© Distribution of this video is restricted by its owner
00:01 | All right y'all. So today we're week away from the third exam. |
|
|
00:11 | . Not yay, yay, OK. I like yeas. All |
|
|
00:18 | . And what we're gonna do is gonna cover two basic areas today. |
|
|
00:22 | going to look at spinal nerves and organizations. So we're going to be |
|
|
00:25 | our time for half the class and peripheral nervous system. After we deal |
|
|
00:29 | the spinal nerves, we're gonna jump into the central nervous system and we're |
|
|
00:33 | to, I would say we're gonna our way up through the brain stem |
|
|
00:37 | upward, but instead we're kind of the cerebrum first and then we'll do |
|
|
00:40 | brain stem. Um And then when come back, uh after uh the |
|
|
00:46 | , then we're gonna finish out the of the uh central nervous system. |
|
|
00:49 | so what we're looking at here is slice through the uh the spinal cord |
|
|
00:54 | you can see off on the far , you see the spinal nerves uh |
|
|
00:58 | way off on the edges, right it says left and right. |
|
|
01:02 | And so what we're going to be is we're gonna be looking at these |
|
|
01:06 | and what they form and how they're . OK. So the organization here |
|
|
01:11 | a cadence is the best way to about this. And, and if |
|
|
01:14 | think about, ok, well, spinal nerves are derived from or arise |
|
|
01:19 | the spinal cord, what are the that actually form and give rise to |
|
|
01:23 | ? All right. And so if look at this, you can |
|
|
01:25 | I've got this, this group of fibers that are coming out here |
|
|
01:29 | a group of fibers coming out here we call these the roots. And |
|
|
01:33 | , there's actually even a smaller It's a root lit. So it'd |
|
|
01:37 | a rootlet that is forming the And so one of the first things |
|
|
01:41 | we can do is we can start say, OK, we have the |
|
|
01:44 | cord and from the spinal cord, get rootlets and from the rootlets, |
|
|
01:48 | get roots. All right. And are two roots. We have the |
|
|
01:52 | root and the dorsal root, the root is on the front side, |
|
|
01:56 | dorsal root is on the backside. , if you remember the last thing |
|
|
02:01 | were talking about when uh on uh , I gotta remember what day it |
|
|
02:05 | on Tuesday, we were describing the arc. Do you remember the reflex |
|
|
02:09 | ? Do you remember your reflex This is where it starts going. |
|
|
02:13 | You mean I've got to carry things class to class. Yes, I |
|
|
02:17 | . All right. And I this is the picture that is most |
|
|
02:21 | for you to understand moving forward. you all kind of looked at me |
|
|
02:24 | , oh goodness, really? And said yes in my brain, this |
|
|
02:27 | all going on in my brain, out there for real. And here |
|
|
02:30 | have this structure where we have central system and once you get outside |
|
|
02:35 | that's peripheral nervous system. And if think about it, OK, way |
|
|
02:39 | here, that would be where our and our receptor is located, |
|
|
02:45 | Or you could be on this side you want to, depending on how |
|
|
02:47 | want to paint it out. All . So you can imagine, I |
|
|
02:50 | an e uh uh a receptor, receptor takes information sends it in. |
|
|
02:55 | did we call that? A right? And so a Ferran fiber |
|
|
03:01 | carrying sensory input. And what it is it comes along the spinal nerve |
|
|
03:06 | it enters the dorsal root. And then it goes into the central |
|
|
03:13 | system where you're gonna have your inter , that's your processing center, the |
|
|
03:17 | center. And then when you come , we remember we said we had |
|
|
03:21 | three areas in the gray matter. had the lateral horn, we had |
|
|
03:25 | ventral horn and then we have the horn, right? So that would |
|
|
03:29 | the, which one, the thing looks like a horn, which, |
|
|
03:34 | one is it lateral, ventral or , dorsal, dorsal. It sees |
|
|
03:38 | side. So dorsal, it you could call it the posterior |
|
|
03:42 | e either one works right. So have the dorsal and so it comes |
|
|
03:45 | through the dorsal horn horn, it itself or synapses with the inter |
|
|
03:51 | The inner neuron comes down and depending it's autonomic or if it's somatic, |
|
|
03:55 | gonna originate, the cell body will here in the lateral horn or in |
|
|
04:00 | ventral horn. And then what it is that fiber comes out and then |
|
|
04:04 | . And that fiber is an efferent . It is what we refer to |
|
|
04:07 | a motor neuron. Ok. So that same picture that we looked at |
|
|
04:12 | reflex is here again. All And so what we see is we |
|
|
04:18 | up here, we have the dorsal . The dorsal root is where you're |
|
|
04:22 | to find the Afer fiber. The fiber is a sensory fiber. It |
|
|
04:27 | carrying sensory input into the central nervous . So the dorsal horn is like |
|
|
04:33 | indoor into a kitchen at a And then the ventral horn is like |
|
|
04:38 | or the ventral root is like the . This is where the motor neuron |
|
|
04:42 | exiting. And so together they are together along the spinal nerve, but |
|
|
04:49 | are branching. So the organization is cord, I got my rootlets, |
|
|
04:56 | rootlets form the roots and the roots to form spinal nerves do you see |
|
|
05:04 | ? And I'm gonna keep doing I'm gonna keep adding one thing to |
|
|
05:06 | end of this little train that we're . All right. So dorsal cord |
|
|
05:10 | sorry, it's the dorsal cord, cord to rootlets, rootlets to |
|
|
05:14 | root to the um spinal nerve. when we have the roots, dorsal |
|
|
05:20 | ventral, dorsal is sensory, ventral motor, weird thing about the dorsal |
|
|
05:26 | it stand out from the other. you look at the picture and you |
|
|
05:29 | see, I've already highlighted on the , what stands out dorsal root |
|
|
05:35 | big old bump. All right. sensory nerves are weird. See if |
|
|
05:40 | can draw this. They are Uh There's my big blacks. All |
|
|
05:48 | . So a sensory nerve looks like the neuron has its cell body sitting |
|
|
05:55 | to the side and over here, would be the receiving side and then |
|
|
05:58 | there that would be the sending side we're looking at that side. So |
|
|
06:03 | cell bodies are all located in that root ganglia, right? And then |
|
|
06:09 | I'm going into the central nervous that would be my inter neuron and |
|
|
06:13 | my motor neuron looks like that. this would be the dorsal root ganglia |
|
|
06:21 | that dorsal root ganglia. All That's what you're seeing up there. |
|
|
06:28 | right. So notice these are the of neurons that we're used to |
|
|
06:32 | This one's weird looking. So that's you're gonna see in the dorsal |
|
|
06:37 | All right. Now, the spinal which are arising from the dorsal root |
|
|
06:44 | the ventral route convergence coming together. in our little picture up here where |
|
|
06:50 | giving you two views, this is superior view. And so you can |
|
|
06:54 | there is the ventral route, there the dorsal root and they're coming together |
|
|
06:58 | they're forming this big fat thick That big fat thick thing is the |
|
|
07:02 | nerve. If you look carefully at big bump, that's right there, |
|
|
07:06 | would be the dorsal ganglia. But you're doing is you're coming together. |
|
|
07:10 | so now you have your spinal This is just a different view from |
|
|
07:14 | of the, the ventral side, it's not a real good picture because |
|
|
07:18 | really itsy bitsy, teeny tiny. you can see I'm getting a spinal |
|
|
07:22 | and what happens is that spinal nerve into three branches. All right, |
|
|
07:27 | branches are referred to collectively as the . All right. So I've got |
|
|
07:33 | uh spinal cord, spinal cord becomes , rootlet becomes root, root, |
|
|
07:37 | spinal nerves, spinal nerve splits becomes . Three rami. The first rami |
|
|
07:42 | a dorsal ramus. All right, gonna see that the names are gonna |
|
|
07:46 | coming up over and over, ventral, yada yada yad dorsal |
|
|
07:50 | This is the only time we're gonna them. You don't have to worry |
|
|
07:53 | it. After this. They form nerves that innervate the muscles and the |
|
|
07:57 | of your back. That kind of sense, doesn't it? They're on |
|
|
08:01 | dorsal side, easy, easy, . So think about all those muscles |
|
|
08:05 | your back. That's where those nerves coming from. They help you maintain |
|
|
08:09 | , balance, they allow you to creepy crawly things moving up your spine |
|
|
08:14 | not really your spine but your Ok. The second one I want |
|
|
08:19 | mention here is the Rami communic which is a pair of ramses. |
|
|
08:24 | not the proper way to say the . It's a pair of Rami. |
|
|
08:26 | are not gonna talk about them until second and last lecture of the |
|
|
08:30 | Not of the unit of the All right, they're part of the |
|
|
08:34 | nervous system. All right. But are a branch to allow fibers to |
