-Ensherah Mokheemer. -Amani Nofal. -Loai Alzghoul

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-1 -Ensherah Mokheemer -Amani Nofal -Loai Alzghoul 1 P a g e

Today we will start talking about the physiology of the nervous system and we will mainly focus on the Central Nervous System. Introduction: The nervous system is composed of the central nervous system and the peripheral nervous system: -The function of the peripheral nervous system is to detect and transfer information from the environment and the peripheral part of the body to the central nervous system and return orders back from the central nervous system to the periphery, leading to an output which is usually either a motor movement or secretory from glands. - Part of the peripheral nervous system is embedded in the lining of the gastrointestinal system called the enteric nervous system and it is capable of acting independently of the sympathetic and parasympathetic nervous systems, although it may be influenced by them, it is also called the second brain. It contains neuronal cell bodies and can make its own decisions. sometimes we divide the nervous system into central, peripheral and enteric. so, the function of peripheral 2 P a g e

nervous system without enteric system is only to detect and conduct the information. - The function of the central nervous system is to receive, process information, get an output from them and make a decision. The central nervous system: The central nervous system is divided into 3 levels; according to the type of information it processes and the type of output it can produce: 1- The spinal cord: in the vertebral column. 2- Brain stem and sub cortical 3- Cerebral cortex: also called neocerebralcortex it is a 4-5 cm layer covering the brain. Let s start talking about each one of them in detail: The spinal cord level: - Since the spinal cord is part of the central nervous system it is more than just a conduit for signals from periphery of body to brain and vice versa, it has a role in the processing and making decisions. - All the sensations that come from the body pass through the spinal cord, which initially processes these information, including segregating the information, or modifying them, intensifying some and blocking others. - The spinal cord has certain outputs called quick spinal reflexes, from its name we can conclude that they are fast responses; most sensory neurons do not pass directly into the brain, but synapse in the spinal cord. This allows for faster reflex actions to occur by activating spinal motor neurons without the delay of routing signals through the brain. The spinal cord cannot only do simple reflexes but also can do complex reflexes by the motor action of more than one muscle in same time to give one function. However, the brain will receive the sensory input while the reflex is being carried out and the analysis of the signal takes place after the reflex action. The brain stem and Subcortex: 3 P a g e

- The brain stem has 3 parts: Midbrain (mesencephalon), Pons, medulla oblongata. - The subcortex consists of many divisions: basal ganglia, limbic system, cerebellum, diencephalon*. *The diencephalon is the region of the brain that includes the thalamus, hypothalamus, epithalamus, prethalamus or subthalamus and pretectum. - Its function is Controlling unconscious and involuntary body activities: mainly regulating the internal environment and trying to keep homeostasis (arterial pressure, respiration, equilibrium, balance, feeding reflexes hunger, emotional patterns), by being responsible for the internal reflexes, like cough reflex. Examples: The hypothalamus regulates the internal environment of the body. The cardiac centres in the medulla oblongata regulates the heart rate. The respiratory centres are in the medulla oblongata and pons, in the brainstem. Cerebral cortex: - As we said before the cerebral cortex is a small thin layer of neural tissue covering the brain. - It is called the higher brain and it is responsible for conscious and voluntary body activities, higher order functions: language,thoughts and personality. 4 P a g e

What is the difference between conscious and voluntary? Voluntary actions: when you give and order and there is an output (movement) for example moving your hand by your own will. Conscious awareness: when you are aware of the things happening.for example thinking Emotions are conscious for example if you are sad, you become aware that you are sad but not voluntary, so why did we say previously that it is controlled by subcortex? Everything happening even if it was involuntary or a reflex must be reported to the cerebral cortex since it is the higher brain (The big boss), so in case of emotions, the subcortex initiates the emotion patterns (sad face or tears), but it also sends signals to the cortex to become aware of the emotion. Notice that the emotion was started and controlled by the subcortex that s why we said that the subcortex regulates emotions, the cortex only becomes aware of it. Another example regarding the conscious awareness: when you put your hand on a hot surface you get a quick spinal reflex but also you are aware of that reflex because the spinal cord warned the cortex about these reflexes and the cortex became aware of them. - Cortex cannot process the information without the presence of a previous experiences and memory of that information. From that we can conclude another function of the cortex Large memory storehouse. - Processing and memory are the two sides of the same coin and they can't be separated from each other we won't have processing without memory, also there is no benefit of memory without processing. In the case of loss of function of certain part in cortex we can t determine if it as result of loss of memory or processing power. - The cortex is divided into many lobes, all of the lobes store memory related to the type of information it processes. for example, a certain lobe processes the visual information, so the visual memories will be stored in that lobe. - Remember that the cortex is the highest brain (the Big boss) and so it controls everything below, it can control the sub cortex and the spinal cord, for example it can inhibit the spinal reflexes. An 5 P a g e

