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Anatomy and Physiology, Seventh Edition Rod R. Seeley Idaho State University Trent D. Stephens Idaho State University Philip Tate Phoenix College Chapter 13 Lecture Outline * *See PowerPoint Image Slides for all figures and tables pre-inserted into PowerPoint without notes. Copyright The McGraw-Hill Companies, Inc. Permission required for reproduction or display. 13-1 Chapter 13 Brain and Cranial Nerves 13-2 1

Brain and Cranial Nerves Brain Part of CNS contained in cranial cavity Control center for many of body s functions Much like a complex computer but more Parts of the brain Brainstem: connects spinal cord to brain; integration of reflexes necessary for survival Cerebellum: involved in control of locomotion, balance, posture Diencephalon: thalamus, subthalamus, epithalamus, hypothalamus Cerebrum: conscious thought, control Cranial nerves: part of PNS arise directly from brain. Two pairs arise from cerebrum; ten pairs arise from brainstem 13-3 Sagittal Section of Brain 13-4 2

13-5 Brainstem and Diencephalon 13-6 3

Brainstem: Medulla Oblongata Most inferior part Continuous with spinal cord; has both ascending and descending nerve tracts Discrete nuclei in internal gray matter Regulates: heart rate, blood vessel diameter, respiration, swallowing, vomiting, hiccupping, coughing, and sneezing Pyramids: descending nerve tracts on the anterior surface. Inferiorly fibers decussate; thus each half of the brain controls the opposite half of the body Olives: rounded; protrude from anterior surface. Nuclei within help regulate balance, coordination, modulation of sound from inner ear Nuclei of cranial nerves V, IX-XII 13-7 Brainstem: Pons Superior to the medulla oblongata Fiber tracts: ascending and descending Nuclei Pontine: anterior portion, relay between cerebrum and cerebellum For cranial nerves V-IX: posterior portion Sleep center Respiratory center coordinates with center in medulla 13-8 4

Brainstem: Midbrain Also called mesencephalon Small and superior to pons Nuclei Of cranial nerves III-V Tectum: four nuclei that form mounds on dorsal surface of midbrain. Corpora quadrigemina Each separate part is a colliculus Two superior colliculi involved in visual reflexes; receive information from inferior colliculi, eyes, skin, cerebrum Two inferior colliculi involved in hearing Red nuclei of tegmentum: aid in unconscious regulation and coordination of motor activities Substantia nigra: pigmented with melanin; interconnected with basal nuclei of the cerebrum Tracts Tegmentum: ascending tracts such as spinal and medial lemniscus from spinal cord to brain Descending: cerebral peduncles from cerebrum through brainstem to spinal cord 13-9 Oblique Section Through Midbrain 13-10 5

Reticular Formation Group of nuclei scattered throughout brainstem Controls cyclic activities such as sleepwake cycle 13-11 Cerebellum Attached to brainstem posterior to pons Cerebellar peduncles: fiber tracts that communicate with other parts of brain Superior: to midbrain Middle: to pons Inferior: to medulla oblongata Gray cortex and nuclei with white matter (tracts) between Cortex folded in ridges called folia; white matter resembles a tree (arbor vitae) 13-12 6

Purkinje Cells in Cerebral Cortex Purkinje cells: largest in CNS. Receive 200,000 synapses, are inhibitory, only cerebellar cortex neurons sending axons to cerebellar nuclei Cortex has 10 12 neurons; more than cerebral cortex 13-13 Cerebellar Functions Flocculonodular lobe: balance and eye movements Vermis and medial portion of hemispheres: posture, locomotion, fine motor coordination leading to smooth, flowing movements Lateral hemispheres, major portion: works with cerebrum to plan, practice, learn complex movements 13-14 7

Diencephalon Located between brainstem and cerebrum Components: thalamus, subthalamus, epithalamus, hypothalamus 13-15 Thalamus Two lateral portions connected by the intermediate mass Surrounded by third ventricle Sensory information from spinal cord synapses here before projecting to cerebrum Medial geniculate nucleus: auditory information Lateral geniculate nucleus: visual information Ventral posterior nucleus: most other types sensory information Motor function: ventral anterior and ventral lateral nuclei Mood modification: anterior and medial nuclei connected to limbic system Emotion regulation: lateral dorsal nucleus Sensory integration: lateral posterior and pulvinar nuclei 13-16 8

Subthalamus Involved in controlling motor function Contains subthalamic nuclei, parts of red nuclei and substantia nigra. Several ascending and descending nerve tracts 13-17 Epithalamus Pineal gland: (hypothetically) causes sleepiness, helps regulate biological clock, may play a role in onset of puberty Habenular nucleus: emotional and visceral responses to odors 13-18 9

Hypothalamus Most inferior portion of diencephalon Mammilary bodies: bulges on ventral surface; olfactory reflexes and emotional responses to odors Infundibulum: stalk extending from floor; connects hypothalamus to posterior pituitary gland. Controls endocrine system. Receives input from viscera, taste receptors, limbic system, nipples, external genitalia, prefrontal cortex Efferent fibers to brainstem, spinal cord (autonomic system), through infundibulum to posterior pituitary, and to cranial nerves controlling swallowing and shivering Important in regulation of mood, emotion, sexual pleasure, satiation, rage, and fear 13-19 13-20 10