|
|
08:38 | , which are part of the autonomic system to be separated, to do |
|
|
08:41 | things. All right. So we're gonna bother with them other than to |
|
|
08:46 | that the branch is we have a branch. We have the Rami communic |
|
|
08:49 | which belongs to the autonomic nervous And then we have the big one |
|
|
08:53 | the middle, the important one, one that we're focusing on right |
|
|
08:56 | which is the ventral ramus. All , the ventral ramus is this big |
|
|
09:02 | part right here. The one that like it should be a spinal |
|
|
09:06 | All right. But remember we so we started with our cord, |
|
|
09:11 | , cordless, became rootlets, rootlets the root root, became the spinal |
|
|
09:18 | , spinal nerve branch and became the . All right. So we're focusing |
|
|
09:23 | on the ventral ramus. All the ventral ramus is what is responsible |
|
|
09:30 | innovating basically everything else in your All right, apart from the autonomic |
|
|
09:35 | system, which we're not talking about . All right, they're gonna form |
|
|
09:41 | structures which are like highway systems where nerve fibers are gonna start mixing and |
|
|
09:49 | form these structures called plexi. All . Plexus is singular. Plexi is |
|
|
09:54 | plural. But before we talk about plexi, let's talk about the exception |
|
|
09:58 | the rule. All right, there's exception. Yes. Unfortunately, there |
|
|
10:03 | . Oh, wait, oh, gonna first talk about spinal nerves in |
|
|
10:07 | . I guess we're not talking about exception that we're just talking about nerves |
|
|
10:09 | general. All right. So first spinal nerves, they're organized topographically. |
|
|
10:14 | other words, the wires in your are not disorganized, they're organized. |
|
|
10:18 | talked about this before. And so can expect if I have nerves that |
|
|
10:22 | part of my upper limb, they be all in that region, leaving |
|
|
10:26 | spinal cord from that, from a that is upper relative to a region |
|
|
10:31 | is lower. All right. So can see here, there's this organization |
|
|
10:36 | the body. All right, we two. We mentioned this as regard |
|
|
10:39 | the spinal cord, there are two , one that's called the cervical |
|
|
10:43 | One that's called the lumbar enlargement. what this is is basically the, |
|
|
10:47 | , the spinal nerve where you have information going in and out of the |
|
|
10:51 | . So you're gonna have the region the spinal cord a little bit |
|
|
10:54 | So the upper limbs are gonna be uh innervated through fibers that are leaving |
|
|
11:00 | the cervical enlargement for the lower limbs gonna be coming from the lumbar |
|
|
11:05 | That's a real basic thing. The thing is that because of this |
|
|
11:11 | we can map your body. All , we know for example, |
|
|
11:16 | oh if you are feeling information from particular area, we know which nerve |
|
|
11:21 | responsible for that. The good news , we're not gonna learn all the |
|
|
11:24 | nerves which innervate different parts. We that to the graduate programs. They'll |
|
|
11:29 | you what you need to know in for you to progress through your graduate |
|
|
11:33 | . All right. But what you to understand is we have what is |
|
|
11:36 | a dermatome, which is that it's showing you the skin and the |
|
|
11:41 | that are being provided by that region the spinal cord. That's what the |
|
|
11:45 | coding is. It's just telling oh for example, this region of |
|
|
11:49 | hip, the, the skin that's innervated, there comes from fibers that |
|
|
11:53 | L one that's just what that's, the example. And then this over |
|
|
11:58 | is showing you the myotome, the shows you where the nerve fibers are |
|
|
12:04 | , what muscles they innervate. So muscle derma skin and the tome refers |
|
|
12:10 | the topography. And so that's what seeing here is look, we can |
|
|
12:14 | and tell you which nerves are where and what they're innervating and which |
|
|
12:17 | are being innervated. All right. you need to be sure that you |
|
|
12:21 | the term, the dermatome deals with information. The myotome deals with muscle |
|
|
12:29 | information, information that comes in versus that goes out and you got to |
|
|
12:34 | remembering that sensory is in motor is . All right. That's the key |
|
|
12:40 | here. All right, the nerve , what is it? I want |
|
|
12:47 | to think about how you got, you don't live on campus, I |
|
|
12:49 | you to think about how you got the university today. All right. |
|
|
12:53 | about all that fun little traffic that drove through yay traffic and think about |
|
|
12:57 | would happen if there was a 40 pile up in front of you between |
|
|
13:01 | house and here? Ok. How you get to the university? Are |
|
|
13:04 | stuck on that one track or is an alternate route? There's an alternate |
|
|
13:10 | good and you should always have at one or two alternate routes in your |
|
|
13:14 | to say, ok, if I to this point and things are |
|
|
13:17 | how do I get around this. right, the way your body is |
|
|
13:20 | is very similar to how you have routes to different locations. All |
|
|
13:26 | In other words, what the body is, hey, I can't put |
|
|
13:30 | my nerves in one basket. I just send all the fibers that are |
|
|
13:33 | to a specific location via one I want to be able to mix |
|
|
13:38 | match and so different parts of the are going to be uh sending fibers |
|
|
13:43 | and from those two locations via different . And part of the, I |
|
|
13:49 | take my sip here. I hate I pick this up and I just |
|
|
13:53 | around with it for like two All right. So part of what's |
|
|
13:57 | on is, is right outside that rama, what's gonna happen is you |
|
|
14:02 | seeing the crisscrossing of fibers and the of fibers so that you can form |
|
|
14:06 | name nerves of the body that are to a very specific location. But |
|
|
14:10 | fibers themselves are arising from different rami different location and I just want to |
|
|
14:16 | out. All right. So you need to know this. I'm just |
|
|
14:18 | it to you. So here's the nerve, the fren nerve is what |
|
|
14:21 | you to breathe in and out. other words, it causes the thoracic |
|
|
14:25 | to expand and contract. All But look at where the fibers originate |
|
|
14:29 | . So we have fibers coming from five, that form the phrenic |
|
|
14:32 | We have fibers from C four that in form the phrenic nerve. We |
|
|
14:36 | fibers from C three that come and the Fren nerve. So if I |
|
|
14:39 | to damage, say this branch, I still have fibers that are able |
|
|
14:45 | go to and from the thors? mean, from the fren nerve. |
|
|
14:50 | . And that's the idea here is don't wanna, if I damage, |
|
|
14:54 | say C four, that doesn't destroy ability to survive. It hinders, |
|
|
15:00 | causes problems, but it doesn't completely hinder or not hinder, completely kill |
|
|
15:07 | . All right. So that's the here. Bew behind plexus is that |
|
|
15:12 | allows for fibers to cross themselves and form the name nerves to ensure that |
|
|
15:17 | are more than one pathway between those locations of the central nervous system. |
|
|
15:22 | the thing that's being innervated. All . Now, what we're gonna end |
|
|
15:29 | with at the far end of any are the name nerves of the |
|
|
15:32 | All right. And the last thing point out is there are four main |
|
|
15:36 | . This is when you go take anatomy classes are the four you |
|
|
15:39 | All right. There are more than four, but these are the big |
|
|
15:43 | . Ok. Now, here's my . All right. So the one |
|
|
15:49 | where we don't see a plexus is the thoracic region. All right. |
|
|
15:53 | we're talking about the thoracic nerves and they're gonna do. So remember thoracic |
|
|
15:57 | refers to the spinal nerve nerve leaving thoracic region. And what they do |
|
|
16:01 | they form what are called the intercostal . All right, they're going |
|
|
16:06 | going between the ribs. Hence the the, in between the nerve or |
|
|
16:11 | between the rib nerve. That's the , right? Intercostal. All |
|
|
16:16 | Now, here again, we're dealing the uh the uh anterior ramus, |
|
|
16:22 | anterior ramus or eventual ramus is, , is just going. But instead |
|
|
16:26 | crisscrossing, like we're gonna see in these other places, they just keep |
|
|
16:29 | straight and they go in between the nerves, they do two things, |
|
|
16:33 | invert innervate both the muscle and the uh the skin. All right. |
|
|
16:38 | they're playing an important role not only sensory. And I say up |
|
|
16:42 | they iterate the inner costal. So also playing a role in the contractions |
|
|
16:48 | the, of the muscles inside uh thoracic cage. All right. So |
|
|
16:53 | do we have here? Basically? There's, there's a couple of |
|
|
