Nervensystem Grundlagen Quiz
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Questions and Answers

Which of the following statements about nerve structure is correct?

  • All nerves are surrounded by a protective sheath of epineurium. (correct)
  • Nerve fibers are exclusively made of myelinated axons.
  • Nerves contain both sensory and motor fibers. (correct)
  • Nerves are capable of regenerating only in the central nervous system.
  • Which type of nerve primarily carries sensory information to the central nervous system?

  • Ambulatory nerves
  • Sensory nerves (correct)
  • Motor nerves
  • Autonomic nerves
  • Which of these structures is not part of the peripheral nervous system?

  • Cranial nerves
  • Brain (correct)
  • Spinal nerves
  • Ganglia
  • What is the primary function of myelin in nerve fibers?

    <p>To increase signal transmission speed (C)</p> Signup and view all the answers

    In what way do motor nerves differ from sensory nerves?

    <p>Motor nerves connect the brain to muscles. (A)</p> Signup and view all the answers

    What is the primary function of the ramus posterior of the 2nd cervical spinal nerve?

    <p>Supply skin of the occipital region (A)</p> Signup and view all the answers

    Which nerve roots form the ansa cervicalis?

    <p>Rami anteriores of the 1st and 2nd cervical spinal nerves (D)</p> Signup and view all the answers

    Which of the following regions do nn. clunium superiores supply?

    <p>Skin of the upper gluteal region (A)</p> Signup and view all the answers

    What type of branches does the plexus cervicalis consist of?

    <p>Motor, sensory, and mixed branches (D)</p> Signup and view all the answers

    Which muscle does the rr. musculares supply?

    <p>Muscles of the neck (B)</p> Signup and view all the answers

    What is the function of nn. clunium medii?

    <p>Supply the skin of the lower part of the gluteal region (B)</p> Signup and view all the answers

    Which plexus is formed by the anterior branches of the upper four cervical spinal nerves?

    <p>Plexus cervicalis (C)</p> Signup and view all the answers

    How does metamerity manifest in spinal nerves?

    <p>Primarily in thoracic spinal nerves (C)</p> Signup and view all the answers

    What condition may occur due to pressure or irritation of the n.medianus in the carpal tunnel?

    <p>Carpal tunnel syndrome (B)</p> Signup and view all the answers

    What is the correct path of the n.medianus through the arm before reaching the palm?

    <p>Runs between m.flexor digitorum superficialis et profundus, then through the carpal tunnel (C)</p> Signup and view all the answers

    Which muscles are primarily supplied by the 1st n.digitalis palmaris communis?

    <p>1st and 2nd mm.lumbricales and muscles of the thenar compartment (B)</p> Signup and view all the answers

    How many nn.digitales palmares proprii does the n.medianus divide into from the 3 nn.digitales palmares communes?

    <p>7 (B)</p> Signup and view all the answers

    What portion of the arm does n.medianus primarily descend along?

    <p>Sulcus bicipitalis medialis (B)</p> Signup and view all the answers

    What does the rr.articulares of n.medianus supply?

    <p>Art.cubiti and art.radiocarpalis (C)</p> Signup and view all the answers

    Which layer of the anterior group of musculi antebrachii is supplied by the n.interosseus antebrachii anterior?

    <p>Deep layer (D)</p> Signup and view all the answers

    Which structures does the n.medianus provide sensory innervation to?

    <p>Skin over the thumb, index, middle, and radial side of the ring finger (B)</p> Signup and view all the answers

    What is the primary function of the n.cutaneus femoris posterior?

    <p>Supply skin of the posterior thigh and fossa poplitea (B)</p> Signup and view all the answers

    Where does the n.ischiadicus primarily run after exiting the pelvic cavity?

    <p>Below the m.gluteus maximus (A)</p> Signup and view all the answers

    Which muscles does the n.ischiadicus provide innervation to through its side branches in the thigh?

    <p>Hamstring muscles and adductor magnus (D)</p> Signup and view all the answers

    What is the fate of n.tibialis at the lower part of the crus?

    <p>Divides into n.plantaris medialis and n.plantaris lateralis (B)</p> Signup and view all the answers

    Which nerve supplies the skin of the heel and arises above the ankle joint?

    <p>rr.calcanei mediales (D)</p> Signup and view all the answers

    What structure does the n.fibularis communis help form at the lower third of the crus?

    <p>n.suralis (B)</p> Signup and view all the answers

    Which nerve gives off nn.clunium inferiores to supply the skin at the lower part of the gluteal region?

