THE CNS

EXCEPTION-CRANIAL NERVES

Ok…to the brain! Gross Anatomy of the brain: Many ways to organize the CNS

Here’s a good one!

BRAINSTEM/ HINDBRAIN

Bainstem (Medulla) critical functions Ascending and Descending Fiber Tracts All parasympathetic tone HR Temp BP Etc

Brainstem: The “Reticular activating system” Many tiny brain nuclei collectively involved in modulation of arousal

The RAS- Locus Coereleus

RAS- the Raphe Nucleus Raphe Nucleus – High in Serotonin (5HT) Modulation of mood, sleep states, dreaming

BRAINSTEM- Pons and Cerebellum

Behavioral Functions of the Cerebellum Direction Amplitude Force Timing Posture Motor learning/speech

Midbrain Major structures of interest: Superior and inferior colliculi- orienting reflexes Substantia nigra- projects to striatum (high Dopamine (DA) content) Peri-aqueductal grey- modulation of pain Ventral tegmental area- projects to nucleus accumbens ( high in DA content)

Tectum: the dorsal side of the midbrain

MIDBRAIN

Nigro-striatal system The substantia nigra sends DA axons to the striatum

Midbrain- The ventral tegmental area (VTA)

VTA to Nucleus Accumbens: The Mesolimbic Dopamine pathway

Thalamus, Hypothalamus and Pituitary gland Diencephalon Thalamus, Hypothalamus and Pituitary gland

The Thalamus

Thalamus-highly organized Subnuclei are specific for different kinds of sensory input

The Hypothalamus -rostral and slightly inferior to the thalamus. - Involved in modulation of the 4 F’s

Hypothalamus and Pituitary gland

Bridge to the endocrine system: The Pituitary…“Master Gland.”

The pituitary influences all other glandular functions

Forebrain (Telencephalon) Cortex Basal ganglia Limbic System

Basal Ganglia Neostriatum Globus Pallidus Substantia nigra others Caudate nucleus and putamen Globus Pallidus Substantia nigra others

Nigro-striatal CCT Functions Parkinsons’ Slowness of movement (bradykinesia) Stiffness (rigidity) Tremor Loss of balance (postural instability) Speech and facial expression

**Difficulty in initiating Movement

Striatal-Pallidal CCT functions? Huntingtons Tourettes’ -

Tourettes Tourette syndrome (TS) is a neurological disorder characterized by repetitive, stereotyped, involuntary movements and vocalizations called tics. The early symptoms of TS are almost always noticed first in childhood, with the average onset between the ages of 7 and 10 years. TS occurs in people from all ethnic groups; males are affected about three to four times more often than females. It is estimated that 200,000 Americans have the most severe form of TS, and as many as one in 100 exhibit milder and less complex symptoms such as chronic motor or vocal tics or transient tics of childhood. Although TS can be a chronic condition with symptoms lasting a lifetime, most people with the condition experience their worst symptoms in their early teens, with improvement occurring in the late teens and continuing into adulthood.

Tics are classified as either simple or complex Tics are classified as either simple or complex. Simple motor tics are sudden, brief, repetitive movements that involve a limited number of muscle groups. Some of the more common simple tics include eye blinking and other vision irregularities, facial grimacing, shoulder shrugging, and head or shoulder jerking. Simple vocalizations might include repetitive throat-clearing, sniffing, or grunting sounds. Complex tics are distinct, coordinated patterns of movements involving several muscle groups. Complex motor tics might include facial grimacing combined with a head twist and a shoulder shrug. Other complex motor tics may actually appear purposeful, including sniffing or touching objects, hopping, jumping, bending, or twisting. Simple vocal tics may include throat-clearing, sniffing/snorting, grunting, or barking. More complex vocal tics include words or phrases. Perhaps the most dramatic and disabling tics include motor movements that result in self-harm such as punching oneself in the face or vocal tics including coprolalia (uttering swear words) or echolalia (repeating the words or phrases of others). Most patients experience peak tic severity before the mid-teen years with improvement for the majority of patients in the late teen years and early adulthood. Approximately 10 percent of those affected have a progressive or disabling course that lasts into adulthood.