16:57 | So, sensor information from the skin the axilla to the medial surface of |
|
|
17:01 | arm. All right. So what's region kind of right in here? |
|
|
17:05 | right. And then you just work way down, look oh the anterior |
|
|
17:08 | lateral chest walls. So we're moving and finally, oh down to the |
|
|
17:12 | muscles. So they're just coming around they're innervating so that you can feel |
|
|
17:17 | as well as innervating the muscles of thoracic cage. That's the idea. |
|
|
17:23 | right. So they're the easy just intercostal muscles, they form from |
|
|
17:27 | thoracic nerves, basically straightforward. T also plays a role in the brachial |
|
|
17:33 | . But truthfully, I'm not gonna you, OK, what nerves give |
|
|
17:37 | to this? I'm, that's just , especially in a lecture class. |
|
|
17:42 | I'm gonna show you a picture so you can see like what you see |
|
|
17:45 | here. And then we're gonna show kind of a, a stick map |
|
|
17:50 | the pre of the plexus and then , we'll kind of show you the |
|
|
17:54 | that are important. All right, are being inner innervated here. So |
|
|
17:58 | right here is the Cervico brachial All right. So there's two plexuses |
|
|
18:04 | represented here. Plexi. All We have the cervical plexus. All |
|
|
18:09 | . Which part of the body is cervical plexus responsible for, do you |
|
|
18:13 | just by based on where it's Neck? Right? So it's, |
|
|
18:18 | says upper region. So it's your and ba basically the back of your |
|
|
18:21 | and then you have the brachioplexus which sits down a little bit lower and |
|
|
18:26 | can see where those fibers going. , they're going down to the |
|
|
18:30 | All right. So you can kind see what we're doing here is just |
|
|
18:33 | very simple organization. We're just gonna our way down our body here is |
|
|
18:36 | neck region. Now we're gonna deal the arms and then we do the |
|
|
18:40 | muscles or the uh or the intercostal . That would be the thoracic. |
|
|
18:44 | then when we do lumbar and they're gonna be working down the back |
|
|
18:47 | the fronts of the legs. All . So this is just a visual |
|
|
18:53 | showing you those, those uh All right. So this right here |
|
|
19:00 | what we would refer to as a map. Um If you've ever been |
|
|
19:04 | like New York or Washington DC, they have a subway system, they |
|
|
19:07 | you maps like this, say this how you get around the city and |
|
|
19:10 | doesn't look like the city at It's just bas basically a bunch of |
|
|
19:13 | to tell you how to get to various regions. You follow the red |
|
|
19:17 | , the blue line and so on so forth. All right. So |
|
|
19:20 | job is not to memorize this. right. This is to help you |
|
|
19:24 | relationship. All right. And so is this showing you? Well, |
|
|
19:28 | dots represent where the Ramus is and the lines represent the fibers that are |
|
|
19:34 | off of that Ramus and forming specific . So like for example, |
|
|
19:39 | we can see part of C one part of C two come together and |
|
|
19:43 | form what is called the muscular All right, that's, that's how |
|
|
19:48 | read this map. All right. this is gonna be the back of |
|
|
19:52 | neck. All right, primarily C to C four, C five is |
|
|
19:58 | involved, right? We're gonna be with superficial neck structures. This |
|
|
20:06 | so what does superficial mean on the ? So we're talking about skin, |
|
|
20:10 | we're also talking about muscles attached to hyoid. You guys remember where your |
|
|
20:14 | is right on your trachea, right, the surface of the neck |
|
|
20:19 | the lower portions of the head. right back in here. All |
|
|
20:24 | So this shows you here that we a cutaneous branch and a muscular |
|
|
20:31 | Cutaneous means on the surface. So it's on the surface, what are |
|
|
20:37 | dealing with? Centura, motor, , good muscular branch? Well, |
|
|
20:43 | tells you what are you dealing with or motor? OK. Now, |
|
|
20:49 | isn't all that helpful to you, I if you like this better come |
|
|
20:53 | to this map, I like this better. OK. Oh No, |
|
|
20:56 | don't. It's not there. It actually this. All right. Let's |
|
|
21:01 | through this cutaneous. Look at the of the nerves. All right, |
|
|
21:05 | gonna see these big names and you're be freaking out. All right, |
|
|
21:08 | freak out. We have the occipital . All right. Remember where was |
|
|
21:11 | occipital bone? Good. So where you think it innervates right back |
|
|
21:17 | It's the skin on the back of head. That's easy. All |
|
|
21:21 | auricular nerve. Do you remember what oracle is? We had another name |
|
|
21:25 | it called the pena. So, is the auricular nerve innervate? Do |
|
|
21:29 | think the ear good? That's your ? All right. So, basically |
|
|
21:35 | skin back here and your ear? right. The cervical nerve. |
|
|
21:41 | we've been talking about the cervical This is a cervical plexus. |
|
|
21:45 | what is that? That's the back your neck and then supraclavicular supra is |
|
|
21:53 | clavicle there. So, what are in there? I don't even need |
|
|
21:58 | map it. The name tells you it does. This is very, |
|
|
22:02 | common. So if you ever I, I don't know, it's |
|
|
22:05 | scary word. Think about what the means. Pause for about a second |
|
|
22:09 | you'll be able to understand what it . All right, when we're dealing |
|
|
22:12 | the muscular nerves, we're talking about muscles of the throat that so that |
|
|
22:15 | be the muscular nerve and the front diaphragm to regulate breathing. So that's |
|
|
22:20 | breathing portion with, along with the muscles. All right, brachial plexus |
|
|
22:28 | the most complex. All right. end, it is the most complex |
|
|
22:32 | the four that we're looking at. is the scariest. All right. |
|
|
22:36 | what we started with, we started the co the spinal cord, spinal |
|
|
22:40 | with Tullis rootlets to root, root Rami. We had the dorsal ventral |
|
|
22:44 | Ramon communic cans, but we're talking the Rami, the rami formed these |
|
|
22:48 | . All right. And so with brachial plexus, we're gonna see that |
|
|
22:52 | branch is these rami, these ventral they come together and they form what |
|
|
22:57 | called the trunks. And so these circles are representing where that trunk is |
|
|
23:01 | . So there's three trunk, there's superior trunk. If there's a superior |
|
|
23:05 | , there means there's an inferior I told you there's three. So |
|
|
23:07 | means there's one in the middle, would be the middle trunk. All |
|
|
23:10 | , then the trunk divides each one them divides and one is in the |
|
|
23:16 | and one is in the back. we call it the anterior division and |
|
|
23:20 | call it the posterior division of the , inferior or middle trunk. So |
|
|
23:25 | have the remi the remi forms a , the trunk forms a huh |
|
|
23:31 | Yeah, that's all right. So that's what we got here. |
|
|
23:36 | that's what these little uh triangle or triangles with the little squares are trying |
|
|
23:39 | show you. So here's the there's the posterior, anterior, |
|
|
23:43 | anterior, posterior, all right. trying to show you on the map |
|
|
23:47 | then what we do is we're gonna cords. And so what we're gonna |
|
|
23:51 | is we're gonna combine things together to the cords. So you can see |
|
|
23:55 | here, I've got anterior and anterior together forming a lateral cord. All |
|
|
24:00 | . Then what do I have is have a posterior to posterior coming together |
|
|
24:03 | actually three posteriors coming together to form the posterior cord and then the medial |
|
|
24:09 | is all by its lonesome. It's the anterior um division of the uh |
|
|
24:15 | uh trunk. All right. So do we have here? We got |
|
|
24:19 | , trunks form divisions. D uh are the splits, the splits come |
|
|
24:22 | in different combinations to form chords. then it's the cords themselves that form |
|
|
24:27 | nerves. So what we have here like that. All right. It's |
|
|
24:34 | of weird and spooky and scary and and oh yuck. All right. |
|
|
24:38 | news. It's hard to see this a single screen. What I want |
|
|
24:44 | to understand is just the order in those things are being divided. |
|
|
24:47 | ma'am. Can I say the relationships ? Oh, so yeah. So |
|
|
24:55 | s themselves are gonna come together and cords. All right now in the |
|
|
25:00 | of your upper arm. All you have an artery. All |
|
|
25:04 | That artery is the structure around which cords are, are found, which |
|
|
25:10 | why we have a lateral cord, posterior cord and a medial cord. |
|
|
25:14 | one is lateral to that artery, is medial to the artery, one |
|
|
25:18 | posterior to that artery. That's where names come from. All right. |
|
|
25:22 | you see this picture? No. right. Could you see it if |
|
|
25:25 | showed you that? No, because a two dimensions you need three |
|
