WEEK 3 LECTURE + TUTORIAL Flashcards

SUPPORTING THE BRAIN (32 cards)

1
Q

Meninges

A

Tough connective tissue which covers the CNS and some of the PNS
Prevents brain displacement
Impermeable to fluid, stops CSF leakage

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2
Q

Dura Matter

A

Outer layer, thick, tough and flexible

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3
Q

Arachnoid membrane

A

Middle layer, located between the dura matter and pia matter, soft and spongey

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4
Q

Pia Matter

A

Clings to the surface of the brain and spinal cord, thin delicate
-smaller surface blood vessels found here

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5
Q

Subarachnoid Matter

A

Fluid-filled space between arachnoid membrane and pia matter, cushions the brain

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6
Q

CNS + Meninges

A

Covered by three layers of meninges
Dura matter, arachnoid membrane and pia matter

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7
Q

PNS + Meninges

A

two layer fuse
Dura and Pia matter fuse
sheath protects spinal and cranial nerves and the autonomic ganglia
Arachnoid membrane not present

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8
Q

Ventricular System

A

-Ventricles: Hollow spaces within the brain, filled with cerebrospinal fluid
-CSF: clear fluid, similar to blood plasma
-Brain floats in a pool of CSF

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9
Q

Four ventricles

A

-Lateral Ventricles: sited in the centre of the telencephalon
-3rd ventricle: sited at the midline of the centre of the diencephalon
-Cerebral Aqueduct: Long tube in mesencephalon connects 3rd and 4th ventricles
-4th ventricle: found between the cerebellum and pons

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10
Q

Two main functions of Ventricles

A
  1. Production and flow of CSF
  2. Protection of the CNS and maintenance

*CSF produced by tissue inside ventricle walls called chloride plexus, filters CSF from blood plasma

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11
Q

Cerebrospinal Fluid/ CSF

A
  • Extracted from blood
    -Contains ions, water, protein and glucose
    -Produced constantly from choroid plexus
  • Total volume of CSF is -125ml
    -Takes 3 hrs for half of CSF to be replaced
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12
Q

CSF Flow

A
  • Produced by the choroid plexus of lateral ventricles
    -Flows to 3rd ventricle where more is produced
    -Flows through cerebral aqueduct to 4th ventricle
    -Leaves ventricles to flow into subarachnoid space around CNS- where it is reabsorbed into bloodstream through arachnoid granulations
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13
Q

CSF Vital Functions

A

-Protection (reduces shock caused by sudden head movement)
-Buoyancy (reduces the weight on the base of the brain, allowing floating)
-Waste Reduction (Provides immunological protection to the brain, removes harmful chemicals
-Transport (Transports hormones through the brain)

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14
Q

Too much CSF issues / Hydrocephalus

A

-Leads to ventricular dilation
Classified into two types:
1. Obstructive hydrocephalus
2. Communicating hydrocephalus

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15
Q

Amyotrophic lateral sclerosis (ALS) : Lou Gehrig’s disease

A
  • Most common form of motor neuron disease
    -Attacks nerve cells
    -Loses all voluntary muscle control
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16
Q

Glia

A
  • Supporting cells for the NS
  • Several types:
    1. Astrocytes
    2. Microglia
    3.Oligodendrocytes
    4.Schwann Cells
17
Q

Astrocytes

A
  • Physical support, neuron glue
    -Nourish neurons, wrap blood vessels to receive, store and release nutrients
    -Helps control chemical composition of extracellular fluid
    -Surround and isolate synapse which helps limit the dispersion of neurotransmitters that are released during a synapse by the terminal buttons
    -Known as the ‘star cell’
    -Phagocytosis (engulf) clean up debris in the brain
18
Q

Microglia

A
  • Smallest glial cells
    -Phagocytes
    -Representative of immune system in the brain
    -Responsible for inflammatory reaction in response to brain damage
    -Thought to have a role in Neurodegenerative disorders
19
Q

Oligodendrocytes + Schwann cells

A
  • Oli = CNS
  • Schwann = PNS
    -Contains fatty tissue called myelin that wraps around neuron axons
    Forms insulating coating: Myelin Sheath
    Schwann = Wrap individual axons
    Oli = Wrap several axons
20
Q

Basic Blood Functions

A
  1. Blood brings materials necessary for the brain to function
    -oxygen, nutrients hormones
  2. Blood removes materials from the brain
    -Carbon dioxide
    -Lactate
    -Hormones
    -Ammonia
    -
    *Helps maintain homeostasis
21
Q

Blood Brain Barrier (BBB)

A
  • Semi-permeable barrier between blood and the brain
    -Capillaries are lined with endothelial cells, small spaces exist between each endothelial cell so substances can move across capillary walls
22
Q

BBB main functions

A
  1. Protects the brain from ‘foreign substances’ in blood which may injure the brain
  2. Protects the brain from hormones and neurotransmitters in the rest of the body
  3. Maintains a constant environment for the brain
23
Q

Substances and BBB

A
  • lipid soluble molecules can penetrate through BBB relatively easily via lipid membranes of cells
    -Water soluble molecules can only use specialised carrier-mediated transport mechanisms
    -Active transport allows some substances to move across capillary walls
    -Barrier is weak in some areas
24
Q

Meningitis Symptoms

A
  • Inflammation of the meninges, neck stiffness, fever, confusion, altered mental status, headaches, nausea, sepsis, cold hands and feet, red rash, breathing faster than usual
25
Meningitis testing
Spinal tap Result: Cloudy CSF
26
Meningitis causes
- Bacterial meningitis is rarer but more serious than viral meningitis, caused by fungi and parasitic infections
27
Prevention/ Treatment
- Vaccination -Antibiotics -Antiviral/ Antifungal medication -Social distancing
28
CSF Leak Symptoms
Intracranial hypotension, postural headache, loss of smell, blurred vision, hearing loss, neck pain
29
CSF Leak Testing
CT Scan, MRI scan , Cisternogram
30
CSF LEAK causes
90% due to injury 10% spontaneous
31
Prevention and Treatment
- Non-prevention, unpredictable -Rest
32
Cisternogram
- A diagnostic test to evaluate how CSF flows around your brain or spine - Requires a lumbar puncture to inject radioactive material into the spine