Fundamentals of the
Nervous System and
Nervous Tissue
Nervous System
▪ The master controlling and communicating system
of the body
▪ Functions
▪ Sensory input – monitoring stimuli occurring inside
and outside the body
▪ Integration – interpretation of sensory input
▪ Motor output – response to stimuli by activating
effector organs
Nervous System
Figure 11.1
Organization of the Nervous System
▪ Central nervous system (CNS)
▪ Brain and spinal cord
▪ Integration and command center
▪ Peripheral nervous system (PNS)
▪ Paired spinal and cranial nerves
▪ Carries messages to and from the spinal cord and
brain
Peripheral Nervous System (PNS): Two
Functional Divisions
▪ Sensory (afferent) division
▪ Sensory afferent fibers – carry impulses from skin,
skeletal muscles, and joints to the brain
▪ Visceral afferent fibers – transmit impulses from
visceral organs to the brain
▪ Motor (efferent) division
▪ Transmits impulses from the CNS to effector
organs
Motor Division: Two Main Parts
▪ Somatic nervous system
▪ Conscious control of skeletal muscles
▪ Autonomic nervous system (ANS)
▪ Regulates smooth muscle, cardiac muscle, and
glands
▪ Divisions – sympathetic and parasympathetic
Histology of Nerve Tissue
▪ The two principal cell types of the nervous system
are:
▪ Neurons – excitable cells that transmit electrical
signals
▪ Supporting cells – cells that surround and wrap
neurons
Supporting Cells: Neuroglia
▪ The supporting cells (neuroglia or glial cells):
▪ Provide a supportive scaffolding for neurons
▪ Segregate and insulate neurons
▪ Guide young neurons to the proper connections
▪ Promote health and growth
Astrocytes
▪ Most abundant, versatile, and highly branched glial
cells
▪ They cling to neurons and their synaptic endings,
and cover capillaries
▪ Functionally, they:
▪ Support and brace neurons
▪ Anchor neurons to their nutrient supplies
▪ Guide migration of young neurons
▪ Control the chemical environment
Astrocytes
Figure 11.3a
Microglia and Ependymal Cells
▪ Microglia – small, ovoid cells with spiny processes
▪ Phagocytes that monitor the health of neurons
▪ Ependymal cells – range in shape from squamous to
columnar
▪ They line the central cavities of the brain and spinal
column
Microglia and Ependymal Cells
Figure 11.3b, c
Oligodendrocytes, Schwann Cells, and Satellite
Cells
▪ Oligodendrocytes – branched cells that wrap CNS
nerve fibers
▪ Schwann cells (neurolemmocytes) – surround fibers
of the PNS
▪ Satellite cells surround neuron cell bodies with
ganglia
Oligodendrocytes, Schwann Cells, and Satellite
Cells
Figure 11.3d, e
Neurons (Nerve Cells)
▪ Structural units of the nervous system
▪ Composed of a body, axon, and dendrites
▪ Long-lived, amitotic, and have a high metabolic
rate
▪ Their plasma membrane functions in:
▪ Electrical signaling
▪ Cell-to-cell signaling during development
Neurons (Nerve Cells)
Figure 11.4b
Nerve Cell Body (Perikaryon or Soma)
▪ Contains the nucleus and a nucleolus
▪ Is the major biosynthetic center
▪ Is the focal point for the outgrowth of neuronal
processes
▪ Has no centrioles (hence its amitotic nature)
▪ Has well-developed Nissl bodies (rough ER)
▪ Contains an axon hillock – cone-shaped area from
which axons arise
Processes
▪ Armlike extensions from the soma
▪ Called tracts in the CNS and nerves in the PNS
▪ There are two types: axons and dendrites
Dendrites of Motor Neurons
▪ Short, tapering, and diffusely branched processes
▪ They are the receptive, or input, regions of the
neuron
▪ Electrical signals are conveyed as graded potentials
(not action potentials)
Axons: Structure
▪ Slender processes of uniform diameter arising from
the hillock
▪ Long axons are called nerve fibers
