Nervous System - Scalp and Nerve Supply

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Questions and Answers

What is the primary function of the dural infolding known as falx cerebelli?

  • To connect the cerebellum to the spinal cord
  • To provide structural support to the cerebrum
  • To separate the cerebellar hemispheres (correct)
  • To encase the pituitary gland

Which layer of the dura mater is responsible for covering the brain and is dense and fibrous?

  • Subarachnoid layer
  • Pachymeninx layer
  • Endosteal layer
  • Meningeal layer (correct)

What structure is encircled by the diaphragma sella?

  • The pituitary stalk (correct)
  • The cavernous sinuses
  • The cerebellum
  • The spinal cord

What is the primary difference between the spinal dura mater and the cranial dura mater?

<p>The spinal dura mater ends as a blind sac (C)</p> Signup and view all the answers

Which of the following is true regarding the subarachnoid space?

<p>It is filled with cerebrospinal fluid (CSF) (C)</p> Signup and view all the answers

Which type of cells traverse the subarachnoid space and constitute the arachnoid trabeculae?

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

What structure is primarily located alongside the sella turcica?

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

What is the role of the endosteal layer of the dura mater?

<p>To cover the inner surface of skull bones (D)</p> Signup and view all the answers

What is the primary function of the blood-brain barrier?

<p>To isolate the CNS from the blood for stability (D)</p> Signup and view all the answers

Where is the fourth ventricle located?

<p>Anterior to the cerebellum and posterior to the pons (D)</p> Signup and view all the answers

What is the primary source of cerebrospinal fluid production?

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

Which structures form the boundaries of the fourth ventricle?

<p>Rhomboid-shaped floor and lateral boundaries (C)</p> Signup and view all the answers

Which statement accurately describes the components that separate the blood capillaries from the CNS?

<p>A continuous basement membrane surrounds the capillary (A)</p> Signup and view all the answers

What processes contribute to the formation of cerebrospinal fluid from blood?

<p>Active transport and filtration (C)</p> Signup and view all the answers

Which structures are involved in the outflow of cerebrospinal fluid from the fourth ventricle?

<p>Foramina of Luschka and foramen of Magendie (A)</p> Signup and view all the answers

What does the central canal of the medulla oblongata connect to?

<p>The spinal cord (A)</p> Signup and view all the answers

Which is NOT part of the blood-brain barrier's structure?

<p>Lymphatic vessels surrounding the neurons (B)</p> Signup and view all the answers

How does cerebrospinal fluid maintain osmotic balance?

<p>By allowing water to flow through the epithelium (A)</p> Signup and view all the answers

Where does the cerebrospinal fluid flow after the lateral ventricle?

<p>To the third ventricle (B)</p> Signup and view all the answers

What type of fluid fills the fourth ventricle?

<p>Cerebrospinal fluid (C)</p> Signup and view all the answers

The foot processes of which cells adhere to the surface of the blood capillaries in the blood-brain barrier?

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

What additional small amounts of cerebrospinal fluid are contributed by the brain?

<p>Through perivascular spaces (D)</p> Signup and view all the answers

Which part of the cerebrospinal fluid system is involved with actively transporting substances?

<p>Choroid plexus epithelium (C)</p> Signup and view all the answers

What role do fenestrations of capillaries play in cerebrospinal fluid formation?

<p>Facilitate the filtration of blood (B)</p> Signup and view all the answers

What is a key function of the Smooth Endoplasmic Reticulum (ER)?

<p>Sequestration of calcium (A)</p> Signup and view all the answers

Which structure is primarily involved in the temporary storage of proteins?

<p>Nissl Bodies (A)</p> Signup and view all the answers

Which type of Golgi neuron is characterized by a short axon that terminates near the cell body?

<p>Golgi Type II (A)</p> Signup and view all the answers

What appearance do Rough Endoplasmic Reticulum cells have when viewed under a light microscope?

