Sara Gross Neuroanatomy I & II Flashcards

1
Q

Lec1

How many classes of brain protection do we have? Describe them! Where and how?

A

FIVE (apart from the scalp)!; A) Bony structures - 1) skull (partially the cranial vault - part of brain that encloses the brain that has frontal bones, parietal bones, occipital bone, temporal bone etc.) 2) spinal (vertebral) canal

B) 3 Meninges - dura mater, arachnoid mater (, pia mater (the last two are the ‘leptomeninges’)

C) 3 Spaces - epidural (between bone and dura mater - contains loose connective tissue, blood vessels, adipose tissue), subdural (between arachnoid and dura mater - contains small amount of non-CSF fluid) , subarachnoidal (between pia mater and arachnoid mater).

D) Cerebrospinal fluid - in the ventricles (2 lateral ventricles, 3rd ventricle, 4th ventricle) AND subarachnoid space. The brain is suspended in the CSF by arachnoidal trabeculae in the subarachnoid space (between pia mater & arachnoid mater), which is connective tissue that acts like a scaffold

E) Buoyancy - hydromechanical protection, liquid reduces weight and distributes the weight to reduce pressure points.

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2
Q

Lec1

Where is the choroid plexus located?

A

It all the ventricles of the brain except the frontal/occipital horn of the lateral ventricles and the cerebral aqueduct. Produces CSF.

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3
Q

Lec1

What is intracranial space and how is it (& intracranial compartments) divided (name 3)? What are the names of the parts that divide it (name two)? Draw them roughly.

A

Aka the cranial cavity, is the space within the skull that accommodates the brain. Can be sub-divded by Dural Septa infoldings (partitions of the dura mater). We have two main dural septa infoldings: 1) the falx cerebri:, divides two cerebral hemispheres - the SUPRATENTORIAL space, which is above 2) the tentorium cerebelli, under which we have the INFRATENTORIAL space. (which is literally the cerebellum). Another cranial compartment is of course the spinal cranial compartment.

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4
Q

Lec1

What are the venous sinuses? How many do we have? draw where they are roughly.

A

The dural venous sinuses are “interconnected, endothelium-lined spaces” - spaces between the two layers of the dura mater, lined by endothelial cells and are important for the drainage and circulation of cerebrospinal fluid and blood.

We have 5: 1) superior sagittal sinus - top of the head and top lining of falx cerebri. 2) Inferior saggital sinus - bottom (lower) edge of the falx cerebri. 3) transverse sinuses - along the tentorium cerebri going outwards. 4) straight sinus - down the middle from back - of falx cerebri and tentorium cerebri conjuction. 5) sigmoid sinus

https://step1.medbullets.com/neurology/113024/dural-venous-sinuses

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5
Q

Lec1

Define the CNS and the PNS (with divisions and numbers!!)

A

CNS = Central Nervous System - brain & spinal cord.
PNS = peripheral nervous system, formed of nerves and ganglions - 12 cranial nerves, and 31 spinal nerves.

PNS can be divided into the 1) AUTONOMIC and 2) SOMATIC nervous system.

Autonomic NS:

responsible for the involuntary control of smooth muscle, cardiac muscle, and glands Controls e.g., heart rate, digestion, and respiration. It has two main divisions: symapthetic NS (“fight or flight”- increases heart rate, dilates airways, and stimulates the release of glucose into the bloodstream), parasymathetic NS ( “rest and digest” response, which helps to conserve and restore energy in the body. It decreases heart rate, constricts airways, and stimulates digestive processes)

Somatic NS:

for the voluntary control of skeletal muscle and sensory information from the skin, joints, and muscles.

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6
Q

Lec1

How big is the spinal cord? length and diameter

A

Length: 45cm, diameter: 1cm

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7
Q

Lec1

Why do we say the CNS is 6+1? Draw it!

A
  • (1) = spinal cord.
  • Forebrain = Diencephalon (1) (deep within the cerebral hemispheres and encloses the third ventricle. The four major subdivisions of the diencephalon include the thalamus, hypothalamus, subthalamus, and the epithalamus. + Telencephalon (2) (cerebrum)
  • Midbrain = Mesencephalon (3)
  • Hindbrain = Pons (4), Cerebellum (5), Medulla (6)
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8
Q

Lec1

What is the brainstem? What parts form it, and which part are the pyramids in?

A

the structure that connects the cerebrum of the brain to the spinal cord and cerebellum.

It is formed of MPM - the 1) mesencephalon/midbrain, 2) pons, 3) medulla (medulla oblongata).

The pyramids are in the medulla!!

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9
Q

Lec1

What is meant by “parenchyma” of the brain?

A

nervous tissue (nerve cells and glia)

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10
Q

Lec1

What are the simplest division of the CNS spaces into 3 compartments?

