Section IV

Neurophysiology I
Chapter 45,46,47,54,55,56,58,61

  I.        Introduction
                A.    Comparison of nervous and endocrine systems
                B.    Components of reflex arc

 II.        Organization of nervous system
                A.    Anatomical organization
                B.    Physiological organization
                C.    Synthesis of two organizational systems
                D.    Comparison of components of a reflex are in somatic and visceral reflexes

III.        Cellular Neurophysiology
                A.    Cell types

                        1.    Neuroglia
                                a. Astroglia
                                b. Oligodendria
                                c. Microglia
                                d. Ependymal cells
                                e. Schwann cells

                        2.    Neuron
 
                B.    Neuron

                        1.    Functional characteristics

                        2.    Anatomy
                                a. Cell body
                                b. Dendrites
                                c. Axon

                        3.    Speed of conduction
                                a. Non-myelinated
                                b. Myelinated
                                       -Multiple Sclerosis
                                       -Regeneration

                        4.    Structural Types
                                a. Multipolar
                                b. Biopolar
                                c. Pseudounipolar
 

                C.    Mixed Nerve Action Potentials (Erlanger & Gasser)

                        1. Description

                        2. Functional categorization

                        3. Effects of pressure and local anesthetics

                D.   Electrical Synapses (Gap Junctions)

                E.    Chemical Synapses

                        1.     Anatomical classification
                                    a. Neuro-neuronal
                                    b. Neuromuscular
                                    c. Neuroglandular

                         2.    Components
                                     a. Presynaptic structure
                                     b. Postsynaptic structure
                                              - Neurotransmitter sensitive receptors
                                              -Receptors coupled to G-proteins
                                      c. Concept of miniature potentials

                        3.     Response in postsynaptic structure
                                        a. Excitatory synapses
                                                  - increased permeab. to Na+
                                                  - hypopolarized
                                                  - hyperexcitable
                                                  - E.P.S.P.
                                        b. Inhibitory synapses
                                                   - increased permeab. to K+ or Cl-
                                                   - hyperpolarized
                                                   - hypoexcitable
                                                   - I.P.S.P

                        4.    Principle of convergence, divergence, and synaptic delay.

                        5.    Implications
                                        a. Summation
                                        b. Presynaptic Inhibition

                 F.   Neuromodulators or Neuropeptides

 IV.      Anatomical Overview of Nervous System

            A.   Embryology

            B. Anatomical Subdivisions

                1. Prosencephalon (Forebrain)
                        a. Telencephalon
                                - Cerebrum
                                - Basal Ganglia
                        b. Diencephalon
                                - Thalamus
                                - Hypothalamus
 
                 2.   Mesencephalon (Midbrain)
                        a. Corpra quadrigemina
                        b. Red nucleus
                        c. Cerebral Peduncles

                3.   Hindbrain (Rhombencephalon)
                        a. Mentencephalon
                                 -Cerebellum
                                 - Pons
                        b. Myelencephalon
                                 - Medulla

 
V.         The Forebrain

            A.   Cerebrum

                1.   General anatomy

                2.   Functional lobes of cortex
                        a. Frontal
                                    - Thought
                                    - Speaking (Broca's Area, Wernicke's Area)
                                    - Primary motor cortex (homunculus)
                        b. Parietal (Postcentral) (homunculus)
                        c. Temporal
                        d. Occipital
                 3.   Left and right side differences
                 4.   Fiber types
                         a. Association
                         b. Commissural
                         c. Projection
                 5.   Basal Ganglia
                          a. Examples (caudate nucleus, putamen, globis pallidus)
                          b. Functions
 
            B.    Thalamus

            C.    Hypothalamus

                  1.   Temperature regulation
                  2.   Food
                  3.   Water
                  4.   Sleep
                  5.   Stress
                  6.   Hormone and releasing factors
                  7.   Sexual behavior
 

VI.        The Midbrain

             A.     The "Roof" -- corpora quadrigemina

                      1.    Superior colliculi
                      2.    Inferior collicculi

            B.       The Midportion
 
                       1.    Reticular formation
                       2.    Nucleus ruber (red nucleus)
 
            C.     The Base - cerebral peduncles
 

VII.       The Hindbrain

            A.     Cerebellum

                        1.    Vestibulocerebellum (Flocculondular nucleus)
                        2.    Spinocerebellum
                        3.    Cerebrocerebellum

            B.     Pons

                        1.    Tegmentum
                        2.    Reticular formation

            C.     Medulla
 
                        1.    Vital functions
                        2.    Vestibular nucleus
                        3.    Cochlear nucleus
                        4.    Decussation of the pyramids
                        5.   Nucleus gracilis and nucleus cuneatus
                        6.    Reticular formation