<p>Network of wavy threads (A)</p> Signup and view all the answers

Which part of the nervous system consists of cranial and spinal nerves and their associated ganglia?

<p>Peripheral Nervous System (PNS) (A)</p> Signup and view all the answers

What is the primary function of the sympathetic nervous system?

<p>Preparing the body for emergencies (A)</p> Signup and view all the answers

Which part of a typical vertebra is responsible for enclosing the vertebral foramen?

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

What distinguishes true or movable vertebrae from false or fixed vertebrae?

<p>Their ability to fuse (D)</p> Signup and view all the answers

Which component of nerve tissue is considered the structural and functional unit?

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

What is the average length of the vertebral column in males?

<p>71 cm (C)</p> Signup and view all the answers

Which of the following is NOT a common characteristic found in all vertebrae?

<p>Cervical structure (C)</p> Signup and view all the answers

What property of nervous tissue allows it to respond to stimuli?

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

How do neuroglia compare to neurons in terms of quantity?

<p>Greater in number (A)</p> Signup and view all the answers

What are the two portions of the parietal bones responsible for?

<p>Forming the sides and roof of the cranium (A)</p> Signup and view all the answers

Which structure is NOT involved in separating cerebrospinal fluid (CSF) from nervous tissue?

<p>The arachnoid granulations (B)</p> Signup and view all the answers

What is the characteristic of the internal surface of the parietal bone?

<p>Has a shallow groove for the falx cerebri (A)</p> Signup and view all the answers

What is the orientation of the frontal angle of the parietal bone?

<p>Right angle (A)</p> Signup and view all the answers

Which of the following best describes the pia-covered surface of the brain?

<p>Has loosely arranged pial cells on a basement membrane (A)</p> Signup and view all the answers

What describes the mastoid angle of the parietal bone?

<p>Is truncated and articulates with the occipital bone (D)</p> Signup and view all the answers

Which is not a part of the temporal bone?

<p>Sphenoidal part (C)</p> Signup and view all the answers

How many borders does the parietal bone have?

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

Flashcards

Dura Mater

The outermost, tough, fibrous membrane covering the brain.

Endosteal Layer

The periosteum covering the inner surface of the skull bones.

Meningeal Layer

The dura mater proper, a strong fibrous membrane covering the brain.

Venous Sinuses

Spaces where dura mater folds, collecting venous blood.

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Falx Cerebelli

A dural infolding between cerebellar hemispheres.

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Arachnoid Mater

The middle meningeal membrane, delicate and separating dura and pia.

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Subdural Space

Potential space between arachnoid and dura, filled with fluid.

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Diaphragma Sella

Smallest dural fold, roof over pituitary gland.

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Cerebrospinal Fluid

A clear fluid that surrounds the brain and spinal cord, providing protection and support.

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Choroid Plexus

A network of capillaries and specialized cells within the ventricles of the brain that produce cerebrospinal fluid.

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How is CSF formed?

CSF is formed by filtration of blood through the choroid plexus capillaries, followed by active transport of substances, primarily sodium ions, into the ventricles.

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CSF Flow

CSF flows from the lateral ventricles to the third ventricle, then to the fourth ventricle, and finally exits through foramina into the cisterna magna.

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Ventricles

Fluid-filled cavities within the brain that connect and contain cerebrospinal fluid.

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Foramina of Luschka and Magendie

Openings in the fourth ventricle that allow CSF to exit into the cisterna magna.

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Cisterna Magna

A fluid space located behind the medulla and beneath the cerebellum, where CSF collects after exiting the fourth ventricle.

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Perivascular Spaces

Spaces surrounding blood vessels in the brain that contribute a small amount of CSF.

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Fourth Ventricle

A diamond-shaped cavity filled with cerebrospinal fluid (CSF), located between the cerebellum and the brainstem.

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Cerebrospinal Fluid (CSF)

Clear fluid circulating within the ventricles of the brain and spinal cord, providing cushioning and nutrient transport.

