3. COMPONENTS OF THE NERVOUS SYSTEM Peripheral Nervous System (PNS) Central Nervous System (CNS) Brain & Spinal Cord Somatic Cranial Nerves Autonomic (Visceral) 31 Pairs of Spinal Nerves 12 Pairs of Cranial Nerves Sympathetic Parasympathetic
4. TYPES OF NEURONS Myelin Myelin Myelin Motor - Efferent Sensory - Afferent Sensory - Afferent
5. NERVOUS SYSTEM TERMINOLOGY Ganglion – Collection of Cell Bodies outside the CNS. Four Types of Ganglia: 1. Dorsal Root 2. Paravertebral 3. Prevertebral PNS 4. Enteric Motor Neuron – Efferent General Somatic Efferent (GSE) – Spinal Nerve General Visceral Efferent (GVE) – Autonomic Nerve Sensory Neuron – Afferent General Somatic Afferent (GSA) – Spinal Nerve General Visceral Afferent (GVA) – Autonomic Nerve Nucleus/Horn – Collection of Cell Bodies. CNS White Matter – Collection of Myelinated Nerve Fibers. Gray Matter – Collection of Un-myelinated Dendrites and Cell Bodies.
8. Synapse of Lower Motor with Upper Motor Neuron Central Lesion Contralateral loss Lower Motor Neuron Decussation in Medulla Site of Crossover Cerebral Cortex Pre-Central Gyrus Upper Motor Neuron CORTICOSPINAL TRACT MOTOR Spinal Cord Lesion Epsilateral loss
9. Cerebral Cortex Post Central Gyrus Decussation in Medulla Thalamus 1 st Order Neuron 2 nd Order Neuron 2 st Order Neuron 3 rd Order Neuron 3 rd Order Neuron PAIN, TEMPERATURE & TOUCH PROPRIOCEPTION, VIBRATION & DISCRIMINATING TOUCH SPINOTHALAMIC TRACTS - SENSORY 1 st Order Neuron Central Lesion Contralateral loss Central Lesion Contralateral loss Spinal Cord Lesion Epsilateral loss below lesion Spinal Cord Lesion Contralateral loss below lesion
28. Spinal Nerve Gray Ramus Communicans ONLY Sympathetic Truck Ventral Ramus ADD THE SYMPATHETIC TRUNK TO SPINAL NERVES L3 – Cocc 1 Paravertebral Ganglion
29. SYMPATHETIC DISTRIBUTION TO SPINAL NERVES L3-Cocc 1 Preganglionic Nerve (GVE) Postganglionic Nerve (GVE) GVA Nerve Cell Bodies Sympathetic Trunk Dorsal Ramus Ventral Ramus Ventral Root of Spinal Nerve Dorsal Root of Spinal Nerve Paravertebral Ganglion Dorsal Root Ganglion Gray Ramus Communicans White Ramus Communicans Lateral Horn L1-L2 L3-Cocc 1
30.
31. 12 PAIRS OF CRANIAL NERVES CN I Olfactory CN II Optic CN III Oculomotor CN IV Trochlear CN V Trigeminal CN VI Abducens CN VII Facial CN VIII Vesticulocochlear CN IX Glossopharyngeal CN X Vagus CN XI Accessory CN XII Hypoglossal Parasympathetic M – Motor S – Sensory B – Both S S M M B M B S B B M M