Cerebrum Largest portion of brain Composed of right and left hemispheres each of which has the following lobes: frontal, parietal, occipital, temporal, insula Sulci and Fissures Longitudinal fissure: separates the two hemispheres Lateral fissure: separates temporal lobe from frontal and parietal lobes Central sulcus: separates frontal and parietal lobes Cortex: outer surface Gyri are folds Sulci are depressions Medulla: center Nuclei: gray matter within the medulla 13-21 Cerebrum, cont. Central sulcus: between the precentral gyrus (primary motor cortex) and postcentral gyrus (primary somatic sensory cortex) Frontal lobe: voluntary motor function, motivation, aggression, sense of smell, mood Parietal lobe: reception and evaluation of sensory information except smell, hearing, and vision Occipital lobe: reception and integration of visual input Temporal lobe: reception and evaluation for smell and hearing; memory, abstract thought, judgment. Insula is within. 13-22 11

Cerebral Medulla White matter between the cortex and nuclei Association fibers: connections within the same hemisphere Commissural fibers: connect one hemisphere to the other Projection fibers: tracts between the cerebrum and other parts of the brain and spinal cord 13-23 Basal Nuclei (Basal Ganglia) Found in the cerebrum, diencephalon, and midbrain Motor function control The nuclei in the cerebrum (caudate and lentiform) are called the corpus striatum 13-24 12

Limbic System Part of cerebrum and diencephalon Basic survival functions such as memory, reproduction, nutrition Emotions In cerebrum: cingulate gyrus and hippocampus Various nuclei of the thalamus Part of the basal nuclei, hypothalamus, olfactory cortex, fornix 13-25 Meninges Connective tissue membranes Dura mater: superficial Arachnoid mater Pia mater: bound tightly to brain Spaces Subdural: serous fluid Subarachnoid: CSF 13-26 13

Dura Mater Superficial, tightly bound to internal periosteum except: Falx cerebri in longitudinal fissure between the two cerebral hemispheres Tentorium cerebelli between Cerebellum and cerebrum Falx cerebelli between the two cerebellar hemispheres. Venous sinuses form at the bases of the three folds. 13-27 Arachnoid Mater; Subdural Space Thin, wispy layer Subdural space: between dura and arachnoid; only a small amount of serous fluid within 13-28 14

Pia Mater and Subarachnoid Space Pia mater: thin, delicate C.T. membrane closely adhered to brain; follows external contours. Subarachnoid space: contains web-like strands of arachnoid, blood vessels, and cerebrospinal fluid. 13-29 Lateral ventricles: within cerebral hemispheres; separated by septa pellucida Third ventricle: within diencephalon Interventricular foramina join lateral ventricles with third Fourth ventricle: associated with pons and medulla oblongata. Connected to third ventricle by the cerebral aqueduct, continuous with the spinal cord, and connected to the subarachnoid space by the lateral and medial apertures Ventricles 13-30 15

Cerebrospinal Fluid (CSF) Similar to serum, but most protein removed Bathes brain and spinal cord Protective cushion around CNS Choroid plexuses produce CSF which fills ventricles and other parts of brain and spinal cord Composed of ependymal cells, their support tissue, and associated blood vessels Blood-cerebrospinal fluid barrier Endothelial cells of capillaries attached by tight junctions Substances do not pass between cells Substances must pass through cells Makes the barrier very selective 13-31 Flow of CSF 13-32 16

Brain Blood Supply Brain Requires a tremendous amount of blood Receives 15-20% of blood pumped by heart Interruption can cause unconsciousness and irreversible brain damage High metabolic rate; dependent upon constant supply of oxygen and glucose Receives blood through arteries: internal carotids and vertebral arteries. The vertebral arteries join to form the basilar artery. Carotids plus basilar form the cerebral arterial circle (Circle of Willis). Blood-brain barrier Capillary endothelial cells along with astrocytes and basement membrane To be considered when developing drugs 13-33 Arteries of the Brain 13-34 17

Blood-Brain Barrier Endothelial cells (lining all capillaries) have tight junctions between them. Astrocytes have foot processes that influence capillary permeability. Basement membrane of endothelium. These three taken together: Lipid-soluble substances pass through by diffusion: nicotine, ethanol, heroin Water soluble substances move through by mediated transport: amino acids, glucose. 13-35 Cranial Nerves Indicated by Roman numerals I-XII from anterior to posterior Names May have one or more of three functions Sensory (special or general) Somatic motor: control of skeletal muscles) Parasympathetic (regulation of glands, smooth muscles, cardiac muscle) 13-36 18

13-37 13-38 19

13-39 13-40 20

13-41 13-42 21

13-43 13-44 22

13-45 13-46 23

13-47 13-48 24

13-49 Cranial Nerve Reflexes X (Vagus): reflexes having to do with heart rate, blood pressure, and respiration Reflexes involving both cranial nerves and brainstem: Turning the eyes toward sudden noise, touch on skin, flash of light Eyes tracking a moving object. Reflex using VIII, V, and VII to contract muscles associated with middle ear that protect ear ossicles Chewing reactions to textures of food, movement of tongue pushing food under tooth-row and out of harm's way 13-50 25