    <p>n.cutaneus femoris posterior (D)</p> Signup and view all the answers

    What is the diameter of the n.ischiadicus?

    <p>2 cm (D)</p> Signup and view all the answers

    What is the primary function of the n.saphenus nerve?

    <p>Supplies skin of the medial side of the crus and foot (B)</p> Signup and view all the answers

    Which muscles are innervated by the r.anterior branch of the n.obturatorius?

    <p>m.pectineus, m.adductor brevis, m.adductor longus, m.gracilis (A)</p> Signup and view all the answers

    What is the role of the n.genitofemoralis in males?

    <p>Enters canalis inguinalis to supply funiculus spermaticus (D)</p> Signup and view all the answers

    Which of the following structures does not receive innervation from the plexus sacralis?

    <p>m.sartorius (B)</p> Signup and view all the answers

    Which nerve supplies the gluteus maximus muscle?

    <p>n.gluteus inferior (A)</p> Signup and view all the answers

    What is the anatomical position of the plexus sacralis?

    <p>On m.piriformis, covered by fascia (D)</p> Signup and view all the answers

    Which of the following nerves supplies the skin of the perineum?

    <p>n.pudendus (D)</p> Signup and view all the answers

    What does the r.femoralis branch of n.genitofemoralis innervate?

    <p>Skin over trigonum femorale (A)</p> Signup and view all the answers

    What does the n.suralis primarily supply?

    <p>Skin of the heel and lateral margin of the foot (A)</p> Signup and view all the answers

    Which nerve supplies the first and second lumbrical muscles?

    <p>N.plantaris medialis (A)</p> Signup and view all the answers

    The terminal branches of n.fibularis communis are?

    <p>N.fibularis superficialis and n.fibularis profundus (C)</p> Signup and view all the answers

    What area does n.fibularis superficialis supply skin to?

    <p>Lateral surface of the crus and dorsal side of the foot (D)</p> Signup and view all the answers

    Which branch of n.plantaris lateralis supplies the muscles of the interossei?

    <p>R.profundus (B)</p> Signup and view all the answers

    What is the primary sensory supply of the n.fibularis profundus?

    <p>Skin of the 1st intermetatarsal space (A)</p> Signup and view all the answers

    What is the primary role of the ramus superior of the oculomotor nerve?

    <p>Supplies motor fibers to certain eye muscles (D)</p> Signup and view all the answers

    Which nerve supplies the superior oblique muscle of the eye?

    <p>Nerve trochlearis (A)</p> Signup and view all the answers

    Which muscle is not supplied by n.plantaris medialis?

    <p>Adductor hallucis (C)</p> Signup and view all the answers

    Which nerve is responsible for supplying the 5th toe?

    <p>N.cutaneus dorsalis lateralis (B)</p> Signup and view all the answers

    How does the oculomotor nerve deliver parasympathetic innervation to the eye?

    <p>Via the radix oculomotoria to the ciliary ganglion (C)</p> Signup and view all the answers

    What characterizes the trigeminal nerve?

    <p>It is a mixed nerve with sensory and motor fibres (C)</p> Signup and view all the answers

    Which structure does the ophthalmic nerve primarily contain?

    <p>Sensory fibres (B)</p> Signup and view all the answers

    Through which anatomical feature does the oculomotor nerve enter the optic cavity?

    <p>Fissura orbitalis superior (A)</p> Signup and view all the answers

    What is the origin location of the trochlear nerve?

    <p>In the tegmentum mesencephali at the level of the colliculi inferiores (C)</p> Signup and view all the answers

    Which nuclei are present in the trigeminal nerve?

    <p>Four sensory nuclei and one motor nucleus (D)</p> Signup and view all the answers

    Flashcards

    Anatomy exam, nerves topic

    A test covering the structure and function of nerves in the human body.

    Multiple choice questions

    A type of test question where multiple possible answers are provided.

    Reviewing knowledge

    A process of checking understanding of information.

    Nerve function

    The role of nerves in transmitting signals within the body.

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    Neural pathways

    The routes taken by signals passing through the nervous system.

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    What forms the plexus cervicalis?

    The plexus cervicalis is formed by the anterior branches of the upper four cervical spinal nerves (C1-C4).

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    Where is the plexus cervicalis located?

    The plexus cervicalis is located on the deep muscles of the neck, specifically in the lateral triangle of the neck (trigonum colli laterale). It is covered by the sternocleidomastoid muscle.

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    What are the main groups of branches from the plexus cervicalis?

