• Recognize and use terms related to the anatomy and physiology of the nervous system. • Recognize and use terms related to the pathology of the nervous system. • Recognize and use terms related to the diagnostic procedures for the nervous system. • Recognize and use terms related to the therapeutic interventions for the nervous system. To carry out its functions, the nervous system is divided into two main subsystems. (See Fig. 12-1 for a schematic of the divisions.) The central nervous system (CNS) is composed of the brain and the spinal cord. It is the only site of nerve cells called interneurons (in tur NOOR ons), which connect sensory and motor neurons. The peripheral nervous system (PNS) is composed of the nerves that extend from the brain and spinal cord to the tissues of the body. These are organized into 12 pairs of cranial nerves and 31 pairs of spinal nerves. The PNS is further divided into voluntary and involuntary nerves, which may be afferent (or sensory), carrying impulses to the brain and spinal cord, or efferent (or motor), carrying impulses from the brain and spinal cord to either voluntary or involuntary muscles. PNS nerves are further categorized into two subsystems: somatic (soh MAT ick) system: This system is voluntary in nature. These nerves collect information from and return instructions to the skin, muscles, and joints. autonomic (ah toh NAH mick) system: Mostly involuntary functions are controlled by this system as sensory information from the internal environment is sent to the CNS, and, in return, motor impulses from the CNS are sent to involuntary muscles: the heart, glands, and organs. 1. The two main divisions of the nervous system are the __________________ and the __________________. 2. Sensory neurons (transmit, receive) information (to, from) the CNS. 3. Motor neurons, also called (efferent, afferent) neurons, transmit information (to, from) the CNS. 4. The (somatic, autonomic) nervous system is voluntary in nature, whereas the (somatic, autonomic) nervous system is largely involuntary. The nervous system is made up of the following two types of cells: 1. Parenchymal cells, or neurons, the cells that carry out the work of the system. 2. Stromal cells, or glia (GLEE uh), the cells that provide a supportive function. The basic unit of the nervous system is the nerve cell, or neuron (Fig. 12-2). Not all neurons are the same, but all have the following features in common. Dendrites (DEN drytes), projections from the cell body, receive neural impulses, also called action potentials, from a stimulus of some kind. This impulse travels along the dendrite and into the cell body, which is the control center of the cell. This cell body contains the nucleus and surrounding cytoplasm. From the axon’s terminal fibers, the neurotransmitter is released from the cell to travel across the space between these terminal fibers and the dendrites of the next cell. This space is called the synapse (SIN aps) (see Fig. 12-2). The impulse continues in this manner until its destination is reached. As stated previously, the CNS is composed of the brain and the spinal cord. The brain is one of the most complex organs of the body. It is divided into four parts: the cerebrum (suh REE brum), the cerebellum (sair ih BELL um), the diencephalon (dye en SEF fuh lon), and the brainstem (Fig. 12-3). The largest portion of the brain, the cerebrum, is divided into two halves, or hemispheres (Fig. 12-4). It is responsible for thinking, reasoning, and memory. The surfaces of the hemispheres are covered with gray matter and are called the cerebral cortex. Arranged into folds, the valleys are referred to as sulci (SULL sye) (sing. sulcus), and the ridges are gyri (JYE rye) (sing. gyrus). The cerebrum is further divided into sections called lobes, each of which has its own functions: 1. The frontal lobe contains the functions of speech and the motor area that controls voluntary movement on the contralateral side of the body. 2. The temporal (TEM pur rul) lobe contains the auditory and olfactory areas. 3. The parietal (puh RYE uh tul) lobe controls the sensations of touch and taste. 