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Brain stem spial cord
white matter gray
matter By SARA DILSHAD Basic Organization • I. : A. Central Nervous System (CNS)—brain and spinal cord • B. Peripheral Nervous System (PNS)—all cranial and spinal nerves and their associated roots and ganglia • Functional PNS Divisions: • A. Somatic Nervous System—a one neuron system that innervates (voluntary) skeletal muscle or somatosensory receptors of the skin, muscle & joints. • B. Autonomic Nervous System—a two neuron visceral efferent system that innervates cardiac and smooth muscle and glands. It is involuntary and has two major subdivisions: • 1) Sympathetic (thoracolumbar) • 2) Parasympathetic (craniosacral) Deep within the cerebral hemispheres • There are groups of cell bodies called nuclei (previously called ganglia) which act as relay stations where impulses are passed from one neuron to the next in a chain • Important masses of grey matter include: • basal nuclei • thalamus • hypothalamus. • Basal nuclei. These are areas of grey matter, lying deep within the cerebral hemispheres, with connections to the cerebral cortex and thalamus. • The basal nuclei form part of the extrapyramidal tracts and are thought to be involved in initiating muscle tone in slow and coordinated activities. • If control is inadequate or absent, movements are jerky, clumsy and uncoordinated • Thalamus. The thalamus consists of two masses of nerve cells and fibres situated within the cerebral hemispheres just below the corpus callosum, one on each side of the third ventricle. • Sensory input from the skin, viscera and special sense organs is transmitted to the thalamus before redistribution to the cerebrum. Hypothalamus
• The hypothalamus is composed of a
number of groups of nerve cells. • It is situated below and in front of the thalamus, immediately above the pituitarygland. • The hypothalamus is linked to the posterior lobe of the pituitary gland by nerve fibres and to the anterior lobe by a complex system of blood vessels. • Through these connections, the hypothalamus controls the output of hormones from both lobes of the gland. Functions of Hypothalamus • The autonomic nervous system appetite and satiety thirst and water balance body temperature emotional reactions, e.g. pleasure, fear, rage sexual behaviour including mating and child rearing biological clocks or circadianrhythms, e.g. sleeping and waking cycles, body temperature and secretion of some hormones Brain stem • Midbrain The midbrain is the area of the brain situated around the cerebral aqueduct between the cerebrum above and the pons below. • It consists of groups of cell bodies and nerve fibres (tracts) which connect the cerebrum with lower parts of the brain and with the spinal cord. • The cell bodies act as relay stations for the ascending and descending nerve fibres Pons • The pons is situated in front of the cerebellum, below the midbrain and above the medulla oblongata. • It consists mainly of nerve fibres which form a bridge between the two hemispheres of the cerebellum, and of fibres passing between the higher levels of the brain and the spinal cord. • There are groups of cells within the pons which act as relay stations and some of these are associated with the cranial nerves. The anatomical structure of the pons differs from that of the cerebrum in that the cell bodies (grey matter) lie deeply and the nerve fibres are on the surface Medullaoblongata • The medulla oblongata extends from the pons above and is continuous with the spinal cord below. • It is about 2.5 cm long and it lies just within the cranium above the foramen magnum. Its anterior and posterior surfaces are marked by central fissures. • The outer aspect is composed of white matter which passes between the brain and the spinal cord, and grey matter lies centrally. • Some cells constitute relay stations for sensory nerves passing from the spinal cord to the cerebrum. • The vital centres, consisting of groups of cells associated with autonomic reflex activity, lie in its deeper structure. These are the: • cardiac centre • respiratory centre • vasomotor centre • reflex centres ofvomiting, coughing, sneezing White and Gray Matter • The brain and the spinal cord contain gray matter and white matter. The gray matter of the CNS consists of neurons, their dendrites, and the supportive cells called neuroglia. • This region represents the site of connections or synapses between a multitude of neurons and dendrites. Gray matter covers the surface of the brain (cerebrum) and cerebellum. The size, shape, and mode of branching of these neurons are highly variable and depend on which region of the CNS is examined. White matter in the CNS is devoid of neuronal cell bodies and consists primarily of myelinated axons, some unmyelinated axons, and the supportive neuroglial oligodendrocytes. The myelin sheaths around the axons impart a white color to this region of the CNS. The Spinal cord • Location The spinal cord is the most important content of the vertebral canal. The upper end of the spinal cord becomes continuous with the medulla oblongata. The lowest part of the spinal cord is conical and is called the conus medullaris. The conus is continuous, below, with a fibrous cord called the filum terminale (modification of pia mater It is continuous above with the medulla oblongata and extends from the upper border of the atlas to the lower border of the 1st lumbar vertebra
It is approximately 45 cm long in an adult
• sensory nerves from organs and tissues enter and pass upwards in the spinal cord to the brain. • spinal reflexes some activities of the spinal cord are independent of the brain, i.e. Structure of spinal cord • The spinal cord is incompletely divided into two equal parts, anteriorly by a short, shallow median fissure posteriorly by a deep narrow septum, the posterior median septum. the grey matter of the spinal cord forms an Hshaped mass it is composed of grey matter in the centre surrounded by white matter supported by neuroglia • Grey matter of spinal cord • In each half of the cord the grey matter is divisible into a larger ventral mass, the anterior (or ventral) grey column • and a narrow elongated posterior (or dorsal) grey column. • lateral projection of grey matter is seen between the ventral and dorsal grey columns. This is the lateral grey column. • The greymatter of the right and left halves of the spinal cord is connected across the middle line by the grey commissure that is traversed by the central canal. T • he central canal of the spinal cord contains cerebrospinal fluid. The canal is lined by ependyma The white matter of the spinal cord • is divided into right and left halves, in front by a deep anterior median fissure, and behind by the posterior median septum. In each half of the cord the white matter medial to the dorsal grey column forms the posterior funiculus (or posterior white column). The white matter medial and ventral to the anterior grey column forms the anterior funiculus (or anterior white column), while the white matter lateral to the anterior nd posterior grey columns forms the lateral funiculus • Th e white matter of the right and left halves of the spinal cord is continuous across the middle line through the ventral white commissure which lies anterior to the grey commissure. • Th e white matter contains tracts (ascending or descending) that connect grey matter at different levels of the spinal cord. Some tracts ascend into (or descend from) the brainstem, the cerebellum or the cerebral cortex. PNS • This part of the nervous system consists of: • 31 pairs of spinal nerves • 12 pairs of cranial nerves • the autonomic part ofthenervous system. • Most of the nerves of the peripheral nervous system are composed of sensory nerve fibres conveying afferent impulses from sensory end organs to the brain • Motor nerve fibres conveying efferent impulses from the brain through the spinal cord to the effector organs, e.g. skeletal muscles, smooth muscle and glands. Each nerve consists of numerous nerve fibres collected into bundles • Each bundle has several coverings of protective connective tissue • Endoneurium is a delicate tissue, surrounding each individual fibre, which is continuous with the septa that pass inwards from the perineurium. • Perineurium is a smooth connective tissue, surrounding each bundle of fibres. • Epineurium is the fibrous tissue which surroundsand encloses a number of bundles of nerve fibres. Most large nerves are covered by epineurium