Medicine Notes Neurology Notes
These notes helped me achieve a mark of 76% in my neurology exam, which is the equivalent of a 1st. The notes are based on a series of 49 lectures on the subject. This is a very good, thorough and in depth review of the nervous system. They are very clearly laid out and easy to follow. They cut out unnecessary information on the topic, making the notes very concise, and fast to get through. Anyone studying medicine, or any other subject requiring knowledge of the nervous system (e.g. physiology o...
The following is a more accessible plain text extract of the PDF sample above, taken from our Neurology Notes. Due to the challenges of extracting text from PDFs, it will have odd formatting:
Lecture 2 & 3
Organisation and Development, CSF
Organisation of NS
CNS
Brain- within skull
Spinal cord- within vertebral column
PNS
Cranial nerves- 12 pairs in periphery
Spinal nerves- 31 pairs in periphery
Different types of cells and their components
Neuron
Specialised cell of NS that carries messages
Dendrites
Receive information
Astrocytes
Communicate with neurons and other cells
Have processes surround blood capillaries
Oligodendrocytes
Produce myelin
Ependymal cell
Associated with ventricles (fluid filled spaces)
Move CSF through ventricles
Microglial cells
Fight infections
What is a nerve in the PNS?
Named and identifiable collection of thousands of neuronal axons bundled together
Nerves divide to smaller nerves but axons continuous
Some areas, 2 or more nerves fuse then divide to allow redistribution=PLEXUS
Specific regions there are clumps of neuronal cell bodies=GANGLIA
Components of PNS
AFFERENT NEURONES
Sensory
Enter spinal cord through DORSAL ROOTS
Some are SOMATOSENSORY
Some are VISCEROSENSORY
EFFERENT NEURONES
Motorneurones
Leave spinal cord through VENTRAL ROOTS
Some are SOMATOMOTOR
Some are VISCEROMOTOR (aka ANS)
Spinal nerves
Each vertebral level, pair of spinal nerves emerge
Each nerve consists of dorsal and ventral root
Primary afferent neurones in dorsal root have cell bodies in dorsal root ganglia
8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccygeal (31 in total)
ANS
2 divisions SYMPATHETIC and PARASYMPATHETIC
Both have two neurone chain and ganglia
Cell bodies of pre-ganglionic neurones are in CNS
Post ganglionic neurones are in ganglia
Post ganglionic neurones innervate smooth muscle
Sympathetic
Originate between ventral and dorsal horn
Ganglia very close to spinal column
Thoracolumbar
ACh in Preganglionic in SNS; NA in post-ganglionic
Parasympathetic
Originate from dorsal motor vagal nucleus
Ganglia very close to/part of target organ
Craniosacral
Ach in pre & postganglionic
Routes of sympathetic nerves
Run from spinal root to spinal nerve
Does a turn at the white ramus and goes into the sympathetic chain
Sympathetic chain runs length of spinal column
Some nerves synapse in chain and then go to viscera
Some go to pre-vertebral ganglia and synapse there before going to target
Development of nervous system
Embryology of NS
3rd week
From ectodermal layer, develops from specialised part
Neural groove develops in midline
Neural cell proliferate and form neural tube
Neural tube forms adult spinal cord; at cephalic end swells & flexes to form brain
Time line
Lateral folding forms a NEURAL GROOVE and NEURAL FOLDS (specialised part of ectoderm growing up and over) on either side of it
Neural groove cells come away from ectoderm and form separate series of cells=NEURAL TUBE
Will give rise to everything in CNS
Neural crest cells will give rise to all PNS
CLINICAL CORRELATIONS
Anterior/Cranial Neuropore
Closes usually at D25
Failure to close=hole at top of the embryo where folds failed to fuse
Pores have to fuse & close for proper NS development
No brain at all or abnormal development
ANENCEPHALY
Posterior/Caudal Neuropore
Cord/Part of cords do not develop properly
Spina bifida
Embryology of the brain
Three primary brain vesicles
...
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These notes helped me achieve a mark of 76% in my neurology exam, which is the equivalent of a 1st. The notes are based on a series of 49 lectures on the subject. This is a very good, thorough and in depth review of the nervous system. They are very clearly laid out and easy to follow. They cut out unnecessary information on the topic, making the notes very concise, and fast to get through. Anyone studying medicine, or any other subject requiring knowledge of the nervous system (e.g. physiology o...
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