Neuroanatomy Post-Midterm Notes
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Questions and Answers

What pathology is associated with damage to the olfactory mucous membrane?

  • Bilateral Anosmia (correct)
  • Unilateral Anosmia
  • Hypogeusia
  • Hyperosmia
  • Which cranial nerve is primarily responsible for the sense of smell?

  • CN III Oculomotor
  • CN V Trigeminal
  • CN I Olfactory (correct)
  • CN II Optic
  • Where do the sensory fibers for cranial nerves typically originate?

  • Brainstem nuclei
  • Spinal cord
  • Cells outside the brain (correct)
  • Cerebral cortex
  • Which pathway does the motor stimulus follow to reach the target organ?

    <p>Efferent pathway</p> Signup and view all the answers

    Which structure does the CN I Olfactory nerve exit through?

    <p>Cribriform Plate</p> Signup and view all the answers

    What is the typical progression for sensory information from a sensory organ to the cortex?

    <p>Sensory organ ➔ 2nd order neuron ➔ Cortex</p> Signup and view all the answers

    What type of pathway involves stimulation starting at the cortex and moving toward the target organ?

    <p>Motor-Efferent Pathway</p> Signup and view all the answers

    What happens to the sensory information in the sensory nuclei after it is received from the sensory organs?

    <p>It synapses with 2nd order neurons</p> Signup and view all the answers

    What is the primary function of cerebrospinal fluid (CSF)?

    <p>To cushion and protect the central nervous system (CNS)</p> Signup and view all the answers

    Which structure produces cerebrospinal fluid?

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

    How does the cerebrospinal fluid (CSF) volume relate to brain volume?

    <p>They have an inverse relationship</p> Signup and view all the answers

    Which foramen connects the lateral ventricles to the third ventricle?

    <p>Foramen of Monro</p> Signup and view all the answers

    What characterizes the blood-brain barrier (BBB)?

    <p>It is inversely related to the size of molecules</p> Signup and view all the answers

    What is a unique feature of the blood-brain barrier in newborns?

    <p>It allows easier access for larger molecules</p> Signup and view all the answers

    What is the primary function of the meninges?

    <p>To protect the brain and spinal cord</p> Signup and view all the answers

    Where does cerebrospinal fluid exit the fourth ventricle into the subarachnoid space?

    <p>Foramen of Luschka</p> Signup and view all the answers

    Which layer of the meninges is tough and fibrous, extending from the foramen magnum?

    <p>Dura Mater</p> Signup and view all the answers

    What type of substances readily pass through the blood-brain barrier?

    <p>Lipids and gases</p> Signup and view all the answers

    What is the space called that separates the dura mater from the vertebral column?

    <p>Epidural Space</p> Signup and view all the answers

    What is the role of cerebrospinal fluid in relation to neuronal activity?

    <p>It removes waste products associated with neuronal activity</p> Signup and view all the answers

    Which structure separates the two cerebral hemispheres?

    <p>Falx Cerebri</p> Signup and view all the answers

    Which layer of the dura mater covers the inner surface of the skull bones?

    <p>Periosteal Layer</p> Signup and view all the answers

    What does the tentorial notch accommodate?

    <p>The midbrain</p> Signup and view all the answers

    Which space extends around the optic nerve as far as the eyeball?

    <p>Subdural Space</p> Signup and view all the answers

    What is the main function of the arachnoid villi?

    <p>To diffuse CSF into the bloodstream</p> Signup and view all the answers

    Which space is located between the dura mater and the arachnoid mater?

    <p>Subdural space</p> Signup and view all the answers

    What is true about the pia mater in relation to the spinal cord?

    <p>It closely adheres to the spinal cord and extends to cranial nerves</p> Signup and view all the answers

    What defines the extradural space?

    <p>It is separated by fat and contains the internal vertebral venous plexus</p> Signup and view all the answers

    Which statement correctly describes the arachnoid mater?

    <p>It is a delicate, impermeable membrane between the dura and pia mater</p> Signup and view all the answers

    How does the pia mater form the filum terminale?