▪ Usually there is only one unbranched axon per
neuron
▪ Rare branches, if present, are called axon collaterals
▪ Axonal terminal – branched terminus of an axon
Axons: Function
▪ Generate and transmit action potentials
▪ Secrete neurotransmitters from the axonal terminals
▪ Movement along axons occurs in two ways
▪ Anterograde — toward axonal terminal
▪ Retrograde — away from axonal terminal
Myelin Sheath
▪ Whitish, fatty (protein-lipoid), segmented sheath
around most long axons
▪ It functions to:
▪ Protect the axon
▪ Electrically insulate fibers from one another
▪ Increase the speed of nerve impulse transmission
Myelin Sheath and Neurilemma: Formation
▪ Formed by Schwann cells in the PNS
▪ A Schwann cell:
▪ Envelopes an axon in a trough
▪ Encloses the axon with its plasma membrane
▪ Has concentric layers of membrane that make up
the myelin sheath
▪ Neurilemma – remaining nucleus and cytoplasm of
a Schwann cell
Myelin Sheath and Neurilemma: Formation
Figure 11.5a-c
Nodes of Ranvier (Neurofibral Nodes)
▪ Gaps in the myelin sheath between adjacent
Schwann cells
▪ They are the sites where axon collaterals can emerge
Unmyelinated Axons
▪ A Schwann cell surrounds nerve fibers but coiling
does not take place
▪ Schwann cells partially enclose 15 or more axons
Axons of the CNS
▪ Both myelinated and unmyelinated fibers are present
▪ Myelin sheaths are formed by oligodendrocytes
▪ Nodes of Ranvier are widely spaced
▪ There is no neurilemma
Conduction Velocities of Axons
▪ Conduction velocities vary widely among neurons
▪ Rate of impulse propagation is determined by:
▪ Axon diameter – the larger the diameter, the faster
the impulse
▪ Presence of a myelin sheath – myelination
dramatically increases impulse speed
CONDUCTION VELOCITIES
▪ The speed with which an action potential travels
depends on 2 factors:
▪ Diameter of axon – the larger the faster
▪ Degree of myelination
▪ Myelinated – faster
▪ Saltatory conduction
Saltatory Conduction
▪ Current passes through a myelinated axon only at
the nodes of Ranvier
▪ Voltage-gated Na+ channels are concentrated at
these nodes
▪ Action potentials are triggered only at the nodes and
jump from one node to the next
▪ Much faster than conduction along unmyelinated
axons
Saltatory Conduction
Figure 11.16
Regions of the Brain and Spinal Cord
▪ White matter – dense collections of myelinated
fibers
▪ Gray matter – mostly soma and unmyelinated fibers
Neuron Classification
▪ Structural:
▪ Multipolar — three or more processes
▪ Bipolar — two processes (axon and dendrite)
▪ Unipolar — single, short process
Neuron Classification
▪ Functional:
▪ Sensory (afferent) — transmit impulses toward the
CNS
▪ Motor (efferent) — carry impulses away from the
CNS
▪ Interneurons (association neurons) — shuttle
signals through CNS pathways
Comparison of Structural Classes of Neurons
Table 11.1.1
Comparison of Structural Classes of Neurons
Table 11.1.2
Comparison of Structural Classes of Neurons
Table 11.1.3
Neurophysiology
▪ Neurons are highly irritable
▪ Action potentials, or nerve impulses, are:
▪ Electrical impulses carried along the length of
axons
▪ Always the same regardless of stimulus
▪ The underlying functional feature of the nervous
system
Nerve Fiber Classification
▪ Nerve fibers are classified according to:
▪ Diameter
▪ Degree of myelination
▪ Speed of conduction
Synapses
▪ A junction that mediates information transfer from
one neuron:
▪ To another neuron
▪ To an effector cell
▪ Presynaptic neuron – conducts impulses toward the
synapse
▪ Postsynaptic neuron – transmits impulses away from
the synapse
Synapses
Figure 11.17
Types of Synapses
▪ Axodendritic – synapses between the axon of one
neuron and the dendrite of another