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Ependymal Cells

Specialized cells lining the ventricles of the brain and central canal of the spinal cord, responsible for producing CSF.

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Cerebral Aqueduct

A narrow channel connecting the third ventricle of the brain to the fourth ventricle.

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Central Canal

A narrow channel within the spinal cord, filled with CSF.

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Blood-Brain Barrier (BBB)

A protective barrier that restricts the passage of substances from the blood into the brain tissue, maintaining a stable environment for neurons.

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Astrocytes

Star-shaped glial cells that provide support and nutrients to neurons, also contributing to the BBB.

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Foot Processes

Extensions from astrocytes that tightly wrap around blood capillaries, forming a critical part of the BBB.

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Parietal Bone

A bone forming the sides and roof of the skull. It has two surfaces, external and internal, and four borders: sagittal, squamous, frontal, and occipital.

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Frontal Angle

A 90-degree angle on the parietal bone where the sagittal and coronal sutures meet. It's located at the front of the parietal bone.

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Sphenoidal Angle

The angle of the parietal bone that connects with the sphenoid bone.

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Occipital Angle

A rounded angle of the parietal bone where the sagittal and lambdoidal sutures meet. Located at the back of the parietal bone.

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Mastoid Angle

The truncated angle of the parietal bone that connects with the occipital bone. It's located on the lower part of the parietal bone.

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CSF-Brain Interface

The barrier separating cerebrospinal fluid (CSF) from the central nervous system (CNS) which is comprised of three structures: the pia-covered surface of the brain, perivascular extensions of the subarachnoid space, and the ependymal surface of the ventricles.

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Pia-Covered Surface

The innermost membrane covering the brain consisting of pial cells and astrocyte foot processes. It forms a loose layer and helps protect the brain.

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Astrocyte Foot Processes

Extensions of astrocytes, star-shaped glial cells, that form a barrier between the pia mater and the brain tissue.

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Rough ER

A network of interconnected membranes studded with ribosomes. It is responsible for protein synthesis and folding, and the production of lysosomes.

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Smooth ER

A network of interconnected membranes without ribosomes. It functions in lipid synthesis, detoxification, and calcium storage.

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Golgi Apparatus

A stack of flattened, membrane-bound sacs involved in processing, packaging, and sorting proteins and lipids.

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Golgi Type II Neuron

A neuron with a short axon that terminates near the cell body or may be absent. These neurons are numerous and often inhibitory.

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What are the functions of the Rough ER?

The Rough ER is involved in protein synthesis and folding, production of lysosomes, and synthesis of the components of the cell membrane.

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Sympathetic Nervous System

Part of the autonomic nervous system that prepares the body for 'fight or flight' responses, increasing heart rate, respiration, and blood flow to muscles.

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Parasympathetic Nervous System

Part of the autonomic nervous system that promotes rest and digestion, slowing heart rate, decreasing respiration, and diverting blood to the digestive system.

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Irritability (Nervous Tissue)

The ability of nervous tissue to respond to a stimulus, such as pressure, light, or chemicals.

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Conductivity (Nervous Tissue)

The ability of nervous tissue to transmit a nerve impulse, a signal, over long distances at high speed.

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Neuron

The fundamental structural and functional unit of the nervous system, responsible for transmitting nerve impulses.

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Neuroglia

Supporting cells in the nervous system, providing structural support, insulation, and nutritional support for neurons.

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Function of Nervous Tissue

To receive information from the environment or other nerve cells, process that information, and transmit it to other parts of the body.

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True Vertebrae

Vertebrae that remain separate throughout life, comprising the cervical, thoracic, and lumbar regions of the vertebral column.

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Study Notes

Nervous System - Scalp

  • The scalp extends from the superciliary arches to the external occipital protuberance and superior nuchal lines.
  • It's composed of five layers: skin, connective tissue, epicranial aponeurosis, loose areolar tissue, and pericranium.
  • The skin layer has sebaceous glands.

