© Distribution of this video is restricted by its owner
00:05 | All right, good morning y'all. today we begin, we begin |
|
|
00:11 | our journey through the nervous system. So, uh from here on out |
|
|
00:18 | the end of the semester, everything do is nervous system. Uh What |
|
|
00:22 | gonna do today is we're going to ourselves to uh just a couple of |
|
|
00:28 | of concepts. We're gonna look of nervous system. Uh We're gonna look |
|
|
00:33 | little bit, we're gonna just, and then look at how uh are |
|
|
00:40 | arteries uh that provide blood to the and we're just gonna keep. So |
|
|
00:46 | gonna be a little bit of Actually, there'll be a lot of |
|
|
00:49 | , but uh the front end is more of a, let's try to |
|
|
00:53 | how we uh organize the system. , there we go. That's what |
|
|
00:58 | looking for. All right. So we talk about the nervous system, |
|
|
01:02 | say there's basically two parts to We have the central nervous system and |
|
|
01:06 | peripheral nervous system. Now, everything going to talk about when we talk |
|
|
01:09 | organization is just to make it easier us to understand this, uh this |
|
|
01:15 | this whole system together, all Um As humans, we like to |
|
|
01:20 | things in boxes, like we like label things and say this is what |
|
|
01:23 | is. And so we just do and that's really what's going on here |
|
|
01:27 | that we were learning and discovering different of the or the different, the |
|
|
01:33 | uh functionality of the different parts of nervous system. It was like, |
|
|
01:37 | , there is a hierarchy, there's organization. So that's kind of what |
|
|
01:41 | first level is is saying, we have portion that is responsible for |
|
|
01:45 | information. And so that's the central system. All right. And the |
|
|
01:49 | nervous system is your brain and your cord and it keeps it nice and |
|
|
01:53 | . So anything outside of the brain spinal cord is not central, it |
|
|
01:58 | peripheral. Now the peripheral nervous system nervous systems or sends information. So |
|
|
02:06 | idea is that I can detect things environment or from my internal environment in |
|
|
02:12 | process of that would be the peripheral system doing that job. It takes |
|
|
02:16 | information, send it up to the system processes. Did it have to |
|
|
02:21 | the brain to process information based on that slide says? No. So |
|
|
02:29 | the spinal cord? OK. Now information, once it's processed is gonna |
|
|
02:35 | a response back out to some sort structure to create a response. I'm |
|
|
02:40 | give a real simple one. All . So if I step on t |
|
|
02:43 | am I gonna do with my I'm gonna pick it up. All |
|
|
02:46 | . So me stepping up, that be peripheral, that information up to |
|
|
02:52 | spinal cord, there's a, it lift your foot up. And so |
|
|
02:58 | message that would be again through the nervous system. So the processing, |
|
|
03:05 | , peripheral nervous system, sending or information. All right. So in |
|
|
03:13 | peripheral nervous system, the structures that gonna be seeing are what are called |
|
|
03:17 | and ganglia. Now this is gonna like a statement or uh something that |
|
|
03:22 | on as a trick question. Are nerves in the central nervous system? |
|
|
03:28 | at the slide, will it say , there are no nerves in the |
|
|
03:32 | nervous system. Nerves are simply structures are passing between two points. |
|
|
03:39 | We will get to this in more , but I want to make that |
|
|
03:42 | right now is that you do not nerves in the central nervous system. |
|
|
03:46 | fact, nerves are characteristic of nervous . All right. And we get |
|
|
03:51 | gangly, we'll deal with gangly. right. So there is a certain |
|
|
03:57 | principle to the central nervous system. , if you're like me, uh |
|
|
04:02 | like to start organizing things, you'll like the drawer, you'll start putting |
|
|
04:05 | in nice and neat. And after 30 seconds you get bored, you |
|
|
04:08 | shove everything in there. That's good . All right. Sound like does |
|
|
04:12 | sound. OK. All right. central nervous system, peripheral nervous system |
|
|
04:16 | highly organized. It is not like Wayne is. All right. So |
|
|
04:21 | we're going to see is there's going be a hierarchy of organization. That |
|
|
04:25 | there are what we refer to as order structures and order structures, lower |
|
|
04:30 | structures, send information, higher order where further processing is done. All |
|
|
04:35 | , an example here would be, example, when I said I stepped |
|
|
04:39 | on that tack and I lifted my up, that would be lower order |
|
|
04:43 | because that's a reflex, right? don't have to think about lifting up |
|
|
04:46 | foot. It just happens. But I step on a tack, how |
|
|
04:50 | I proclaim that I've stepped on a , which is one of the things |
|
|
04:54 | would say. So I perceive the , I vocalize the pain, all |
|
|
05:01 | upper level stuff is perceiving and and vocalizing. All right. So the |
|
|
05:08 | would be lower level at the level the spinal cord, but information is |
|
|
05:11 | up further for further processing. So is a larger responsiveness to it. |
|
|
05:17 | , it's not always going to be case. Sometimes things just stay at |
|
|
05:19 | lower. But if you're thinking about that's higher order, OK. Second |
|
|
05:26 | there is a structural and functional pattern organization and what that literally means in |
|
|
05:32 | is that are of like things or similar functions are grouped together so that |
|
|
05:38 | work together. That seems stupid to , but sometimes we have to say |
|
|
05:42 | plus one equals two. All So the idea here is that when |
|
|
05:46 | are looking at the nervous system and looking at its start noticing is, |
|
|
05:51 | , this is an area that processes skills or motor activity. This is |
|
|
05:56 | area that process sound, this is area that is responsible for speech. |
|
|
06:01 | idea is again, it's not like everything in the central nervous system that |
|
|
06:09 | that yeah, and that and carries so that there is a topographical |
|
|
06:18 | Now, if you don't know the topographical means it means that there is |
|
|
06:21 | map that is preserved of the body the brain. OK. Now we're |
|
|
06:28 | maps would go to the special senses the. So that's gonna be unit |
|
|
06:32 | . But for example, I want to think of like a keyboard for |
|
|
06:35 | piano. You guys could picture that if you ever to play the |
|
|
06:39 | can you picture the keyboard on one of the keyboard? We have high |
|
|
06:43 | on the other side of the we have low notes and I might |
|
|
06:45 | had those two switch because I don't the keyboards, all right. But |
|
|
06:49 | the auditory cortex, for example, is organized along that organizational path because |
|
|
06:58 | ear is organized along that sound path high notes versus low notes. That |
|
|
07:05 | of sound interesting. Your brain, activity being processed. In other |
|
|
07:11 | the signals that go out and tell where to move your arms and legs |
|
|
07:14 | stuff is organized app that follows your more or less that you would basically |
|
|
07:22 | if you map it. I was , oh, it kind of looks |
|
|
07:24 | a body because the hands are over this side, the feet are on |
|
|
07:28 | side and you can just map it the line. Now, we'll see |
|
|
07:32 | in greater detail. But I wanted to understand there is a organization to |
|
|
07:36 | . It's not just random fibers moving uh random parts of the brain with |
|
|
07:41 | hopes that something's gonna work. The thing is that the central nervous system |
|
|
07:47 | plastic. Now, when you hear , remember what we said, plastic |
|
|
07:52 | that it's changeable. All right. so what you'll see is as you |
|
|
07:57 | skills, as you process information, you uh as you work, things |
|
|
08:03 | when you're studying, when you experience new, your brain reorganizes the interactions |
|
|
08:10 | individual neurons that are found in the nervous system. And so it organize |
|
|
08:16 | and reorganizes itself over and over and again to ensure that things. |
|
|
08:24 | there was a movie a long time when I say a long time |
|
|
08:27 | probably within your lifespan, but probably you were little kids. All |
|
|
08:31 | it was called and I'm never gonna the name right, because I always |
|
|
08:34 | up. But it's like something of spotless mind sunshine of the spotless |
|
|
08:38 | Jim Carrey. Here's the principle of movie guy to girl break up, |
|
|
08:43 | wants to forget that she ever uh dating this guy. And so she |
|
|
08:46 | to a company that is able to memories. All right. Very interesting |
|
|
08:51 | . But the idea is, is the memory is trying to hide itself |
|
|
08:55 | the brain. And so it's like around. And so the principle here |
|
|
08:59 | that, oh I can go to specific neuron and zap it and you |
|
|
09:02 | a memory. That's not how the works. A memory. An idea |
|
|
09:06 | process anything that you do is a of neurons firing pattern. And when |
|
|
09:12 | repeat that pattern, that memory, skill, whatever is repeated. All |