|
25:28 | That's kind of go in there and things. All right. So this |
|
|
25:31 | not about you identifying, it's about what is the order of organization. |
|
|
25:36 | right. Now, this picture tells what we're gonna do is we're gonna |
|
|
25:42 | 12345 nerves. OK? And so can see a picture like this where |
|
|
25:49 | don't know if this is more helpful you or not. You know, |
|
|
25:51 | look at this and I see lots words and it scares me because it's |
|
|
25:55 | and lines go everywhere. All this to me is a little bit |
|
|
25:58 | , but it's still not the easiest . So what is the easiest thing |
|
|
26:03 | my mind? Not this, Because yes, I can see those |
|
|
26:08 | and we're gonna learn those nerves, five nerves are important for you to |
|
|
26:12 | . But I think this makes it . Ok. So here we can |
|
|
26:19 | see what those nerves are actually After you go from those trunks through |
|
|
26:24 | divisions through the cords, you're gonna the axillary nerve. All right. |
|
|
26:29 | the axillary nerve? Well, it's the deltoid muscle and the skin of |
|
|
26:33 | axillary region. All right. That's easy. Ok. Well, what |
|
|
26:37 | do we have? Well, we the muscular cutaneous nerve. What a |
|
|
26:40 | name for a nerve. It innervates and skin. Great. Thanks. |
|
|
26:45 | , very helpless. All right. is that located? Well, musculars |
|
|
26:48 | is gonna be the lateral forearm. . So that's an easy thing to |
|
|
26:53 | of see. All right, then have the radial nerve. It's named |
|
|
26:57 | it runs along the length of the . Where does it go? |
|
|
27:00 | it goes down to your hand, . You can see here here's radial |
|
|
27:04 | , its upper arm and it goes the middle. But really what you're |
|
|
27:07 | here is your, it's the skin this region. But really you're getting |
|
|
27:11 | to your fingers here, you falling on your arm, you're woke up |
|
|
27:15 | your arm, just doesn't respond. you're like, yeah, so that |
|
|
27:20 | kind of show you when you press what happen, the ulnar nerve, |
|
|
27:23 | gonna be the outer regions of your , right? And then the median |
|
|
27:28 | , it's the f it's the actual of your palm. So you can |
|
|
27:32 | ulnar medial or median nerve and radial are all coming down to your |
|
|
27:37 | The purple thing is not labeled Why? Well, because I didn't |
|
|
27:40 | it was important enough, but it what is called the medial muscular cutaneous |
|
|
27:45 | and we're not gonna do that. . No, it's again, nomenclature |
|
|
27:50 | based on, well, where is going? That's all they're doing |
|
|
27:53 | What, what are we looking What are we here? All |
|
|
27:56 | So this, I think is helpful this particular case. All right. |
|
|
28:04 | that, is that a little bit ? Yeah, you can learn your |
|
|
28:07 | nerves. All right. Yeah. . Lumbar plexus. Back to our |
|
|
28:14 | map. You can see the different . All right. So this is |
|
|
28:17 | be located in the anterior pelvis. your pelvis? Elvis hips, |
|
|
28:26 | It's this region, it's the region we call the bikini zone. No |
|
|
28:32 | . All right. So we're talking that come through that region. All |
|
|
28:38 | . Not particularly complex, but there divisions in it. So there is |
|
|
28:42 | trunks, there are no cords. we do is we have division. |
|
|
28:45 | an anterior and posterior division. All . I'm gonna go ahead and flip |
|
|
28:50 | now because I think it's just easier way. So these are gonna be |
|
|
28:54 | innervating the anterior aspects of the lower . All right. And you can |
|
|
28:59 | in the picture here's the anterior aspect the lower limbs, right? You |
|
|
29:03 | see that anterior two nerves of There are a lot more nerves. |
|
|
29:08 | can see there are a lot more . All right. Two that I |
|
|
29:11 | are important to you. The femoral name because it follows the femur. |
|
|
29:17 | . And the ator, I don't why it's called the operator. I |
|
|
29:21 | looked it up. All right. in essence, you can see |
|
|
29:24 | what am I doing? Femoral nerve the anterior medial side of the thigh |
|
|
29:29 | the anterior medial side of the front the leg or the lower leg. |
|
|
29:36 | right. You can see here, also wraps around and does a portion |
|
|
29:40 | the posterior side. So, medial side. So you can just |
|
|
29:44 | it's the inside and then the operator the inside of the thigh. |
|
|
29:49 | medial thigh, all right. So skin and muscle. All right. |
|
|
29:56 | easy. Look at the muscle, the name of the muscle? Vastus |
|
|
30:03 | ? What does it mean? big, middle, large? |
|
|
30:08 | Just showing it. All right. lumbar is anterior. So what do |
|
|
30:18 | think sacral is posterior? Yeah, it's, they make it sound when |
|
|
30:25 | read the stuff and you see these as being far more scary and complex |
|
|
30:29 | it is. Now, truthfully, you go to medical school, for |
|
|
30:32 | of you who are going to medical , you will have to learn all |
|
|
30:35 | these muscles and all of these nerves anatomy and you'll probably only use it |
|
|
30:41 | in your life like when you take anatomy exam. All right. Unless |
|
|
30:46 | go into like for example, um or something. All right. The |
|
|
30:51 | of y'all will just like, I got it, vomit it out |
|
|
30:54 | the test, do it on the . Move on. All right. |
|
|
30:58 | plexus. All right. So it's the same region, but now it's |
|
|
31:02 | anterior pelvis, it's posterior pelvis. that doesn't mean buttocks, it means |
|
|
31:07 | region, but it's going backwards, comes through and it goes around the |
|
|
31:11 | All right. Again, we have in anterior and the posterior. |
|
|
31:16 | what we say is the anterior division a role in muscles that flex, |
|
|
31:20 | the posterior division deals with muscles that . All right. So that is |
|
|
31:25 | of the kind of the kind of cool things about this. All |
|
|
31:28 | But again, I think looking at is a little bit easier, the |
|
|
31:32 | nerves that we're gonna be interested in the tibial nerve and the common fibular |
|
|
31:37 | . So, again, named for bone over which they travel. |
|
|
31:41 | these two nerves arise from a much larger nerve. It's one of the |
|
|
31:45 | nerves in the body, which is we're mentioning it. It's called the |
|
|
31:49 | nerve. All right. You somebody who has sciatica, have you |
|
|
31:54 | , it's horrible, horrible, horrible pain that is derived from the sciatic |
|
|
32:00 | . Um If you've ever gotten a massage in the buttocks and you kind |
|
|
32:03 | get that sensation of like this is the best feeling ever. It's because |
|
|
32:08 | rubbing the sciatic nerve and basically it , it melts your body. Uh |
|
|
32:13 | who's ever had to stretch, you , done the four stretch, you |
|
|
32:16 | , like push your leg back, your leg up like this and |
|
|
32:21 | You ever done that? I'm looking for the athletes. Yeah, it's |
|
|
32:24 | it just stretches everything in your lower and it stretches your buttocks and uh |
|
|
32:30 | what you're doing is you're squeezing on nerve and it's just like heaven. |
|
|
32:34 | right. It's the deep massage of muscle or that nerve is just |
|
|
32:39 | But when it goes wrong, I , you can't sit, you can't |
|
|
32:42 | , you can't lie down. It the worst thing anyone who's ever had |
|
|
32:46 | will tell you just kill me. right. So we start off with |
|
|
32:51 | big giant nerve, the sciatic nerve it splits in the tibial and the |
|
|
32:54 | fibular. What does the tibial nerve ? Well, tibial nerve is gonna |
|
|
32:59 | the anterior port or sorry, the portion of the back of the |
|
|
33:03 | So lower portions of where your calf it goes down and does the plantar |
|
|
33:09 | of the foot. So basically what stepping on and on the back |
|
|
33:14 | when you're talking about the common fibular , we're now on the lateral |
|
|
33:18 | So you can see here la lateral limb and then on the, on |
|
|
33:23 | lower portion of the lower limb all the lateral portion and the top of |
|
|
33:27 | foot. So that's skin and Alright. So is that map easy |
|
|
33:34 | understand? Yeah, kind of sort . All right. So, |
|
|
33:43 | that's kind of what I'm gonna ask is what does the tibial nerve |
|
|
33:46 | What does the fibular nerve do? does the muscular nerve do? Does |
|
|
33:49 | con continue, you know, that of thing? It's just gonna keep |
|
|
33:51 | as simple as I can. I'm gonna say, what is this formed |
|
|
33:55 | like S one through S3 I, not, I'm not concerned about that |
|
|
34:00 | much. All right. So that us through the spinal nerves. So |
|
|
34:07 | look at the organization again. All , we start with the spinal |
|
|
34:10 | Spinal cord forms the root. Let's , lets two root root two |
|
|
34:18 | right, spinal nerve, spinal nerve into the dorsal, ventral and Raymi |
|
|