VIII.       The Limbic System

 IX.        The Reticular Formation
 

X.         The Spinal Cord
 
                 A.     Gross Anatomy
                 B.     Microscopic Anatomy

XI.        Protection to the CNS
 
                 A.    The meninges
                 B.    The ventricles
 
 
                C.     CSF distribution and circulation

XII.        The Spinal Nerves

                A. Functional classification
                B. Distribution

XIII.       The Cranial Nerves

               A . Functional Classifications
               B. Functions (See Figure 2)
 
 

CRANIAL NERVES
FUNCTION
CLINICAL APPLICATION
(PATHOLOGY)
Olfactory (I) Smell Ansomia
Optic (II) Vision Anopsia
Oculomotor (III) Motor: 
Movement of eyelid and eyball, 
Accommodation of lens, 
Constriction of pupil. 
Sensory: 
Proprioception from eye muscles
Strabismus; 
Ptosis; 
Diplopia
Trochlear (IV) Motor: 
Movement of eyeball 
Sensory: 
Proprioception-eye muscles
Diplopia; 
Strabismus
Trigeminal (V) Motor: 
Chewing 
Sensory: 
General somatic afferrent from nose, forehead scalp, teeth, jaw, cheek, etc.
Tic douloureux
Abducens (VI) Motor: 
Movement of eyeball 
Sensory: 
Proprioception-eye muscles
 
Facial (VII) Motor: 
Facial expressions; 
Secretion of saliva & tears 
Sensory: 
Taste; propriorecption from muscles of face and scalp
Bell's palsy
Vestibulocochlear (VIII) Hearing and equilibrium Tinnitus (ringing) Vertigo
Glossopharyngeal (IX) Motor: 
Secretion of saliva; 
muscles of throat and larynx 
Sensory: 
Taste, regulation of respiration and blood pressure, proprioreception
Difficult swallowing 
Loss of taste
Vagus (X) Motor: 
Smooth muscle contraction and relaxation in several visceral structures (e.g. airways, esophagus, stomach, small intestine); decrease heart rate; secretion of digestive fluids 
Sensory: 
Sensations from visceral organs that are supplied; regulation of respiration and blood pressure
 
Accessory (XI) Motor: 
Swallowing; movement of head 
Sensory: 
Proprioreception
 
Hypoglossal (XII) Motor: 
Movement of tongue 
Sensory: 
Propriorecption from tongue muscles
 
  * The Roman numerals in parentheses are used to identify these nerves in figures
XIV.        Receptor Physiology

                A.   Receptor Types
                B.   Weber Fechner Principle
                C.   Modality of Sensation
                D.   Intensity of Sensation
                E.   Receptor Adaptation

 XV.         Reflexes

                A.   Myotatic 
               
 
                B.   Flexor Reflex
                C.   Crossed Extensor

XVI.       Ascending Pathways

                A.    The Dorsal Column System

                       1.    Functions
                       2.    Anatomy (See Figure 4)

                B.    The Spinothalamic System

                        1.    Functions
                        2.    Anatomy (See Figure 5)

                 C.   The Spinocerebellar Pathway
 
                        1.    Functions
                        2.    Anatomy (See Figure 5)

XVII.      Descending Pathways

                A.    Pyramidal

                        1.    Functions
                        2.    Anatomy (See Figure 6)

                B.    Extra Pyramidal Pathways

                        1.    Rubrospinal
 
                                a. Function
                                b. Anatomy (See Figure 6)
 
                        2.    Tectospinal

                                a. Function
                                b. Anatomy

                        3.    Vestibulospinal Tract

                                a. Function
                                b. Anatomy

                        4.    Others
 

XVIII.         Integrative Pathways

                    A.    Cortico-Pontile-Cerebellar Pathway

                               1.    Function
                               2.    Anatomy (See Figure 7)

                   B.    Dentata-Thalamo-Cortical Pathway
 

XIX.       CNS Integration of Muscle Movement (See Figure 8)

 XX.       Other Neurotransmitters

                A.    Dopamine
                B.    Serotonin
                C.    GABA
                D.    Glycine

XXI.       Neuropeptides

               A.    Substance P
               B.    Endorphans, Enkephalins
 
XXII.     Pathologies

             A.    Shingles
             B.    Cerebral Palsy
             C.    Cerebral Vascular Accident
             D.    Epilepsy
             E.    Meningitis encephalitis
             F.    Reye's Syndrome
             G.    Neuritis
 
Click here for a figure of The Dorsal Column System

Click here for a figure of The Spinothalamic & The Spinocerebellar Pathways

Click here for a figure of The Pyramidal & Rubrospinal Pathways

Click here for a figure of The "integrative" pathways

Click here for a figure of the CNS Integration of Muscle Movement
 


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