A

1) extraaxial - external to brain parenchyma 2) intraaxial - within the parenchyma
3) intraventricular - within the ventricular system

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11
Q

Lec1

what’s meant by “neuraxis”?

A

Imaginary line - longitudinal axis of the body along which the nervous system is arranged.

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12
Q

Lec1

Show rostral vs caudal, dorsal VS ventral, frontal pole VS occipital pole, anterior VS posterior

A
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13
Q

Lec1

What is the difference between gyrus and sulcus? And what’s the difference between white matter and grey matter? Draw an image to show all four. Most importantly: show the cell bodies!

A

Gyri = folds or bumps in the brain
Sulci = the indentations or grooves.
The grey matter = dendrites & synapses
White matter = axons

Cell body should be in the grey matter.

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14
Q

Lec1

Name some of the prominent gyri and sulci visible on the external frontal lobe.

A

Sulci:
1) The central sulcus - separates the parietal and the frontal lobe.
2) pre-central sulcus
3) The Lateral Sulcus (or Sylvian fissure) separates the temporal lobe from the parietal lobe
4) Parieto-occipital sulcus (at the back)
The frontal lobe specials:
5) superior frontal sulcus
6) inferior frontal sulcus

Gyri:

1) pre-central gyrus,
2) post-central gyrus
NOW the 3 frontal gyri:
3) superior frontal gyrus
4) medial frontal gyrus
5) inferior frontal gyrus

https://en.wikipedia.org/wiki/Inferior_frontal_gyrus#/media/File:FrontalCaptsLateral.png

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15
Q

Lec1

Show the inferior frontal gyrus and its 3 parts

A

From the front to the back: pars orbitalis, pars triangularis, pars opercularis

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16
Q

Lec1

What are the three the temporal lobe gyri from an external view?

A

Superior, middle, inferior.

https://en.wikipedia.org/wiki/Middle_temporal_gyrus

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17
Q

Lec1

What sulci can we see from a medial surface? Locate them on the picture in link once named.

A

1) Central sulcus (divides frontal and parietal lobe),

2) marginal sulcus (behind central sulcus - this is the ONE THAT GOES DEEP INSIDE) ,that extends to become the …

3) cingulate sulcus

4) parieto-occipital sulcus - bigger line of the Y, at the top, separates the occipital lobe from the rest of the brain.

5) calcarine sulcus - at the bottom

https://www.researchgate.net/figure/The-cingulate-sulcus-blue-between-yellow-and-pink-and-callosal-sulcus-dark-purple_fig4_347885443

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18
Q

Lec1

How many lobes do we have?

A

6 lobes:
frontal, temporal, parietal, occipital, insular and limbic lobes

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19
Q

Lec1

What gyrus is related to the limbic lobe? Show it on different brain views.

A
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20
Q

Lec1

What is the insula? What do we have to open to see the insula? What is the insula covered by? and what are the divisions of these?

A

Insula = a region of the brain located deep within the lateral sulcus (also known as the Sylvian fissure), between the frontal, parietal, and temporal lobes. Aka Island of Reil”. It’s deep within the lateral sulcus. Divided into anterior and posterior.

Covered by operculi.
3 Opercula: frontal, temporal and parietal.

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21
Q

Lec1

What are some 4 sulci can we see from the inferior surface?

We can also see another structure which is: an area in the basal forebrain that plays an important role with regards to the blood supply of deep grey matter structures of the brain. What is it?

A

1) H-shaped orbital sulcus: on the ventral surface of the frontal lobe. In the human it is an H-shaped complex of intersecting grooves all of which are called simply ‘orbital sulcus’

2) Olfactory sulcus

3) Collateral sulcus separating the parahippocampal gyrus and fusiform gyrus

4) lateral occipito-temporal sulcus

https://www.wikiwand.com/en/Inferior_temporal_gyrus#Media/File:TempCapts.png

It’s the anterior perforated substance

22
Q

Lec2

What are the main differences between T1 and T2 MRI - how to tell if an image is from either?

A

CSF is dark on T1-weighted imaging and bright on T2-weighted imaging.

23
Q

Lec2

Abnormal white patch on a T1-weighted MRI could be a sign of what?

A

Edema (fluid build up in tissues). A sign of ischaemia

24
Q

Lec2

Imagine we have an abnormal patch of white on a T1-weighted MRI, located on the right MRI hemisphere (and therefore on the left hemisphere of the brain), behind the precentral sulcus but on the inside of it, near the division of the hemispheres. What could this mean/lead to? And what difference would occur if it were to be just behind the central sulcus?

A

Since it’s behind the precentral gyrus, it’s probably in the somatosensory cortex. So a lack of sensation would be produced depending on which somatotopic region the edema is in. If it’s inside, maybe some tingling and numbness in the legs.