    The plexus cervicalis has three main branch groups: motor, sensory, and mixed.

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    What do the motor branches of the plexus cervicalis supply?

    The motor branches of the plexus cervicalis (rr. musculares) supply the muscles of the lateral, deep, and craniothoracic groups of the neck.

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    What is the ansa cervicalis?

    The ansa cervicalis formed by two roots (superior and inferior). The superior root arises from C1 and C2, joins with the inferior root, which comes from C2 and C3. It supplies the straight muscles of the neck (except geniohyoideus), and is located on a bundle of nerves and blood vessels in the neck.

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    What does the sensory branch, n. occipitalis minor, supply?

    The n. occipitalis minor, a sensory branch of the plexus cervicalis, supplies the skin of the lateral part of the neck and the posterior part of the head (occipital region).

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    What is metamerity in the context of spinal nerves?

    Metamerity refers to the segmental arrangement of spinal nerves and their corresponding dermatomes (skin areas) and myotomes (muscle areas). It's most evident with the thoracic spinal nerves (intercostal nerves).

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    What are the main plexuses formed by the spinal nerves?

    The main plexuses formed by spinal nerves are: plexus cervicalis, plexus brachialis, plexus lumbalis, and plexus sacralis. They are formed by the anterior branches of various spinal nerves.

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    Median Nerve Formation

    The median nerve is formed by the union of two roots: the lateral root from the lateral cord and the medial root from the medial cord of the brachial plexus.

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    Median Nerve Course

    The median nerve travels down the medial bicipital sulcus with other structures, crosses the cubital fossa, penetrates the pronator teres muscle, and passes between the flexor digitorum superficialis and profundus muscles.

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    Carpal Tunnel Syndrome

    Compression of the median nerve within the carpal tunnel, causing pain, numbness, and weakness in the hand.

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    Median Nerve Palm Distribution

    The median nerve lies below the palmar aponeurosis and supplies branches to the skin of the thumb, index finger, middle finger, and radial side of the ring finger.

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    Median Nerve Finger Innervation

    The median nerve branches supply the skin of the distal and medial phalanges of the thumb, index, middle, and radial side of the ring finger.

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    Median Nerve Muscles

    The median nerve innervates the first two lumbricals, abductor pollicis brevis, opponens pollicis, and the superficial head of flexor pollicis brevis.

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    Median Nerve Joint Innervation

    The median nerve supplies sensory branches to the wrist joint and the joints of the hand.

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    Median Nerve Anterior Interosseous Nerve

    The anterior interosseous nerve is a branch of the median nerve that runs down the anterior surface of the interosseous membrane. It supplies deep muscles of the forearm.

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    N. cutaneus femoris posterior

    A nerve that exits the pelvic cavity through the greater sciatic foramen, descends under the gluteus maximus muscle, and supplies the skin of the posterior thigh and popliteal fossa.

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    N. ischiadicus

    The largest nerve in the body, it originates from the sacral plexus, exits the pelvis through the greater sciatic foramen, travels through the posterior thigh, and branches into the tibial and common fibular nerves.

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    N. tibialis

    One of the two terminal branches of the sciatic nerve, it descends through the popliteal fossa, supplies muscles in the posterior leg, and branches into the medial and lateral plantar nerves at the foot.

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    N. fibularis communis

    The other terminal branch of the sciatic nerve, it travels along the lateral side of the leg and branches into the superficial and deep fibular nerves.

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    Nn. clunium inferiores

    Branches of the posterior femoral cutaneous nerve that supply the lower part of the gluteal region.

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    Rr. perineales

    Branches of the posterior femoral cutaneous nerve that supply the skin of the perineum.

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    Rr. musculares

    Branches of the tibial nerve that supply the muscles of the posterior leg.

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    Rr. calcanei mediales

    Branches of the tibial nerve responsible for supplying the skin of the heel.

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    Quadratus femoris

    A short, flat muscle located at the back of the hip joint. It helps with external rotation and stabilization of the thigh.

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    Sartorius muscle

    The longest muscle in the human body, located on the anterior thigh. It flexes, abducts, and externally rotates the thigh, and it also flexes the leg at the knee.

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    Pectineus muscle

    A thick, flat muscle located near the groin. It helps to adduct and flex the thigh.

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    Saphenous nerve

    The longest branch of the femoral nerve. It travels all the way down the medial side of the leg, providing sensation to the skin of the inner thigh, knee, shin, and foot.

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    Genitofemoral nerve

    This nerve branches into two sections, one supplying structures in the groin and the other supplying the skin of the thigh.

