Brain and Spinal Cord Anatomy: Chapter 12 Study Notes
1. Major Regions of the Adult Brain
- Cerebrum: Conscious thought, memory, sensation, voluntary movement
- Diencephalon: Thalamus, hypothalamus, epithalamus
- Brainstem:
- Midbrain
- Pons
- Medulla oblongata
- Cerebellum: Balance, posture, coordination
Memory Trick: CDBC (Cerebrum → Diencephalon → Brainstem → Cerebellum)
2. Ventricles
There are 4 ventricles:
- Right lateral ventricle
- Left lateral ventricle
- Third ventricle
- Fourth ventricle
CSF Pathway
Lateral ventricles → Interventricular foramina → Third ventricle → Cerebral aqueduct → Fourth ventricle → Median & lateral apertures → Subarachnoid space → Arachnoid villi → Dural venous sinuses
3. Lobes of the Cerebrum
Frontal Lobe
- Personality
- Motor cortex
- Speech (Broca’s area)
- Planning
Parietal Lobe
- Somatosensory cortex
- Touch, pressure, pain, temperature
Temporal Lobe
- Hearing, smell, memory, language comprehension (Wernicke’s area)
Occipital Lobe
- Vision
Insula
- Taste, visceral sensations
Major Fissures
- Longitudinal fissure: Separates left and right hemispheres
- Central sulcus: Separates frontal and parietal lobes
- Lateral sulcus: Separates temporal from frontal/parietal lobes
- Parieto-occipital sulcus: Separates parietal and occipital lobes
Functional Areas
- Motor cortex: Movement
- Premotor cortex: Learned movement
- Broca’s area: Speech production
- Primary sensory cortex: Touch
- Visual cortex: Vision
- Auditory cortex: Hearing
- Olfactory cortex: Smell
- Gustatory cortex: Taste
- Vestibular cortex: Balance
4. Lateralization
Left Hemisphere
- Language, logic, math, speech, analytical thinking
Right Hemisphere
- Creativity, music, facial recognition, spatial awareness, emotions
5. White Matter Fibers
- Association fibers: Connect within the same hemisphere
- Commissural fibers: Connect between hemispheres (e.g., corpus callosum)
- Projection fibers: Connect brain to spinal cord
6. Basal Nuclei (Basal Ganglia)
- Functions: Start movement, stop unwanted movement, muscle tone, automatic movements
- Associated Disease: Parkinson’s
7. Diencephalon
Thalamus
Relay station; almost all sensory information passes through here.
Hypothalamus
Controls: ANS, temperature, hunger, thirst, hormones, pituitary gland, sleep.
Epithalamus
Contains the pineal gland; produces melatonin.
8. Brainstem
- Midbrain: Visual/auditory reflexes, eye movement
- Pons: Bridge between cerebrum and cerebellum; breathing regulation
- Medulla: Cardiac center, respiratory center, blood pressure, swallowing, vomiting, coughing
9. Cerebellum
- Functions: Balance, coordination, smooth movement, posture, muscle memory
- Damage: Ataxia, tremors, poor balance
10. Limbic System & Reticular Formation
- Limbic System: Emotion, motivation, memory (includes hippocampus and amygdala)
- Reticular Formation: Consciousness, alertness, sleep-wake cycle
11. Protection of the CNS
Meninges
- Dura mater: Tough outer layer
- Arachnoid mater: Web-like middle layer
- Pia mater: Thin inner layer attached to the brain
Cerebrospinal Fluid (CSF)
Functions: Cushion, float the brain, nutrient transport, waste removal.
Blood-Brain Barrier
Protects from toxins, pathogens, and harmful chemicals. Formed by capillary endothelial cells and astrocytes.
12. CSF Formation
- Produced by: Choroid plexus
- Absorbed by: Arachnoid villi
13. Disorders
- Stroke (CVA): Blocked artery or bleeding; causes paralysis, speech loss, vision changes.
- Alzheimer’s: Memory loss, dementia, confusion, amyloid plaques, neurofibrillary tangles.
- Parkinson’s: Loss of dopamine neurons; causes tremor, rigidity, slow movement.
- Huntington’s: Inherited; causes chorea, personality changes, dementia.
14. Brain Diagnostic Tests
- CT: Bleeding, fractures
- MRI: Best for soft tissue
- PET: Brain metabolism
- EEG: Brain electrical activity
- Angiography: Blood vessels
15. Spinal Cord
- Functions: Conduct impulses, reflex center
- Gray matter: Butterfly shape, contains cell bodies
- White matter: Outside, contains ascending/descending tracts
- Roots: Dorsal (sensory), Ventral (motor), Dorsal root ganglion (sensory cell bodies)
16. Compare & Contrast
Gray vs. White Matter
- Gray: Cell bodies, processing
- White: Axons, communication
Sensory vs. Motor
- Sensory: Toward CNS
- Motor: Away from CNS
Thalamus vs. Hypothalamus
- Thalamus: Sensory relay
- Hypothalamus: Homeostasis
Cerebrum vs. Cerebellum
- Cerebrum: Thinking, memory, voluntary movement
- Cerebellum: Coordination, balance
Flaccid vs. Spastic Paralysis
- Flaccid: Limp muscles, no reflexes (lower motor neuron damage)
- Spastic: Stiff muscles, hyperactive reflexes (upper motor neuron damage)
Paralysis vs. Paresthesia
- Paralysis: Loss of movement
- Paresthesia: Tingling, numbness, “pins and needles”
Histology to Know
- Neuron: Cell body (soma), dendrites, axon
- Neuroglia: Astrocytes, oligodendrocytes, microglia, ependymal cells
High-Yield Multiple Choice Facts
- Largest brain region: Cerebrum
- Balance: Cerebellum
- Relay station: Thalamus
- Homeostasis: Hypothalamus
- Melatonin: Pineal gland
- CSF production: Choroid plexus
- CSF reabsorption: Arachnoid villi
- Speech production: Broca’s area
- Language comprehension: Wernicke’s area
- Vision: Occipital lobe
- Hearing: Temporal lobe
- Voluntary movement: Frontal lobe
- Touch: Parietal lobe
- Corpus callosum: Commissural fibers
- Butterfly-shaped gray matter: Spinal cord