▪ Axosomatic – synapses between the axon of one
neuron and the soma of another
▪ Other types of synapses include:
▪ Axoaxonic (axon to axon)
▪ Dendrodendritic (dendrite to dendrite)
▪ Dendrosomatic (dendrites to soma)
Electrical Synapses
▪ Electrical synapses:
▪ Are less common than chemical synapses
▪ Correspond to gap junctions found in other cell
types
▪ Are important in the CNS in:
▪ Arousal from sleep
▪ Mental attention
▪ Emotions and memory
▪ Ion and water homeostasis
Chemical Synapses
▪ Specialized for the release and reception of
neurotransmitters
▪ Typically composed of two parts:
▪ Axonal terminal of the presynaptic neuron, which
contains synaptic vesicles
▪ Receptor region on the dendrite(s) or soma of the
postsynaptic neuron
Synaptic Cleft
▪ Fluid-filled space separating the presynaptic and
postsynaptic neurons
▪ Prevents nerve impulses from directly passing from
one neuron to the next
▪ Transmission across the synaptic cleft:
▪ Is a chemical event (as opposed to an electrical one)
▪ Ensures unidirectional communication between
neurons
Synaptic Cleft: Information Transfer
▪ Nerve impulses reach the axonal terminal of the
presynaptic neuron and open Ca2+ channels
▪ Neurotransmitter is released into the synaptic cleft
via exocytosis in response to synaptotagmin
▪ Neurotransmitter crosses the synaptic cleft and binds
to receptors on the postsynaptic neuron
▪ Postsynaptic membrane permeability changes,
causing an excitatory or inhibitory effect
Synaptic Cleft: Information Transfer
Figure 11.19
Termination of Neurotransmitter Effects
▪ Neurotransmitter bound to a postsynaptic neuron:
▪ Produces a continuous postsynaptic effect
▪ Blocks reception of additional “messages”
▪ Must be removed from its receptor
▪ Removal of neurotransmitters occurs when they:
▪ Are degraded by enzymes
▪ Are reabsorbed by astrocytes or the presynaptic terminals
▪ Diffuse from the synaptic cleft
Synaptic Delay
▪ Neurotransmitter must be released, diffuse across
the synapse, and bind to receptors
▪ Synaptic delay – time needed to do this (0.3-5.0 ms)
▪ Synaptic delay is the rate-limiting step of neural
transmission
Postsynaptic Potentials
▪ Neurotransmitter receptors mediate changes in
membrane potential according to:
▪ The amount of neurotransmitter released
▪ The amount of time the neurotransmitter is bound
to receptors
▪ The two types of postsynaptic potentials are:
▪ EPSP – excitatory postsynaptic potentials
▪ IPSP – inhibitory postsynaptic potentials
Excitatory Postsynaptic Potentials
▪ EPSPs are graded potentials that can initiate an
action potential in an axon
▪ Use only chemically gated channels
▪ Na+ and K+ flow in opposite directions at the same
time
▪ Postsynaptic membranes do not generate action
potentials
Excitatory Postsynaptic Potentials
Figure 11.20a
Inhibitory Synapses and IPSPs
▪ Neurotransmitter binding to a receptor at inhibitory
synapses:
▪ Causes the membrane to become more permeable
to potassium and chloride ions
▪ Leaves the charge on the inner surface negative
▪ Reduces the postsynaptic neuron’s ability to
produce an action potential
Inhibitory Synapses and IPSPs
Figure 11.20b
Summation
▪ A single EPSP cannot induce an action potential
▪ EPSPs must summate temporally or spatially to
induce an action potential
▪ Temporal summation – presynaptic neurons transmit
impulses in rapid-fire order
Summation
▪ Spatial summation – postsynaptic neuron is
stimulated by a large number of terminals at the
same time
▪ IPSPs can also summate with EPSPs, canceling each
other out
Summation
Figure 11.21
Neurotransmitters
▪ Chemicals used for neuronal communication with
the body and the brain
▪ 50 different neurotransmitters have been identified