If it were to be just behind the central sulcus, it would be in the motor cortex - and there would be motor movement initiation and control. Same area? Again legs- going further deeper inside anatomically: hip, knee, toes.

25
Q

In general, a main lateralisation between the two hemispheres is what?

A

The left hemisphere is dominant for language processing, and the right for spatial reasoning

26
Q

What separates the thalamus from the hypothalamus?

A

the hypothalamic sulcus

27
Q

Where is the hindbrain? what’s its other name?

A

most of the brainstem (pons, medulla, NOT the midbrain/mesencephalon) and the cerebellum. Other name: rhomencephalon

28
Q

Where is the midbrain, what can you find inside? and what three regions can you see when you cut it cross-section wise?

A

midbrain is the top of the brainstem

Within the midbrain, there are several structures that are of particular importance, including the substantia nigra and the red nucleus, which are involved in motor control, and the superior colliculus and inferior colliculus, which are involved in processing visual and auditory information, respectively. The midbrain is also home to a cluster of neurons called the reticular formation, which is involved in regulating the level of consciousness and alertness.

Cross section will show:
- Tectum (posterior)
- Tegmentum
- Cerebral peduncles (anterior)[3]

29
Q

Lec1

What is the Kelly-Monro doctrine?

A

= the total volume of the skull is fixed, and any increase in the volume of the brain, cerebrospinal fluid, or blood must be compensated by a decrease in the volume of the other two components. It relates to the regulation of intracranial pressure, which is also relevant to hydrocephalus and herniation.

30
Q

What is hydrocephaly?

A

an abnormal buildup of cerebrospinal fluid in the brain, leading to increased intracranial pressure, which can cause damage to the brain tissue.

31
Q

Lec2

What two ways can we divide the forebrain into?

A

Into the TELENCEPHALON (hemispheres) and DIENCEPHALON (the thalamus, hypothalamus, subthalamus, and the epithalamus.)

32
Q

Lec2

What ventricles are in the forebrain?

A
  • Lateral (I, II)
  • III
33
Q

What divisions of fibres/tracts can we divide the white matter into? Name some parts of each and give examples.

A

1) Projection Fibres: connects the cortex to other parts of the CNS e.g., deep nuclei, brainstem, cerebellum or spine. E.g., CORONA RADIATA - that radiate from the internal capsule to the cortex, connecting the cerebral cortex to the rest of the brain, INTERNAL CAPSULE
2) Association Fibres: connect parts of the cortex to the other parts in the same hemisphere - THE U FIBRES. e.g., FORNIX, CINGULUM, SUPERIOR LONGITUDINAL, INFERIOR OCCIPITOFRONTAL, SUPERIOR OCCIPITOFRONTAL
3) Comissural Fibres: connect an area in one hemisphere with an area in the opposite hemisphere e.g., a) corpus callosum, b) anterior commissure c) posterior commisure d) the forceps major:
e) the forceps minor

“P.A.C”

https://doctorlib.info/anatomy/textbook-clinical-neuroanatomy/14.html

34
Q

What is the thalamic radiation?

A

Thalamic radiation are bundles of white matter (axons) connecting the thalamus to the cortex.

35
Q

lec2

What is the internal capsule? What it is, what it does, where it is and what it looks like. Draw it!!!

A
  • band of white matter (projection fibres) in the brain that contains myelinated axons
  • connects the cerebral cortex to deeper structures such as the thalamus, basal ganglia, and brainstem
  • located deep within the cerebral hemispheres, running vertically between the basal ganglia and the thalamus.
  • parts of the IC from front to back: anterior limn, genu, posterior limb
36
Q

lec2

What type of white matter is the corpus callosum, and what parts does the corpus callosum have?

A
  • Commissural fibres!
  • FOUR main parts from front to back: the rostrum, the genu, the trunk or body, and the splenium
37
Q

lec2

What type of white matter fibres are the forceps? how many types do we have and where?

A
  • commissural fibres which connect regions across the two hemispheres - its the projection/extension of the corpus callosum!
  • The forceps major: at back of brain is a white matter fiber bundle which connects the occipital lobes and crosses the midline via the splenium of the corpus callosum
  • Forceps minor: at front of brain: connects the lateral and medial surfaces of the frontal lobes and crosses the midline via the genu of the corpus callosum
    ( the “minor” and “major” refer to their distance from the “distal pole” - The brain has two main poles: the proximal pole and the distal pole. The proximal pole is located at the base of the brain and is closest to the spinal cord. The distal pole, on the other hand, is located at the top of the brain and is furthest away from the spinal cord.)
38
Q

lec2

What is the anterior commissure, and the posterior commissure? where are they?

A

They are both commissural white matter fibre bundles (connecting two hemispheres).