|
|
09:17 | . And so what I'm saying here that in order to get that pattern |
|
|
09:21 | have to create pattern and then you the pattern. And that is how |
|
|
09:26 | say it's plastic, your brain is because it continually reorganized itself to ensure |
|
|
09:31 | the patterns are being preserved. All . Now, I see a couple |
|
|
09:35 | people not here go. This is very, very deep concept. We'll |
|
|
09:38 | to it later, right? But idea is OK. The the brain |
|
|
09:42 | not, you're not born and it's and it doesn't ever change, it |
|
|
09:46 | all the time is the key thing walk away from here. All |
|
|
09:52 | So the first thing anatomically speaking is want to look at the central nervous |
|
|
09:58 | and most of the stuff we're gonna with today is central nervous system. |
|
|
10:01 | right. In fact, I think of it is the first thing I |
|
|
10:05 | you to understand is that when you at the central nervous system, you're |
|
|
10:08 | two different areas that look different from other. And when they first started |
|
|
10:13 | looking at things they said, here's an area that's dark and here's |
|
|
10:16 | area that's light. We're gonna call the gray material, we're gonna call |
|
|
10:20 | other the white material. All So it's gray matter and white |
|
|
10:24 | All right. Now, what these are, are areas of different concentration |
|
|
10:30 | material that represent different parts of neurons are located in these specific areas. |
|
|
10:36 | because they're the different parts of the , that means there's different activity that's |
|
|
10:40 | in these areas, the gray And so we're looking at over here |
|
|
10:44 | the left side, we have up is the cerebrum. So that would |
|
|
10:47 | what you think of as the And then we're going to look at |
|
|
10:49 | parts and, and you can see the little tiny picture showing the whole |
|
|
10:53 | , you can see where the slices . So the gray matter is found |
|
|
10:58 | all of the central nervous system as the white matter. And So you |
|
|
11:02 | see down here at the very bottom spinal cord and very, very top |
|
|
11:05 | would be the higher order cerebrum. . So what is gray matter, |
|
|
11:10 | matter is where you're gonna find the bodies of neurons. So if you |
|
|
11:15 | of a neuron as being the cell and the dendrites and the axon, |
|
|
11:19 | you're talking about gray ma matter, talking about those cell bodies plus the |
|
|
11:23 | around them. All right, white . On the other hand represents the |
|
|
11:29 | . All right. And so what looking at here is gray matters where |
|
|
11:34 | is being processed. White matter is where you're sending information between two parts |
|
|
11:40 | the brain. And if you look the central nervous system, you'll see |
|
|
11:44 | the most part, there's a specific to it. We're gonna start down |
|
|
11:49 | and we're gonna work our way a bit upward here. All right. |
|
|
11:53 | if you look here the spinal the way that the organization works is |
|
|
11:58 | the outside is mostly white matter and on the inside, that's where you |
|
|
12:02 | gray matter. And when we talk the spinal cord, we'll go into |
|
|
12:04 | depth here, but it kind of like a butterfly, right? I |
|
|
12:07 | , you can see it kind of like a butterfly kind of, I |
|
|
12:10 | you have to squint maybe you make blurry. OK. So here center |
|
|
12:16 | that, you'll see a little tiny , which is trying to show the |
|
|
12:20 | canal. All right. But as move up, you're gonna get more |
|
|
12:24 | more processing. And so when you arriving in the structures that make up |
|
|
12:28 | brain. So for example, in brain stem and then further on uh |
|
|
12:34 | , there's not enough space internally for matter. So what we do is |
|
|
12:37 | put on the outside. So spinal , we have gray matter surrounded by |
|
|
12:44 | matter in the cerebrum, we have matter surrounded by white matter, surrounded |
|
|
12:50 | by gray matter. So there's the . All right, the way you |
|
|
12:54 | think about it is the cerebrum is an Oreo, it's dark light |
|
|
12:57 | OK? So there's a lot of takes place in the cerebral. We're |
|
|
13:02 | figure out later, most of your is done up there. OK? |
|
|
13:07 | part about the nervous system, your system is thinking about it. So |
|
|
13:12 | is that it precedes it cool. right. Now in the cerebrum, |
|
|
13:27 | ? You have these internal areas of matter and we have a special name |
|
|
13:32 | them. All right. So on outside, I'm gonna, I'm gonna |
|
|
13:36 | say we refer to the outside of as a cortex. So when you |
|
|
13:40 | cerebral cortex or cerebellar cortex, it's referring to the gray matter on the |
|
|
13:45 | . All right. But when you down deep, there is no medulla |
|
|
13:48 | instead, what we do is we to the gray matter as being |
|
|
13:52 | Now don't confuse nuclei in this context the the little tiny dot inside of |
|
|
13:57 | cell, right, that central processing inside a cell, we're talking about |
|
|
14:02 | and bunches of cells grouped together, ? So that's what a nucleus is |
|
|
14:07 | the context of the nervous system. right. So when you hear basal |
|
|
14:12 | , it's specifically pointing out a group gray matter that's found in the |
|
|
14:18 | And again, we'll get to that when we start talking in more depth |
|
|
14:22 | these things in the uh let's what else did I want to point |
|
|
14:28 | ? Oh Yeah. Um No, was actually it. Uh so gray |
|
|
14:32 | versus white matter, gray matter and information, white matter, I'm sending |
|
|
14:36 | between points of gray matter is really that boils down to. Uh The |
|
|
14:41 | thing I would say, white the easy way to remember that is |
|
|
14:44 | represents my Ellen. That's, that's it's white because it's my own |
|
|
14:50 | My Ellen is primarily fat. So you think about what is fat, |
|
|
14:54 | about a rock that is white. that's an easy way to remember |
|
|
15:01 | So, structurally, what we want do is we ask the question. |
|
|
15:04 | right, the central system is pretty for you just to exist. And |
|
|
15:10 | things that are important, would you with that? I mean, your |
|
|
15:16 | protected. Right. Right. We structure protect uh uh development and growth |
|
|
15:24 | , of a pregnant that would be hips, right? And then we |
|
|
15:28 | protection for our brains, right? it's not just the hard stuff that |
|
|
15:33 | be like the first layer of we have four different layers of |
|
|
15:37 | That's really what the majority of this is gonna be today is what, |
|
|
15:40 | do we protect this structure, this nervous system? So the first part |
|
|
15:45 | gonna be bony. So case of brain, it's gonna be the |
|
|
15:49 | And when we talk about the spinal , it's gonna be the vertebrae. |
|
|
15:51 | right. So that's, that's uh first level of protection. And you |
|
|
15:55 | see in our little cartoon, that's we're trying to show here here is |
|
|
15:58 | we're gonna ignore the skin and the uh the subcutaneous layers. So there's |
|
|
16:03 | , there's your bone right there. then once you get down beneath the |
|
|
16:07 | , have some other things that are kind of important. The first thing |
|
|
16:11 | we're gonna have a series of They're called collectively the meninges. Similar |
|
|
16:17 | meninx. Meninx. All right. there's gonna be three different meninges that |
|
|
16:23 | that underlie the bone and are overlaying uh uh nervous tissue of the central |
|
|
16:31 | system. And then also within those , we're gonna see a protective barrier |
|
|
16:37 | made up of fluid. This is fluid, all right. And it's |
|
|
16:43 | layer. All right, water is incompressible and label, but it also |
|
|
16:48 | move materials around. And so these anatomical structures. And then the third |
|
|
16:53 | is anatomical and physio or the fourth is anatomical and physiological. And this |
|
|
16:58 | is what we call the blood brain , usually abbreviated DB B. All |
|
|
17:03 | . Now, the blood brain barrier a physical barrier. So it's anatomical |
|
|
17:08 | we'll describe this, but it's also and what prevents materials that shouldn't be |
|
|
17:13 | to the brain from going to the and keep the brain from leaving the |
|
|
17:20 | . So if you want to right , the carriers allow that to |
|
|
17:26 | So it is a limiting uh uh barrier. And we're gonna go through |
|
|
17:33 | of these and our starting point because already talked the bone. So you |
|
|
17:36 | about the cranium and the vertebrae. what I do is I want to |
|
|
17:39 | here with the meninges. All Now, these three layers, |
|
|
17:44 | what we do when we look at is we're gonna go from the outside |
|
|
17:47 | the inside because that makes sense, ? If you're cutting into something, |
|
|
17:50 | gonna work out right way in. so if you're working outward, |
|
|
17:55 | we have the dura matter, we the arachnoid matter and then the last |
|
|
18:01 | , the nearest one to the surface the skin or sorry, the surface |
|
|
18:05 | tissues. I have sort me, flip it around, I have P |
|
|
18:17 | so I have a protective and so how I remember it. OK. |