▪ Classified chemically and functionally
Chemical Neurotransmitters
▪ Acetylcholine (ACh)
▪ Biogenic amines
▪ Amino acids
▪ Peptides
▪ Novel messengers: ATP and dissolved gases NO
and CO
Neurotransmitters: Acetylcholine
▪ First neurotransmitter identified, and best
understood
▪ Released at the neuromuscular junction
▪ Synthesized and enclosed in synaptic vesicles
▪ Degraded by the enzyme acetylcholinesterase
(AChE)
▪ Released by:
▪ All neurons that stimulate skeletal muscle
▪ Some neurons in the autonomic nervous system
Neurotransmitters: Biogenic Amines
▪ Include:
▪ Catecholamines – dopamine, norepinephrine (NE),
and epinephrine
▪ Indolamines – serotonin and histamine
▪ Broadly distributed in the brain
▪ Play roles in emotional behaviors and our biological
clock
Synthesis of Catecholamines
▪ Enzymes present in the
cell determine length of
biosynthetic pathway
▪ Norepinephrine and
dopamine are
synthesized in axonal
terminals
▪ Epinephrine is released
by the adrenal medulla
Figure 11.22
Neurotransmitters: Amino Acids
▪ Include:
▪ GABA – Gamma (γ)-aminobutyric acid
▪ Glycine
▪ Aspartate
▪ Glutamate
▪ Found only in the CNS
Neurotransmitters: Peptides
▪ Include:
▪ Substance P – mediator of pain signals
▪ Beta endorphin, dynorphin, and enkephalins
▪ Act as natural opiates, reducing our perception of
pain
▪ Bind to the same receptors as opiates and morphine
▪ Gut-brain peptides – somatostatin, and
cholecystokinin
Neurotransmitters: Novel Messengers
▪ ATP
▪ Is found in both the CNS and PNS
▪ Produces excitatory or inhibitory responses
depending on receptor type
▪ Induces Ca2+ wave propagation in astrocytes
▪ Provokes pain sensation
Neurotransmitters: Novel Messengers
▪ Nitric oxide (NO)
▪ Activates the intracellular receptor guanylyl cyclase
▪ Is involved in learning and memory
▪ Carbon monoxide (CO) is a main regulator of cGMP
in the brain
Functional Classification of Neurotransmitters
▪ Two classifications: excitatory and inhibitory
▪ Excitatory neurotransmitters cause depolarizations
(e.g., glutamate)
▪ Inhibitory neurotransmitters cause
hyperpolarizations (e.g., GABA and glycine)
Functional Classification of Neurotransmitters
▪ Some neurotransmitters have both excitatory and
inhibitory effects
▪ Determined by the receptor type of the postsynaptic
neuron
▪ Example: acetylcholine
▪ Excitatory at neuromuscular junctions with
skeletal muscle
▪ Inhibitory in cardiac muscle
Neurotransmitter Receptor Mechanisms
▪ Direct: neurotransmitters that open ion channels
▪ Promote rapid responses
▪ Examples: ACh and amino acids
▪ Indirect: neurotransmitters that act through second
messengers
▪ Promote long-lasting effects
▪ Examples: biogenic amines, peptides, and dissolved
gases
Channel-Linked Receptors
▪ Composed of integral membrane protein
▪ Mediate direct neurotransmitter action
▪ Action is immediate, brief, simple, and highly
localized
▪ Ligand binds the receptor, and ions enter the cells
▪ Excitatory receptors depolarize membranes
▪ Inhibitory receptors hyperpolarize membranes
Channel-Linked Receptors
Figure 11.23a
G Protein-Linked Receptors
▪ Responses are indirect, slow, complex, prolonged,
and often diffuse
▪ These receptors are transmembrane protein
complexes
▪ Examples: muscarinic ACh receptors,
neuropeptides, and those that bind biogenic amines
G Protein-Linked Receptors: Mechanism
▪ Neurotransmitter binds to G protein-linked receptor
▪ G protein is activated and GTP is hydrolyzed to
GDP
▪ The activated G protein complex activates adenylate
cyclase
▪ Adenylate cyclase catalyzes the formation of cAMP
from ATP
▪ cAMP, a second messenger, brings about various
cellular responses
G Protein-Linked Receptors: Mechanism