Nervous System - Scalp Sensory Nerve Supply

  • Sensory nerves are arranged in two main groups. Anterior nerves are branches of the trigeminal nerve, while posterior nerves are branches of cervical spinal nerves.
  • The supratrochlear nerve and supraorbital nerve (both ophthalmic divisions of the trigeminal nerve) supply the scalp.
  • The zygomaticotemporal nerve (maxillary division of the trigeminal nerve) supplies the scalp over the temple.
  • The auriculotemporal nerve (mandibular division of the trigeminal nerve) supplies the temporal region.
  • The lesser occipital nerve (C2 of cervical plexus) supplies the occipital region.
  • The greater occipital nerve (C2 posterior ramus) supplies the back of the scalp to the vertex.

Nervous System - Scalp Arterial Supply

  • Scalp arteries run through the connective tissue layer.

  • The supratrochlear and supraorbital arteries (branches of the ophthalmic artery) supply the forehead.

  • The superficial temporal artery (branch of the external carotid artery) ascends in front of the ear, supplying the frontal and temporal regions.

  • The posterior auricular artery (branch of external carotid artery) supplies the area above and behind the ear.

  • The occipital artery (branch of external carotid artery) supplies the back of the scalp.

Nervous System - Scalp Venous Drainage

  • The supratrochlear and supraorbital veins unite to form the facial vein.
  • The superficial temporal vein unites with maxillary vein to form the retromandibular vein.
  • The posterior auricular vein unites with the retromandibular vein to form the external jugular vein.
  • The occipital vein drains into the suboccipital venous plexus.

Meninges of Brain and Spinal Cord

  • Meninges develop from neural crest and mesenchyme (mesoderm), between 25 and 35 days of gestation.
  • The meninges are three protective membranes that surround the brain and spinal cord: the dura mater, arachnoid mater, and pia mater.

Meninges - Dura Mater, Arachnoid Mater, Pia mater

  • Dura mater (outermost) is a thick, fibrous membrane with two layers.
  • Arachnoid mater is a delicate, impermeable membrane between the dura and pia maters.
  • Pia mater (innermost) is a vascular membrane that closely covers the brain and spinal cord.

Cerebrospinal Fluid (CSF)

  • CSF is a colorless liquid similar to plasma.
  • Primarily produced by choroid plexuses in the brain's ventricles.
  • Circulation of CSF flows from the choroid plexuses, through ventricles, and into the subarachnoid space, absorbing into venous sinuses.
  • CSF acts as a cushion and plays a role in nutrient exchange and waste removal.

Dural Nerve Supply

  • Trigeminal, vagus, and the first three cervical spinal nerves.
  • Sensory endings of the nerves are responsible for the sensation of headache.
  • Pain from stimulation of dural endings (below the tentorium cerebelli) is felt in the back of the neck and scalp.

Dural Arterial Supply

  • Dural arteries supply the dura mater. Arteries originate from the internal carotid, maxillary, ascending pharyngeal, occipital, and vertebral arteries.

Cranial Bones

  • Frontal bone, parietal bones, temporal bone, occipital bone, and sphenoid bone. Provide structure and protection for the brain.

Ventricles of the Brain

  • Ventricles are fluid-filled cavities within the brain.
  • Two lateral ventricles communicate with the third ventricle.
  • The third ventricle connects to the fourth ventricle via the cerebral aqueduct.

Blood-Brain Barrier (BBB) and Cerebrospinal Fluid Barrier (CSF-Brain barrier )

  • Structures that protect the CNS from harmful substances, while allowing nutrients and oxygen to pass through.
  • BBB consists of capillaries with tight junctions around the neurons and astrocyte foot processes.
  • CSF barrier similar to BBB, exists mainly at the choroid plexus.

Lumbar Puncture

  • A procedure to obtain cerebrospinal fluid from the lumbar region.
  • Used for diagnostic purposes. Uses of CSF include microscopic and bacteriologic examination, drug injections, and inducing anesthesia.

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