|
|
18:22 | I'm doing opposite. So I We're gonna go from the inside |
|
|
18:26 | Is that OK? All right. starting with the pia matter. Now |
|
|
18:35 | , here we are in our This right here represents nervous tissue. |
|
|
18:38 | , you can see the cerebral this is the white matter underlying it |
|
|
18:42 | right up next to the surface that down and up and down and up |
|
|
18:49 | down and is adhered very, very to the surface. This would be |
|
|
18:53 | pia matter, it is very thin it is closely adhered to the |
|
|
18:58 | All right, it's like you shrunk this really thin membrane against the surface |
|
|
19:04 | the of the brain. Now, this structure, it is highly, |
|
|
19:09 | vascularized, meaning that there are lots lots of that are found within the |
|
|
19:16 | matter and then penetrating down into applying blood to the tissue underlying it. |
|
|
19:25 | the pia matter and vascularized closely adhered upward, we have another structure. |
|
|
19:35 | if this is the pia matter, bluish layer that they're trying to show |
|
|
19:40 | the cartoon would represent the arachnoid Now, when you hear arachnoid, |
|
|
19:45 | do you think of spiders? So that's what I think of too |
|
|
19:51 | now, just underneath the arachnoid It's not right next to the |
|
|
19:56 | there's a, there's a space underneath arachnoid layer. So you have the |
|
|
20:01 | matter you have the pia matter and you have the subarachnoid space and if |
|
|
20:05 | look in it, what you see you see a lot of connective tissue |
|
|
20:10 | , what are called tra if you in there, the spider web, |
|
|
20:15 | ? And so that's where it got name from. And I just like |
|
|
20:18 | remember the subarachnoid space is where the spiders live. Yeah. Writers and |
|
|
20:24 | like in the room and you're I don't know why I'm here. |
|
|
20:28 | . OK. That's because the brain attacked and stop trying. What's actually |
|
|
20:36 | the sub arachnoid space is cerebral spinal . So we said that within the |
|
|
20:41 | of the, we're going to see fluid. So if you have the |
|
|
20:44 | matter adhered right next to the brain you have this arachnoid matter that's creating |
|
|
20:50 | space in that space. Is that of fluid that is cerebral spinal |
|
|
20:55 | All right, we're gonna talk about it gets there and so on. |
|
|
21:00 | one of uh that penetrate the sub . I'm just going to see if |
|
|
21:05 | can find a picture. Yes, do right there. All right. |
|
|
21:08 | jumping up ahead just to show you picture of what Arachnoid Villa. So |
|
|
21:12 | here. It's labeled as a There are two different times what's big |
|
|
21:16 | . Small Avila is small. A is big but they're the same |
|
|
21:20 | It basically is a structure of the matter that penetrates upward and into or |
|
|
21:26 | the dura. OK. So when see them, this is what you |
|
|
21:30 | be visualizing. So the, the me with that color, what is |
|
|
21:34 | turquoise? You're gonna call that OK. We're good with turquoise. |
|
|
21:37 | right. So where the turquoise that would be the subarachnoid space, |
|
|
21:42 | black line that is the boundary between turquoise and the dark blue. That |
|
|
21:46 | be the arachnoid matter and there would dura there as well. And what |
|
|
21:50 | doing is that, that villa or is a bubble that pushes up through |
|
|
21:55 | brings that um that uh subarachnoid space through the dura so that the fluid |
|
|
22:04 | then leave and join up with the in the venous portion of the nervous |
|
|
22:10 | . All right. So going back the slide, it penetrates through the |
|
|
22:15 | and projects into the structures called the sinuses, which is part of the |
|
|
22:20 | system. All right. And for one have a picture so that you |
|
|
22:24 | see it. The purpose here is gonna take the fluid that is cerebral |
|
|
22:29 | fluid and we're gonna make it from blood. In other words, we're |
|
|
22:32 | take materials from the blood and we're talk about that in a moment and |
|
|
22:35 | after we've uh space it and so we borrow we were back to the |
|
|
22:42 | shortly thereafter. All right. And through these Arachnoid vili and ar granulation |
|
|
22:48 | gonna take place. Now, you have blood vessels, we said |
|
|
22:53 | is highly vascularized. So what we're see is we're gonna see blood vessels |
|
|
22:57 | are gonna be larger and they're gonna working through the arachnoid matter. And |
|
|
23:02 | what they do is they pass down the subarachnoid space and they get smaller |
|
|
23:06 | smaller and then that's when they pass into the PM matter so that they |
|
|
23:10 | then go into the nervous tissue. right. So it's highly vascularized. |
|
|
23:15 | ? Because I'm trying to send blood our normal circulation into the nervous |
|
|
23:20 | And this is one of the paths it has to take. Ok. |
|
|
23:24 | big vessels are becoming smaller in the location. All right. Last one |
|
|
23:32 | the dura mater. All right. now we're outward and so the dura |
|
|
23:36 | sits right up next to the All right. So it's a thicker |
|
|
23:40 | . Uh The way that you can about it is uh if you've ever |
|
|
23:44 | a Ziploc bag, like one of freezer bags, not one of the |
|
|
23:49 | in. But if you get one those thick uh freezer bags that is |
|
|
23:53 | thick of the der matter, and two layers to it, there are |
|
|
23:58 | two layers that are very closely adhered each other in most places. And |
|
|
24:01 | the layer that's nearest the bone is the osteo where the osseous and the |
|
|
24:08 | that's next to the men, the layer, right? So you have |
|
|
24:14 | dura and they're basically lying side by next to each other, except in |
|
|
24:19 | couple of places where those two layers apart and create this little tiny |
|
|
24:25 | And that little tiny space in between two layers is called a dural |
|
|
24:31 | And the dural sinus behaves like in . So blood leaving the heart will |
|
|
24:39 | in a dural sinus before leaving the c nervous system. Ok. So |
|
|
24:47 | , we haven't talked about veins, are how you deliver blood to a |
|
|
24:51 | . Veins are how blood leaves a . And so a sinus is a |
|
|
24:56 | pond for blood before it actually joins and becomes a vein specifically for the |
|
|
25:04 | . Ok? Now what? the sinus is important because this is |
|
|
25:16 | we're gonna get cerebrospinal fluid back into blood. If we took it from |
|
|
25:21 | blood, we gotta send it Ok? Those are the first major |
|
|
25:28 | we had bone and we these I'm gonna pause here. Are there |
|
|
25:33 | questions about? Yeah, it's not vascular. In other words, you're |
|
|
25:42 | gonna see like if you somebody can crack their skull over that dura is |
|
|
25:49 | blood vessels, but it's not gonna to the extent that you would see |
|
|
25:53 | the Arachnoid and in the P A in order to get in the |
|
|
25:57 | you have to pass through the So there are gonna be big blood |
|
|
26:00 | . But as I mentioned here, with the dural sinus that acts as |
|
|
26:05 | blood vessel. So you don't need have our veins because it is a |
|
|
26:12 | . It's behaving like that. We're to see we're going to large arteries |
|
|
26:17 | penetrate through these structures that are delivering to the different parts of the |
|
|
26:23 | All right, the simple way to about this is I'm just gonna work |
|
|
26:27 | way in. We have our then we have three layers of |
|
|
26:32 | We have the dura, the arachnoid that between the arachnoid and the last |
|
|
26:36 | . That's the pia we have that space and the sub space, what |
|
|
26:40 | have cerebrospinal fluid. All right. those are the way to think about |
|
|
26:46 | . Each one. How are they ? Why Arachnoid? Why is the |
|
|
26:51 | different than the pia? Right? the most closely adhered is the ps |
|
|
26:56 | like someone shrink wrapped it. The ones not so adhered, they're a |
|
|
27:03 | bit more uh spatial. All So what I wanna do is I |
|
|
27:10 | to move away from those physical structures I want to deal with that weird |
|
|
27:15 | structure, what we call cerebral spinal . All right. And what we're |
|
|
27:20 | at in this particular picture are this this this hollow structure that extends all |
|
|
27:27 | way up through the spinal cord and the brain. Now, I'm giving |
|
|
27:32 | this little bit of background. I'm gonna ask you the development of the |
|
|
27:34 | because it's, we're not a development . All right. But if you |
|
|
27:40 | at organism, all vertebrates, all . So, vertebrates include your |
|
|
27:47 | your sharks, right? Amphibians, , birds and mammals. And where |
|
|
27:54 | we on that list? Man? just want to make sure we all |
|
|
27:58 | , but we're all related to each because we're all vertebrates have a way |
|
|
28:04 | development where they start off as a . And when they start off as |
|
|
28:08 | tube, their nervous system starts off a structure. And in the central |
|
|
28:14 | structure is the hollow space that's filled fluid and then over development and whatnot |
|
|
28:22 | the proximal end or the most. uh it's what we call rostral. |
|
|
28:28 | they the front end of this what happened? It's a twist on |
