NERVOUS SYSTEM
Function
Receives sensory input: sensory receptors from internal or external
environment
Integration/processing info: respond, store as memory or ignore
Control muscle & glands
Maintaining homeostasis
Establishing /maintaining mental activity
Functional Divisions of NS
• Two (2) major:
Peripheral NS
Central NS
The Peripheral NS
Peripheral NS
I. Sensory division: Afferent neurons carries impulses from
sensory receptors to CNS
II. Motor division: Efferent (motor neurons) carries impulse
from CNS to effector organs. Eg muscles or glands
Somatic: transmits impulse from CNS to skeletal muscle
Autonomic: transmits from CNS to cardiac, smooth &
glands
Sympathetic &
parasympathetic
Enteric NS: unique division of PNS solely in the GIT.
Contains both motor & sensory.
Can be independent of other PNS parts or CNS , although integrated
with CNS by sensory neurons & by ANS motor neurons
Central NS
Made of two (2) parts:
Brain
Spinal Cord
The Neuron: Basic Cell of the NS
Two parts:
I. Cell body(Soma) &
II. Processess
Dendrites: short branching cytoplasmic
extension. Recieves impulses from neighbouring
cells toward the neuronal cell body
Axons: single long process from cell body.
• Axonal hillock
• Myelin sheath
• Node or Ranvier
NEURONE - TYPES
• Shows great variability in size and shape
Classification according to number and arrangement of their
processes
• Unipolar neurone,
• Bipolar neurone eg those in retina & olfactory
• Multipolar neurone . Most CNS & motor neurons
Classification according to whether axon terminates on other
neurones or transmits impulse over long distances
• Interneurones
• Projection fibres
Functional types
• Sensory neurone
• Motor neurone
• Interneurone (internuncial or intercalated neurone) of Renshaw
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Neuronal
Types
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NEUROGLIA
• These are Non-neuronal cells & not electrically active in same way as
neurones
• Responsible for creating and maintaining appropriate environment for
efficient functioning of neurones
• In CNS neuroglia outnumber neurones, 10 – 50 X
Macroglia : 3 main types
• Oligodendrocytes
• Astrocytes, ; major glia in CNS, stimulate or inhibits signalling btn
nearby neurons, BBB
• Ependymal cells: : CNS cavity lining & CSF production
Microglia: immune function
15
Neuroglia: CNS
Oligodendrocytes
Astrocytes,
Ependymal cells: :
Microglia
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Neuroglia: PNS
• In PNS – 2 types
• Schwann cells
• Satellite cells in ganglia
• Myelin:
Lipid insulating material
Increasing speed of action potential
• Nodes of Ranvier
Organization of NS
Grey & White mater: both in PNS & CNS
Grey Matter:
consist cluster of neuron cell bodies & dendrite
Cortex: superficial portion in CNS
Nuclei- Interspersed deep grey matter clusters
White matter:
bundles of parallel axons surrounded by myelin, white appearance
Nerve tracts/conduction pathway: In CNS-
Nerves
The Reflex: The basic functional Unit of the NS
Reflex: involuntary reaction in response to a
stimulus applied to the periphery & transmitted to
the CNS
Reflex arc: neuronal pathway by which reflex
occurs
• 5 components
Sensory receptor
Sensory neuron
Interneuron in some case
Motor neuron
Effector organ
THE CENTRAL NERVOUS SYSTEM
The spinal cord
• Extends from base of skull to L2 level;
• Spinal nerves communicate b/n spinal cord &
the body surface
Cauda equina: ???