34:25 | , ventral is what we're interested Those form. The plexuses within the |
|
|
34:29 | . We're gonna have all sorts of organization but the most complex organization is |
|
|
34:33 | be trunk or sorry, co uh , trunk to division, division to |
|
|
34:40 | . Two of them just have One of them didn't have any of |
|
|
34:42 | stuff. Ok. And that's how get to your nerves. All |
|
|
34:51 | we have the intercostal nerves, intercostal are just ventral or anterior A I |
|
|
34:57 | just keep going not too terrible or it terrible? Terrible? Ok. |
|
|
35:05 | OK to admit it, it's terrible , but maybe in, you |
|
|
35:08 | in the afternoon it might not be terrible. Horizon, correct. So |
|
|
35:19 | question is, is do I need know which, which spinal nerve or |
|
|
35:23 | ? Yeah, which spinal nerve gives to which Plexus? I'm less interested |
|
|
35:26 | that and more interested in what's it for? OK. The part of |
|
|
35:33 | reason they go over all, I , why that stuff is discussed why |
|
|
35:37 | brought up is there's a lot of aspects that are involved in this. |
|
|
35:41 | I'm not si, again, I'm trying to steer absolutely clear of |
|
|
35:45 | developmental with you guys because it just Exactly. Yeah. So the idea |
|
|
35:50 | is, what is this Plexus? arises from it? How is it |
|
|
35:55 | in a real superficial way? Notice not going like, tell me all |
|
|
36:00 | branches. I wanna know all the . No, I don't, I |
|
|
36:04 | want those two. All right. think that's, I think that's |
|
|
36:08 | right? I mean, five nerves of 12 nerves, out of |
|
|
36:12 | another two nerves, another five nerves four nerves. So I think that's |
|
|
36:18 | . Ok, let's get back to central nervous system. Maybe they'll feel |
|
|
36:25 | little bit more comfortable than the maybe. Yeah. Hey, um |
|
|
36:30 | , when we come back, what gonna do is we're gonna talk about |
|
|
36:32 | nerves. Do you guys know anything cranial nerves? How many cranial nerves |
|
|
36:35 | there? So, I saw a , how, how many you wanna |
|
|
36:39 | ? 12. Yeah, there's there's 12 cranial nerves. You know |
|
|
36:43 | they're called cranial nerve. Number one cranial nerve number. They all have |
|
|
36:47 | name. But that's one of the that we learn. It is one |
|
|
36:50 | 12. All right, then we're gonna learn the names and we're gonna |
|
|
36:53 | what they do. And when we what they do, that explains the |
|
|
36:56 | or if you look at the name explains what they do, either way |
|
|
36:59 | one through 12 is less helpful, it shows you the organization. |
|
|
37:04 | So what we wanna do here is wanna look at the structures of the |
|
|
37:08 | . And so what we're gonna do we're gonna do brainstem and we're gonna |
|
|
37:11 | Cerebrum today. All right. So , we're gonna start there, even |
|
|
37:16 | if we started with the spinal the next thing that's in, in |
|
|
37:19 | should be the brain stem. But , for some reason, your book |
|
|
37:22 | . No, no, no, gonna do this and then we're gonna |
|
|
37:24 | over that and then we're gonna work way down. I think part of |
|
|
37:26 | reason they do that is because of cranial nerves. They wanna kind of |
|
|
37:30 | cranial nerves as near as they can the spinal nerves. But that's |
|
|
37:33 | I think the organization is not the . All right, I'm just following |
|
|
37:36 | book. All right. So here's cerebrum. When you think of the |
|
|
37:41 | or when you think of the this is what you're thinking of. |
|
|
37:43 | right, if you play any sort video game or any sort of thing |
|
|
37:48 | talks about brain, this is what show you, right? That's a |
|
|
37:52 | . It's just a portion of the because the brain has all these parts |
|
|
37:55 | it. But the cerebrum you can it has a unique characteristic to |
|
|
38:00 | It has these bumps and folds and . And the reason it has these |
|
|
38:03 | bumps and folds is because the skull and the brain grows faster than the |
|
|
38:08 | does. And so it starts folding itself and creates this kind of unique |
|
|
38:13 | which is well preserved across all of . All right. So if we |
|
|
38:18 | out your brain, we're not gonna that. But if we cut out |
|
|
38:20 | brain, your brain would look like brain and my brain would look like |
|
|
38:23 | else's brain. Very, very And so we have these, these |
|
|
38:28 | features that anatomist use to help identify regions of the brain. And so |
|
|
38:34 | bump the ridge portion, the thing you're seeing here that is referred to |
|
|
38:38 | a Gyrus, plural as gyri. I'll, I'll keep saying probably till |
|
|
38:42 | day I die. Gyrus is just reasons, right? And then in |
|
|
38:47 | them. So where you go down the valley, that valley region, |
|
|
38:51 | depression is what is referred to as sulcus. All right. So you'll |
|
|
38:56 | sulcus and then a Gyrus sulcus and gyrus. And then if you have |
|
|
38:59 | really, really deep valley, a groove, we refer to that as |
|
|
39:03 | fissure. And so we're you here , there's what is called the lateral |
|
|
39:07 | . You can see the lateral fissure then there's a longitudinal fissure. And |
|
|
39:11 | you were to get a pair of or if you got your fingers and |
|
|
39:14 | of pulled apart, you'd see it in deep, but then at the |
|
|
39:17 | it does end and it comes back again. So it's not like it's |
|
|
39:20 | a cut all the way through. just kind of looks like that. |
|
|
39:24 | right. So these structures are used anatomist to help us understand what we're |
|
|
39:30 | at within the brain and you'll see in just a moment. All |
|
|
39:34 | And this is kind of part of right here is we have four major |
|
|
39:39 | of the brain. All right. we have the cerebrum. This is |
|
|
39:43 | we're looking at is the cerebrum. there is a structure that is deep |
|
|
39:48 | the brain right there that is referred as the diencephalon. The diencephalon is |
|
|
39:54 | of what the brain sits on top the and surrounds. All right. |
|
|
39:58 | if you were, if you're, you're looking at all the structures of |
|
|
40:00 | central nervous system and think of it an ice cream cone, it's like |
|
|
40:03 | first scoop. And then what you've is you've taken a second scoop and |
|
|
40:07 | kind of covered that first scoop with . And then we have the brain |
|
|
40:11 | which sits at the base of the . So it'd be uh cerebrum, |
|
|
40:18 | brain stem and then out here in back that is the cerebellum. All |
|
|
40:23 | . And we'll get to all these and what they do. But just |
|
|
40:26 | put them aside, what we've done these are all developmentally derived. So |
|
|
40:31 | remember, I told you, you started off developmentally as a tube, |
|
|
40:35 | ? And then what happened as organisms more and more organized, they started |
|
|
40:39 | things to the end of the And so the cerebrum is the most |
|
|
40:44 | addition. And when you look at vertebrates, it's like uh primitive organisms |
|
|
40:49 | lizards and amphibians. They have structures are similar to the brain stem and |
|
|
40:54 | to the cerebellum and similar to the . I mean, I say |
|
|
40:58 | I mean, they don't look like there, but structurally, they, |
|
|
41:02 | do the same thing but their cerebrum not quite so developed. But as |
|
|
41:06 | move further on into the birds and mammals and, and other types of |
|
|
41:11 | , you see the cerebrum being more more organized. So this kind of |
|
|
41:15 | an organization that is well preserved in vertebrates. And that's what I was |
|
|
41:19 | to say is I want to stay from the developmental stuff because it gets |
|
|
41:22 | confusing and scary. All right. the cerebrum has two hemispheres. And |
|
|
41:28 | if you're looking at from the anterior , you can see the two |
|
|
41:32 | there's one on the left, one the right, that's pretty straightforward. |
|
|
41:35 | then if you look inside each of hemispheres, if you consider just that |
|
|
41:38 | hemisphere, each of those hemispheres has lobes. When I sat in your |
|
|
41:43 | , we just said it was four , you know, so one just |
|
|
41:47 | up magically. And actually, that's true. It's just that we start |
|
|
41:51 | things much more clearly as we go and start understanding things. All |
|
|
41:55 | So the four lobes that are simple the frontal parietal, occipital and |
|
|
42:00 | And you already know where those are you've learned the bones over which they |
|
|
42:03 | . So the frontal lobe would be then the parietal would be and then |
|
|
42:08 | occipital would be and then the temporal be there. Great. And then |
|
|
42:13 | have this weird one, the all right, the insula is deep |
|
|
42:19 | in between. So here's the frontal , here is the temporal lobe. |
|
|
42:22 | if you spread apart with a pair calipers and look down deep, that |
|
|
42:25 | the insula. So it sits underneath frontal lobe and behind the temporal |