|
|
28:34 | . And so the tube no longer like it looks like a bunch of |
|
|
28:38 | that have been bent. That's what is. It's just that, that |
|
|
28:43 | changed its shape because the the front changed its shape. And that's your |
|
|
28:48 | and brainstem instructors that are involved in , right? So when we looked |
|
|
28:53 | that picture of the spinal cord, could see the tube is a this |
|
|
28:57 | back to in a moment, but is just an, so the ventricles |
|
|
29:03 | the place where cerebral spinal fluid is . And so the ventricles space is |
|
|
29:09 | with cerebrospinal fluid and it's moved fluid through the ventricles and ultimately into that |
|
|
29:17 | space. All right. So the we talk about the ventricle is because |
|
|
29:21 | tells us where we're gonna get the spinal fluid. All right, there |
|
|
29:26 | four ventricles in the brain that you to know. Here's the good |
|
|
29:32 | They're very simple. All right. we start off. So this is |
|
|
29:36 | be the side view. This is be the anterior frontal view. We |
|
|
29:40 | off with the two lateral ventricles. have one on the left and you |
|
|
29:44 | one on your right. Everyone lift your right hand. So |
|
|
29:49 | yeah, it just see, it's if you don't know, remember this |
|
|
29:53 | L for left, right. So your right side, you got a |
|
|
29:56 | ventricle side, you have left a hard right and they're connected with |
|
|
30:01 | other. And the thing that connects is a hole that goes in between |
|
|
30:07 | . So we call it the interventricular Raymon. All right. Now, |
|
|
30:14 | weird when you look at these It kind of looks like they're these |
|
|
30:18 | paths. But the truth is is they're really not, they're basically all |
|
|
30:22 | kind of like a hole in the next to each other. So it |
|
|
30:26 | kind of opens up. And what do through this introvert vent for is |
|
|
30:31 | we open up from the lateral ventricles the, you know, difficultly named |
|
|
30:36 | ventricle, right? So we start with two, we're in third |
|
|
30:41 | so against third ventricle and the third looks like it's really, really big |
|
|
30:46 | the side. But you can see actually really just a thin tube that |
|
|
30:49 | and separates the two hemispheres of which we'll talk about. And you |
|
|
30:56 | actually see there's actually a point of in the middle of it, which |
|
|
31:00 | an important structure in the brain, we'll get to a little bit |
|
|
31:03 | And then from the third ventricle, we're doing is we're connecting to the |
|
|
31:07 | ventricle through a fancy named pathway called roll. I mean, doesn't that |
|
|
31:13 | fancy aqueduct? I mean, isn't what the Romans built? Yes, |
|
|
31:19 | big and they had arches and it's incredible amount of engineering, but we |
|
|
31:23 | them in our brain. So cerebral and then cool open up into that |
|
|
31:33 | space. See, we have these tiny openings, we have the uh |
|
|
31:39 | apertures. So that little point right and that little point right there is |
|
|
31:42 | to be the lateral apertures. And on the back side over here, |
|
|
31:45 | where we'd see the uh the uh aperture, all right, middle |
|
|
31:51 | I think it's middle median, maybe an aperture. And so here |
|
|
31:57 | actually going from this little tube and moving out from the middle of the |
|
|
32:05 | round there. So the would be lateral ventricles through the interventricular for into |
|
|
32:15 | third ventricle through the cerebral aqueduct to fourth ventricle out through the lateral or |
|
|
32:21 | median aperture into the subarachnoid space. the final path is down through that |
|
|
32:28 | canal that will then travel all the down through the spinal cord and go |
|
|
32:32 | the way down through the bottom and up into that subarachnoid space. So |
|
|
32:37 | have this flow and now flow is into the subarachnoid space and then from |
|
|
32:42 | subarachnoid space in these place and sub is gonna be back to the |
|
|
32:48 | which is gonna be through those little arachnoid villa and granulations through that. |
|
|
32:57 | and in matter and it's gonna open and into that dural sinus. And |
|
|
33:02 | where you push that cerebral spinal fluid mixes back with the blood. So |
|
|
33:07 | is kind of showing you that path movement. All right. So it's |
|
|
33:12 | going from here, the lateral to 3rd, 3rd to the fourth and |
|
|
33:15 | out. So you see the little showing, oh look, this is |
|
|
33:17 | go out and what I'm doing is now going out in that subarachnoid space |
|
|
33:21 | that subarachnoid space completely surrounds the structures out. It comes and around and |
|
|
33:27 | I'm going to join back up and leave via the dural sinus. So |
|
|
33:35 | is cerebrospinal fluid then? Now we where it's where it's being made. |
|
|
33:38 | is it? Well, it is , it's liquid. All right, |
|
|
33:43 | . It is mostly water. It material taken from the blood. So |
|
|
33:48 | plasma of the blood that has been through the ependymal cells. Now, |
|
|
33:54 | a couple of things that are important it. First off, it's |
|
|
33:59 | what it does in terms of protection ultimately, its function is to |
|
|
34:03 | provide environmental stability. And I think talk about each of these. All |
|
|
34:08 | sir. First off buoyancy, This is the cool part you need |
|
|
34:16 | have cerebral spinal fluid. So spinal fluid is not up against the |
|
|
34:20 | tissue in this little tiny case. right. So it surrounds the |
|
|
34:25 | If you didn't have this cerebrospinal the brain would then sit right on |
|
|
34:31 | cranium and it has mass and things have mass are going to lower themselves |
|
|
34:37 | much as possible, right? So about when you are lying on the |
|
|
34:42 | , your body kind of flattens itself , doesn't it? Right? Your |
|
|
34:46 | would want to do the same The difference is that the place that |
|
|
34:49 | flatten itself out is that big giant magnet and it would ooze its way |
|
|
34:53 | through that hole and you'd have a that's sitting in the vertebral column and |
|
|
34:57 | not helpful or useful. So what does is it actually serves as a |
|
|
35:02 | on which the brain is actually sitting it cushions the front of the |
|
|
35:06 | And the back of the brain, side of the brain, the top |
|
|
35:08 | the brain. And so I look it in terms of a characteristic, |
|
|
35:13 | would happen is if you removed all barriers between that, if you were |
|
|
35:17 | take a, put it into a of spinal, just set it on |
|
|
35:21 | , sit and float. But if took the brain and pushed your finger |
|
|
35:25 | it and sunk it down into the , it would sit wherever you sunk |
|
|
35:28 | because the brain has the same buoyancy the cerebrospinal fluid. So your brain |
|
|
35:36 | floats on top of the cerebrospinal fluid that's where it's placed right there. |
|
|
35:42 | when you shake your head is a because cerebrospinal fluid is mostly made of |
|
|
35:48 | , water is mostly uncompressed, That's what you find in breaks, |
|
|
35:54 | your shots in your car, so and so forth. And so when |
|
|
35:57 | move it into place, back and without hitting that hard bone, I |
|
|
36:04 | talked to you about this yet and is kind of where we're going. |
|
|
36:08 | Anyone here ever done any sort of dissection of rank like a cat or |
|
|
36:14 | , right? What kind of C A Yeah. So if you |
|
|
36:19 | done cat or something like that in the gross anatomy lab or, |
|
|
36:23 | know, you get it and what's deal that has been soaked in formalin |
|
|
36:29 | some other? Fix it right? , in plain English, you pickled |
|
|
36:34 | structures. Ok. And so if feel any of the structures inside that |
|
|
36:40 | that you're dissecting, they're hard. ? They're, they're there. You |
|
|
36:45 | , if you juice would come uh, like what you find in |
|
|
36:50 | body. All right. They're there that you can manipulate and see. |
|
|
36:58 | . I was fortunate as a grad to pull out brains of little tiny |
|
|
37:05 | , I needed the tissue. I trying to figure out how things |
|
|
37:08 | All right. And you think, , it's just like dissecting a organism |
|
|
37:13 | in an anatomy lab. Everything's going and hard. No brain is like |
|
|
37:17 | butter. All right. So if ever baked, you take the butter |
|
|
37:22 | of the refrigerator and you put it the counter and you let it soften |
|
|
37:26 | and if you pick up the butter hard, it just squeezes you hear |
|
|
37:32 | , right. It's all gross. is what brain is like. It |
|
|
37:35 | not something that you can just pull . So you can imagine right now |
|
|
37:41 | those pretty little skulls of yours is something that's hard. It's something that |
|
|
37:46 | incredibly malleable. And if you went this and there was nothing between your |
|
|
37:53 | and your brain tissue, your brain would flatten like a pancake kind of |
|
|
38:00 | or gross depending on how you wanna at it. Right? So that's |
|
|
38:04 | the cerebrospinal fluid is doing through its is is holding it in place and |
|
|
38:10 | you and wrapped around it, it's the shape of the structure, right |