    <p>By extending outside the dura from the tip of the coccyx to the dural sac</p> Signup and view all the answers

    The subarachnoid space is primarily filled with which substance?

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

    What is the role of the ligamentum denticulatum?

    <p>To suspend the spinal cord within the dural sheath</p> Signup and view all the answers

    Which cranial nerve is responsible for the efferent pupillary light reflex?

    <p>CN III Oculomotor</p> Signup and view all the answers

    Which cranial nerve primarily provides sensation to the posterior one-third of the tongue?

    <p>CN IX Glossopharyngeal</p> Signup and view all the answers

    What is the expected consequence of a lesion in the CN VII Facial nerve?

    <p>Bell's Palsy</p> Signup and view all the answers

    Which cranial nerve controls the lateral rectus muscle?

    <p>CN VI Abducens</p> Signup and view all the answers

    Which cranial nerve carries sensory information related to balance?

    <p>CN VIII Vestibulocochlear</p> Signup and view all the answers

    A patient exhibits lateral winging of the scapula. Which cranial nerve is likely affected?

    <p>CN XI Spinal Accessory</p> Signup and view all the answers

    Which cranial nerve provides sensory supply to the skin of the face?

    <p>CN V Trigeminal</p> Signup and view all the answers

    Which cranial nerve is the longest cranial nerve in the body?

    <p>CN X Vagus</p> Signup and view all the answers

    Double vision can result from a palsy of which cranial nerve?

    <p>All of the above</p> Signup and view all the answers

    Which cranial nerve is responsible for carrying taste sensation from the anterior two-thirds of the tongue?

    <p>CN VII Facial</p> Signup and view all the answers

    Which cranial nerve assists with muscles of mastication?

    <p>CN V Trigeminal</p> Signup and view all the answers

    What is the primary role of CN XII Hypoglossal?

    <p>Movement of the tongue</p> Signup and view all the answers

    What function does the CN X Vagus nerve NOT perform?

    <p>Control of shoulder movement</p> Signup and view all the answers

    What is the primary function of the Blood-CSF Barrier?

    <p>To prevent macromolecules from entering the CSF</p> Signup and view all the answers

    Which artery primarily supplies the medial cerebrum?

    <p>Anterior Cerebral Artery</p> Signup and view all the answers

    Which area of the brain is primarily affected by an occlusion of the Medial Cerebral Artery?

    <p>Lateral cerebral surface</p> Signup and view all the answers

    What is the consequence of an occlusion in the Anterior Cerebral Artery?

    <p>Contralateral weakness in lower extremity</p> Signup and view all the answers

    Which cranial artery is formed by the union of the two vertebral arteries?

    <p>Basilar Artery</p> Signup and view all the answers

    What region does the Circle of Willis primarily supply?

    <p>Anterior and posterior cerebral territories</p> Signup and view all the answers

    What is hydrocephalus characterized by?

    <p>Excessive accumulation of water in the brain</p> Signup and view all the answers

    Which of the following arteries supplies the undersurface of the cerebellum?

    <p>Anterior Inferior Cerebellar Artery</p> Signup and view all the answers

    Which artery's occlusion can lead to contralateral visual loss?

    <p>Posterior Cerebral Artery</p> Signup and view all the answers

    Which structure is mainly supplied by the Internal Carotid Artery?

    <p>Eye and appendages</p> Signup and view all the answers

    What does the occlusion of the Medial Cerebral Artery result in?

    <p>Contralateral hemiplegia</p> Signup and view all the answers

    Which arteries supply the anterior two thirds of the spinal cord?

    <p>Anterior spinal arteries</p> Signup and view all the answers

    What anatomical feature primarily facilitates collateral blood flow to the brain?

    <p>Circle of Willis</p> Signup and view all the answers

    What is a common result of a stroke affecting the Posterior Cerebral Artery?

    <p>Visual agnosia</p> Signup and view all the answers

    Study Notes

    Neuroanatomy Post-Midterm Notes

    • Basal Nuclei are masses of gray matter located deep within the cerebral hemispheres. They play an indirect role in controlling posture and voluntary motor movements.

