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...
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Lecture 46
Reticular Formation
Location
Midbrain- Mesencephalic RF (neurons scattered around here)
Pons- Pontine RF (adjacent to 4th ventricle)
Medulla- Medullary RF
Afferent/Efferent
Afferent
Sensory pathways (optic, auditory, olfactory)
Thalamus
Cerebellum
Corpus striatum
SC (touch, pain, temperature)
Cortex
Efferent
Cortex (main)
Cerebellum
Substantia nigra; Red nucleus
Tectum
SC
Thalamus/hypothalamus
Connections
Local projections
Local-circuit interneurons
Functions
Reflexice and stereotyped behaviours of head and face
Chewing, swallowing, vomiting
Respiratory (coughing, hiccups, sneezing)
CVS responses (heart rate, BP)
Long projection systems
Ascending to cortex (reticular activating system)
Functions
Sleep-wake cycle
Alertness and consciousness
Wakefulness
Descending to spinal cord
Functions
Posture and ANS activity
Sensory (pain) & motor modulation (target for anaesthetics)
Info from hypothalamus (connected to endocrine systems)
Functions
SENSORY & MOTOR FUNCTIONS
Gating and modulating info transfer
Organising, co-ordinating and regulating reflexes
Reticulospinal tracts
AUTONOMIC AND VITAL FUNCTIONS
Regulations of ANS (input on everything innervated by ANS)
CVS regulation
Control respiration
Neurotransmitter systems
Specific group of CNS neurons use monoamines and ACh as neurotransmitters
NA; A; DA; 5HT; Histamine= MA
ACh
Cell bodies can be localised and axons traced
Monoamine pathways (where cell bodies lie)
Lateral Tegmental system
To the hypothalamus, cord and BG
Function= autonomic, endocrine, eating
NA
Locus ceruleus
To cerebellum, thalamus, cerebral cortex & cord
Function= aletness, attention
NA
Raphe
To cerebellum, BG, Th, cerebral cortex and cord
Function= Sleep, mood/motivation, autonomic, pain
5HT
Sunstantia Nigra & Ventral Tegmental Area
To pituitary, nucleus accumbens, frontal cortex & limbic system, BG
Function= Drive/motivation, pleasure
Loss= PD
DA
Acetylcholine pathways
Basal Forebrain Nucleus & Septal Nuclei and Septal Nuclei to Hippocampus
To cortex, Th
Function= Alertness/sleep, memory
ACh
Functions of reticular formation
CVS
Organised in medullary and lower pontine reticular formation
Control (blood pressure, heart rate)
Inputs
Baro/Chemoreceptors; Vagus; Cord; PAG; Hypothalamus; Cerebellum
Nerves IX, X
Output
Dorsal motor nucleus vagus; Intermediolateral column in cord (SNS)
Nerve X
Generation of ventilator pattern
Integration of neural signals by respiratory control centres in medulla & pons
Medulla (reticular formation)
Ventral respiratory group (forced exhalation, increased insp.)
Dorsal resp. group/Nucleus tractus solitairius...
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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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