|
|
38:21 | as protection. We talk, liquid cushion. Um, and you |
|
|
38:29 | , uh, things on the news concussions and stuff really. You're not |
|
|
38:34 | about a concussion when your brain smashes the front of your skull. All |
|
|
38:38 | , it's very hard to do that the first place. Not a |
|
|
38:42 | It's actually, uh more likely uh it's, it's damage caused by the |
|
|
38:48 | whipping around the inside water everywhere in body. Uh But one of the |
|
|
38:55 | that this does is like I it acts as shock. So and |
|
|
39:01 | not going to do this if I to run, you know, would |
|
|
39:06 | of be like, but my brain gonna go smash in the front of |
|
|
39:12 | uh cranial cav because that fluid is , it doesn't move. And so |
|
|
39:17 | brain kind of sits into place. takes a lot of, in terms |
|
|
39:26 | environmental stability is conceptually a little bit difficult to kind of wrap your mind |
|
|
39:32 | . All right. So material that brain needs in order to survive are |
|
|
39:38 | be moved through the blood to the , right? So you need |
|
|
39:45 | you need oxygen. Those things, cells need, that's how that stuff |
|
|
39:48 | delivered. But material doesn't go directly a cell. There's always thing in |
|
|
39:55 | blood and cell. We were learning in the first unit. Do you |
|
|
39:57 | what stuff is called? That's that fluid that surrounds the cell, |
|
|
40:03 | extracellular but plasma is also extracellular. , plasma plus interstitial fluid. All |
|
|
40:11 | . So the brain has its own . All right. The cerebrospinal fluid |
|
|
40:18 | not interstitial fluid. And remember it's its own compartment but it is in |
|
|
40:24 | apposition, it's next to it's only by that pia matter. And so |
|
|
40:30 | can move back and forth between the spinal fluid and the interstitial fluid. |
|
|
40:37 | this is important because if you slightly the bl the interstitial fluid, you |
|
|
40:43 | affect how neurons fire. And so having this cerebrospinal fluid which is in |
|
|
40:49 | and in flow, you can maintain internal environment of that interstitial fluid much |
|
|
40:55 | easily. You ready for a horrible , you wanna hear the horrible |
|
|
41:01 | OK. This will wake you All right now, you guys were |
|
|
41:04 | young when this happened. But you remember when the Wii came out, |
|
|
41:08 | know, it was a big So that was the year the PS |
|
|
41:11 | came out, the Xbox one came and everyone was going bananas and nuts |
|
|
41:16 | those two things were competing with each . And at Christmas time, it |
|
|
41:19 | like this is what everyone wants and Wii was released really quietly. No |
|
|
41:23 | knew about it coming out. And when it was released, all the |
|
|
41:27 | heads, which just went absolutely bananas bought everything was available. And so |
|
|
41:31 | wii was unavailable. I mean, sold out. It was like, |
|
|
41:34 | when I was a kid, it the cabbage patch kids. I |
|
|
41:36 | if you wanted it, just forget , you would not find it. |
|
|
41:39 | mean, there were adults fighting each in stores to get a hold of |
|
|
41:42 | stuff. There were lines and one the things that was going on is |
|
|
41:46 | there was radio stations giving away and in particular, this was occurred |
|
|
41:50 | southern California. So you've heard of types of contests, Mr Beast? |
|
|
41:56 | this all the time? Put your on the truck. Last person who |
|
|
41:59 | a truck gets to keep the You've seen that, right? |
|
|
42:03 | I know. You guys watch Mr . All right. My kids |
|
|
42:07 | I don't get it but whatever. right. So this was the type |
|
|
42:10 | contest. It was slightly different It was a p what, what |
|
|
42:14 | call it. I don't know if had a name for it, but |
|
|
42:16 | thought the P for the We And so what they did was they |
|
|
42:19 | a bunch of guests who are uh fight it out for this. |
|
|
42:23 | We Right? A $200 gaming right? And so they gave everyone |
|
|
42:28 | a certain amount of fluid. I know what it was like a gallon |
|
|
42:31 | water and everyone drank the water. it was the first person I had |
|
|
42:33 | go to the bath. I the last person who, who went |
|
|
42:35 | the bathroom got to keep the That was, that was the gist |
|
|
42:38 | the context. So it sounds pretty right now. Remember what I'm trying |
|
|
42:43 | describe here is showing you how important is to maintain that internal environment. |
|
|
42:47 | right. So one of the contestants a petite woman and they didn't like |
|
|
42:53 | everybody and say, OK, we're give you proportionally the same amount of |
|
|
42:56 | . They just gave her the same of fluid that say a 6 ft |
|
|
42:58 | would have. And after about 20 minutes, she fell over and |
|
|
43:02 | convulsing and then ultimately passed out and . Told you it was a terrible |
|
|
43:08 | right now. Why, why, did this happen? All right. |
|
|
43:13 | , she drank a gallon of water whatever the volume of, let's just |
|
|
43:16 | it a gallon because that's a lot water. You have about five liters |
|
|
43:19 | blood or, or fluid in your . That's blood. You have about |
|
|
43:22 | liters. I think you're about close about nine liters of total fluid in |
|
|
43:25 | body. All right. So what happened was you put the water |
|
|
43:28 | your body the first place it it goes to the digestive system and |
|
|
43:31 | digestive system, it goes down to bloodstream and, and it distributes out |
|
|
43:34 | the whole body that's the purpose of sort of distribution is to make everything |
|
|
43:39 | to everywhere. So that, that entire internal environment is the same. |
|
|
43:44 | right. But when you're adding pure to a system, you're adjusting the |
|
|
43:49 | salt balance. And so what she was too much water neutralized how much |
|
|
43:55 | and potassium she had. And we know how important that is in terms |
|
|
43:58 | action potentials. OK. So when brain got too much water in |
|
|
44:04 | the neurons couldn't fire properly. And the neurons that were responsible for her |
|
|
44:08 | rate and her breathing failed to fire . And so she basically drowned in |
|
|
44:15 | own bodily fluids right now. It that the water filled up her |
|
|
44:19 | it didn't fill up her heart, prevented the brain from firing. So |
|
|
44:23 | is an example of why it's so to maintain and is water dangerous. |
|
|
44:28 | is, yeah, it's clearly But I mean, but if you |
|
|
44:31 | about it like, oh look, a glass of water. No, |
|
|
44:34 | the, put the warning label on dihydroxy. Uh you know, |
|
|
44:38 | no, you don't do that. just it's water, right? But |
|
|
44:41 | can see the massive effect that a change can have on internal or physiological |
|
|
44:50 | . So having cerebral spinal fluid in helps to create an environment where it's |
|
|
44:56 | , oh, we have too much this, but we have an we |
|
|
44:59 | a compartment where we can move and things out before horrible things happen. |
|
|
45:04 | again, a gallon of water is lot of water, a lot of |
|
|
45:08 | very quickly, you know, because has to go someplace. All |
|
|
45:15 | Yeah. Ok. All right. this is a mechanism to remove materials |
|
|
45:22 | you don't want. So, chemical by bulk flow, bulk flow is |
|
|
45:28 | , we don't care what it just move it over here and we'll |
|
|
45:31 | things out. So CS F is in the ventricles and there's specific places |
|
|
45:39 | the ventricles where this is formed. you look at the little cartoons, |
|
|
45:43 | all the little red areas, all , those little red areas represent cood |
|
|
45:49 | . Cood plexus is an area in ventricles where the capillaries of the the |
|
|
45:56 | of blood vessels where exchange can take are, are gathered. So they're |
|
|
46:01 | up, they're very, very close the surface. And there are specific |
|
|
46:06 | called ependymal cells. They are a of glial cell that lie right next |
|
|
46:11 | the surface and they pull material out the blood. So it's water plus |
|
|
46:15 | chemicals out of the blood and they cerebrospinal fluid. And so you can |
|
|
46:19 | is it just in the lateral uh where you see the corro plexus? |
|
|
46:26 | . So it's in the lateral cord . It's in the third chid or |
|
|
46:30 | , third ventricle, lateral ventricles, ventricle, fourth ventricle. So all |
|
|
46:35 | vent or all four ventricles play a in creating cerebral spinal fluid. And |
|
|
46:41 | I'm making fluid. So here's the . And what's gonna happen is is |
|
|
46:46 | as I make fluid, it's gonna to an area of lower pressure. |
|
|
46:49 | that's why we get the flow as going on. Do we need to |
|
|
46:52 | this chart? Of course, not , but it's showing you this is |
|
|
46:56 | plasma is, this is cerebrospinal Does it look very different from each |
|
|
47:01 | ? Not really. I mean, wise, there's a slight difference |
|
|
47:04 | a slight difference there. And so is what they're trying to show you |
|
|
47:07 | like it's mostly plasma, but there's that have been removed or added to |
|
|
47:12 | plasma or concentrated in the plasma that it unique. All right. So |
|
|
47:19 | don't need to know the mechanism, know it comes through the up and |