|
|
42:31 | how very very frustrating, right. let's talk about how we define what |
|
|
42:37 | things are. All right. So is where we're going to jump into |
|
|
42:40 | anatomy. Again, it's a very , heavy day. So this is |
|
|
42:44 | anterior lobe, right. So the lobe is the is the anterior part |
|
|
42:48 | the brain. It's divided from the by this very large central sulcus. |
|
|
42:54 | is what we call that division. an easy thing to identify and it |
|
|
42:58 | everything in front of that is going be frontal, everything behind that central |
|
|
43:01 | is going to be the parietal And then we use that longitudinal fissure |
|
|
43:08 | a boundary between the temporal lobe and frontal lobe. So going back to |
|
|
43:13 | picture, you can see it much clearly. I said la longitudinal, |
|
|
43:19 | meant lateral longitudinal would be in the . OK. All right. |
|
|
43:26 | this gyrus right here next to the sul sulcus, it's called the precentral |
|
|
43:35 | . OK. What do you think one behind it's called if this one's |
|
|
43:39 | , what do you think that one post? That's postcentral gyrus. |
|
|
43:42 | so why we point this out is see this is one of those gyrus |
|
|
43:47 | that we learn what it does a bit later. OK? Plays an |
|
|
43:51 | role in movement. Now, the frontal lobe has a basic function |
|
|
43:58 | a generalized function. All right. motor activity. So movement, motor |
|
|
44:05 | includes speech. All right, you're your mouth is the speech portion. |
|
|
44:11 | plays an important role in thinking in decision making, in planning things |
|
|
44:21 | right now, you're planning your Are you planning your weekend or are |
|
|
44:26 | just listening to me? You're just to me, see you. Gold |
|
|
44:29 | , gold star, gold star. right, I should do that. |
|
|
44:35 | should just come in and just give . Would that make you guys |
|
|
44:38 | It would, yeah, see there's about stickers that make everyone happy. |
|
|
44:42 | right. So when I think it's frontal lobe, all right, I |
|
|
44:48 | , therefore, I am right now about the frontal lobe, what's working |
|
|
44:53 | frontal lobe, the frontal lobe is dealing with the frontal lobe. |
|
|
44:57 | right, moving backwards to the parietal . Remember this is gonna be the |
|
|
45:02 | on the side or not side but here on the top. All |
|
|
45:07 | we have that central. So we have right here. That would |
|
|
45:11 | the postcentral gyrus. All right, plays an important role in understanding things |
|
|
45:16 | we are touching. All right, lobe in general plays an important role |
|
|
45:22 | sensory processing. All right. what is it? Well, we've |
|
|
45:29 | defined the central circus where it divides parietal from the frontal. Back |
|
|
45:34 | we have this large gyrus that goes , that would be called the parietal |
|
|
45:39 | gyrus, not a particularly hard And then what we do is while |
|
|
45:44 | lateral fissure only goes back a little , what we do is we just |
|
|
45:48 | a dotted line and we just keep it to the parietal occipital sulcus. |
|
|
45:52 | we use that as the dividing line the parietal and the temporal. So |
|
|
45:56 | how we define what the parietal is on. We have the occipital |
|
|
46:01 | you can see occipital lobe back We can use the prial occipital sulcus |
|
|
46:05 | separate it from the prial lobe as as from the lobe, the occipital |
|
|
46:09 | . Primary job is visual processing and memory. OK. Visual processing. |
|
|
46:16 | I time out for a second? put this on the exam, do |
|
|
46:19 | store this in memory, not gonna asked on the exam, about 80% |
|
|
46:23 | your brain is responsible for visual All right. But the first |
|
|
46:28 | So, so we're gonna talk about when we get to the eye. |
|
|
46:32 | there's like these uh regions of the , they're called V one V two |
|
|
46:36 | three V four. There's 20 vs each of these are a different level |
|
|
46:40 | visual processing. The first seven or of them are in the occipital |
|
|
46:45 | So that's why visual processing and then goes off to different areas. |
|
|
46:52 | but occipital visual processing, easy way remember this. All right. This |
|
|
46:58 | not true, but it's an easy to remember it. My eyes are |
|
|
47:03 | and they project to the back of brain. How's that? That's not |
|
|
47:08 | they work. But is that an way to do that? Occipital |
|
|
47:13 | OK. Temporal lobes, all We have the la lateral fissure right |
|
|
47:20 | the prial occipital. So temporal lobe is an easy one. What do |
|
|
47:24 | think it plays an important role in ? Right also plays a role in |
|
|
47:29 | processing. Um oh yeah, olfaction well. So what we're dealing with |
|
|
47:35 | primarily sensory input. These are specifically special senses, but the key one |
|
|
47:41 | to walk away from it is It's easy. All right. And |
|
|
47:45 | we have the insula, that's the that's deep. All right. This |
|
|
47:49 | gonna be uh memory and Gus Do you guys know Gus Station? |
|
|
47:55 | . Taste. All right. So can see here that we have that |
|
|
48:00 | have five special senses and they're all here. We just didn't mention the |
|
|
48:06 | one. All right. So we vision, we have hearing, |
|
|
48:12 | We have smell, right? So three. We have taste, which |
|
|
48:17 | in slow, whichever way you wanna to it inside. And then the |
|
|
48:20 | one is the weird one. It's your ability to stand up, you |
|
|
48:26 | , close your eyes, touch your , that sort of thing. |
|
|
48:29 | proprioception is another word for it. is another way that you'll sometimes hear |
|
|
48:35 | and that would be temporal lobe. goes with the ear. All |
|
|
48:42 | we said the cerebrum has gray matter it has white matter. So with |
|
|
48:47 | to the white matter, we're forming , we mentioned the tracts in the |
|
|
48:53 | cord, the tracks of the spinal , we refer to them as being |
|
|
48:58 | ascending or descending. Ok. So basically either going up from the spinal |
|
|
49:04 | to the cerebrum or we're going from cere cerebrum down to the spinal |
|
|
49:08 | Here, we have the three tracks are basically saying I'm going between different |
|
|
49:13 | of the central nervous system. First of tract is commercial. So a |
|
|
49:22 | tract is basically saying, hey, wanna cross between two points that are |
|
|
49:28 | same across the hemispheres. So I've something processing over here. I'm gonna |
|
|
49:34 | that information and have it processed over . That would be a commissural |
|
|
49:38 | All right. Oh, hey, I have an association tract. All |
|
|
49:43 | , an association track is where I'm . And it's really hard to see |
|
|
49:47 | this picture because they decide to The color yellow is stupid on a |
|
|
49:51 | where you have the picture basically yellow . But you can see here, |
|
|
49:54 | got these little tiny arcs. So going from Gyrus to Gyrus. So |
|
|
49:58 | basically going, oh I'm processing information here. I need to send it |
|
|
50:01 | information over, send that information over . Those would be arcuate fibers. |
|
|
50:06 | a type of an association track and we have long fibers traveling between two |
|
|
50:14 | . These are called um longitudinal Um Just longitudinal fibers should be |
|
|
50:22 | All right. So here I'm sending information between two zones. So you |
|
|
50:28 | see here just as a as an , if I'm sending information from the |
|
|
50:32 | lobe up here to the frontal lobe back again, what do you think |
|
|
50:34 | trying to do? Trying to think what I'm looking at? Right? |
|
|
50:40 | , do you recognize this? Does make sense, that sort of |
|
|
50:43 | All right. And then we have fibers. That's what the green fibers |
|
|
50:48 | coming down here. So what these , these are things going from the |
|
|
50:52 | to other parts of the central nervous . So that would be a projection |
|
|
50:57 | . I'm projecting between the cerebrum and cerebellum. I'm projecting between the cerebrum |
|
|
51:02 | the brain stem. Does that make going from the brain stem to the |
|
|
51:07 | ? So they go both directions? right. So this is what all |
|
|
51:10 | white matter represents. It's just points two parts of gray matter. Did |
|
|
51:19 | guys grow up watching Pinky in the ? Yeah. Do you remember the |
|
|
51:23 | song? No? OK. Just it down, youtube it later. |
|
|
51:28 | brain song from Pinky in the I don't think it'll help you, |
|
|
51:33 | maybe it'll make you happy. I know. Yeah. All right, |
|
|
51:40 | has three parts to it. we're going backwards again. We went |
|
|
51:43 | to the cerebrum. Now we're going and we're gonna go 123 up towards |
|
|
51:47 | cerebrum from the spinal cord to the . The region nearest the spinal cord |
|
|
51:51 | called the mela langa or the mela short. So you'll frequently when we're |
