Nerves Flashcards

(37 cards)

0
Q

What are the different meninges? What are leptomeninges?

A
CRANIUM
							  DURA MATER (thickest)
						    ARACHNOID MATER
									PIA MATER (thinnest - strongly adhered to brain)
									BRAIN

Leptomeninges = arachnoid mater + pia mater

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1
Q

What are meninges?

A

Membraneous covering of the brain and spinal cord

note: meniges of spinal cord more simple than the meninges of the brain

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2
Q

How does CSF flow through the meninges?

A

Separation of layers = subarachnoid space cisterns

Occur due to dilation

  • failure of arachnoid mater to adhere to pia mater
  • or: failure of arachnoid mater to follow the furrows in the brain

+ blood vessels

Bleeds = CSF carries blood away = attempts to prevent hydrostatic pressure from climbing too high

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3
Q

What is the function of the CSF? How is it formed?

A

Supplies the CNS with nutrients and fluid, and carries away metabolites.

Formed by choroid plexus

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4
Q

What are the consequences in changes in hydrostatic pressure in the CSF?

A

Increase in hydrostatic pressure = restricts blood flow to the brain

Decrease in hydrostatic pressure = collapse of veins = increased bleeding

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5
Q

What are the membranous envelopes of cranial and spinal nerves?

A

Stratified squamous epithelium

Epineurium = ensheaths entire nerve

(note: interfasciular bands attach adjacent nerve fascicles)

Perineurium = ensheaths a nerve fascicle (collection of axons)

Endoneurium = ensheaths a single axon

(Oligodendrocyte/Schwann cell envelops some axons)

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6
Q

What are the functional units of the nervous system?

A

Glia (90%) = maintain homeostasis, form myelin, support and protect neurones

Neurones (10%) = electrically excitable cells that process and transmit information through electrochemical signals

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7
Q

What is the distinction between “heavy” and “light” connections?

A

Heavy = 1 nerve cells 1000s of nerve cells

Light = 1 nerve cells 1 nerve cell

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8
Q

What is the difference between divergence and convergence?

A

Divergence = output from one neurone to many

Convergence = output from many neurones to one

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9
Q

What are dendrites? What is the dendritic tree?

A

Specialisations of cell bodies which increase the surface area for conduction of impulses in the cell body

Dendritic tree = proximal dendrites (thick diameter) —> lots of distal dendrites (thin diameter)

(so there is no difference in electrical resistance at either points at synapses)

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10
Q

What is a dendritic spine?

A

Appendage of a dendrite that help transmit electrical signals, and act as an anatomical substrate for memory storage (associated with learning)

Down’s syndrome = reduced capacity to express dendritic spines = reduced learning ability

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11
Q

What are bipolar neurones? Give an example of where they are located.

A

Interneuron

1 dendrite + 1 axon

e.g. retina

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12
Q

What are (pseudo)unipolar neurones? Give an example of where they are located.

A

No dendrites + 1 axon

e.g. primary sensory neurones

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13
Q

What are multipolar neurones? Give an example of where multipolar neurones are located.

A

Multiple dendrites + 1 axon

e.g. motor neurones

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14
Q

What are two examples of input summation?

A

TEMPORAL = excitatory & inhibitory inputs summated with respect to their time of arrival on the cell body/dendrites

SPATIAL = excitatory & inhibitory inputs summated with respect to their relative spatial location on the cell body or dendrites

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15
Q

Outline the different components of a neurone.

A

INITIAL SEGMENT:

  • Cell body (+ dendrites)
  • Axonal hillock = “zig-zag” in initial segment where action potentials can travel back up to the cell body as well as down the axon

Axonal membrane & Internodal membrane

Myelin sheath + Nodes of Ranvier

AXONAL TERMINAL

16
Q

What are the functions of axons? What are collections of axons called in the CNS and PNS, respectively?

A
  • summates all inputs to the neurone
  • initiates all-or-none action potentials
  • conducts action potentials away from cell body

Collection of axons (CNS) = fibre tracts (exception: optic nerve)
Collection of axons (PNS) = nerves

17
Q

What is the difference between excitatory and inhibitory neurones?

A

Excitatory = cause depolarisation
Neurotransmitters: glutamate, aspartate

Inhibitory = cause hyperpolarisation
Neurotransmitters: glycine, gamma-aminobutyric acid

18
Q

What is the structure and function of sensory neurones?

A

Pseudo-unipolar (fastest conducting)

Transduces electromagnetic/mechanical energy into electrical impulses via receptors

Sensory Receptor —> Cell body —> CNS

“Afferents”

19
Q

What is the structure and function of motor neurones?

A

Multipolar

Integrate a large array of inputs to synthesise a single output

CNS —> Cell Body —> Effector

“Efferents”

20
Q

What is the structure and function of interneurones?