|
|
47:22 | cells. Um There are other things can find its way into cerebrospinal |
|
|
47:28 | So anything that is fat soluble can its way into the uh cerebrospinal fluid |
|
|
47:33 | in the brain tissue. So for , if you're trying to invent drugs |
|
|
47:37 | work on the brain, you want to be fat-soluble because nothing's gonna stop |
|
|
47:41 | from getting into the brain. Um don't, that's not necessary. So |
|
|
47:52 | , the point being is that we're forming it through the ependymal |
|
|
47:56 | the material is being delivered via the . We're borrowing things from the |
|
|
48:02 | We make the cerebrospinal fluid and then , we return it back to the |
|
|
48:06 | . Now again, you don't need know this volume. This is just |
|
|
48:09 | thing. Um I'm just the Can you lift up your bottle real |
|
|
48:13 | ? Just lift it up high? it? No, I don't wanna |
|
|
48:15 | you, hold it. Do you know how much volume is in that |
|
|
48:21 | ? I heard 16 ounces. But we're scientists, so we have to |
|
|
48:24 | in mils. So how many 500 mils? Thank you very |
|
|
48:29 | All right. Now you can also on the side of the bottle. |
|
|
48:32 | says that's how I know. All . So that's 500 mils. You |
|
|
48:35 | put it down if you guys get sense there, it's 16 ounces. |
|
|
48:38 | mils. You make about 500 mils day. All right. So you're |
|
|
48:45 | that much cerebral spinal fluid per the amount of space you have in |
|
|
48:51 | subarachnoid space and in the ventricles comes to about 100 and 25 to 100 |
|
|
48:55 | 50 mils. OK. So you do the math right? 500 divided |
|
|
49:01 | 1 25 four. All right, can, you can do that and |
|
|
49:08 | can do it's a nice simple number . So you replace your three a |
|
|
49:14 | times. So you're constantly making cerebral fluid, it's constantly pushing it out |
|
|
49:20 | a way and back to the So it's right. We're making it |
|
|
49:23 | way, it goes up and around out, it goes and it just |
|
|
49:25 | and you do this four times All right. But it's, it's |
|
|
49:29 | constant thing. It's not like, , let's fled the system. All |
|
|
49:33 | . So again, how is it ? It's reabsorbed because the subarachnoid space |
|
|
49:38 | through the dura through these granulations and vili and that fluid is being pushed |
|
|
49:44 | the pressure back out in, through , through that uh structure into the |
|
|
49:49 | , which is what that dark blue . That's venous blood. All |
|
|
49:54 | Now, there are a couple of things, ciliary, beating the ependymal |
|
|
49:57 | that are found on the coro are within the coro plexus have cilia and |
|
|
50:01 | purpose of cilia is to move things there and do that. And they're |
|
|
50:05 | saying I'm making the fluid you go way and the fluid goes that |
|
|
50:09 | Right? Second thing, postural factors you stand up, when you sit |
|
|
50:13 | , when you move everything like that pressure inside these structures and that helps |
|
|
50:18 | fluid. Have you guys noticed that you sit around, you kind of |
|
|
50:21 | your legs and you flex and stuff that? It's because your body is |
|
|
50:26 | a build up of pressure inside the vessels. And so what you're doing |
|
|
50:29 | you're actually contracting muscle to squeeze your vessels to push the blood forward. |
|
|
50:33 | would be a postural factor. Kinda . Huh. It's also what we |
|
|
50:38 | to as the skeletal muscle pump. right. So that's kind of the |
|
|
50:42 | thing you moving around, helps move spinal fluid. And lastly, there |
|
|
50:46 | a generic pressure just because I'm making , it's, it's where I'm being |
|
|
50:52 | , there's greater pressure there than when leaving. And so the difference between |
|
|
50:55 | two points is about 10 millimeters of . Um, heard of a spinal |
|
|
51:01 | . There's another name for it. an epidural, right? Have you |
|
|
51:05 | heard of those? All right. really cool. Well, I |
|
|
51:08 | maybe not to get, but to . All right. So what they |
|
|
51:12 | is they find T four and what doing is you're going between two vertebrae |
|
|
51:15 | you take this big long needle. what you do is you poke through |
|
|
51:19 | dura and then you go into the space. And how do you know |
|
|
51:25 | gotten into the right place? you inside the needle is a little |
|
|
51:30 | , um, crap. This is my brain just turned off. That's |
|
|
51:37 | spiders. Um, a catheter is word I'm looking for. I want |
|
|
51:42 | to pull out that catheter and if flows out, you made it |
|
|
51:47 | If fluid doesn't flow out, you it back in and you pull, |
|
|
51:49 | then you just keep trying to find get into that space. All |
|
|
51:54 | How do I, how does the come out. Well, there has |
|
|
51:56 | be a difference in pressure. So zero pressure outside, there's greater pressure |
|
|
52:00 | the inside. So I want to out fluid comes out, create a |
|
|
52:03 | tiny bubble. We got Twitter go start delivering drugs if it's an epidural |
|
|
52:10 | a pregnancy or for giving birth. right, that pressure is this right |
|
|
52:15 | , 10 millimeters of mercury. And that is a driving force from that |
|
|
52:20 | to that point through all of that . And so fluids are gonna move |
|
|
52:25 | because you have a high pressure and pressure. And I'm just gonna put |
|
|
52:28 | little asterisk here whenever you hear about pressure gradient or a chemical gradient or |
|
|
52:34 | remember high versus low, I'm always down to the low. This is |
|
|
52:39 | a big picture. So if the picture didn't help you, you can |
|
|
52:42 | a little bit more clearly. Fourth protection is the blood brain |
|
|
52:53 | All right. Now, with regard the blood brain barrier, what we're |
|
|
52:57 | with is something that is both physical physiological. So you can say anatomical |
|
|
53:04 | physiological. What this does is it the materials actually entering into that interstitial |
|
|
53:16 | surrounding the nervous uh cells, surrounding the neurons. And so what |
|
|
53:21 | doing is we're trying to regulate to horrible things from happening. Like the |
|
|
53:25 | for the wheat water is one of things you can't really regulate, |
|
|
53:30 | What about alcohol? Do you think can regulate alcohol? You can? |
|
|
53:34 | if you drink alcohol, you can how much alcohol actually gets into the |
|
|
53:38 | . So, if you drink like of whiskey, no, no. |
|
|
53:42 | you drink 1/5 of whiskey, you're be paying for it usually by going |
|
|
53:45 | the hospital and, and having your pumped if it doesn't kill you. |
|
|
53:49 | right. Try to avoid drinking full . That sounded weird. All |
|
|
53:57 | alcohol, water fats are physiologically capable passing fat barriers, right? So |
|
|
54:09 | other words, if the barriers created a cell, basically, you have |
|
|
54:13 | , that's in the way. And I can pass back and forth between |
|
|
54:17 | membranes very, very easily. But like ions, things like proteins, |
|
|
54:23 | like sugars, those have to be watery environments. So a membrane gets |
|
|
54:30 | the way and prevents movement. So we're dealing with here is a method |
|
|
54:37 | regulating what goes in and what comes of the nervous tissue. All |
|
|
54:42 | So, anatomical and physiological. All , anatomical. Why is it a |
|
|
54:47 | ? We're over over here. This a capillary. So here's capillary. |
|
|
54:50 | is where the blood is. So can imagine that this is where all |
|
|
54:53 | nutrients are. So this is where sugars are, this is where salts |
|
|
54:56 | , there's gonna be water and other . So things that your brain wants |
|
|
55:00 | things that your brain doesn't want can found in the plasma. All |
|
|
55:04 | So the the first thing that's gonna is that the astrocytes come along and |
|
|
55:11 | are a type of glial cell. what they do is they wrap themselves |
|
|
55:14 | the capillaries and capillaries are interesting All right. Now, generally speaking |
|
|
55:20 | your body, your capillaries are what refer to as being leaky. All |
|
|
55:25 | . So remember how we talked about junctions, tight junctions create a barrier |
|
|
55:30 | two structures. But in capillaries, tight junctions are not very tight, |
|
|
55:34 | leaky. An example of if you imagine that you have a, a |
|
|
55:39 | full of marbles and water. If reached in with both hands and scooped |
|
|
55:44 | the marbles, the water would probably out between your fingers, right? |
|
|
55:49 | big things are stuck inside capillaries just they'd be stuck inside your hand. |
|
|
55:54 | water and other small materials could actually between their fingers. So, with |
|
|
56:01 | to a capillary, they link between cells. All right. So small |
|
|
56:05 | are able to move back and forth the, the inside of a capillary |
|
|
56:10 | the outside of the capillary because of leaky tight junctions. When astrocytes come |
|
|
56:16 | , what they do is they tell capillaries, we don't like your leaky |
|
|
56:20 | . We want you to make your tight junctions tight. So it'd be |
|
|
56:25 | same think of the same situation, your hands in. But before you |
|
|
56:28 | your hands in, you put super your fingers. All right. So |