|
|
51:56 | the uh in the brain, we're gonna just call it the medulla. |
|
|
51:59 | above the medulla is the ponds above ponds, is the midbrain and the |
|
|
52:04 | sits underneath the diencephalon So this would the diencephalon, midbrain ponds, |
|
|
52:10 | spinal cord. All right. uh very, very generic things. |
|
|
52:18 | This is uh taking information from the was part of the diencephalon and also |
|
|
52:24 | allowing you to control visceral uh visceral . So, we're talking heart |
|
|
52:30 | respiratory rate, that sort of Um We're gonna come back and go |
|
|
52:34 | more details. We're gonna dissect these boys too. Um, the ponds |
|
|
52:39 | serves as a way for signals to between the cerebrum and the cerebellum. |
|
|
52:45 | right. It actually has nuclei within as well. We're gonna dissect that |
|
|
52:49 | in a couple of slides here and finally, the midbrain, this is |
|
|
52:52 | superior region. Uh It helps you control head and eye movement in response |
|
|
52:57 | sounds. All right. Go to tennis match. Watch everybody. What |
|
|
53:01 | they all do? Watch the watch the ball, watch the ball |
|
|
53:06 | you're walking across campus and someone hey, what do you do? |
|
|
53:10 | turn around because your name is, . Right. Yeah. OK. |
|
|
53:15 | right. Scary anatomy part. All . Again, don't be scared by |
|
|
53:20 | anatomy. This is uh what we're at is. So the medulla has |
|
|
53:25 | length to it. All right. if your brain stem is this |
|
|
53:28 | the Mandula is like this long and you can slice it in different places |
|
|
53:31 | you'll see different things in each of individual slices. So, what I'm |
|
|
53:35 | to do is trying to give you picture type stuff in this particular, |
|
|
53:39 | think the first thing of interest is and this is the pyramid right here |
|
|
53:44 | because it has a pyramidal shape and where most of the pyramid tracks are |
|
|
53:48 | . And the pyramid tracks are basically neurons that originate in the gray matter |
|
|
53:52 | have a pyramidal shape as well. right. So that's why it's called |
|
|
53:56 | pyramids. And so this is mostly fibers traveling down, going to leave |
|
|
54:03 | go control your muscles. All many of them are going to |
|
|
54:09 | Many of those motor fibers are We call that a Decca station because |
|
|
54:13 | have to make complicated words, Instead of just saying they crisscross, |
|
|
54:18 | Decca. All right, next to pyramids are the olives. Why are |
|
|
54:24 | called olives? What do you Because they look like olives? It's |
|
|
54:29 | because of the color. OK. right. So here we're gonna see |
|
|
54:33 | inferior olivary nucleus. Uh So when you hear that word nucleus, |
|
|
54:37 | what you should be thinking is, , there's gray matter there. That |
|
|
54:40 | there's processing that's taking place. These gonna be playing an important role of |
|
|
54:45 | uh information off to the cerebellum. this is proprioceptive information. All |
|
|
54:52 | the things that keep you in All right, we have also the |
|
|
54:57 | , you can see them over the inferior cerebellar peduncle that is an |
|
|
55:02 | or surface uh structure. A peduncle something that sh that hangs out and |
|
|
55:08 | projects as a, a structure of that's like if you look at a |
|
|
55:14 | and you see something that kind of outward and holds up the next |
|
|
55:17 | that would be a peduncle. And here, the inferior cerebellar peduncles are |
|
|
55:23 | you it's on the inferior side of cerebellum and it projects to as fibers |
|
|
55:28 | moving from the medulla often into the . All right, it's not the |
|
|
55:33 | . We also have cerebral peduncles that see a little bit later. So |
|
|
55:37 | an inferior one. All right, have a bunch of different types of |
|
|
55:41 | that are part of the autonomic nervous . So we said that the medulla |
|
|
55:45 | an important role in regulating autonomic function heart rate and stuff. And so |
|
|
55:49 | have the vaso motor center, vaso center, vaso blood vessel motor is |
|
|
55:56 | . And since your blood vessels don't around the body, that refers to |
|
|
55:59 | ability to contract and relax to create pressure. All right, the respiratory |
|
|
56:06 | , there's two regions which we'll uh learn a little bit more about in |
|
|
56:10 | uh A and P two. It's dorsal and ventral respiratory groups, the |
|
|
56:14 | that help regulate your breathing. All . Uh There's one that's also gonna |
|
|
56:21 | in the ponds which are responsible for those. There's a center for coughing |
|
|
56:26 | sneezing and salivating. Have you noticed you stop breathing when you get ready |
|
|
56:29 | sneeze? Right. Well, you , it's important. Right. You |
|
|
56:37 | want to be breathing out while you're to breathe in. It doesn't work |
|
|
56:40 | way. And so these are sinners are controlling those different aspects if you |
|
|
56:44 | to, have you ever tried to and breathe at the same time? |
|
|
56:49 | , uh, actually humans are the ones. Most other organisms can because |
|
|
56:54 | trachea goes beyond the pharynx. And they're able to swallow and breathe while |
|
|
57:01 | eating or swallow. Yeah, we . But let's see what other organism |
|
|
57:08 | has the gift of speech. We're . And that's part of the reason |
|
|
57:14 | can have speech is because of where trachea sits so we can choke on |
|
|
57:19 | food, but we can talk to other while we do it. |
|
|
57:23 | yeah. All right. But so just showing you there's things that |
|
|
57:27 | controlling stuff autonomously. All right, mentioning these two here not to point |
|
|
57:34 | out. All right, because you're gonna see them, but we're gonna |
|
|
57:39 | about them in the next unit. this is kind of a pre let |
|
|
57:43 | mention these so that, you we have the nucleus cus and the |
|
|
57:47 | gricius. All right. And what do is they prevent our sys thematic |
|
|
57:52 | to the thalamus, which is part the diencephalon via, via the medial |
|
|
57:58 | . All right. So that's the lemniscus. So these are tracks that |
|
|
58:02 | traveling between the thalamus and these structures are processing. So, information coming |
|
|
58:08 | to the body are gonna be traveling this pathway. We're going to point |
|
|
58:12 | out later and then these are gonna a bunch of cranial nerves are gonna |
|
|
58:16 | located in here. And so you start seeing that they exist and we're |
|
|
58:20 | connect the dots uh after the next . All right, what we have |
|
|
58:26 | is the ponds. We have the and superior cerebellar peduncles. All |
|
|
58:35 | So here is the middle peduncle. is the superior peduncle, cerebellar. |
|
|
58:42 | this is demonstrating to you that in ponds, what are we doing is |
|
|
58:45 | or going into the cerebellum? All . So it's a one of the |
|
|
58:50 | that its job is, is to these fibers to pass on into the |
|
|
58:54 | structure. We mentioned the respiratory center the mela. So here is the |
|
|
58:58 | one. It's not gonna be shown here. I don't think I have |
|
|
59:00 | listed. No, but there is respiratory center that's located in there that |
|
|
59:05 | the medulla. So this is actually uh regulate so that you don't overbreathe |
|
|
59:10 | under breathe. Then we have the olive complex. Again, this is |
|
|
59:14 | to be uh dealing with uh locating . So the idea here is I |
|
|
59:19 | my head in response to sound. this is processing, where is that |
|
|
59:24 | coming from? And finally, we some crane on there of nuclei that |
|
|
59:28 | trying to demonstrate here. But we'll get to these a little bit |
|
|
59:32 | uh in the next lecture. And , we get to the mid |
|
|
59:39 | the midbrain. Now we're further And so what we're doing is we're |
|
|
59:44 | to the cerebrum. And so the thing we're gonna see are peduncles that |
|
|
59:49 | fibers coming from the brain. So these are descending motor tracks. Where |
|
|
59:53 | those descending motor tracks going? Ultimately up. Think about the mela, |
|
|
59:58 | structure in the medulla has the descending tracks, the pyramids. All |
|
|
60:05 | So what they're doing, this is first thing. So here you can |
|
|
60:10 | the peduncle, there's a cerebral So cerebrum, cerebral cerebella, |
|
|
60:19 | OK. Easy to get those I'm just gonna tell you now, |
|
|
60:24 | . So where you have cerebrum? means brain, cerebellar means little |
|
|
60:30 | OK. That's so ser little big brain, little brain. All |
|
|
60:39 | . The substantia Nigra, what do think? Substantia? Nigra means |
|
|
60:47 | black. All right. It's substantia substance. All right. So |
|
|
60:57 | the black substance again. How they the stuff? Cut the brain |
|
|
61:01 | Looked at it and said, This region's darker than the others. |
|
|