example: in the hospital when you want to inject a patient with a needle, if you do not warn the patient, as soon as you put the needle in his arm he will give you quick reflex, but when you previously warn him despite the pain caused by the needle he will not respond. Also, cortex can inhibit and control the sub cortex as in case of change the emotion and as in those individuals that train themselves to stay under water for 3 minutes without breathing. Neurons: - neurons are the basic unit of the nervous system, they are excitable cells and are composed of 4 parts: 1+2) Dendrites and cell body: receive and process information. ** remember that there are 2 types of membrane changes: 1) action potentials which occur in the axon. 2) graded potential: Which are in the cell bodies and dendrites. Graded potential: they are changes in the membrane potential. Cell body and dendrites receive hundreds of graded potentials, each one of them is different in their value, some are excitatory (+), and the others are inhibitory (-), and the result of their summation will either result into an action potential or not (anything that is not an action potential is a graded potential). and they are of 2 types: a) Excitatory postsynaptic potential (EPSP) b) Inhibitory postsynaptic potential (IPSP) They have different characteristic from action potential: as opposed to being all-or-none (like action potential). They arise from the summation of the individual actions of ligandgated ion channel proteins, and decay over time and distance. 6 P a g e

The EPSP and IPSP potentials sum together, and if the voltage reaches the threshold potential, an action potential occurs in that cell. If we talk about computers (processors), they work by the binary code system which is 0 1; 0 means no electricity and 1 means there is electricity. Neurons works in a very similar matter. The neurons receive millions of information and a lot of impulses some are excitatory, and others are inhibitory, some are close and have a great effect and others are far and have small effect, eventually they will sum either producing an action potential (1) or not (0), and that s why we get different processing for each signal. Also, the neurons are more complex than computer they can determine the frequency of action potential, they can produce one action potential in one minute or ten, 100,.. 3) Axon: generates and conducts action potentials. 4) Axon terminals: a long, slender projection of a nerve cell, or neuron, that conducts electrical impulses called action potentials away from the neuron's cell body, in order to transmit those impulses to other neurons, muscle cells or glands. Synapse: also called neuronal junction, the site of transmission of electric nerve impulses between two nerve cells (neurons) or between a neuron and a gland or muscle cell (effector). The most common type of synapse in neurons is chemical synapse: Certain chemicals called neurotransmitters will be released from axon terminals of one cell and bind to receptors on the other cell transmitting the signal. Synapses are crucial for processing. Neural pathways: A neural pathway is the connection formed by axons (fastest route) that project from neurons to make synapses onto neurons in another location, to enable a signal to be sent from one region of the nervous system to another. 7 P a g e

For example: Pain pathway starts from the pain receptors on the body till we reach the final destination. Pathways are not formed by one neuron and one axon, it is usually connected by a bundle of axons called neural tract, and the neurons are parallel to each other, one neuron passes the information to the other, the importance of this is in processing of the information along the way. If the signal isn t for this part of CNS it will pass without processing but if this part of CNS makes processing of this signal the axon will stop to make synapse with other cell for processing, then the action will be transferred to the other. *The cortex has complex pathways since it contains most of the synapses. Types of neurons 1- Unipolar (pseudo polar): mainly in the peripheral nervous system especially the sensory part, because the function of the peripheral nervous system is to receive information and transmit them without processing. 2- Bipolar: they are capable of processing but not complex processing, one input and one output. It is present in limited places in the central nervous system, the most common example is the first order neuron in most special sensations pathways (e.g. Smelling). Special sensations need complex processing, and that s why it needs a lot of neurons *synapses*that can process in its pathway, we can find 6-7 neurons in a single pathway as in case of hearing and vision, and the first neuron is bipolar 8 P a g e

because it has some*simple* processing ability alongside with conducting the information while unipolar only conducts with no processing. Note : more complex information(sensation) needs more complex processing and larger number of synapses. 3- Multipolar: the most abundant type of neurons in the nervous system, it has a complex tree of dendrites attached to the cell body. Multipolar cells have different shapes and types, each type perform different type of processing according to the shape of the dendritic tree and its distribution. *In the cortex there is also special shape of neurons-27 different types (pyramidal, spiny, chandelier) each one of them performs different processing different shape =different processing. Action potential: - Action potentials are electrical signals, it is composed of series of events in which special types of voltage gated sodium channels open allowing sodium to enter (depolarization) then the closure of these channels and the opening of voltage gated potassium channels (repolarization). - It follows the ALL OR NONE principle. - The threshold differs from one cell to another, threshold potential is the critical level to which a membrane potential must be depolarized to initiate an action potential. If cell its own voltage gated sodium channel open in -20 then the threshold is -20 and so on. - The peak also differs from one cell to another but usually constant in the cell itself. 9 P a g e

- The after hyperpolarization is responsible for the relative refractory period, not all cells have after hyperpolarization, and it differs in size and duration from one cell to another. - We can conclude that the diversity of processing is a consequence of having neurons with different dendritic tress shape and different action potential patterns. - Usually there are specific characteristic for each action potential: 1- The value of the threshold. 2- The peak 3- The presence or absence of after hyperpolarizing and its depth. 4- The width The most 2 important characteristics are the width and the presence or absence of the relative refractory period-> because they determine the frequency of the output. For example, a cell with no after hyperpolarizing will have different frequency of outputs from the same cell in the presence of after hyperpolarizing. Different cells have different shapes of action potentials. - In the figure below: B has no after hyperpolarization period A has narrower width than B C has lower peak with no after hyperpolarization 10 P a g e

D is very wide with big after hyperpolarizing period, also it is found in certain neurons in the brainstem. *the END* 11 P a g e