Tics are involuntary. They are brief, repetitive movements, which are either motor such as blinking or head jerking, or vocal such as throat clearing.

Huntington’s chorea Huntington's Chorea is principally characterized by hyperkinesias - abnormal, purposeless, involuntary motor movements that can occur spontaneously or only when the patient is trying to do something. These movements may be repetitive or non-repetitive. Sudden jerky, involuntary movements (chorea) throughout your body A wide, prancing gait Severe problems with balance and coordination Difficulty shifting your gaze without moving your head Hesitant, halting or slurred speech Inability to swallow Dementia

LIMBIC SYSTEM Basal forebrain Interconnected Affective responses Impulsive…low consciousness Many structures Amygdala Hippocampus Septum/ nucleus accumbens- will be discussed later

Amygdala: general emotional significance of environmental stimuli evaluate the significance of stimuli and generate emotional responses generate hormonal secretions and autonomic reactions that accompany strong emotions damage causes “psychic blindness” and the inability to recognize fear in facial expressions and voice Projects to hypothalamus, Hippocampus, cortex Keywords: brain-based theory of emotions, amygdala, psychic blindness

Amygdala and aggression?

Amygdala and fear?

The Hippocampus processes events from short term to long term memory The Hippocampus processes events from short term to long term memory. The amygdala can influence memory processes as the emotional state of the learner can alter the memory.

CEREBRAL CORTEX Wrinkled Thin Layered Interconnected Plastic

Major regions of CTX

Corpus collosum

Hemispheres

Almost all of Right handers and about 70% of left handers show these kinds of functional asymmetries

Emotion and the cerebral hemispheres Catastrophic (left hemisphere cortex lost) vs indifferent reactions (right cortex lost) to cortical damage

LOBES

OCCIPITAL LOBE The primary Visual Cortex -functional blindness -Visual agnosias

TEMPORAL LOBES

Temporal lobe damage may result in any number of problems including any of these syndromes Functional deafness -Anomias -Aprosodia -Werniches’ syndrome

Parietal Lobes Primary somatosensory cortex

The sensory homunculus and somatotopic organization Primary somatosensory cortex damage may produce -somatasagnosias -neglect -anosagnosia

FRONTAL LOBES

1st -Frontal lobes and speech Broca’s aphasia Werniche’s aphasia (temporal lobe to frontal lobe circuits)

What about the rest of the frontal lobe? -Phineas Gage

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Brain-Based Theory of Emotions Frontal lobes influence people’s conscious emotional feelings and ability to act in planned ways based on feelings (e.g., effects of prefrontal lobotomy) Some scientists contend that the prefrontal cortex normally acts as a brake that can suppress urges or impulses by communicating with other brain areas that mediate fear and aggression, such as the amygdala. Parietal Frontal Occipital Temporal left frontal lobe may be most involved in processing positive emotions right frontal lobe involved with negative emotions Keywords: brain-based theory of emotions, frontal lobes

General frontal Lobe functions Awareness Judgment , planning and anticipation Personality Conscious emotions Organization and mental flexibility Attention and concentration Initiation and inhibition of behavior

Testing frontal lobe function WCST

Inhibition of subcortical impulses; hypofrontality

Hypofrontality and aggression Several recent examinations of violent individuals also jibe with this idea. For example, a brain imaging study of murderers found evidence that, on average, the prefrontal cortex as well as some deeper brain areas, including the amygdala, functioned abnormally. Impaired activity also appeared in a preliminary examination of psychopaths with extensive criminal records who, as a group, generally are prone to violence.       In another recent study, researchers examined a group of men who were registered at temporary employment agencies and lived in the general population, but were assessed as violent and antisocial. Compared with normal individuals, on average, the violent men had smaller prefrontal areas. Researchers also recently tested another group of people assessed to have moderately violent and impulsive personalities. Again the prefrontal cortex and aggression circuit seem to play a role. The "hot heads" performed poorly on several tasks thought to involve the front brain area, as well as the amygdala, compared with their more even-keeled counterparts, according to preliminary results.