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Medicine Notes Neurology Notes

Organisation And Development, Csf Notes

Updated Organisation And Development, Csf Notes

Neurology Notes

Neurology

Approximately 117 pages

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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