includes sympathetic parasympathetic nervous system
basic unit of nervous system
neuron
anatomy of a neuron stimulated by environmental changes or the activities of other cells
dendrites
anatomy of a neuron that contains the nucleus and most of the metabolic machinery (mitochondria, ribosomes, ext
soma
anatomy of a neuron that conducts nerve impulses (action potential) away from the soma
Axon
anatomy of a neuron that affects another neuron or effector (muscle, gland, etc.
synaptic terminals
a substance that is released from the axon terminal of a presynaptic neuron upon excitation and that travels across the synaptic cleft to either excite or inhibit the target cell. EX: acetylcholine, norepi, dopamine
neurotransmitter
membranes covering and protecting the brain and spinal cord. They consist of the pia mater, arachnoid membrane, and dura mater.
meniges
tough outermost layer of meninges
dura mater
middle layer of the meninges
arachnoid membraine
delicate innermost layer of the meninges
pia mater
watery, clear fluid that acts as a cushion, protecting the brain and spinal cord from physical impact. this also serves as an accessory circulatory system for the central nervous system.
cerebrospinal fluid
largest part of brain with 2 hemispheres. is seat of consciousness and the center of higher mental functions such as memory, learning, reasoning, judgment, intelligence, and emotions.
cerebrum
portion of brain lying beneath the cerebrum an dabove teh brainstem. It contains the thalamus, hypothalamus, and limbic system
diencephalon
part of the brain connecting the cerebral hemispheres with the spinal cord. consists of the mesencephalon (midbrain), pons, and medulla oblongata
brainstem
portion of the brain connecting the pons and cerebellum with the cerebral hemispheres, also called the midbrain,
mesencephalon
portion of the brain that controls motor coordination and eye movement. AKA midbrain
mesencephalon
located between the midbrain and teh medulla oblongata, contains connections between the brain and the spinal cord.
pons
lower portion of brainstem, connecting pons and spinal cord, contains major centers for control of respiratory, cardiac, and vasomotor activity.
medulla oblongata
portion of brain dorsal to pons plays important role in fine motor movement, posture, equilibrium, and muscle tone
cerebellum
part of brain responsible for speech, vision, personality, motor
cerebrum
part of brain responsible for balance and coordination,
cerebellum
system responsible for consciousness. A series of nervous tissues keeping the human sytem in a state of consciousness
RAS reticular activating system
carrying impulses toward the central nervous system. Sensory Nerves
afferent
carrying impulses away from the brain or spinal cord to the perifery. Motor nerves
efferent
area of the skin innervated by spinal nerves
dermatomes
involuntary component of peripheral nervous system
autonomic nervous system
any malfunction of damage of the peripheral nerves. results may include muscle weakness, loss of sensation, impaired reflexes, and internal organ malfunctions
peripheral neuropaty
a breathing pattern characterized by a period of apnea lasting 10 to 60 seconds followed by gradually increasing depth and frequency of respirations.
Cheyn-Stokes
rapid deep respirations caused by severe metabolic and CNS problems.
Kussmaul's
hyperventilation caused by a lesion in the central nervous system, often characterized by rapid, deep, noisy respirations.
central neurogenic hyperventilation
poor respirations due to CNS damage, causing ineffective thoracic muscular coordination
ataxic respirations
breathing characterized by a prolonged inspiration unrelieved by expiration attempts seen in patients with damage to the upper part of the pons
apneustic respirations
posture associated with a lesion at or about the upper brainstem. the pt presents with the arms flexed, fists clenched and legs extended.
decorticate posture
posture resulting from lesion in brainstem. Pt presents with stiff and extended extremities and retracted head.
decerebrate posture
a collective change in vital signs associated with increasing intracanial pressure:
- increased blood pressure
- decreased pulse
- irregular respirations
Cushing's triad
AEIOU-TIPS
Acidosis
Epilepsy
Infection
Overdose
Uremia
Trauma
Insulin
Psychosis
Stroke
condition characterized by loss of memory and disorientation, associated with chronic alcohol intake and a diet deficient in thiamine
Wernick's syndroms
psychosis characterized by disorientation, muttering delierum, insomnia, delusions, and hallucinations.