|
|
56:32 | when you go in, everything stays your hand, right? So nothing |
|
|
56:38 | leave the capillary. They're stuck inside capillary. All right, there is |
|
|
56:44 | leines. So that's number one, two, the astrocytes themselves wrap around |
|
|
56:50 | capillaries and they have tight junctions as . So now you have not only |
|
|
56:55 | epithelium, what we call endothelium, capillaries acting as a barrier, we're |
|
|
57:00 | to have a layer of astrocyte that as a barrier. So we have |
|
|
57:04 | two layers of cells to go through in between the astrocyte and the |
|
|
57:08 | What we have is we have a membrane, this is like a screen |
|
|
57:12 | . So if anything happens to leak way through, if it's too big |
|
|
57:15 | get through that layer of connective tissue that basement membrane, it's not gonna |
|
|
57:20 | through. So it gets trapped and . So we have a physical |
|
|
57:25 | And if I want to get something that, that means there has to |
|
|
57:28 | a carrier molecule located in the wall the capillary, there has to be |
|
|
57:33 | carrier located in the wall of the . And then there has to be |
|
|
57:37 | carrier on the other side of the . So if I want to get |
|
|
57:42 | , two my nervous tissue, I'm have to have that glucose carrier in |
|
|
57:47 | different spots just to get it into space. So that, that astrocyte |
|
|
57:51 | get fed. So you can imagine are lots of glucose carriers located in |
|
|
57:59 | tissue because that's the only way the gonna get food, right. So |
|
|
58:05 | other cells called pericyte, pericyte are uh cells. Um They're a type |
|
|
58:11 | mural cell. Uh basically, they to coordinate all the signals that's going |
|
|
58:16 | now, with regard to the All right, we've already kind of |
|
|
58:21 | about as I mentioned this, but just gonna reiterate it. If you |
|
|
58:24 | water soluble, you wanna stay where is. If you're fat soluble, |
|
|
58:28 | gonna pass through cell membranes just So a glucose molecule is a water |
|
|
58:34 | material. So when it's in the , it cannot pass the membrane. |
|
|
58:39 | anything that's water soluble needs to have carrier. If you're fat soluble, |
|
|
58:45 | don't want to be in the you're looking for any way to get |
|
|
58:47 | of the water. And so what is, is like, oh, |
|
|
58:49 | the way I can go. And you just pass on through. So |
|
|
58:52 | we're regulating here is simply those things are water soluble. So the brain |
|
|
59:00 | , or the astrocytes tell the capilla apes themselves determine what gets to come |
|
|
59:06 | and what gets to go out, is water soluble. So there's like |
|
|
59:10 | , it's like a, a list says, OK, we'll allow |
|
|
59:13 | this and this and so they put right carriers in the place or the |
|
|
59:16 | channels in the place and that's how moves in or out of the |
|
|
59:22 | But there are some things that are soluble like alcohol. So, if |
|
|
59:25 | go drink alcohol, does it affect brain? Oh, yeah. You |
|
|
59:30 | , I say that with a smile my face because fun just don't |
|
|
59:34 | don't drink too much, drink good , not bad, good stuff. |
|
|
59:39 | right. Yeah. But what's good ? We're not gonna talk about that |
|
|
59:43 | now. Yeah. It takes years years of practice and experience to figure |
|
|
59:49 | stuff out and you must wait till 21 unless the state says it's |
|
|
59:54 | So I, when I went to that was the year they changed all |
|
|
59:58 | drinking ages as 21. I was , really? But I went to |
|
|
60:01 | in New Orleans. Do they No. All right. I think |
|
|
60:08 | care now. But back then they not care. All right. |
|
|
60:14 | So where do we see this blood barrier? Well, it's gonna surround |
|
|
60:19 | cerebral blood vessels. All right. we're uh basically creating that barrier to |
|
|
60:25 | things going in and going out at , at the coid plexus. We're |
|
|
60:31 | see it there as well, but in the same extent that we see |
|
|
60:35 | everywhere else. And the reason being because we need to pull things from |
|
|
60:39 | blood. Right. So we have different type. It's, it's regulating |
|
|
60:45 | and then there are some parts of , uh, the brain that doesn't |
|
|
60:49 | a blood brain barrier at all. right, we call these the |
|
|
60:53 | uh, ventricular organs. So, around the ventricles. All right. |
|
|
60:58 | , where are some of the places we don't have all this stuff? |
|
|
61:01 | , the first is gonna be the , hypothalamus is the master endocrine |
|
|
61:07 | It's a master gland is what we it. And basically what it does |
|
|
61:11 | it needs to know what's going on your body. So it could tell |
|
|
61:14 | body what to do through the signaling . In other words, through different |
|
|
61:18 | . So it needs to be able be able to access the blood very |
|
|
61:23 | . Pineal gland is gonna output Anything that's pretty much output hormones. |
|
|
61:28 | right, Coro Plexus needs to have permeability as we mentioned. And this |
|
|
61:32 | the fun one, the vomiting All right. What is the most |
|
|
61:36 | way for you to get a toxin your body? Say again, |
|
|
61:43 | Yeah. Ok. So how are gonna get that poison in your |
|
|
61:46 | What's the most likely way for you do that ingest it? Right? |
|
|
61:50 | mean, do you guys live by five second rule? I think we've |
|
|
61:54 | about this before you drop a It hits the ground, it rolls |
|
|
61:57 | spider webs and stuff and you just , wipe it off and you're |
|
|
62:00 | hm, I'll eat it anyway. you're looking at me like I know |
|
|
62:04 | goes through spider webs. That, , that's, uh, it's an |
|
|
62:08 | . I'm, I'm eating that Ok. The most likely way for |
|
|
62:14 | to put something bad in your body not to be bitten by something or |
|
|
62:19 | be injected in you. It's to it. Right. That is the |
|
|
62:24 | likely way. So, if toxins circulating in your body, the vomiting |
|
|
62:28 | goes, oh, look, here's toxin. Oh How did this get |
|
|
62:32 | ? Well, you probably ate You idiot. I'm gonna throw it |
|
|
62:35 | because if it's in the blood it's still in the stomach and that's how |
|
|
62:38 | doing it. Here's a fun If you get by rattles, get |
|
|
62:41 | by a rattlesnake. What are you do? What's one of the |
|
|
62:45 | I mean, your arm is gonna swelling up. But what do you |
|
|
62:47 | ? You feel nauseous? And you ? Why? Because the brain |
|
|
62:51 | oh, you probably ate something stupid that's why you throw up, |
|
|
62:57 | Notice, get a concussion. I feel good. Bad things are |
|
|
63:01 | What do I do? Throw The odds are the bad thing that |
|
|
63:05 | would not be bashing my head against wall. It was probably because I |
|
|
63:08 | something stupid because cookie rolling across the is on my list of OKS. |
|
|
63:13 | right. Y you again, you think. Not 21st century. You |
|
|
63:17 | think way back in the dawn of , here's a bush. Look, |
|
|
63:22 | berries on it. I wonder what berries do. It looks like food |
|
|
63:28 | like food, tastes like food makes feel funny. All right. There |
|
|
63:34 | go. That's pretty much man's entire . Putting weird things in our mouth |
|
|
63:39 | throwing up, coming down to the . All right. So this is |
|
|
63:48 | trying to show you what this blood barrier looks like. All right. |
|
|
63:52 | we move things. So there's what refer to as lipid mediated transport. |
|
|
63:56 | what is lipid mediated means I can through a membrane, no sweat, |
|
|
64:00 | I can just go right on through would be lipid right there. You |
|
|
64:05 | . So if you have a soluble soluble molecule, it's gonna pass |
|
|
64:10 | freely through that membrane. So these just some examples, oxygen is something |
|
|
64:15 | cannot stop where oxygen is gonna It just goes wherever it wants to |
|
|
64:18 | . Same thing with carbon dioxide, steroids. These are again molecules that |
|
|
64:23 | lipid soluble. They're, they're a of lipid. There are some lipophilic |
|
|
64:28 | . And so when you start learning different drugs, as you move on |
|
|
64:32 | your further careers, you're gonna learn certain drugs that are available for treating |
|
|
64:37 | brain. And it's like, oh is the characteristic? Well, it |
|
|
64:39 | lipid soluble lipophilic, there's carrier Now here what we're dealing with are |
|
|
64:48 | molecules. So like glucose amino nucleotides. And so here what you |
|
|
64:53 | is you pass it from one side the cell, move it through the |
|
|
64:55 | side of the cell and off you . All right. So that would |
|
|
64:58 | carrier mediated. But bigger things carriers work. So you're gonna have to |
|
|
65:03 | receptor media to transport. So here gonna have to have the right |
|
|
65:07 | So you can see now where the comes from. If I don't have |
|
|
65:10 | right carrier, it's not coming If I don't have the right |
|
|
65:14 | it's not being moved across. So need those things. So, |
|
|
65:18 | growth factors, these are things that need, these are much larger, |
|
|
65:22 | proteins or peptides, they need a . So you're gonna use vesicular transport |
|
|
