PNB 2274 Exam 3 CHEN Flashcards
(191 cards)
Dura matter
two fibrous layers of dense connective tissue, lymphatic system between the 2 layers with blood vessels and tissue fluids
arachnoid layer
transparent, epithelial cells, CSF in subarachnoid space
pia matter
follows brain’s underlying folds, accompanies branches of cerebral blood vessels
progressive hypoglycemia
low blood glucose; leads to confusion, unconsciousness, death
arteries in the brain
vertebral and internal carotid arteries
veins in the brain
internal jugular veins
anastomosis
vessels joined together
colateral circulation
provides alternative route for blood supply in the brain in the event of clot
circle of willis
two vertebral arteries meet to form the basilar artery which connects to the carotid artery to supply blood to the 3 cerebral arteries
anterior cerebral artery
supplies innerside of brain
middle cerebral artery
supplies outside of cerebral hemisphere, most likely to clot
posterior cerebral artery
supplies back of brain
blood brain barrier
complex that surrounds most blood vessels in the brain that separates the blood stream and the extracellular space in the brain
composition of the BBB
endothelium cells with tight junctions, astrocytes
astrocytes
glial cells that have end feet which completely surround blood vessels in the brain; maintains BBB and makes tight junctions stronger
function of BBB
limits paracellular solute flux, regulates composition and volume of brain interstitial fluid
Difference of brain interstitial fluid and plasma
interstitial fluid:
- low protein content due to tight junctions which results in a low buffering capacity
- low pH (7.33) due to higher partial pressure of CO2 because brain is highly metabolic
- low glucose concentration because it is transported into tissues of brain
- low potassium levels are needed to establish resting membrane potential
- low bicarbonate ions
plasma:
- higher pH (7.4) due to lower partial pressure of CO2; breathing affects plasma less than interstitial fluid
- higher protein content, better buffer capacity
neurovascular unit
capillaries, neurons, glial cells, endothelial cells, pericytes –> all play roll in contributing to tight junctions in BBB
critical role in maintaining local blood flow, homeostatic needs, optimizing local signal transduction
involved in many CNS pathologies (blood vessel related, bacterial/virus related, neurologically related, age related)
respiratory effects of carbon dioxide induced changes of medullary extracellular fluid pH in cats
- inhibition of exhalation increases buildup of CO2 in they system
- buildup increases CO2 partial pressure, magnifying pH change
- chemoreceptor responds to the pH change and activates phrenic nerve to contract the diaphragm
- activation of diaphragm increases breathing effort
Why do seizures often accompany brain injuries?
Hemorrhagic stroke: when a blood vessel in the brain bursts, the BBB is compromised, making the brain interstitial fluid more saturated with potassium and thus making the membrane more depolarized, bringing Ek closer to threshold. This allows action potentials to fire asynchronously and more often
Brain interstitial fluid vs CSF
- they are both located outside of the brain cells (extracellular)
- exchange through diffusion
Brain interstitial fluid
fluid that brain cells (neurons, astrocytes) are bathed in
Cerebrospinal fluid
liquid surrounding the brain and spinal cord that helps absorb the mechanical shock and maintain chemical stability
found within the brain ventricles, central canal of the spinal cord, subarachnoid space
the wastes generated by brain tissues can be removed as the cerebrospinal fluid continues to circulate
cerebrospinal fluid production
- produced by the choroid plexus in lateral and 3 ventricles
- intraventricular foramen connects the lateral ventricles, the cerebral aqueduct connects the 3rd and 4th ventricles - CSF leaves the 4th ventricle via paired lateral apertures or single median aperture
- flows through the subarachnoid space and into arachnoid villi and drains into dural venus sinuses