Segments
Cervical – 8 segments
Thoracic – 12 segments
Lumbar – 5 segments
Sacral – 5 segments
Coccygeal – 1 segment
The Spinal cord: Internal structure
Outer white matter =myelinated
axon
• Dorsal, ventral & lateral white
columns
• Column consists of ascending &
descending tracts
Inner grey matter: H-shape; cell
bodies clusters
Anterior horn (motor) &
posterior horns(sensory
impulse),
lateral horn( associated with
ANS at some levels)
Central canal :CSF
Spinal cord
• Dorsal and ventral rootlets
• Dorsal root (DR): dorsal root
ganglion
• Ventral root (VR)
Spinal nerve= both sensory
&motor)
• Spinal cord segments
• Cervical – 8 segments
• Thoracic – 12 segments
• Lumbar – 5 segments
• Sacral – 5 segments
• Coccygeal – 1 segment
The Spinal cord:
Spinal cord segments
• Cervical – 8 segments
• Thoracic – 12 segments
• Lumbar – 5 segments
• Sacral – 5 segments
• Coccygeal – 1 segment
• These segments extend as Spinal
nerves to supply the body
Spinal nerve
Dermatome
Nerve plexus
Cervical
brachial
Lumbosacral plexus
Coccygeal plexus
• No thoracic (T2-T11) = direct
innervation around trunk
The Brain
• Major region;
Brainstem
Diencephalon:
thalamus & hypothalamus
Cerebellum
Cerebrum
The Brainstem
Connects spinal cord to brain
I. Medulla oblongata,
II. pons
III. midbrain
• Contains several nuclei for vital
function: breathing, blood pressure
regulation, heart rate etc
• Small injury-death while to cerebrum-
life still possible
• Nuclei for cranial nerve located on it
eg: optic & olfactory
Medulla
• Inferior portion, extends from
foramen magnum to pons
• Contains ascending &
descending tracts & nuclei for
body functions such as Heart
rate, blood vessel diameter
control, breathing, cough,
sneezing,vomiting etc
• Pyramids= descending tract
into spinal cord for skeletal
muscle
Pons
• Acts a functional bridge between
cerebrum & cerebellum
• Contains ascending & descending
tracts & several nuclei
• Extension of some medulla nuclei
into it thus, some similar functions
in addition to salivation, chewing
Midbrain
• Smallest part, Contains nuclei for eye movt coordination,
pupil diameter, & lens shape
• Contains Ascending & Descending tract from spinal cord
to cerebrum or from cerebrum to cord or cerebellum
Dorsal part bears Four(4) colliculi=
2 superior : relay centre for auditory nerve pathways
2 inferior; involved in visual reflex, touch & auditory input
Some Nuclei interspersed within the brainstem includes:
Substantia Nigra= for body movement regulation
Recticular formation within brain stem: regulation of cyclical
motor fxns. Eg respiration, & form major part of RAS
responsible arousing & maintain consciousness & regulation
sleep wake cycle
The Cerebellum
• Attached by several large connections:
• Cerebellar peduncle-serve as communications between
cerebellum & other CNS centres
Responsible for balance, proprioception, muscle
tone, & fine motor movement
Acts as a comparator comparing info about
intended movement from cortex to sensory info
from moving structures such as joints, tendons,
muscle & sends feedback to rectify any discrepancy
thus making smooth & coordinated movt
Learning of fine motor skill eg playing piano
cerebellum
THE DIENCEPHALUM:
• Part of brain between
brainstem & cerebellum
Thalamus.
Epithalamus
hypothalamus
DIENCEPHALUM:
Thalamus
Largest part, two large nuclei cluster
joined by interthalamic adhesion;
Serves as relay centre foe ascending tract
synapse.
Thalamic tract convey impulse to cerebral
cortex
Also involved with mood, register
unlocalised pain, pain perception
THE DIENCEPHALUM:
EPITHALAMUS:
Superior & posterior to
thalamus.
Involved with emotional &
visceral response to odors
Contains pineal gland-
influence onset of puberty &
involved in long term cycles
influenced by the light –dark
cycle
The Hypothalamus
• Most inferior, several nuclei for
homeostasis
• Central role in the control of temperature,
thirst & hunger
• Sensations such as sexual pleasure ,rage,
fear. Relaxation after meal relates to it
Infundibiulum-funnel shaped stalk,
connection hypothalamic floor to pineal
gland
• Control secretions of hormones from pituitary
gland
Mammilary body- externally visible
swelling on the posterior portions of the
hypothalamus & involved with emotional
response to odors & memory
The Cerebrum
• Largest part of brain, divided into left & right
hemisphere by longitudinal fissure
• Right cerebral hemisphere receives sensory
input from & controls muscular activity on
the left half.
