensory areas of the brain
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13
Q

Limbic System

A

a deep brian structure which controls memory and emotion

  • spans the telencephalon and diencephalon*
  • Cingulate cortex
  • Fornix
  • Amygdala
  • Hippocampus
  • Thalamus*
  • Hypothalamus*
  • Mamillary bodies*
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14
Q

Fornix

A
  • a semicircular white matter tract that connects hippocampus and the mamillary bodies
    • from the hippocampus passes posteriorly in a curve then superiorly through the third ventricle, over the top of the third ventricle then drops down anteriorly to join with the mammillary bodies
  • it is part of the limbic system (the telencephalon part)
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15
Q

Basal Ganglia

A

sits in the base of the forebrain

a deep brain structure involved in the control of posture and voluntary movement

the Corpus striatum refers to the two main nuclei that forms the basal ganglia

  • lentiform nucleus (lens shaped)
    • Putamen: the outer part
    • Globus pallidus: the inner part
  • caudate nucleus (C-shaped)
    • follows the shape of the lateral ventricle wall
    • moves anteriorly to the inferior horn of the lateral ventricle
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16
Q

The Capsules

A
  • Internal Capsule
    • major white matter tracts in the brain that connects the cerebral cortex to the brainstem
    • internal to the lentiform nucleus
  • External capsules
    • external to the lentiform nucleus
  • The Extreme capsule is really small and is after the external capsule closer to the lateral sulcus
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17
Q

Diencephalon

A

Sits in the middle of the brain

  • Thalamus
  • Hypothalamus
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18
Q

Thalamus

A

a paired structure that is part of the diencephalon

  • the paired structures are connected by an inter-thalamic adhesion through the third ventricle
  • relays sensory info to the cortex
    • olfactory information doesn’t go through the thalamus
  • involved in voluntary movement, personality and consciousness
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19
Q

Hypothalamus

A

part of the diencephalon found inferior to the thalamus

  • involved in homeostasis
    • coordinates ANS and endocrine response
      • connected directly to the pituitary gland (infundibulum connects them)
    • thermoregulation, feeding, drinking, circadian rhythms
      • near the pineal gland (melatonin released)
    • receives inputs from the limbic system
  • Sits between he optic chiasm ad the mammillary bodies
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20
Q

Mamillary bodies

A
  • brainstem nuclei on the posteroinferior aspect of the hypothalamus
  • attaches tot he fornix
  • associated with recollective memory
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21
Q

Mesencephalon and Rhombencephalon

A

together they form the brainstem and cerebellum

  • Metencephalon
    • forms the Pons/ Cerebellum
      • A pontine flexure causes the cerebellum to be posterior to the brainstem around day 36 of embryonic development
  • Myelencephalon
    • forms the Medula

are both part of the rhombencephalon

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22
Q

Brainstem (Medulla)

A

Contains:

  • cranial nerve nuclei within all three regions
  • vital respiratory and cardiovascular centres
  • vomiting centre
  • nuclei involved with motor control, sleep
  • white matter tracts
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23
Q

Midbrain

mesencephalon

A
  • Cerebral peduncles
    • the prosencephalon sits superior to these
    • white matter tracts connecting the pons (above) with the diencephalon (below)
  • Superior colliculus: Vision
    • output to CNX 3,4,6, which are involved in eye movements
  • Inferior colliculus: Auditory
    • receive information from CNX 8 and relay it to the auditory cortex
  • Red nucleus
    • format motor relay complex between the cerebral cortex and the cerebellum
  • Substantial Nigra ( appears black in an MRI, lots of melanin)
    • contain dopaminergic neurons, forms part of the basal ganglia (limbic system)
    • this part degenerates in patients with Parkinson’s
24
Q

Pons

A
  • relays information to the cerebellum
  • middle cerebellar peduncle
  • contains reticular formation
    • nuclei concerned with sleep, motor control
25
Q

Medulla oblongata

A
  • Pyramids
    • contain cortical spinal axons (white matter): the main voluntary motor pathway from the primary motor cortex to the spinal cord
    • pyramids of decussation (cross)
  • Olive
    • Formed by olivary nuclei: motor relay to the cerebellum

These two nuclei form part of the ascending tract

  • Cuneate tubercle
  • Gracile tubercle
26
Q

Cerebellum

A

Sit posterior to the brainstem, mainly for motor control

  • control of
    • postures
    • coordinating and planning limb movements
    • eye movements
  • outer grey matter with underlying white matter
  • two cerebellar hemispheres
  • three lobes and contains nuclei deep in the cerebellar
  • Cerebellar cortex
  • Arborvitae (tree-like structure, ‘tree of life’)
  • Vermis: connects the right and left cerebellar hemispheres
  • Anterior lobe: posture
  • Flocculondular lobe: eye movement and head position
  • Posterior lobe: fine motor coordination