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    Obturator nerve

    This nerve passes through the obturator canal, innervating several muscles of the inner thigh and providing sensation to certain areas of the thigh and knee.

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    Gluteus superior nerve

    This nerve supplies muscles involved in abduction and lateral rotation of the thigh, helping to raise the leg sideways.

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    Pudendal nerve

    This nerve supplies the muscles and skin of the perineum, the area between the legs, and plays a role in sexual function.

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    Sural Nerve

    This nerve branches from the tibial and common peroneal nerves, passing behind the lateral malleolus to supply the lateral foot and heel.

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    Lateral Cutaneous Nerve of the Calf

    A branch of the common peroneal nerve that provides sensory innervation to the lateral side of the calf.

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    Medial Plantar Nerve

    This nerve, a branch of the tibial nerve, provides sensory and motor innervation to the medial side of the foot.

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    Lateral Plantar Nerve

    A branch of the tibial nerve, it provides motor and sensory innervation to the lateral parts of the foot.

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    Common Peroneal Nerve

    This nerve branches from the sciatic nerve, running down the lateral side of the leg to supply the muscles and skin of the lower leg and foot.

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    What does the superficial branch of the peroneal nerve innervate?

    It provides sensory innervation to the dorsal surface of the foot, excluding the first intermetatarsal space and the lateral side of the fifth toe.

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    Where does the deep branch of the peroneal nerve travel?

    It travels alongside the anterior tibial artery and veins, passing under the extensor retinaculum to supply the 1st intermetatarsal space.

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    What does the deep branch of the peroneal nerve innervate?

    It supplies motor innervation to the muscles involved in dorsiflexion and inversion of the foot.

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    What nerve emerges at sulcus oculomotorius mesencephali?

    The oculomotor nerve (III) emerges from the sulcus oculomotorius mesencephali.

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    What are the two branches of the oculomotor nerve?

    The oculomotor nerve (III) branches into a superior ramus, supplying the superior rectus and levator palpebrae superioris muscles, and an inferior ramus supplying the inferior rectus, medial rectus, and inferior oblique muscles.

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    What do the parasympathetic fibers of the oculomotor nerve do?

    Parasympathetic fibers from the oculomotor nerve (III) travel to the ciliary ganglion, where they synapse with postganglionic fibers that control the sphincter pupillae (constricting the pupil) and ciliary muscles (accommodating for near vision).

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    What is the fourth cranial nerve?

    The fourth cranial nerve is the trochlear nerve (IV).

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    What is the location of the trochlear nerve nucleus?

    The trochlear nerve (IV) nucleus is located in the tegmentum mesencephali, at the level of the inferior colliculi.

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    What type of nerve is the trigeminal nerve?

    The trigeminal nerve (V) is a mixed nerve—it contains both sensory and motor fibers.

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    What are the four nuclei of the trigeminal nerve?

    The trigeminal nerve (V) has four nuclei: the principal sensory nucleus, the mesencephalic sensory nucleus, the spinal sensory nucleus, and the motor nucleus.

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    What are the three branches of the trigeminal nerve?

    The trigeminal nerve (V) branches into three: the ophthalmic nerve (V1), the maxillary nerve (V2), and the mandibular nerve (V3).

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    Study Notes

    Nervensystem - Grundlagen

    • Das periphere Nervensystem (PNS) umfasst alle Nerven außerhalb des Gehirns und Rückenmarks.
    • Es unterteilt sich in das somatische (willkürliche) und das vegetative (unwillkürliche) Nervensystem.
    • Das somatische Nervensystem steuert die willkürliche Bewegung der Skelettmuskulatur.
    • Das vegetative Nervensystem reguliert unwillkürliche Funktionen wie Herzschlag, Verdauung und Atmung.
    • Es besteht aus zwei Hauptteilen: dem parasympathischen und dem sympathischen Nervensystem.
    • Das parasympathische Nervensystem ist für die Ruhe- und Erholungsphase verantwortlich.
    • Das sympathische Nervensystem ist für die "Kampf-oder-Flucht"-Reaktion zuständig.

    Nervenzellen (Neuronen)

    • Neuronen sind die grundlegenden funktionellen Einheiten des Nervensystems.
    • Sie bestehen aus einem Zellkörper, Dendriten und einem Axon.
    • Dendriten empfangen Signale von anderen Neuronen.
    • Das Axon leitet elektrische Signale zu anderen Neuronen, Muskeln oder Drüsen.
    • Die Signalsübertragung zwischen Neuronen findet an Synapsen statt.
    • An der Synapse wird das elektrische Signal in ein chemisches Signal (Neurotransmitter) umgewandelt.
    • Neurotransmitter binden an Rezeptoren an der postsynaptischen Membran.
    • Die Synapsen können entweder erregend oder hemmend sein.
    • Gliazellen unterstützen die Neuronen in vielerlei Hinsicht und bilden etwa 90% des Gehirns.

