Brain 2: brain blood flow, CFS brainstem Flashcards

(43 cards)

0
Q

How are glucose and oxygen used in the brain

A

Neurons use glucose and oxygen to make ATP in the brain

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1
Q

how many % is the brain’s weight (out of total body) and how many % of energy/oxygen does it consume

A

Brain is 2% of total body weight but consumes 20% of all the oxygen and glucose

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2
Q

How long does it take for neuronal function to be impaired or permanently damaged

A

interruption in blood flow for 1-2 minutes to be impaired and total deprivation of oxygen for about 4 minutes causes permanent injury

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3
Q

how does brain store glucose

A

No glucose is stored in the brain so the supply of glucose must be continous

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4
Q

what does a low level of glucose in the blood to the brain cause

A

mental confusion
dizziness
convulsions
loss of consciousness

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5
Q

how many % of cardio output goes to brain

A

15%

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6
Q

what is blood brain barrier

A

Tight junctions that seal together endothelial cells of capillaries in the brain and thick basement layer that surrounds the capillaries

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7
Q

What type of neuroglia at blood brain barrier and what does it do?

A

Astrocytes - their processes press up against the capillaries and secrete chemicals that maintain the permeability characteristics of tight junctions

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8
Q

What can cross the blood brain barrier

A
  • Some water-soluble substances cross by active transport (ie glucose)
  • Creatinine, urea, ions cross slowly
  • lipid-soluble substances (O2, Carbon dioxide, alcohol, most anesthetic agents)
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9
Q

What can not cross the blood brain barrier

A

Proteins and most antibiotic drugs do not cross

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10
Q

What can break down the blood brain barrier

A

Trauma, certain toxins and inflammation

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11
Q

What is Cerebral spinal fluid

A

Clear colourless lipids, mainly water and protects brain and spinal cord from chemical and physical injuries

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12
Q

what does cerebral spinal fluid carry

A

carries small amount of O2, glucose, proteins, lactic acid, urea, cations, anions and some WBCs needed to neurons and neuroglia

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13
Q

Where does cerebral fluid circulate through

A

The cavities in the brain and spinal cord and around the brain and spinal cord in the subarachoid space

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14
Q

What is the total volume of cerebral spinal fluid?

A

80-150 ml in adult

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15
Q

what are ventricles in the brain

A

cavities within the brain filled with CSF
2 lateral ventricles (1 in each hemisphere of the cerebrum, Septum pellucidum)
Third ventricle
Fourth ventricle

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16
Q

What is a thin membrane that separates that the lateral ventricles

A

Septum pelluciadum

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17
Q

Functions of ventricles

A
  1. Mechanical protection
    - shock absorbing medium that protects brain and spinal cord from jolts
    - fluid also keeps brain floating in the cranial cavity
  2. Homeostatic function - the pH of CSF affects pulmonary ventilation and cerebral blood flow
  3. Circulation - minor exchange of nutrients and waste products between blood and nervous tissue
18
Q

Where is CSF formed

A

In the Choroid plexuses, networks of blood capillaries in the walls of the ventricles

19
Q

what is difference between Blood brain barrier and blood-CSF barrier

A

BBB=tight junctions of brain capillary endothelial cells

Blood-CSF barrier=tight junctions of ependymal cells

20
Q

What does Blood CSF barrier do

A

to protect brain and spinal cord from harmful blood borne substances

21
Q

Circulation of CSF

A

CSF formed in Choroid plexus ->lateral ventricles ->Interventricular foramina ->Third ventricle ->Cerebral aquaduct -> Forth ventricle -> 2 lateral apertures and 1 median aperture -> central canal subarachoid space ->Arachoid villi ->superior sagittal sinus ->Straight sinus ->Sigmoid sinus -> internal jugular

22
Q

brain stem contains

A

Medulla Oblongata
Pons
Midbrain

23
Q

Where and what is in Medulla Oblongata

A

Starts at the foremen magnum and goes to pons
Mede up of sensory (ascending) tracts and motor/(descending) tract
Pyramids

24
what is pyramids
bulges of white matter of the anterior part of the medulla | formed by the corticospinal tracts
25
What is dicussation of pyramids
Crossing of axons in pyramids 90% of axons cross here explains why each side of brain controls the opposite side of body
26
nuclei in medulla
- Cardiovascular center (regulates the heart beats and the diameter of BVs) - Medullary rhythmicity area of the respiratory center (adjusts the basic rhythm of breathing along with areas in the pons) - vomiting center (causes vomiting) - deglutition center (causes swallowing) Others causes sneezing, coughing, hiccupping
27
what and where is olive
just lateral to each pyramid
28
inferior olivary nucleus
- within the olive, receives input from cerebral cortex, red nucleus (midbrain), spinal cord - it provides instructions that the cerebellum uses to make adjustments to mm activity as you learn new motor skills
29
gracile nucleus and cuneate nucleus
are associated with sensations of touch, pressure, vibration and conscious proprioception. Gracile (leg), Cuneate (arm)
30
gustatory nucleus
from tongue to brain, receives gustatory input from taste buds of tongue
31
cochlear nuclei
part of the auditory pathway from inner ear to brain | receives auditory input from cochlea of the inner ear
32
Vestibular nuclei
equilibrium pathway from inner ear to brain
33
Cranial nerves in medulla
``` VIII vestibular cochlear nerves IX glossopharyngral nerves X vagus nerves XI accessory nerves XII hypoglossal nerves ```
34
Injury to Medulla
hard blow to the back of head/upper neck can be fatal damage to medullary rhythmicity area is really bad alcohol overdose also suppresses the medullary rhythmicity area and may result in death
35
Where and what is pons
consists of nuclei and tracts | is a bridge that connects parts of brain with each other
36
relays signals for voluntary movements from cerebral cortex to cerebellum
pontine nucleus
37
pons' nuclei
pneumotaxic area: Rhythm of breathing apneustic area: inhale/exhale These 2 areas along with the medullary rhythmicity area help control breathing
38
pons'nuclei associated with cranial nerves
V trigeminal nerves VI abducens nerves VII facial nerves VIII vestibulocochlear nerves (balance and equilibrium)
39
associated with sensations of touch, pressure, vibration and conscious proprioception
gracile nucleus and cuneate nucleus
40
from tongue to brain
gustatory nucleus
41
part of the auditory pathway from inner ear to brain
cochlear nuclei
42
equilibrium pathway from inner ear to brain
vestibular nuclei