LO1 + LO2 Flashcards
Explain in detail the normal structure and function of the central and peripheral nervous systems relevant to speech pathology practice using correct terminology (23 cards)
Name parts of the CNS
2 major structures: brain + spinal cord.
- Brain plays most integral role in movements, awareness, cognition, speech, memory etc.
- Spinal cord lies cadually to the brain and is involved in some reflex movements.
Explain the formation of the NS
- Ectoderm: will form all the packaging of the organism = sensory organs, hair, skin, nails, whole NS (CNS + PNS)
Thickening of the ectoderm leads to the development of the neural plate
A neural groove begins to develop at 20 days
By 22 days the neural groove closes along the length of the embryo making the neural tube. This becomes the CNS. The closure begins in the center and ends are initially left open
Name the stages in human development
Pre-embryonic stage (zygote) Embryonic stage (embryo) Fetal stage (fetus); from 8th week + until birth = 32 weeks to 42 weeks
Name the layers of the embryo
ENDOderm
MESOderm
ECTOderm
How do we get from a tube to the brain?
Following closure of the top end of the neural tube the major regions of the brain begin to develop (cerebral hemisphere, midbrain, hindbrain (pons and medulla, cerebellum), diencephalon.
Why is learning about the NS important?
- NS development is an ongoing process
- Issues in development can lead to major diseases (genetic mutations etc)
- The NS is adaptable
What is the ventricular system?
Th lumen of the original neural tube becomes a fluid filled system, of cavities (ventricles which follow convolutions that the brain made during development) lying in centre of CNS.
Briefly discuss 2 development disorders that relate to timing and effect
- Anencephaly: neural tube defect, failure to develop major CNS structures (cerebral hemispheres + cerebellum)
- Spina Bifida: neural tube defect (spinal end) - varies: affects spinal cord + body vertebral canal
Briefly discuss 2 developmental disorders that relate to genetics and the environment
- Fetal alcohol spectrum disorder (enviro): damage to neuron maturation, migration + organisation. Damage to cerebellum, cerebral nuclei, corpus callosum, neural tube - learning and memory deficits, impulsivity, lack of inhibition, EXPRESSIVE + RECEPTIVE IMPAIRMENTS + MISARTICULATION
- Down syndrome (genetic): abnormalities in chromo 21 =higher risk of health conditions, hypotonia, speech difficulties, intellectual disability
Discuss neural classification
- Structural: grouped by number of processes
- Functional: according to direction in which impulses are transmitted (sensory - Afferent, motor = efferent).
What is the diencephalon?
- Small part of the brain that is mostly by the cerebral hemispheres
- Can be found just ABOVE the brainstem
- Between the cerebral hemispheres
- Has the 3rd ventricle between the left and right sides
- It has the internal capsule lying superficial to it
- Divided into 4 parts: epithalamus, thalamus, sub thalamus, hypothalamus
Discuss the thalamus
(largest dorsal nuclear mass) Relay center Largest part Shape of 2 small eggs stuck together Internal capsule at lateral aspect Connections to lobes/functional areas Motor part Sensory part
Discuss the hypothalamus.
(ventral and rostral to thalamus)
Regulation of autonomic/endocrine functions
Pituitary gland
Discuss the subthalamus
(immediately ventral to thalamus)
Related to movement of control/basal ganglia
Discuss the epithalamus
(caudal to thalamus)
Circadian rhythm and sexual reproduction cycles
Name the parts of the brainstem and discuss its main function
midbrain, pons, medulla oblongta
The stalk of the brain and connects the CNS to the spinal cord
Extrapolate on the function of the brainstem
Relay center: areas of grey matter where neurons travelling from one destination to another SYNAPSE, receives/sorts/stores/sends info
Throughfare: areas of white matter where axons of nerve fibres pass through; passageway for ascending and descending tracts
Integration Centre: Special functions = pain, breathing, reticular formation
The brainstem centers regulate vomiting, coughing, breathing rate, heart rate
Pain modulation
TRACTS: travel vertically through brainstem and continue through without alteration, some begin
Discuss features and function of the midbrain
- Uppermost part of brainstem between diencephalon and pons, joins 3+4 ventricle.
- Houses CN nuclei: CN III, IV (for eye movement)
- Houses special nuclei
- Substantia nigra (involved in movement control)
- Periaquaductal grey (for pain perception)
- Colliculi (involved in hearing & vision
Discuss features and function of pons
sits between midbrain and medulla, has a 4th vent dorsally, passage for motor info from cerebral cortex into cerebellum, contains cranial nerve nuclei (CN V and CN VII)
Discuss features and function of medulla oblongta
Lowest section of brainstem, contains many cranial nuclei important for speech and swallowing. Decussactio
What are the effects of disorders to the brainstem?
• An isolated brainstem lesion may cause a mix of
ipsilateral and contralateral signs because:
• cranial nerves supply the ipsilateral face and neck;
• many vertical tracts decussate [X] in the brainstem to
supply the contralateral body.
• Lesions in the brainstem may also interfere with vital
functions and consciousness.
States of altered consciousness may occur with lesions to the brainstem
What is the structure and function of the spinal cord?
- segments of the spinal cord exchange information with other spinal cord segments, peripheral nerves and the brain.
Info conveyed by a motor tract to a motor neuron is only one of many influences on that motor neuron - Continues from the brainstem
Different regions (cervical. Thoracic, lumbar, sacral)
Composed of white and grey matter
Link spinal cord to spinal nerves
Dorsal root; contains sensory axons bringing info into spinal cord
Ventral root; contains motor axons taking info from the spinal cord to the body/limb segments
Internal structure of SC:
The gray matter is composed of cell bodies:
• Dorsal horn processes sensory information
• Lateral horn processes autonomic information
• Ventral horn processes motor information
White matter is composed of travelling axons