65:28 | do that. All right. So idea here is different molecules use different |
|
|
65:35 | and the blood brain barrier determines what to come across that membrane. So |
|
|
65:40 | a protective barrier. All right, getting down to the end. Doesn't |
|
|
65:50 | feel nice? And when I say and I have three slides left, |
|
|
65:54 | know, I just screwed it It's gonna be 40 minutes of me |
|
|
65:57 | about something. I'm not gonna, gonna just try to finish it off |
|
|
66:02 | . All right. So this is be our first deep dive into the |
|
|
66:09 | of the brain. And what we do is we want to just look |
|
|
66:11 | how great or the blood is delivered the brain. That's what this little |
|
|
66:16 | is trying to show you here. it looks very scary because there's a |
|
|
66:19 | bunch of things that have been labeled and remember, you don't need to |
|
|
66:22 | everything here. It's just the things I've kind of highlighted and what I |
|
|
66:26 | to show you here is that if look at the brain, you can |
|
|
66:28 | it in half. So there's an portion and a posterior portion. And |
|
|
66:32 | if you can divide the brain in way, that helps you kind of |
|
|
66:35 | out what goes on what side? right. Now, one of the |
|
|
66:39 | that is interesting about the brain is there is a structure that has developed |
|
|
66:44 | in everybody. I'm gonna say this because we're go, we talked like |
|
|
66:48 | is like everybody has a circle of and it's not true. It's about |
|
|
66:51 | of the population has a circle of . All right. And what this |
|
|
66:55 | is a pathway that allows us to the front and the back together. |
|
|
67:01 | basically, it's a circle of So if one gets clogged blood flow |
|
|
67:06 | occluded, blood can reach both halves the brain. It's kind of |
|
|
67:09 | but not everybody has that, but pretend like it is true. All |
|
|
67:15 | . So with regard to the anterior , what do we have? All |
|
|
67:19 | , you guys have grown up learning you have an artery in your |
|
|
67:22 | Do you remember what that artery in neck is called carotid? Right? |
|
|
67:26 | that's the one when you go to a slasher movie and they cut the |
|
|
67:29 | and the blood goes squirting out and the person kills over dead. That's |
|
|
67:32 | carotid artery. All right. So carotid arteries are delivering blood up to |
|
|
67:37 | brain. So you have to imagine , this is a two dimensional picture |
|
|
67:40 | to to trying to show you three . And so here's the carotid artery |
|
|
67:45 | what it's doing is it's going So it's going into the screen and |
|
|
67:51 | is going to divide into a whole of different arteries. All right, |
|
|
67:55 | arteries that we're interested in is the cerebral and the middle cerebral. Without |
|
|
68:00 | showing you the picture, where do think the anterior is going to the |
|
|
68:04 | of the brain? What do you the middle cerebral artery is going to |
|
|
68:07 | the middle of the brain? So that big artery going up to |
|
|
68:12 | blood to your brain is going to into a couple of branches. The |
|
|
68:16 | branches we're most interested in is the cerebral and the middle cerebral. In |
|
|
68:22 | little cartoon. Here it is, the anterior cerebral and uh I think |
|
|
68:27 | actually, yeah, I was gonna they mislabeled this there, this is |
|
|
68:30 | anterior cerebral. Here's the middle cerebral off in both directions, the thing |
|
|
68:35 | between them, this is the communicating there. All right. So if |
|
|
68:39 | look at the posterior segment, so you can see the line. So |
|
|
68:42 | is the posterior side. We have arteries. If you had to guess |
|
|
68:47 | vertebral arteries were located, where would have to say that they're located near |
|
|
68:51 | vertebrae? All right. So that's you have here. So you can |
|
|
68:54 | here, here's the vertebral arteries, a pair of them, they're going |
|
|
68:57 | together and they're supplying the brain which is coming out. So you |
|
|
69:03 | see here's the brain stem, it's turn into the spinal cord, it's |
|
|
69:06 | side by side of the brain stem then it has a couple of divisions |
|
|
69:10 | we're interested in. All right, come together and they form the basilar |
|
|
69:16 | . Now, where do you think Basar artery is located relative to the |
|
|
69:21 | ? The basal side, the That would be the best answer. |
|
|
69:26 | this is the basal or artery and what's coming in and joining up to |
|
|
69:29 | circle of Willis. So two vertebral join together form the basal artery. |
|
|
69:38 | , in our little cartoon here we the little tiny spider legs. See |
|
|
69:41 | little tiny spider legs, right? are called the ponte arteries. The |
|
|
69:47 | arteries are next to a structure in brain called the ponds. Do you |
|
|
69:53 | how arteries are named? They're named where they go. All right, |
|
|
69:57 | call them the named arteries because they you exactly what they are. |
|
|
70:02 | the ponte arteries is feeding the ponds that's what the big giant bump is |
|
|
70:06 | you're looking at. All right. have the anterior inferior, what a |
|
|
70:11 | name. But without anything, if see anterior inferior, what are you |
|
|
70:16 | ? Front and below? So the and below cerebellar arteries and so it's |
|
|
70:24 | you the structure, it's gonna be or not inner vascularized in the front |
|
|
70:28 | the bottom of the cerebellum. And then the other one is the |
|
|
70:34 | cerebellar artery. Now, here they're you here's the posterior, inferior, |
|
|
70:39 | inferior, there's paired and then over , the one that's wrapping around the |
|
|
70:44 | of this larger structure, that's this structure is the cerebellum. So that's |
|
|
70:49 | this is. That's the posterior cerebellar . Now, blood is gonna come |
|
|
70:56 | out. We're not doing all the of the brain. We said that |
|
|
70:59 | are dural sinuses and there's a bunch them, but they all converge and |
|
|
71:03 | form your jugular vein. And so jugular is the other one. You |
|
|
71:10 | , when you're playing a, I remember the name. Now. Um |
|
|
71:16 | Combat Street Fighter, what do they ? Go for the jugular? All |
|
|
71:23 | , rip that bad boy out. carotid arteries, jugular vein. So |
|
|
71:31 | we didn't name everything in here. don't want you to know everything in |
|
|
71:34 | . I want you to know the ones and this is kind of a |
|
|
71:37 | way to kind of see what we're with here. I didn't even |
|
|
71:41 | did I name Posterior Cerebral up Oh, I did, but I |
|
|
71:44 | highlight it. So I thought I'd it. So here's the posterior cerebral |
|
|
71:49 | right there. That's the big one uh uh anterior to the superior |
|
|
71:57 | All right. But this is a way to kind of look at |
|
|
72:00 | Just thinking of how do I get to the brain itself? Well, |
|
|
72:03 | had the anterior cerebral, I had middle cerebral and I had the posterior |
|
|
72:09 | . So basically, there's three and named exactly to where they go the |
|
|
72:14 | , the middle and the back. that? OK. Yeah. So |
|
|
72:21 | , coming back, why do we about the circle of Willis? |
|
|
72:24 | this ensures that blood goes both All right. If I clog one |
|
|
72:30 | up, I have a communicating artery allows the left and the right hemisphere |
|
|
72:34 | receive blood. I don't just basically the flow of blood and we're |
|
|
72:39 | All right. It's just a, uh a mutation that has occurred that |
|
|
72:43 | been advantageous to keeping us alive. so that's why that why it still |
|
|
72:50 | . All right, I've already mentioned basilar artery. Basically, it forms |
|
|
72:56 | the vertebral artery and the spinal last little slides and we're done and I |
|
|
73:02 | this here because while we just had time, it could have gone to |
|
|
73:05 | next class. But what I wanna is we're gonna be dealing with two |
|
|
73:08 | of cells. We're dealing with the system. The first is gonna be |
|
|
73:12 | neuron. We've already talked about the . These are excitable cells, |
|
|
73:16 | Their job is to transmit electrical signals we start class. Um On Tuesday |
|
|
73:21 | , we're gonna talk about the supporting . But what I want to show |
|
|
73:25 | here is we've already learned about this . All right. And we spent |
|
|
73:29 | of our time thinking about the but in the nervous system where the |
|
|
73:35 | is replaced by, primarily by the neuron. But just because it looks |
|
|
73:41 | and is named differently, it doesn't that it behaves differently. We still |
|
|
73:44 | receiving sides, we still have a side, we still process and send |
|
|
73:49 | through neurotransmitters, greater potentials and action . All right, structurally, it's |
|
|
73:55 | a pyramidal cell because like a there you go. What we're going |
|
|
74:04 | see here is that they're found all the place and it plays an important |
|
|
74:09 | in cognition. What is cognition, and thinking. So that's where we're |
|
|
74:16 | to leave off. We got done today, didn't we? We |
|
|
74:22 | All right. So I will see on Tuesday. We got a big |
|
|
74:24 | show up, wear red, scream yell. There's a reason to play |
|
|
74:31 | game. Yeah. You |
|