Connected to the brainstem via the cerebellar peduncles

27
Q

Neural Tube layers

A
  • Ectoderm
    • covers the neural tube
  • Mantle Layer
    • becomes brain parenchyma
  • Ependymal Layer
    • lines the ventricles
  • Lumen
    • become the ventricles + the central canal of the spinal cord
28
Q

The Prosencephalon

A

This is the most rostral part of the neural tube, it eventually forms the forebrain

  • Secondary vesicles form from the early forebrain, the structure after the formation of these two vesicles is called the Diencephalon
    • Telencephalic vesicles
    • the Optic vesicles
      • folds to form the optic stalk and the optic cup: eventually, become the optic nerve and retinas
29
Q

The Telencephalic and the Diencephalon Differentiation

A

the telencephalon is the anterior part of the brain, which is also called the cerebrum, while the diencephalon is the part of the brain that is placed between the telencephalon and the midbrain

30
Q

Telencephalon Gyri and Sulci

A
  • Central sulcus
    • divides the frontal and parietal lobe
  • Postcentral gyrus (sensory)
  • Lateral sulcus
    • divides the temporal lobe from the parietal lobe
  • Pre central gyrus (motor)
31
Q

Functional areas of the cortex

Telencephalon

A
  • Frontal Lobe
    • Primary motor cortex
      • in the precentral gyrus
    • Motor speech in the Brocas area
      • Parietal Lobe
    • Somatosensory cortex (pain touch…)
      • in the postcentral gyrus
  • Temperol
    • Auditory cortex
    • Olfactory cortex
  • Occipital
    • Visual cortex
  • the Gustatory cortex is found when the lateral sulcus is moved

Makes up 20% of the brain

32
Q

Hippocampus

A

Sits in the floor of the lateral ventricle

  • involved in the emotions and memory in the limbic system
33
Q

Overview of the Ventricular system

A
  • Four fluid-filled cavities
    • two Lateral Ventricles
    • the Third Ventricle
    • the Fourth Ventricle
  • Lat.Vents communicate with the 3rdVent through the intraventricular foramina
  • 3rdVent connected to the 4thVent through the narrow cerebral aqueduct (aqueduct of Sylvius)
  • 4thVent continuous with the narrow central canal and the subarachnoid space
  • Formed from the lumen of the rural tube, lined by the ependymal layer
34
Q

Which parts of the brain are the ventricles surrounded by?

A
  • Lateral Vents: Telencephalon (Cerebral hemispheres)
  • Third Vent: Diencephalon (Thalamus/ hypothalamus)
  • Mesencephalon (Midbrain)
  • Fourth Vent: Metencephalon (Pons/cerebellum)
  • Myelencephalon (Medulla)
  • Central canal
35
Q

The Lateral Ventricles

A
  • there are two c-shaped ventricles, one for each ventricle
  • Formed of
    • Body: occupies the parietal lobe
    • Anterior horn: frontal lobe
    • Posterior horn: occipital lobe
    • Inferior horn: temporal lobes
  • The Septum pellucidum separates the lateral ventricles
  • and the Corpus Callusom sits in the roof
36
Q

Borders of the lateral ventricles

A
  • Caudate nucleus sits in the lateral wall
  • the hippocampus sits in the floor of the inferior horn
37
Q

What is the Intraventricular foramen

A
  • the communication centre between thew lateral ventricles and the third ventricle
  • aka Foramen of Monro
38
Q

The Third Ventricle

(position)

A

The third ventricles appear as a slit-like cleft

  • the Thalami sit in the lateral walls
  • the Fornix forms the roof
39
Q

What is the Cerebral aqueduct

A
  • The communication channel between the third and fourth ventricle
  • aka Aqueduct of Sylvius
  • this structure is surrounded by the midbrain
40
Q

Borders of the Fourth Ventricle

A
  • surrounded by the hindbrain
    • The cerebellum is bordering it posteriorly
    • Pons and the Medulla border it anteriorly
    • Cerebellar peduncles border it laterally
  • it is continuous with the central canal of the spinal cord and the subarachnoid space
41
Q

Communication in the Fourth ventricle

A
  • three foramen exit into the subarachnoid space into the Cisterna Magna
    • two Foramen of Luschka (laterally, posterior to the cerebellar peduncles)
    • one Foramen of Magendie (in the middle)
42
Q

What is the Choroid plexus?