61:04 | gonna call it the black substance. , what it is is basically a |
|
|
61:07 | that produces tons and tons of All right. Not melanin for the |
|
|
61:12 | . It's just, it's producing the . It also produces dopamine. All |
|
|
61:18 | , someone explained this to me once just gonna explain it to you the |
|
|
61:20 | way. So it just kind of in your brain like it's stuck in |
|
|
61:22 | brain. This is like a sprinkler of dopamine. This is where the |
|
|
61:26 | in your brain comes from. And like, and it just sends dopamine |
|
|
61:31 | over your brain. That's how I it. OK? It is connected |
|
|
61:36 | the basal nuclei which we're going to about later. I think next |
|
|
61:41 | And so what this does helps with basal nuclei does is that it plays |
|
|
61:46 | important role in coordinating movement. you've probably heard already, we've said |
|
|
61:51 | , movement, movement at least three times so far. And this is |
|
|
61:55 | I start like not liking uh all right. Or really the physiology |
|
|
62:01 | I like to throw things in one . It's like here's a structure. |
|
|
62:05 | This is movement. I'm gonna put in the box. But now what |
|
|
62:08 | doing, we're starting to throw a of structures into the same damn |
|
|
62:12 | And I like that. It's OK you don't like it either, but |
|
|
62:15 | just have to learn. OK? do I organize this? So what |
|
|
62:18 | can see here is there is going be lots of structures that are doing |
|
|
62:23 | things working together and we're gonna just to keep it simple. All |
|
|
62:27 | So the basal nuclei is one of structures that is important for movement and |
|
|
62:33 | getting some of its signals from the stem. All right. So that's |
|
|
62:38 | we've done. We've gone from the peduncle up into the substantia nigra. |
|
|
62:42 | moving now into a region called the or sorry, the tegmentum tectum is |
|
|
62:46 | . All right, the tegmentum plays important role in maintaining your posture. |
|
|
62:52 | right. So the way that you're up now or not sitting up |
|
|
62:56 | right, where your heads are lulled to the sides, the reason you |
|
|
63:01 | fall out of your chair. All , it is because your body is |
|
|
63:04 | to maintain at least a semblance of . There's a lot of communication going |
|
|
63:09 | between the cerebellum and the cerebrum, your muscles what they should be doing |
|
|
63:15 | up with a plan and executing a . And so this is what the |
|
|
63:19 | is gonna be playing an important role two structures of interest. We have |
|
|
63:24 | big round structure which is a gray , but it's not gray, it's |
|
|
63:29 | . So it's the red nucleus, red nuclei is the pair. All |
|
|
63:34 | . So what does it do? coordinations? Great. Another one, |
|
|
63:38 | just throw it in the box. right. And then finally, over |
|
|
63:42 | , we have this region, it's of this generic structure called the reticular |
|
|
63:48 | . We're gonna deal with this in a second. This is your |
|
|
63:52 | you who are falling asleep in class now or have fallen asleep in |
|
|
63:55 | you know, on your way into , that sleep, did you notice |
|
|
63:59 | you kept jerking a little bit that brain desperately trying to stay awake at |
|
|
64:04 | reticular formation trying to keep you All right, here's another way you |
|
|
64:09 | think about this. Have you been on the highway? You know, |
|
|
64:12 | you're just cruising along, you're happy your 65 whatever. And then two |
|
|
64:15 | giant trucks come on either side of , right? And now your |
|
|
64:19 | car starts shaking. Do you, you become pretty awake at that |
|
|
64:24 | Right. Are you like white knuckling ? Please don't let me uh in |
|
|
64:27 | brain. You're kind of like what's happen to me? I'm gonna, |
|
|
64:29 | , I'm gonna go underneath it. you? No, am I the |
|
|
64:32 | one that does that? It's like , the, the semi is gonna |
|
|
64:35 | me under. Ok. Yeah, why I drive fast. I wanna |
|
|
64:39 | away. So I, all So that alertness, right? You |
|
|
64:44 | , of, of danger and stuff gonna be a particular formation. All |
|
|
64:51 | , two other structures now we're moving the tectum. All right. So |
|
|
64:56 | is this region that sits right around aqueduct. I remember we said that |
|
|
65:03 | leaving downward between the third, the ventricle is called the uh uh cerebral |
|
|
65:09 | , right? So the region surrounding is the peri aqueduct. So, |
|
|
65:15 | aqueductal gray matter. All right. next to the, the aqueduct, |
|
|
65:20 | what it means. All right. this plays a role in modulating your |
|
|
65:24 | and then finally, that tectum. here we have two structures, the |
|
|
65:29 | and the inferior colliculus. So the ones on top, the inferior ones |
|
|
65:33 | the bottom, the superior one plays role in visual reflexes. Again, |
|
|
65:37 | movement. So when you see something by and your head moves, but |
|
|
65:40 | don't, you just kind of do , that would be the superior colliculus |
|
|
65:43 | the inferior colliculus is turning your head in response. Now, notice, |
|
|
65:48 | we already say that there's a region plays a role in processing this |
|
|
65:52 | Yeah, we said it was a olive and the inferior olive. So |
|
|
65:56 | again, this is one of those where it's like it's not just one |
|
|
65:59 | . There are multiple structures that are in this, but the colliculus is |
|
|
66:04 | the dots between the movement of your and the movement of the sound or |
|
|
66:10 | movement of the, of the visual . OK. So that's what the |
|
|
66:17 | is. Now, I point all things out for a reason. All |
|
|
66:21 | , and we're gonna, when we into the stuff in the last |
|
|
66:25 | that's this is where we're gonna connect dots. We're gonna connect these regions |
|
|
66:29 | the brain to the tracks that that they form in the spinal |
|
|
66:35 | OK. So that's why we're mentioning now is so that you have a |
|
|
66:38 | in which you can then deal with subject. At the end, our |
|
|
66:43 | little slide for the day. the worst picture that you'll ever find |
|
|
66:49 | anything anywhere ever. OK. This the reticular formation. No textbook does |
|
|
66:54 | good job of this. So the formation sits within the midst of the |
|
|
66:59 | stem. So we looked at it , you can say, oh |
|
|
67:02 | look, there's reticular formation. But you go down, it's, |
|
|
67:05 | it's just everywhere. This is reticular , reticular formation. It's, it's |
|
|
67:10 | sits within the center of the structures the brain stem. And so when |
|
|
67:13 | look at pictures in the book, basically like the look, oh |
|
|
67:16 | there's arrows and look at the They just go everywhere. All |
|
|
67:20 | That's because they do, they send throughout the entire cerebrum. But it |
|
|
67:26 | this uh this region that sits central these structures. And again, here's |
|
|
67:32 | picture of mela highlighting the reticular All right. So what does it |
|
|
67:38 | ? Well, it's maintains your cortical and enhances its excitability. It's the |
|
|
67:43 | that helps you kind of respond to world around you by keeping you aware |
|
|
67:48 | things going on. And then when get alerted, basically keeping you on |
|
|
67:52 | alert. All right. So it multiple functions. It's gonna be because |
|
|
67:57 | goes through these different structures. It's play a role in different things. |
|
|
68:00 | again, we've talked about some autonomic . So, respiration, cardiovascular |
|
|
68:05 | um digestion uh thing. So this vomiting center. So, you |
|
|
68:10 | vomiting is MC tuition. Do you what that word means? That's |
|
|
68:14 | So MC tuition is a fancy word saying when to go to the |
|
|
68:18 | uh sexual uh activity, sexual sexual arousal, um there's gonna be |
|
|
68:25 | of the forebrain. So this is level of alertness, right? |
|
|
68:29 | you know, right now I'm seeing three or four people who are just |
|
|
68:32 | fading like fast, you know, if I went up and slammed my |
|
|
68:36 | on their desk, I guarantee that be like, all right. So |
|
|
68:40 | wake, sleep, wake centers in brain are fighting, there's two different |
|
|
68:43 | and that's gonna be part of Um your eye movement we've talked about |
|
|
68:47 | pain modulation we mentioned and there's some function that's being controlled through this. |
|
|
68:53 | right. So the reticular formation is of like, how do I send |
|
|
68:56 | information up to and back from the to help maintain the normal functions, |
|
|
69:03 | to day functions of the body? us today. Yeah, it was |
|
|
69:07 | stretching. All right. When we back, we'll finish this out. |
|
|
69:12 | we have an exam on Thursday. you haven't signed up, you've got |
|
|
69:15 | drags in terms of when to take exam. No, no, |
|
|
69:19 | no. Yeah. Next Thursday. today is Thursday. Yeah, I |
|
|
69:23 | the same one. |
|