Figure 11.23b
G Protein-Linked Receptors: Effects
▪ G protein-linked receptors activate intracellular
second messengers including Ca2+, cGMP,
diacylglycerol, as well as cAMP
▪ Second messengers:
▪ Open or close ion channels
▪ Activate kinase enzymes
▪ Phosphorylate channel proteins
▪ Activate genes and induce protein synthesis
Neural Integration: Neuronal Pools
▪ Functional groups of neurons that:
▪ Integrate incoming information
▪ Forward the processed information to its
appropriate destination
Neural Integration: Neuronal Pools
▪ Simple neuronal pool
▪ Input fiber – presynaptic fiber
▪ Discharge zone – neurons most closely associated
with the incoming fiber
▪ Facilitated zone – neurons farther away from
incoming fiber
Neural Integration: Neuronal Pools
Figure 11.24
Types of Circuits in Neuronal Pools
▪ Divergent – one incoming fiber stimulates ever
increasing number of fibers, often amplifying
circuits
Figure 11.25a, b
Types of Circuits in Neuronal Pools
▪ Convergent –
opposite of
divergent
circuits, resulting
in either strong
stimulation or
inhibition
Figure 11.25c, d
Types of Circuits in Neuronal Pools
▪ Reverberating – chain of neurons containing
collateral synapses with previous neurons in the
chain
Figure 11.25e
Types of Circuits in Neuronal Pools
▪ Parallel after-discharge – incoming neurons
stimulate several neurons in parallel arrays
Figure 11.25f
Patterns of Neural Processing
▪ Serial Processing
▪ Input travels along one pathway to a specific
destination
▪ Works in an all-or-none manner
▪ Example: spinal reflexes
Patterns of Neural Processing
▪ Parallel Processing
▪ Input travels along several pathways
▪ Pathways are integrated in different CNS systems
▪ One stimulus promotes numerous responses
▪ Example: a smell may remind one of the odor and
associated experiences
Development of Neurons
▪ The nervous system originates from the neural tube
and neural crest
▪ The neural tube becomes the CNS
▪ There is a three-phase process of differentiation:
▪ Proliferation of cells needed for development
▪ Migration – cells become amitotic and move
externally
▪ Differentiation into neuroblasts
Axonal Growth
▪ Guided by:
▪ Scaffold laid down by older neurons
▪ Orienting glial fibers
▪ Release of nerve growth factor by astrocytes
▪ Neurotropins released by other neurons
▪ Repulsion guiding molecules
▪ Attractants released by target cells
N-CAMs
▪ N-CAM – nerve cell adhesion molecule
▪ Important in establishing neural pathways
▪ Without N-CAM, neural function is impaired
▪ Found in the membrane of the growth cone
Sensory Receptors
Sensory Receptors
▪ Structures specialized to respond to stimuli
▪ Activation of sensory receptors results in
depolarizations that trigger impulses to the CNS
▪ The realization of these stimuli, sensation and
perception, occur in the brain
Receptor Classification by Stimulus Type
▪ Mechanoreceptors – respond to touch, pressure,
vibration, stretch, and itch
▪ Thermoreceptors – sensitive to changes in
temperature
▪ Photoreceptors – respond to light energy (e.g.,
retina)
▪ Chemoreceptors – respond to chemicals (e.g., smell,
taste, changes in blood chemistry)
▪ Nociceptors – sensitive to pain-causing stimuli
Receptor Class by Location: Exteroceptors
▪ Respond to stimuli arising outside the body
▪ Found near the body surface
▪ Sensitive to touch, pressure, pain, and temperature
▪ Include the special sense organs
Receptor Class by Location: Interoceptors
▪ Respond to stimuli arising within the body
▪ Found in internal viscera and blood vessels
▪ Sensitive to chemical changes, stretch, and
temperature changes
Receptor Class by Location: Proprioceptors
▪ Respond to degree of stretch of the organs they