4. The occipital (ock SIP ih tul) lobe is responsible for vision. The spinal cord extends from the medulla oblongata to the first lumbar vertebra (Fig. 12-5). It then extends into a structure called the cauda equina (KAH dah eh KWY nah). The spinal cord is protected by the bony vertebrae surrounding it and the coverings unique to the CNS called meninges (meh NIN jeez). The spinal cord is composed of gray matter, the cell bodies of motor neurons, and white matter, the myelin-covered axons or nerve fibers that extend from the nerve cell bodies. The 31 pairs of spinal nerves emerge from the spinal cord at the nerve roots. Meninges act as protective coverings for the CNS and are composed of three layers separated by spaces (Fig. 12-6). The dura mater (DUR ah MAY tur) is the tough, fibrous, outer covering of the meninges; its literal meaning is hard mother. The space between the dura mater and arachnoid membrane is called the subdural space. Next comes the arachnoid (uh RACK noyd) membrane, a thin, delicate membrane that takes its name from its spidery appearance. The subarachnoid space is the space between the arachnoid membrane and the pia mater, containing cerebrospinal fluid (CSF). CSF is also present in cavities in the brain called ventricles. Finally, the pia mater (PEE uh MAY tur) is the thin, vascular membrane that is the innermost of the three meninges; its literal meaning is soft mother. The peripheral nervous system is divided into 12 pairs of cranial nerves that conduct impulses between the brain and the head, neck, thoracic, and abdominal areas, and 31 pairs of spinal nerves that closely mimic the organization of the vertebrae and provide innervation to the rest of the body. If the nerve fibers from several spinal nerves form a network, it is termed a plexus (PLECK sus). Spinal nerves are named by their location (cervical, thoracic, lumbar, sacral, and coccygeal) and by number (Fig. 12-7). Cranial nerves are named by their number and also their function or distribution. *Proprioceptors are receptors located in muscles, tendons, or joints that provide information about body position and movement. Dermatomes (DUR mah tomes) are skin surface areas supplied by a single afferent spinal nerve. These areas are so specific that it is actually possible to map the body by dermatomes (Fig. 12-8). This specificity can be demonstrated in patients with shingles, who show similar patterns as specific peripheral nerves are affected (see Fig. 12-16). • The sympathetic nervous system is capable of producing a “fight-or-flight” response. This is the one part of the nervous system that helps the individual respond to perceived stress. The heart rate and blood pressure increase, digestive processes slow, and sweat and adrenal glands increase their secretions. • The parasympathetic nervous system tends to do the opposite of the sympathetic nervous system—slowing the heart rate, lowering blood pressure, increasing digestive functions, and decreasing adrenal and sweat gland activity. This is sometimes called the “rest and digest” system. Here is an example of a sensory response: Match the following parts of the brain with their functions. A auditory and olfactory activity C reflex center for eye and head movements E regulates heart rate, blood pressure, and breathing F regulates temperature, sleep, and appetite H connects medulla oblongata with cerebrum I coordinates voluntary movement Match the CNS part with its combining form. Label the drawings below with the correct anatomic labels. Combining and Adjective Forms for the Anatomy and Physiology of the Nervous System Suffixes for the Anatomy and Physiology of the Nervous System Terms Related to Signs and Symptoms
Nervous System
Anatomy and Physiology
Organization of the Nervous System
Exercise 1: Organization of the Nervous System
Cells of the Nervous System
Neurons
The Central Nervous System
The Brain
Cerebrum
The Spinal Cord
Meninges
The Peripheral Nervous System
Number
Name
Origin of Sensory Fibers
Effector Innervated by Motor Fibers
I
Olfactory
Olfactory epithelium of nose (smell)
None
II
Optic
Retina of eye (vision)
None
III
Oculomotor
Proprioceptors* of eyeball muscles