A

Multipolar

Information relay (therefore majority of neurones)

Sensory neurones —> Cell Body (brain/spinal cord) —> Motor neurones

21
Q

What are the different neuroglial cells?

A

Ependyma = line ventricles and central canal of spinal cord for circulation of CSF

Astrocytes = transfer nutrients/waste between neurone and blood

  • blood brain barrier
  • phagocytic functions
  • physical support for neurones

Oligodendrocytes = myelination (CNS)
Schwann cells = myelination (PNS)
Myelination insulates neurones, allowing faster saltatory conduction

Microglia = immunity & inflammation

Satellite cells = physical support of neurones in PNS

22
Q

What are ganglia? What is the equivalent in the CNS?

A

Collections of neuronal cell bodies in the PNS (swellings)

CNS = collections of neuronal cell bodies = nuclei

23
Q

How many cranial & spinal nerves are there in the PNS?

A

Cranial nerve axons = 10

Spinal nerve axons = 31

24
Outline the structure of grey and white matter in the nervous system.
Grey matter = butterfly/H-shape (post-ganglionic neurones; unmyelinated) White matter = surrounds grey matter (pre-ganglionic neurones; myelinated) Posterior grey matter = dorsal horn = receives sensory input Anterior grey matter = ventral horn = stimulates motor neurones Central canal (lined by ependyma) Either side = lateral horn
25
What is the structure of somatic efferents?
Active or inactive (inactive during REM sleep) Voluntary control Single neurone Neurotransmitter = acetylcholine Effector = skeletal muscle
26
What is the structure of parasympathetic nerves?
Long pre-ganglionic neurone (myelinated), short post-ganglionic neurone Synapse between neurones = Acetylcholine, nAChR End plate synapse = Acetylcholine, mAChR
27
What is the structure of sympathetic nerves?
Short pre-ganglionic neurone (myelinated), long post-ganglionic neurone Synapse between neurones: ACh, nAChR End plate: 1) Noradrenaline one alpha/beta receptor 2) Direct release of adrenaline/noradrenaline from pre-ganglionic neurone from adrenal medulla into bloodstream
28
Give some examples of effector organs in the autonomic nervous system. Give some examples of organs not innervated by either the parasympathetic or sympathetic nervous system.
Visceral organs e.g. cardiac muscle Smooth muscle e.g. airways, GI, blood vessels Secretory glands e.g. serous/mucous secretions Exceptions: - sweat glands - ejaculatory mechanisms
29
What does an overactive parasympathetic nervous system cause? What does an overactive sympathetic nervous system cause?
Overactive parasympathetic = dilated blood vessels ---> shortage of substrates to the brain ---> faints Overactive sympathetic = constricted blood vessels ---> shortage of substrates to tissues ---> tissue necrosis of peripheries
30
Outline the functions and anatomy of sympathetic neurones.
Fight-or-flight response - Diversion of blood to muscles and heart - Increase in heart rate/force of contraction - Increase in blood pressure - Reduced blood flow to GI & skin - Hyperventilation Thoracolumbar (all 12 thoracic & first 2 lumbar segments) Pre-ganglionic = cholinergic Post-ganglionic = nicotinic receptors, noradrenergic/adrenergic (adrenal medulla) Effector organs = alpha and beta receptors
31
Outline the functions and anatomy of parasympathetic neurones.
Rest-and-digest - Promotes digestion - Decrease in heart rate/force of contraction - Promote sleep and bladder emptying - Increased bloodflow to GI & skin Craniosacral (cranial/cervical + 2-4 sacral segments) Pre-ganglionic: ACh Post-ganglionic: nAChR, cholinergic Effector organs: muscarinic receptors
32
What are some examples of cranial nerves?
- occulomotor nerve = constricts pupil - facial nerve = serous secretions (nasal, lacrimal) - glossopharangeal = serous secretions (submandibular & sublingual) - vagal = slowing of activity e.g. heart rate
33
What is the sympathetic chain?
Base of skull to sacrum Bundles of ganglia Retroparavertebral position
34
What is Horner's syndrome?
Lesion in sympathetic trunk of neck/cancer in apex of lung ---> compression of cervical nerves - pupil constriction (unilateral mitosis) - partial ptosis (drooping of upper eyelid) - anhydrosis of one side of the face - enophtalmos (eye looks sunken)
35
What is the pathology of a demyelinating disease? Give an example of a demyelinating disease.
Damage to the myelin sheath, so conduction velocity is slower S&S: - blurred vision - weakness/fatigue - lack of coordination - difficulty controlling bowel movements/urination e.g. Multiple sclerosis (autoimmune destruction of myelin)
36
What are the types of glial cells and their functions?
Astrocytes (CNS) = blood-brain barrier (transfer of nutrients and waste) Oligodendrocytes (CNS) = myelination Microglia (both) = immune & inflammatory functions Schwann cell (PNS) = myelination Satellite cells = physical support of peripheral neurones