A
  • the choroid plexus produces CSF
  • the choroid plexus presents throughout the ventricles
    • it is a capillary network surrounded by cuboidal epithelium
  • filters blood from branches of the internal carotid and basilar arteries
    • blood is filtered through fenestrated capillaries
    • components transported through the cuboidal epithelium into ventricles
43
Q

Structure of the choroid plexus

A
  • Fenestrated capillaries: act as a filter
  • Cuboidal epithelium: act as transport
  • Tight junctions between epithelial cells
    • prevent macromolecules from entering the CSF
    • permeable to water and CO2
  • This forms part of the blood-CSF barrier
44
Q

What is the role of Cuboidal epithelium in the brain?

A
  • They are specialized ependymal cells
  • Villi increase the surface area for filtration
  • they actively transport CSF
  • the movement of components is bidirectional
45
Q

The composition of CSF and it’s difference from blood plasma

A
  • the CSF has a significantly lower protein content
    • slightly lower pH, glucose content, Ca2+ and K+
    • slightly higher, Mg2+, Cl-
  • these conditions are ideal for the functioning of neurons.
46
Q

Describe the direction of circulation in the CSF within the ventricles

A
  • From the lateral ventricles, through the interventricular foramen to the
  • Third ventricle, then through the Cerebral Aqueduct to the
  • The fourth ventricle, then through the Luschka and Magendie foramina to the
  • Cisterna manga (the Subarachnoid space)
47
Q

Describe the CSF circulation within the subarachnoid space

A
48
Q

What is the role of the Subarachnoid space

A

it lies between the pia mater and the arachnoid mater

allows the CSF to be in contact with the brain parenchyma

  • transfer of micronutrients into the brain
  • removal of metabolites
49
Q

The Arachnoid Granulations

A
  • Herniations of arachnoid membrane (villi) through dura mater into venous sinuses
  • Mainly within the superior sagittal and transverse venous sinuses
50
Q

Explain the pressure in the CSF

A
  • CSF pressure in the subarachnoid spaces exceeds the pressure in the venous sinuses: prevents blood pooling in the subarachnoid space
    • Subarachnoid space: ~180mmH2O
    • Venous Sinus: ~80mmH2O

In Disease

  • if venous pressure exceeds CSF pressure, the tips of arachnoid granulations close off acting as a one-way valve
51
Q

The CSF and its main functions

A
  • 500ml CSF produced per day: total volume of this system 90-140ml
  • any excess is absorbed by the arachnoid granulations
    Functions
  • Hydraulic buffer to cushion brain against trauma
  • Vehicle for removal of metabolites from CNS
  • Stable ionic environment for neuronal function
  • Transport of neurotransmitters and chemicals
52
Q

What different colours can the CSF present in a disease presentation?

A

usually clear sterile liquid

  • Yellow/orange/pink
    • lysis of red blood cells, haemoglobin release
    • Subarachnoid haemorrhage
  • Cloudy/Turbid
    • Leukocytes increased- infection
    • Bacterial meningitis
53
Q

How do you take a CSF sample

A
  • taken via lumbar puncture
  • at the lumbar cistern
    • L3/4 in adults
    • L4/5 in children
54
Q

What is Hydrocephalus

A
  • Dilation of brain ventricles due to
    • blocked CSF circulation,
    • impaired absorption,
    • or over secretion
  • Increased intracranial (CSF) pressure
  • Pressure on surrounding tissues affects neurological function
    • Symptoms: headaches, vomiting, visual disturbance, papilledema, seizures, altered cognition, balance and coordination problems
  • can be congenital or acquired
55
Q

What is non-communicating hydrocephalus?

A
  • Blockage within the ventricular system
    • Due to tumour, cyst, stenosis (e.g. narrowing of the cerebral aqueduct)
  • CSF does not circulate over the surface of the brain

Treatment:

  • Surgery: insert a shunt to reduce intracranial pressure
56
Q

What is Dandy-Walker Syndrome?

A
  • Congenital malformation of the cerebellum (1:30,000 births)
  • Obstruction within foramina of the fourth ventricle:
    • Symmetrical dilation of lateral, third and fourth ventricles
  • In infancy, head may become enlarged
57
Q

What is communicating hydrocephalus

A
  • Obstruction in the arachnoid villi
  • Movement of CSF into venous sinuses is impeded
    • E.g. Impaired absorption following subarachnoid haemorrhage, trauma or bacterial meningitis