occupy
▪ Found in skeletal muscles, tendons, joints,
ligaments, and connective tissue coverings of bones
and muscles
▪ Constantly “advise” the brain of one’s movements
Receptor Classification by Structural
Complexity
▪ Receptors are structurally classified as either simple
or complex
▪ Most receptors are simple and include encapsulated
and unencapsulated varieties
▪ Complex receptors are special sense organs
Simple Receptors: Unencapsulated
▪ Free dendritic nerve endings
▪ Respond chiefly to temperature and pain
▪ Merkel (tactile) discs
▪ Hair follicle receptors
Simple Receptors: Encapsulated
▪ Meissner’s corpuscles (tactile corpuscles)
▪ Pacinian corpuscles (lamellated corpuscles)
▪ Muscle spindles, Golgi tendon organs, and Ruffini’s
corpuscles
▪ Joint kinesthetic receptors
Simple Receptors: Unencapsulated
Table 13.1.1
Simple Receptors: Encapsulated
Table 13.1.2
Simple Receptors: Encapsulated
Table 13.1.3
Simple Receptors: Encapsulated
Table 13.1.4
From Sensation to Perception
▪ Survival depends upon sensation and perception
▪ Sensation is the awareness of changes in the internal
and external environment
▪ Perception is the conscious interpretation of those
stimuli
Organization of the Somatosensory System
▪ Input comes from exteroceptors, proprioceptors, and
interoceptors
▪ The three main levels of neural integration in the
somatosensory system are:
▪ Receptor level – the sensor receptors
▪ Circuit level – ascending pathways
▪ Perceptual level – neuronal circuits in the cerebral
cortex
Processing at the Receptor Lever
▪ The receptor must have specificity for the stimulus
energy
▪ The receptor’s receptive field must be stimulated
▪ Stimulus energy must be converted into a graded
potential
▪ A generator potential in the associated sensory
neuron must reach threshold
Adaptation of Sensory Receptors
▪ Adaptation occurs when sensory receptors are
subjected to an unchanging stimulus
▪ Receptor membranes become less responsive
▪ Receptor potentials decline in frequency or stop
Adaptation of Sensory Receptors
▪ Receptors responding to pressure, touch, and smell
adapt quickly
▪ Receptors responding slowly include Merkel’s discs,
Ruffini’s corpuscles, and interoceptors that respond
to chemical levels in the blood
▪ Pain receptors and proprioceptors do not exhibit
adaptation
Processing at the Circuit Level
▪ Chains of three neurons (first-, second-, and third-
order) conduct sensory impulses upward to the brain
▪ First-order neurons – soma reside in dorsal root or
cranial ganglia, and conduct impulses from the skin
to the spinal cord or brain stem
▪ Second-order neurons – soma reside in the dorsal
horn of the spinal cord or medullary nuclei and
transmit impulses to the thalamus or cerebellum
▪ Third-order neurons – located in the thalamus and
conduct impulses to the somatosensory cortex of the
cerebrum
Processing at the Perceptual Level
▪ The thalamus projects fibers to:
▪ The somatosensory cortex
▪ Sensory association areas
▪ First one modality is sent, then those considering
more than one
▪ The result is an internal, conscious image of the
stimulus
Main Aspects of Sensory Perception
▪ Perceptual detection – detecting that a stimulus has
occurred and requires summation
▪ Magnitude estimation – how much of a stimulus is
acting
▪ Spatial discrimination – identifying the site or
pattern of the stimulus
Main Aspects of Sensory Perception
▪ Feature abstraction – used to identify a substance
that has specific texture or shape
▪ Quality discrimination – the ability to identify
submodalities of a sensation (e.g., sweet or sour
tastes)
▪ Pattern recognition – ability to recognize patterns in
stimuli (e.g., melody, familiar face)