• The opposite is same for left cerebral
hemisphere
Commissures are the connection joining the
two cerebral hemisphere allowing sharing of
info between them
Corpus callosum- largest commissure found
at the base within longitudinal fissure
• Gyri- conspicuous features on brain,
increases surface area of cortex
• Sulci: the depression between gyri
Cerebrum: The Lobes
Frontal lobes: voluntary motor
function, motivation, aggression, mood,
olfactory reception
Parietal lobes: receiving & perceiving
most sensory information such as pain,
temperature, & touch
• Central sulcus separates it from frontal
Occipital lobe: visual inputs
Temporal lobe: auditory
• Lateral fissure containing the insula
separates it from the cerebrum
Ascending tracts
Transmit sensory info
from periphery to brain.
Composite names of
tract= based on origin &
insertion. Eg spino-
thalamic,
spinocerebellar
Sensory tracts
decussates (crosses
from left to right side)
within the spinal cord or
brainstem
Ascending Tracts
Another neuron relays
info from the thalamus to
the cerebral cortex
Some ascending tracts
also terminate in the
brainstem or cerebellum.
Eg. Spinocerebellar
Others: dorsal lemniscus-
touch, pressure
Sensory areas of the cerebral cortex
Primary somatosensory
cortex in parietal lobe- pain,
temperature, pressure
• Sensory fibres from specific
parts of the body project to
specific areas of the primary
somatosensory cortex
• Topographic map of the body
Sensory areas of the cerebral cortex
Visual cortex-
occipital lobe
Primary auditory
cortex- in
temporal lobe
Taste- Insula
cortex-
Descending tract
• Voluntary movements occur via upper
& lower motor neurons
Upper motor N.-
• cell bodies in the cerebral
cortex &
• Axons form descending tracts
that synapse on LMN
• These includes
Corticospinal tract (ant & post),
recticulospinal, tectospinal
Descending tract
• Decussates in brainstem & spinal cord=
• left control right & vice versa
Lower motor N:
• cell bodies in anterior horn of spinal grey
matter or the cranial nerve nuclei
• The axons leave the CNS and extend
through the spinal grey mater to the
skeletal muscle
Motor unit: LMN & skeletal
Motor areas of cerebral cortex
Primary motor cortex: located in posterior portion of frontal lobe ,
anterior to central gyrus
• UMN project from this areas to the specific body parts (topographic
body map)
Premotor area: centre for organization before initiation from the
primary motor area
• Prefrontal area : area for motivation & foresight to plan
• Accounts for our complexity to think ahead & feel motivated
• Other motor areas: Wernicke area, Broca’s -speech
The Basal Nuclei
Made of corpus striatum & the
substantial nuclei in the brainstem
Involved in planning, organizing &
coordination of motor movet &
posture
Parkinson disease, huntingtin
disease etc
The Meninges (Brain covering)
The Meninges
• 3 connective tissue membrane surrounding &
protecting brain
• Dura, Arachnoid, Pia
Dura: double layered, separated into several
regions to form folds & dural venous sinuses
• Folds separates hemispheres & cerebrum
from cerebellum
• Dural venous sinuses: collects blood from
small brain vessels into juglar vein
• Dura adheres tightly to skull but in spinal
cord, spaced (epidural space)
• Epidural space: clinical epidural anesthesia
injection
The Meninges
Arachnoid; thin, wispy,
• Subdural space: potential space
between arachnoid & dura
• Clinical significance: Spinal tap/spinal
anaesthesia block below L3
Pia;- closest & tightly bound to brain
& spinal cord.
• Subarachnoid space: between pia &
arachnoid,
• contains CSF, blood vessels
THE BRAIN VENTRICLES
Ventricles
• Fluid filled space within CNS
a) Lateral ventricle
b) Third ventricle-ant. to
diencephalon, between the
thalamus…….
c) Fourth ventricle: base of
cerebellum, connect via cerebral
aqueduct to 3rd ventricle.