    • Functions:

      • Regulate motor and premotor cortical areas for smooth voluntary movement.
      • Maintain posture.
      • Facilitate voluntary movement and motor learning.
      • Influence coordinated positioning of the axial skeleton and skilled motor activities.
      • Dysfunction can lead to conditions like ballismus.
    • Corpus Striatum:

      • A C-shaped mass of gray matter situated laterally to the thalamus.
      • Separated from the lentiform nucleus by the internal capsule, which serves as an information processing pathway.
      • The head of the caudate nucleus is rounded and situated on the lateral wall of the anterior horn of the lateral ventricle, connected to the putamen.
    • Other related structures:

      • Substantia Nigra: Located in the midbrain, rich in neuromelanin (dark appearance). It has extensive connections to the corpus striatum and plays a role in motor control and reward. Degeneration in dopaminergic neurons is linked to Parkinson's disease.
      • Subthalamic Nuclei: Situated beneath the thalamus, they connect to the globus pallidus, influencing basal nuclei control over motor movements. They are glutaminergic (excitatory).

    How Basal Nuclei Indirectly Control Movement

    • Afferent fibers from various parts of the brain (cortex, thalamus, brainstem, and substantia nigra) send information to the corpus striatum.
    • This information is channeled into the globus pallidus.
    • The globus pallidus then alters the activity of motor areas in the brainstem and cerebral cortex to modulate movement.

    Connections of the Basal Nuclei: Afferent Fibers

    • Corpus Striatum: Receives input from the cerebral cortex, thalamus, subthalamus, brainstem, and substantia nigra.
      • Corticostriatal fibers
      • Thalamostriate fibers
      • Nigrostriatal fibers
      • Brainstem striatal fibers

    Connections of the Basal Nuclei: Efferent Fibers

    • Corpus Striatum: Striatopallidal fibers and striatonigral fibers.
    • Globus Pallidus: Pallidofugal fibers, sending information to the thalamus and midbrain.

    Key Points

    • The corpus striatum receives information from most of the cerebral cortex, thalamus, subthalamus, and brainstem.
    • This information influences motor areas of the brainstem and cerebral cortex via the globus pallidus.

    Cranial Nerves

    • Part of the peripheral nervous system.
    • 12 pairs in total.
    • Exit skull at various foramina, except for Cranial Nerve X (vagus nerve). Its functions include innervating parts of the thorax and abdomen.
    • Sensory nerves typically start at a sensory organ, processing occurs in the cortex.

    Meninges Protective Tissue Covering The Brain And Brainstem

    • Three layers protecting the brain and spinal cord: dura mater, arachnoid mater, and pia mater.
    • Dura mater: thick fibrous sheet lining the inner surface of the skull bone, extending to the second sacral vertebrae. It has two layers; endosteal/periosteal layer and meningeal layer .
    • Arachnoid mater: thin membranous layer situated between the dura mater and pia mater, filled with cerebrospinal fluid. Also contains Arachnoid villi, which function to drain cerebrospinal fluid and are located in the venous sinuses.
    • Pia mater: vascular membrane located beneath the arachnoid mater and adhering tightly to the surface of the brain and spinal cord.

    Ventricles and Cerebrospinal Fluid

    • Cerebrospinal fluid (CSF): clear colorless fluid produced by the brain, found in ventricles.
    • Ventricles: series of interconnected cavities in the central nervous system.
    • Cerebrospinal fluid serves both cushioning and protective roles, removes waste products, and aids in hormonal communication. It also regulates the pressure inside the brain.
    • Choroid plexus: cells within/around ventricles responsible for producing cerebrospinal fluid.
    • Flow of CSF: lateral ventricle, interventricular foramen, third ventricle, cerebral aqueduct, fourth ventricle, subarachnoid space.

    Arterial Blood supply of the Brain

    • Circle of Willis: anastomosis of blood vessels (internal carotid artery, vertebral artery), supplying the brain with constant blood supply.

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    Description

    This quiz covers essential concepts of neuroanatomy focusing on the basal nuclei, corpus striatum, and their functions. It explores how these structures contribute to motor control and the implications of their dysfunction. Ideal for students preparing for exams in neuroanatomy and related fields.

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