Cranial Nerves
Cranial Nerves
▪ Twelve pairs of cranial nerves arise from the brain
▪ They have sensory, motor, or both sensory and
motor functions
▪ Each nerve is identified by a number (I through XII)
and a name
▪ Four cranial nerves carry parasympathetic fibers that
serve muscles and glands
Cranial Nerves
Figure 13.5a
Summary of Function of Cranial Nerves
Figure 13.5b
Cranial Nerve I: Olfactory
▪ Arises from the olfactory epithelium
▪ Passes through the cribriform plate of the ethmoid
bone
▪ Fibers run through the olfactory bulb and terminate
in the primary olfactory cortex
▪ Functions solely by carrying afferent impulses for
the sense of smell
Cranial Nerve I: Olfactory
Figure I from Table 13.2
Cranial Nerve II: Optic
▪ Arises from the retina of the eye
▪ Optic nerves pass through the optic canals and
converge at the optic chiasm
▪ They continue to the thalamus where they synapse
▪ From there, the optic radiation fibers run to the
visual cortex
▪ Functions solely by carrying afferent impulses for
vision
Cranial Nerve II: Optic
Figure II Table 13.2
Cranial Nerve III: Oculomotor
▪ Fibers extend from the ventral midbrain, pass
through the superior orbital fissure, and go to the
extrinsic eye muscles
▪ Functions in raising the eyelid, directing the eyeball,
constricting the iris, and controlling lens shape
▪ Parasympathetic cell bodies are in the ciliary ganglia
Cranial Nerve III: Oculomotor
Figure III from Table 13.2
Cranial Nerve IV: Trochlear
▪ Fibers emerge from the dorsal midbrain and enter
the orbits via the superior orbital fissures; innervate
the superior oblique muscle
▪ Primarily a motor nerve that directs the eyeball
Cranial Nerve IV: Trochlear
Figure IV from Table 13.2
Cranial Nerve V: Trigeminal
▪ Composed of three divisions: ophthalmic (V1),
maxillary (V2), and mandibular (V3)
▪ Fibers run from the face to the pons via the superior
orbital fissure (V1), the foramen rotundum (V2), and
the foramen ovale (V3)
▪ Conveys sensory impulses from various areas of the
face (V1) and (V2), and supplies motor fibers (V3)
for mastication
Cranial Nerve V: Trigeminal
Figure V from Table 13.2
Cranial Nerve VI: Abdcuens
▪ Fibers leave the inferior pons and enter the orbit via
the superior orbital fissure
▪ Primarily a motor nerve innervating the lateral
rectus muscle
Figure VI from Table 13.2
Cranial Nerve VII: Facial
▪ Fibers leave the pons, travel through the internal
acoustic meatus, and emerge through the
stylomastoid foramen to the lateral aspect of the face
▪ Mixed nerve with five major branches
▪ Motor functions include facial expression, and the
transmittal of autonomic impulses to lacrimal and
salivary glands
▪ Sensory function is taste from the anterior two-thirds
of the tongue
Cranial Nerve VII: Facial
Figure VII from Table 13.2
Cranial Nerve VIII: Vestibulocochlear
▪ Fibers arise from the hearing and equilibrium
apparatus of the inner ear, pass through the internal
acoustic meatus, and enter the brainstem at the pons-
medulla border
▪ Two divisions – cochlear (hearing) and vestibular
(balance)
▪ Functions are solely sensory – equilibrium and
hearing
Cranial Nerve VIII: Vestibulocochlear
Figure VIII from Table 13.2
Cranial Nerve IX: Glossopharyngeal
▪ Fibers emerge from the medulla, leave the skull via
the jugular foramen, and run to the throat
▪ Nerve IX is a mixed nerve with motor and sensory
functions
▪ Motor – innervates part of the tongue and pharynx,
and provides motor fibers to the parotid salivary
gland
▪ Sensory – fibers conduct taste and general sensory
impulses from the tongue and pharynx
Cranial Nerve IX: Glossopharyngeal
Figure IX from Table 13.2
Cranial Nerve X: Vagus