    Aufbau eines Neurons

    • Zellkörper (Soma): Enthalt den Zellkern und wichtige Zellorganellen.
    • Dendriten: Verzweigte Fortsätze, die Signale von anderen Neuronen empfangen.
    • Axon: Ein langer Fortsatz, der das Signal von einem Neuron zu einem anderen Neuron, Muskel oder Drüse weiterleitet.
    • Myelinscheide: Eine fetthaltige Isolierschicht um das Axon, die die Signalübertragung beschleunigt.
    • Ranviersche Schnürringe: Unterbrechungen in der Myelinscheide, an denen die Signalübertragung stärker ist.
    • Synapse: Die Kontaktstelle zwischen zwei Neuronen oder zwischen einem Neuron und einer Muskel- oder Drüsenzelle.

    Nervenfasern

    • Nervenfasern sind Ausläufer von Nervenzellen (Neuronen).
    • Sie können als Teil eines Nerven gezählt werden.
    • Sie transmittieren Signale aus dem Körper zum Gehirn und zurück
    • Die Funktion der Nervenfaser ist essentiell für die Kommunikation des Körpers
    • Sie können umhüllt mit Myelin sein, was zu schnelleren Impulse führt.

    Neurotransmitter

    • Neurotransmitter sind chemische Botenstoffe, die die Übertragung von Signalen zwischen Neuronen ermöglichen.
    • Es existieren viele verschiedene Typen von Neurotransmittern mit unterschiedlichen Wirkungen.
    • Beispiele für wichtige Neurotransmitter sind Acetylcholin, Dopamin, Serotonin und Noradrenalin.
    • Rezeptoren im synaptischen Raum binden an Neurotransmitter und können durch diese aktiviert oder gehemmt werden.

    Sympathisches und parasympathisches Nervensystem

    • Das sympathische Nervensystem bereitet den Körper auf Stress-Situationen vor, z.B. schnelle Herzschlagfrequenz oder vermehrter Adrenalin-Ausstoß.
    • Das parasympathische Nervensystem bewirkt im Gegensatz dazu die Ruhe und Erholung; z.B. Verdauung.
    • Die beiden Systeme wirken meist antagonistisch, d.h. sie regulieren die gleichen Prozesse, jedoch mit entgegengesetzten Wirkungen.

    Peripheres und zentrales Nervensystem

    • Das zentrale Nervensystem (ZNS) beinhaltet das Gehirn und das Rückenmark.
    • Das periphere Nervensystem (PNS) umfasst alle Nerven außerhalb des ZNS.
    • Das PNS kann in somatisches und autonomes Nervensystem eingeteilt werden.
    • Das autonome Nervensysteme umfasst sympathisches und parasympathisches Nervensystem

    Funktion der Nerven

    • Nerven transportieren Informationen (elektrische Impulse) zwischen verschiedenen Körperteilen.
    • Die Informationen werden in Form von Aktionspotenzialen als elektrisches Signal übertragen.
    • Dieser Prozess ermöglicht die Kommunikation zwischen verschiedenen Körperregionen.
    • Dazu gehören z.B. Empfindung, Bewegung und Reflexe.

    Nervenformen

    • Nervenfasern sind im Allgemeinen Teil eines Nerven
    • Der Aufbau und die Funktion der Nerven wird unter verschiedensten Aspekten betrachtet, z.B. Lokalisierung, Durchmesser, Myelinisierung, etc.
    • Die Verschaltung von Neuronen ist auch ein wichtiger Aspekt der Nervenfunktion.
    • Diese bilden komplexes neuronales Netz.

    Nervenzellen-Typen

    • Es gibt verschiedene Typen von Nervenzellen (Neuronen) im Körper.
    • Diese unterscheiden sich in Größe, Form, Axonlänge, Myelinisierung etc.
    • Sie haben je nach Lokalisierung und Funktion unterschiedliche Eigenschaften.

    Schmerzempfindung

    • Schmerzsignale werden über Nervenfasern an das Gehirn weitergeleitet.
    • Diese Signalübertragung und Verarbeitung kann von verschiedenen Faktoren beeinflusst werden.

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