Korsakoff's psychosis
condition with symptoms of painful extremities, bilateral wrist drop, bilateral foot drop, and pain on pressure over the long nerves.
Korsakoff's psychosis
caused by ischemic or hemorrhagic lesions to a portion of the brain resulting in damage or destruction of brain tissue.
stroke
tPA
fibrinolytic agent tissue plasminogen activator used in treating heart attack and certain occlusive strokes
3rd most common cause of death in middle aged and older patients.
strokes
2 types of strokes
occlusive and hemorragic
thrombotic stroke
cerebral thrombus is a blood clot that gradually develops in and obstructs a cerebral artery. plaque builds up and clot develops in narrowed artery
embolic stroke
solid, liquid, or gaseous mass carried to blood vessel from a remote site. occure suddenly and often with severe headace.
hemmorrhagic stroke
usually intracerebral (with the brain)or in space around outer surface of brain ( subarachnoid). sudden, severe headache.
most intracranial hemmorhages occu in the ____ patient when small tissue ruptures
hypertensive
predisposing factors that may contribute to stroke
temporary interruption of blood supply to the brain
seizure that begins as an electrical discharge in a small area of the brain but spread to involve the entire cerebral cortex, causing widespread malfunction
generalized siezure
seizures that remain confined to a limited portion of the brain, causing localized malfunction. may spread and become generalized
partial seizure
AKA grand mal seizure. type of generalized seizure characteristic by rapid loss of consciousness and motor coordination, muscle spasms, and jerking motions
tonic clonic seizure
phase of seizure characterized by tension or contraction of muscles
tonic phase
phase of seizure characterized by alternating contraction and relaxing of muscles
clonic phase
type of generalized seizure with sudden onset, characterized by a brief loss of awareness and rapid recovery
absence seizure
petit mal seizure AKA
- presents with 10 to 30 second loss of consciousness or awareness.
absence seizure
subjective sensation preceding seizure activity
aura
phase of seizure where pt experiences extreme muscle rigidity, including hyperextension of back
hypertonic phase
when pt remains in coma after seizure
post seizure
postictal
when pt awakes from seizure confused and fatigued.
hysterical seizure, stems from psychological disorders
pseudoseizure
2 types of partial seizure
simple partial seizure
complex partial seizure
sometimes called focal motor, focal sensory, or Jacksonian seizure, characterized by chaotic movement of one areal of body. no loss of consciousness
simple partial seizure
sometimes called temporal lobe or psychomotor seizure characterized by distinctive auras including unusual smells, tastes, sounds, or objects appearing distant or near. may have deja vu
complex partial seizure
difference of syncope from seizure
-syncope usually begins in standing position
-pt remember warning signs, weak dizzy
-no jerking movements
-pt regains consciousness almost immediately when supine
series of 2 or more generalized motor seizures without any intervening periods of consciousness
status epilepticus
transient loss of consciousness due to inadequate flow of blood to the brain with rapid recovery of consciousness upon becoming supine
syncope
headache that includes migrains and cluster headache
vascular headache
dull headache that feels like forcefull pressure to neck or head
tension headache
headache caused by tumors, infection, or diseaseof brain, eye
organic headache
signs and symptoms of meningitis
throbbing headache, fever, stiffness in neck, nause, vomiting
a new or abnormal formation; a tumor
neoplasm
collection of pus localized in an area of the brain
brain abscess
collection of diseases that selectivly affect one or more functional systems of the CNS
degenerative neurologic disorders
degenerative brain disorder; the most common cause of dementia in the elderly
alzheimer's disease
group of genetic diseases characterized by progressive muscle weakness and degeneration of the skeletal or voluntary muscle fibers
muscular dystrophy
dengenerative brain disorder resulting from death of nerve cells in the cerebral cortex causing atrophy of brain. pts have short term memory loss. develop aphasia (inability to speak)
alzheimer's disease
most common form of MD
Duchenne
disease that involves inflammation fo certain nerve cells followed by demyelination, or destruction of the myelin sheath, which is the fatty insulation surrounding nerve fibers.
multiple sclerosis
group of disorders characterized by muscle contractions that cause twisting and repetitive movements, abnormal postures, or freezing in the middle of an action.
dystonias
early symptoms include deterioriation of hand writing, foot cramps, dragging of one foot.