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The pharyngeal plexus supplies the uvular area and all soft palat muscles except for
tensor veli paltini by v3
Diaphagram contracts=inhaling
Diaphagram relaxed =exhaling .abdominal muscles contract.
Phreneix nerve travels through thorax between pericardium and pleura.
Trigemina nerve
Menscephalic neuleus:mediate proprioception (msucle splind)
Chief or pontine nucleus:mediate discriminative sensation(light touch)
Subnucleus caudaliss:mediate pain and temprature from head and neck.
The pain fiber actually synaps in subncleais caudalis.
Spinal cord runs from base of skull to two thirds of the back,ends in adult as a constrictor
called conus medullaris around L1(L1-L2)
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Dura and archenoid continu to level S2 where archnoid fuses with the filum terminale.
Spinal cord has H shaped mass consist of neuronal cell bodies and intermediate zone.
Upper motor neurons(UMNs) lies in spinal cord.
Lateral ventricle communicate with third ventricule through interaverticular foramen (
foramen of monro)
Third ventricule communicate with fourth via cerberal aqueduct(aquaduct of sylvius)
Fourth ventricule located dorsal to medulla and pons and ventral to cerberbellum.
Single Median aperture(foramen of Magendie) and lateral apertures (foramen of
Luschka) provide communication between fourth ventricule and subarachnoid space.
CSF produced by choroid plexus and epndymal cell (lining membrane) in the lateral third
and fourth ventricles.
Absorbation of CSF into bloodstream take place in superior sagittal sinus via archenoid
villi.
Archenoid vili act as one way valves from CSF to venous not from venous to CSF.
Substantia nigra is in the. Midbrain lesion of it cause parkinson disease Cn3 and 4 arise
from midbrain
Pons houses one of the brains respiratory centers, CN V exit from the pons
medulla oblongota responsible for coughing ,gagging,swallowing ,vomiting , junction
between posn and medulla site of cranial neve VI,VII,VIII,IX,X,XI,XII(6,7,8,9,10,11,12)
medulla has also core of gray matter called Reticular formation involved in regulating
sleep and arousal and in pain perception and include vital centers regulate breating and
heart activity
spinal cord ends at about second lumbar vertebra L2
sensory fibers have thier cell body in the dorsal root
the white matter suround the gray matter in the spinal cord the oppoiste in the brain
spinal nerve (8 cervical ,12 thoracic ,5 lumbar , 5 sacral , and 1 coccygal nerve )
c1 arise between cranium and atlas, C8 arise between 7th cervical and 1st thoracic
all other nerves arise below the respective vertebra , sacrum neve arise forme verterbra
upper motor neuron forms two major system (the pyramidal and extrapyramidal )
oligodendrocytes =shwann cells in the CNS , there are no shwann cell in CNS
neural crest develop into (dorsal root ganglion ,autonomic ganglion ,chromaffin of
adrenal medulla , neurolemma cell(shcwann cell) intergumentary pigment cell
(melanocytes) and meningeal covering the brain and spina cord)
microglial cells=macrophage of CNS
neuroglial cells are non ducting supporting cells of nervous tissue example are --(
astrocytes attched to the outside of blood vessls in the brain ),ependymal cells that form
as sheath that usually lines fluid cavities in the brain .
mandibular lingual gingiva is innervated by lingua nerve .
chorda tympani join the lingual neve in the infratemporal fossa
the hypoglossal nerve after it exit from hypoglossal canal joined by C1 and C2 fibers
from cervical plexus .
there are 21 or 23 paravertaberal ganglia (3 cervical , 12 thoracic,4 lumbar , 4 sacral and
single unpaired lying in front of coccyx called ganglion of impar.
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superior cervical ganglion :largest liest between internal caroitid artery and internal
jugular vein
middle cervical ganglion : small located at the level of the cricoid cartilage
inferior cervical ganglion :occurs at C7 form Stellate gangilion
cell bodies of efferent fibers located in intermediolateral cell column
cell bodies of afferent fibers located in the dorsal root ganglia
occlomotor nerve supplies: medial ,superior,and iferior recti , inferior oblique and levator
palpebrae superioris
trochlear nerve supplies the superior oblique muscle (move eyball inferiorly and laterally)
abducens supplies lateral rectus of the eye.
trochlear never is the smalles nerve and the only nerve that exist from the dorsal of the
brainstem.
Sciatic largest nerve in the body.
Glossopharyngeal has branches(lingual branches two in number one to vallate papillae
and mucous covering base of the tongue posterior third, and the other supplies follicular
gland of posterior third caries secretomotor fibers to this glands) pharyngeal sensory
limb of gag reflex,carotid sinus nerve (carotid sinus baroreceptor) carotid
body(chemoreceptor).
Glossopharyngeal gives secretmotor branch to parotid gland from otic ganglion via
auriculotemporal nerve before entring in the ganglion nerve called lesser petrosal nerve.
The skin of lower eyelid is suplied by branches of infratrochlear at medial angle ,the rest
supplied by infraorbital branch of V2.
Sinus attack painful sensation from ethmoid cells caried by nasociliary nerve.
Opthalmaic v1 branches are(
lacrimal,frontal,nasociliary,supraorbital,supratrochlear,infratrochlear,external nasal
nerves)
V2 braches(infraorbital,zygomaticofacial,zygomaticotemporsl)
V3 branches(mental,buccal,auriculotemporal)
Trigrminal nerve has no parasympathetic component but its usded by Cn3 ,cn9,cn7.
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neural crest also develop from neuroectoderm in the third week these cells
immegrate and disperse in the mesenchyme they are essential in
developing the face ,neck and oral tissues.
falx cerebri: longitudinal fissure separates the cerberal hemosphers
,contain inferior and superior sagital sinuses.
tentorium cerbelli: separates cerebrum and cerbellum, contains straight
,transeverse,superior petrosal sinuses.
falx cerebelli: separates the lobes of the cereberllum, contains occipital
sinus.
drains of sinuses via internal jugular vein
diaphragma sellae is ring shaped fold of dura mater covering the sella
turcica and containing an aperture for passage of the infundibulum of the
pituitary gland
archenoid memebrane is fragil network of collagen and elastin fibers with
coweb like appearance, has moderate vascularity.
pia mater is extremly thin made up of collagen and elastin fibers contains
many blood vessels its adheres closly to the brain and spinal cord.
meningitis can develop to encephaliti(inflammation of the brain )
subarchenoid between archenoid and pia mater
epidural space over the dura mater become real space in presence of
pathlogy such accumulation of blood (epidural hematoma)
subdural closed space with no egress between dura mater and archenoid
membrane often the site of hemorrhage after head trauma.
pia mater and ependymal contribute to the formation of choroid plexuses .
Nerve physilogy
Some mechanical stimuli activate mechanically gated sodium channels
(stretching,sound waves)
Inward current is the movement of positive charge into the cell.
Spinal cord motor lesion is ipsilateral ,sensory lesion is contralateral.
Cns fibers are not enclosed with neurolemma.
Some axon of certain unmyelinated nerve fibers are enrwapping by
neurilemma.
Nondepolarizing nerve block is nerve block produced by local anesthetic.
Action of local anesthetic is at lipoprotein sheath of the nerve.
Local anesthetic are clinically effective in both axon and nervr ending.
Small myelinated nerve fibers for pain and temprature affected first
followed by touch ,proprioception and skeletal muscle tone.
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