• Continuous with central canal of
spinal cord & opens to into
subarachnoid space through foramina
The Cerebrospinal fluid
Baths CNS, protective cushioning
Flows within ventricle, central canal & arachnoid space
Drains through arachnoid granulations into the blood
Hydrocephalus: obstruction in foramina of 4th ventricles & cerebral
aqueduct
AUTONOMIC NERVOUS SYSTEM
Autonomic nervous Sys
Motor neurons from CNS to
peripheral organs such as cardiac,
smooth & glands
2 neurons involved: preganglionic &
postganglionic
Preganglionic synapse on post
ganglionic in the autonomic
/collateral ganglia outside the CNS
Exception : preganglionic that synapse
on the adrenal medulla; the
postganglionic are the actual secreting
cells in the adrenal medulla
The two (2) Divisions of the ANS:
Sympathetic & Parasympathetic
The Sympathetic Division: fight or freight
• Cell bodies of sympathetic preganglionic are
in the lateral grey horn of the spinal cord
(T1-L2).
• Axons project from there through anterior
grey horn to the sympathetic chain ganglia
or collateral ganglia
• Some preganglionic synapse with
postganglionic fibres in the sympathetic
ganglia
• Postganglionic axons form sympathetic
fibres that extend to innervate organs in
thoraxic cavity
The Sympathetic Division
• Axons of sympathetic preganglionic
that do not synapse in the
sympathetic chain ganglia form
splanchnic nerves that extends to
collateral ganglia
Collateral ganglia are located near
target organs & includes celiac,
superior & inferior mesenteric ganglia
• Postganglionic fibres in collateral
ganglia synapse with the splanchnic
nerves(preganglionic) and extend to
innervate abdominal & pelvic organs
The Parasympathetic division: rest & digest
Cells bodies of parasympathetic
preganglionic are located within the
brainstem nuclei of the oculomotor, facial,
glossopharyngeal, or vagus or within the
lateral horn of the spinal grey mater of S2-
S4 regions
Axons of preganglionic neurons extend
through the spinal nerves or cranial nerves
to terminal ganglia located near effector
organs in head or walls of effector organs in
thorax, abdomen & pelvis
The Parasympathetic division
The axons of the postganglionic
neurons extend a relatively short
distance from the terminal ganglia
to the effector organs
Most thoracic & abdominal organs
are supplied by preganglionic
neurons of the vagus nerve
extending from the brainstem
Some few things to note:
Each ANS division can produce both stimulatory & inhibitory effects
depending on the target tissue.
• Eg:Parasym stimulates contraction of bladder & inhibit contractions of
heart
Most organs that receive ANS supply are innervated by both para & sympa
In some organs, these two ANS divisions create opposing effect thereby
acting together for organ coordinate eg; Erection & ejaculation
Exclusive organs with single ANS supply; eg sweat gland & blood vessels-
only by sympa, Lens of the eye- by parasympa
ORGAN SYMPATHETIC ACTION PARASYMPATHETIC ACTION
EFFECTS OF
EYE (PUPIL)
ANS ON ORGANS
DILATION CONSTRICTION
GLANDS (EXCEPT REDUCES SECRETION INCREASES SECRETIONS
SWEAT GLANDS)
HEART INCREASES RATE (TACHYCARDIA) DECREASES RATE (BRADYCARDIA)
GIT DECREASES PERISTALSIS ; INCREASES PERISTALSIS ;
GLANDULAR SECRETIONS GLANDULAR SECRETIONS
URINARY SYSTEM RELAXES BLADDER; CONTRACTS CONTRACTS BLADDER; RELAXES
SPHINCTERS SPHINCTERS
ERECTILE ORGANS RELAXES AND ERECTS
LUNGS BRONCHODILATION CONSTRICTION AND SECRETION
ANS Neurotransmitters
Acetylcholine: secreted by all preganglionic of both ANS divisions &
postganglionic of parasympathetic
Norepinephrine; by most postganglionic of sympathetic NS
Drugs??? Sympathomimetic etc…
BLOOD SUPPLY OF THE BRAIN
Effects of aging on the NS
• ↓ in number of sensory neurons, function & CNS processing→Prone
to skin injuries
• ↓ limb, joint positional sense→ ↓balance, coordination,
• ↑susceptibility to BP, dehydration, dehydration, urinary/bowel
incontinence
• 50% ↓ lower motor neurons in Lumbar spinal level by age 60
Thank you