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CNS Lecture-3

Lecture for nursing & Paramedical U.G students

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Sharad Khatake
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0% found this document useful (0 votes)
24 views16 pages

CNS Lecture-3

Lecture for nursing & Paramedical U.G students

Uploaded by

Sharad Khatake
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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A] Brain.

 Brain is situated in a completely closed cranial cavity.


 Human brain constitutes about 1/50th of the body
weight.
 Parts of brain are as follows:-
1. Cerebrum.
2. The Brain Stem.
 Mid Brain.
 Pons.
 Medulla oblongata.
3. Cerebellum.
Blood Supply to the Brain.
 Brain receives about 15% of the cardiac output (750ml
blood/minute).
 Autoregulation keeps blood flow to the brain constant
by adjusting diameter of arterioles across wide range
of arterial BP (65-140 mm of Hg.).
 Brain is supplied with arterial blood by Circulus
Arteriosus (Circle of Willis).
 4 large arteries contribute to form circle of willis (2
internal carotid arteries & 2 Vertebral arteries)
 Vertebral arteries are branches of subclavian arteries
which passes upward through foramen magnum &
joints to form Basilar Artery.
Circle of Willis.
 Anteriorly 2 anterior cerebral arteries (branches of internal
carotid artery) joints by anterior communicating artery.
 Posteriorly Basilar (2 vertebral) artery divides to form 2
posterior cerebral arteries.
 These 2 posterior cerebral arteries joints to corresponding
internal carotid artery by posterior communicating artery to
form complete circle.
 Thus 10 arteries forming Circulus Arteriosus are:-
 2 Anterior cerebral arteries.
 2 Internal carotid arteries.
 1 Anterior communication arteries.
 2 Posterior communicating arteries.
 2 Posterior cerebral arteries.And 1 Basilar artery.
Blood Supply to the Brain continued….
 Circle of Willis supplies arterial blood to brain:-
 Anterior cerebral arteries supplies anterior part of the brain.
 Middle cerebral arteries pass laterally to supply sides of
brain.
 Posterior part of brain is supplied by posterior cerebral
arteries.
 Branches of Basilar artery supplies part of brain stem.
 The arrangement in Circle of willis is such that the
Brain as a whole receives an adequate blood supply
even when a contributing artery is damaged &/or
during extreme movements of the head & neck.
Parts of Brain.
a) Cerebrum:-
 Cerebrum is the largest part of the brain & it
occupies the anterior & middle cranial fossae.
 It is divided by deep cleft (Longitudinal
cerebral fissure) into Rt. & Lt. Hemispheres.
 Deep within the brain the hemispheres are
connected by a mass of white matter called as
Corpus Callosum.
 The Falx Cerebri formed by dura matter
separates two hemispheres & penetrates
deep up to Corpus Callosum.
Cerebrum Continued….
 Superficial (peripheral) part of brain composed of
Nerve cell bodies (Gray matter) forms cerebral
cortex.
 Deeper layers are composed of Nerve fibers called
as White matter.
 Cerebral cortex consist of number of in folding
(furrows) of varying depth increasing surface area
of the Cerebrum.
 The exposed area of the folds called as Gyri
(Convolutions) & these are separated by Sulci
(Fissures).
Lobes of Cerebrum.
 For descriptive purpose each hemisphere of
cerebrum is divided into lobes named according to
bones of the cranium.
1. Frontal lobe. 3. Parietal lobes.
2. Temporal lobes. 4. Occipital Lobe.
 Boundaries of lobes are marked by deep Sulci
these are:-
 Central Sulci:- Separates frontal & Parietal lobes.
 Parieto-occiputal Sulci:- Parietal & Occiputal lobes.
 Lateral Sulci:- Frontal & Parietal lobes from Temporal
lobes.
Interior of The Cerebrum.
 Cerebral surface is composed of grey matter but deep
within the cerebrum lobes are connected by masses of
nerve fibers (Tract) which makes the white matter of the
brain.
 Afferent & efferent fibers links the different parts of the
brain & spinal cord are:-
1. Association (Arcuate) Tracts :- Connects different parts of
a cerebral hemispheres by extending from one Gyrus to
another. Some of these are adjacent & some are distant.
2. Commissural Tracts:- Connects corresponding areas of
the two cerebral hemisphere. The largest & most important
commissure is Corpus Callosum.
3. Projection tracts:- It connects Cerebral cortex with Gery
matter of lower parts of brain & with spinal cord.e.g.
Internal capsule.
Internal Capsule.

 Internal capsule (Projection Tracts) lies deep


within the brain between Basal Ganglia & the
Thalamus.
 Many nerve impulses passing to & form
cortex are carried by fibers of internal
capsule.
 Motor fibers within the internal capsule forms
the Pyramidal (Corticospinal) tracts that
cross over (decussate) at the medulla
oblongata.
Functions of Cerebral Cortex.
 The three main varieties of activities associated with
the cerebral cortex are:-
1. Higher Functions (Centers):-
 Mental activities includes:-
 Memory, Intelligence, Sense of responsibility, Thinking,
Reasoning, Moral sense, & Learning.
2. Sensory Perception including:-
 Pain, Temperature, Touch, Sight, Hearing, Taste & Smell.
3. Initiation & Control of Skeletal muscle contraction :-
 All voluntary Movements.

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