▪ The only cranial nerve that extends beyond the head
and neck
▪ Fibers emerge from the medulla via the jugular
foramen
▪ The vagus is a mixed nerve
▪ Most motor fibers are parasympathetic fibers to the
heart, lungs, and visceral organs
▪ Its sensory function is in taste
Cranial Nerve X: Vagus
Figure X from Table 13.2
Cranial Nerve XI: Accessory
▪ Formed from a cranial root emerging from the
medulla and a spinal root arising from the superior
region of the spinal cord
▪ The spinal root passes upward into the cranium via
the foramen magnum
▪ The accessory nerve leaves the cranium via the
jugular foramen
Cranial Nerve XI: Accessory
▪ Primarily a motor nerve
▪ Supplies fibers to the larynx, pharynx, and soft
palate
▪ Innervates the trapezius and sternocleidomastoid,
which move the head and neck
Cranial Nerve XI: Accessory
Figure XI from Table 13.2
Cranial Nerve XII: Hypoglossal
▪ Fibers arise from the medulla and exit the skull via
the hypoglossal canal
▪ Innervates both extrinsic and intrinsic muscles of the
tongue, which contribute to swallowing and speech
Cranial Nerve XII: Hypoglossal
Figure XII from Table 13.2
Reflexes
Reflexes
▪ A reflex is a rapid, predictable motor response to a
stimulus
▪ Reflexes may:
▪ Be inborn (intrinsic) or learned (acquired)
▪ Involve only peripheral nerves and the spinal cord
▪ Involve higher brain centers as well
Reflex Arc
▪ There are five components of a reflex arc
▪ Receptor – site of stimulus
▪ Sensory neuron – transmits the afferent impulse to
the CNS
▪ Integration center – either monosynaptic or
polysynaptic region within the CNS
▪ Motor neuron – conducts efferent impulses from
the integration center to an effector
▪ Effector – muscle fiber or gland that responds to the
efferent impulse
Reflex Arc
Spinal cord
(in cross-section)
Stimulus
2 Sensory neuron 3 Integration
1 Receptor center
4 Motor neuron
5 Effector Interneuron
Skin
Figure 13.14
Stretch and Deep Tendon Reflexes
▪ For skeletal muscles to perform normally:
▪ The Golgi tendon organs (proprioceptors) must
constantly inform the brain as to the state of the
muscle
▪ Stretch reflexes initiated by muscle spindles must
maintain healthy muscle tone
Stretch Reflex
▪ Stretching the muscle activates the muscle spindle
▪ Excited γ motor neurons of the spindle cause the
stretched muscle to contract
▪ Afferent impulses from the spindle result in
inhibition of the antagonist
▪ Example: patellar reflex
▪ Tapping the patellar tendon stretches the quadriceps
and starts the reflex action
▪ The quadriceps contract and the antagonistic
hamstrings relax
Stretch Reflex
Figure 13.17
Golgi Tendon Reflex
▪ The opposite of the stretch reflex
▪ Contracting the muscle activates the Golgi tendon
organs
▪ Afferent Golgi tendon neurons are stimulated,
neurons inhibit the contracting muscle, and the
antagonistic muscle is activated
▪ As a result, the contracting muscle relaxes and the
antagonist contracts
Golgi Tendon Reflex
Figure 13.18
Flexor and Crossed Extensor Reflexes
▪ The flexor reflex is initiated by a painful stimulus
(actual or perceived) that causes automatic
withdrawal of the threatened body part
▪ The crossed extensor reflex has two parts
▪ The stimulated side is withdrawn
▪ The contralateral side is extended
Crossed Extensor Reflex
Figure 13.19
Superficial Reflexes
▪ Initiated by gentle cutaneous stimulation
▪ Example:
▪ Plantar reflex is initiated by stimulating the lateral
aspect of the sole of the foot
▪ The response is downward flexion of the toes
▪ Indirectly tests for proper corticospinal tract
functioning
▪ Babinski’s sign: abnormal plantar reflex indicating
corticospinal damage where the great toe
dorsiflexes and the smaller toes fan laterally