Muscles that move eyeball; muscles that change shape of lens; muscles that constrict pupil
IV
Trochlear
Proprioceptors* of eyeball muscles
Muscles that move eyeball
V
Trigeminal
Teeth and skin of face
Some muscles used in chewing
VI
Abducens
Proprioceptors* of eyeball muscles
Muscles that move eyeball
VII
Facial
Taste buds of anterior part of tongue
Muscles used for facial expression; submaxillary and sublingual salivary glands
VIII
Vestibulocochlear (Auditory)
None
Vestibular branch
Semicircular canals of inner ear (senses of movement, balance, and rotation)
Cochlear branch
Cochlea of inner ear (hearing)
IX
Glossopharyngeal
Taste buds of posterior third of tongue and lining of pharynx
Parotid salivary gland; muscles of pharynx used in swallowing
X
Vagus
Nerve endings in many of the internal organs (e.g., lungs, stomach, aorta, larynx)
Parasympathetic fibers to heart, stomach, small intestine, larynx, esophagus, and other organs
XI
Spinal accessory
Muscles of shoulder
Muscles of neck and shoulder
XII
Hypoglossal
Muscles of tongue
Muscles of tongue
Exercise 3: Central and Peripheral Nervous System
Exercise 4: Central and Peripheral Nervous System
Meaning
Combining Form
Adjective Form
body
somat/o
somatic
brain
encephal/o
cerebellum
cerebell/o
cerebellar
cerebrum
cerebr/o
cerebral
cortex
cortic/o
cortical
dendrite
dendr/o
dendritic
dura mater
dur/o
dural
lobe
lob/o
lobular, lobar
meninges
mening/o, meningi/o
meningeal
nerve
neur/o
neural
nerve root
rhiz/o, radicul/o
radicular
same
home/o
skin
dermat/o
dermatic
spinal cord
cord/o, chord/o, myel/o
cordal, chordal
star
astr/o
astral
ventricle
ventricul/o
ventricular
Suffix
Meaning
-cyte
cell
-glia
glue
-logy
study of
-on
structure
-stasis
stopping, controlling
-tome
instrument used to cut
Pathology
Term
Word Origin
Definition
amnesia
Loss of memory caused by brain damage or severe emotional trauma.
am NEE zsa
aphasia
a- without
phas/o speech
-ia condition
Lack or impairment of the ability to form or understand speech. Less severe forms include dysphasia (dis FAY zsa) and dysarthria (dis AR three ah); dysarthria refers to difficulty in the articulation (pronunciation) of speech.
ah FAY zsa
athetosis
Continuous, involuntary, slow, writhing movement of the extremities.
ath uh TOH sis
aura
Premonition; sensation of light or warmth that may precede an epileptic seizure or the onset of some types of headache.
OR uh
dysphagia
dys- difficult
phag/o eat
-ia condition
Condition of difficulty with swallowing.
dis FAY zsa
dyssomnia
dys- difficult
somn/o sleep
-ia condition
Disorders of the sleep-wake cycles. Insomnia is the inability to sleep or stay asleep. Hypersomnia is excessive depth or length of sleep, which may be accompanied by daytime sleepiness.
dih SAHM nee ah
fasciculation
Involuntary contraction of small, local muscles.
fah sick yoo LAY shun
gait, abnormal
Disorder in the manner of walking. An example is ataxia (uh TACK see uh), a lack of muscular coordination, as in cerebral palsy.
hypokinesia
hypo- deficient
kinesi/o movement
-ia condition
Decrease in normal movement; may be due to paralysis.
hye poh kih NEE sza
neuralgia
neur/o nerve
-algia pain
Nerve pain. If described as a “burning pain,” it is called causalgia.
noor AL jah
paresthesia
para- abnormal
esthesi/o feeling
-ia condition
Feeling of prickling, burning, or numbness.
pair uhs THEE zsa
seizure
Neuromuscular reaction to abnormal electrical activity within the brain (see Fig. 12-21). Causes include fever or epilepsy, a recurring seizure disorder; also called convulsions.
SEE zhur
spasm
Involuntary muscle contraction of sudden onset. Examples are hiccoughs, tics, and stuttering.
SPAZ um
syncope
Fainting. A vasovagal (VAS soh VAY gul) attack is a form of syncope that results from abrupt emotional stress involving the vagus nerve’s effect on blood vessels.
SINK oh pee
tremors
Rhythmic, quivering, purposeless skeletal muscle movements seen in some elderly individuals and in patients with various neuro-degenerative disorders.
TREH murs
vertigo
Dizziness; abnormal sensation of movement when there is none, either of oneself moving, or of objects moving around oneself.
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