  • Anterior commisure: ventral part of the forebrain, near the medial temporal lobes, and contains fibers that connect the** olfactory bulbs, **amygdalae, and temporal lobes between the two hemispheres.
  • Posterior commissure, on the other hand, is located in the dorsal part of the brain, near the thalamus, and contains fibers that connect the occipital lobes and visual pathways between the two hemispheres. vision - coordinates the pupillary responses of both eyes, ensuring that they are synchronized.
39
Q

lec2

When it comes to “capsules” of white matter, do we just have the internal capsule? or is there another capsule? And why do you think we call them capsules?

A

We have the **external capsule ** between the putamen, and the claustrum.

They’re capsules because they’re WHITE around the grey!

40
Q

What serious is a WML (white matter lesion)? how does it compare to a grey matter lesion?

A

A white matter lesion can be a problem because it can disrupt the communication between different parts of the brain, leading to cognitive, motor, and sensory problems. Grey matter lesions can also cause significant problems, but they tend to affect specific regions of the brain and can have different consequences depending on the affected area.

41
Q

What region does the omega sign represent on an axial view?

A

The omega sign, is a reference for identifying the “hand” somatotopic region of the primary motor cortex in the brain.

42
Q

lec2

What are the different parts of the lateral ventricle/s? How many?

A

Imagine just one half of the two - just one ventricle
5 parts!
* Frontal horn poking out at the front!
* Body the goes behind the frontal horn
* Temporal Horn curls round, down into the temporal lobe
* Occipital Horn poking out into the back (just named occipital due to proximity to occipital lobe but actually it’s situated in the parietal lobe and temporal lobe, as well as the occipital lobe.)
* atrium: the intersection between the body, occ horn and temp horn.

43
Q

What the heck is the Foramen of Monro? How many do we have?

A
  • The hole that connects a lateral ventricle to the third ventricle.
  • because we have 2 LVs, we therefore also have 2 foramen of Monro!
44
Q

Lec2

Describe the white matter continuum (projection fibres)? from ventral to dorsal.

A

So from the spinal cord –> we start at the pyramids –> cerebral peduncles –> internal capsule –> corona radiata.

45
Q

Why is the brainstem so important? And What pathways and formations can we find in the brainstem?

A

Brainstem is the centre of life! Wakefulness, sleep, coma, vegetative centres are all there.

What’s inside:
1. The corticospinal tract: motor info from M1 –> spinal cord.
2. The spinothalamic tract carries pain, temp and crude touch info from body –> thalamus.
3. Medial Lemniscus carries fine touch info (touch, vibration, and proprioception) from the dorsal columns to the thalamus.
4. Reticular formation: bunch of nuclei that control arousal and consciousness. Damage –> coma
5. the cranial nerve nuclei loads of cell bodies & nuclei that are associated with cranial nerves. They control various functions such as eye movements and facial expressions.
6. the actual cranial nerves

46
Q

What is the CST, where are the cell bodies and decussations?

A
  • the Corticospinal tract
  • Carries info in one direction, from the primary motor cortex (M1) down to the spinal cord.
  • The decussation of the CST is at the medulla - PYRAMIDAL DECUSSATION
  • the cell body of the UPPER motor neuron that make up this tract are located in the motor cortex (M1).
  • The cell body of the lower motor neuron is in the ventral horn of the spinal cord gray matter

https://youtu.be/Ma4i6nH3qMQ

47
Q

What’s the spinothalamic tract and where is the decussation & cell bodies?

A
  • The spinothalamic tract carries sensory information, such as pain and temperature, from the body to the brain.
  • This pathway decussates in the spinal cord
  • its cell bodies are located in the dorsal root ganglia of the spinal cord.
48
Q

What is the lemniscal pathway?

A
  • Aka the dorsal column-medial lemniscus pathway.
  • sensory pathway taking “fine touch” info - tactile, proprioceptive, and vibratory - from periphery –> brain.
  • cell bodies are in dorsal root ganglia of SC
  • In the medulla, it synapses with second-order neurons, which then decussate in the brainstem and form the medial lemniscus.
  • then it goes up to the thalamus where 3rd order neurons receive the info & transmit it to the somatosensory cortex (S1) in the postcentral gyrus of the parietal lobe, where it is finally perceived as conscious touch.
49
Q

what are the 3 vertical and 3 horizontal subdivisions of the brain stem?

A
  • vertical: medulla oblongata, pons, midbrain
  • horizontal: base (cerebral peduncle, crus cerebri - where descending motor fibres - pyramidal- are), tegmentum (where ALL sensory fibres, the reticular formation, and cranial nuclei are) and the tectum (superior colliculi and inferior colliculi, tectal plate and pretectal area)
50
Q

What structure links the brainstem to the cerebellum?

A

the cerebral peduncles