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  • 8/6/2019 Brain Lecture by BL

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    The Human Brain:The Human Brain:

    Anatomy,Anatomy,

    Functions,Functions,and Injuryand Injury

    Main MenuMain Menu

    Brain Anatomy

    Brain Functions

    Injury Mechanisms

    Brain Anatomy MenuBrain Anatomy MenuSkull Anatomy

    Interior Skull Surface

    Blood Vessels of the Brain

    Arteries of the Brain

    The Neuron

    The Meninges

    External Brain Structures

    The Cerebrum

    The Limbic System

    Cerebellum

    Thalamus

    Hypothalamus

    The Medulla Oblongata

    The Pons

    The Ventricles

    Cerebrospinal Fluid

    The Cerebrum The Cortex

    The Neocortex

    Lobes of the Cerebrum

    Frontal Lobe

    Temporal Lobe

    Parietal Lobe

    Occipital Lobe

    Limbic Lobe

    The Brainstem

    Brainstem Components

    Brainstem Divisions

    The Cranial Nerves

    Skull AnatomySkull Anatomy

    The skull is a rounded layer ofbone designed to protect the brainfrom penetrating injuries.

    Blood Vessels of the Skull

    Rough Interior of Skull

    Interior Skull SurfaceInterior Skull Surface

    The base of the skull is rough,with many bony protuberances.

    These ridges can result in injuryto the temporal lobe of the brainduring rapid acceleration.

    Bony ridges

    Injury from contactwith skull

    Blood Vessels of the SkullBlood Vessels of the Skull

    The brain requires a rich bloodsupply, and the space betweenthe skull and cerebrum containsmany blood vessels.

    These blood vessels can be

    ruptured during trauma,resulting in bleeding.

    Groove for middlemeningeal artery

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    Arteries of the BrainArteries of the Brain

    The human brain requires a

    constant supply of oxygen. A

    lack of oxygen of just a fewminutes results in irreversibledamage to the brain.

    The NeuronThe Neuron

    Dendrites:Collects informationfrom other neurons.

    Cell Body

    Axon:Transmits informationto other neurons.

    Click image to play or pause video

    The MeningesThe Meninges

    The meninges are layersof tissue that separate theskull and the brain.

    Skull

    Dura mater

    Arachnoid Layer

    Pia Mater

    Brain

    External Brain StructuresExternal Brain Structures

    The CerebrumThe Cerebrum

    The largest portion of the brainis the cerebrum. It consists oftwo hemispheres that areconnected together at thecorpus callosum.

    The cerebrum is often divided

    Corpus callosum

    into five lobes that areresponsible for different brainfunctions.

    The CerebrumThe Cerebrum

    Neocortex

    The cerebrums surfacethe

    neocortexis convoluted intohundreds of folds.

    The neocortex is where all the

    higher brain functions take place.

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    The NeocortexThe Neocortex

    The cerebral cortex is a thin layer of cells about 1.5 to4 mm thick.

    The cortex provides the connections and pathwaysfor the highest cognitive functions, such as languageand abstract thinking.

    The cerebral cortex contains about 25 billion neurons,more than 62,000 miles of axons, and300,000,000,000,000 synapses.

    Neocortex layer

    The thin layer of theneocortex is densewith neurons.

    Lobes of the CerebrumLobes of the Cerebrum

    Frontal Lobe

    Limbic Lobe

    Parietal Lobe

    Temporal Lobe

    Occipital Lobe

    Frontal LobeFrontal Lobe

    The frontal lobe is the area ofthe brain responsible for

    higher cognitive functions.

    These include:

    Problem solving Spontaneity emory Language Motivation Judgment Impulse control Social and sexual behavior.

    Temporal LobeTemporal Lobe

    The temporal lobe plays arole in emotions, and isalso responsible forsmelling, tasting,perception, memory,understanding music,

    aggressiveness, andsexual behavior.

    The temporal lobe alsocontains the languagearea of the brain.

    Parietal LobeParietal LobeThe parietal lobe plays arole in our sensations oftouch, smell, and taste. It

    also processes sensoryand spatial awareness,and is a key componentin eye-hand co-ordination

    .

    The parietal lobe alsocontains a specializedarea called Wernickes

    area that is responsiblefor matching writtenwords with the sound ofspoken speech.

    Occipital LobeOccipital Lobe

    The occipital lobe is atthe rear of the brainand controls visionand recognition.

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    Limbic LobeLimbic Lobe

    The limbic lobe islocated deep in thebrain, and makes up

    the limbic system.

    The Limbic SystemThe Limbic System

    The limbic system is thearea of the brain thatregulates emotion and

    memory. It directlyconnects the lower andhigher brain functions.

    A. Cingulate gyrusB. FornixC. Anterior thalamic

    nucleiD. HypothalamusE. Amygdaloid nucleusF. Hippocampus

    CerebellumCerebellum

    The cerebellum is connected to thebrainstem, and is the center forbody movement and balance.

    Click image to play or pause video

    ThalamusThalamusThalamus means inner room in Greek,as it sits deep in the brain at the top ofthe brainstem.

    The thalamus is called the gateway tothe cerebral cortex, as nearly allsensory inputs pass through it to thehigher levels of the brain.

    HypothalamusHypothalamus

    The hypothalamus sits under the thalamus at

    the top of the brainstem. Although thehypothalamus is small, it controls many criticalbodily functions:

    Controls autonomic nervous system

    Centerfor emotional res onse andbehavior

    Regulates body temperature

    Regulates food intake

    Regulates water balance and thirst

    Controls sleep-wake cycles

    Controls endocrine system

    The hypothalamus isshaded blue. The pituitarygland extends from thehypothalamus.

    The Medulla OblongataThe Medulla Oblongata

    The medulla oblongata merges

    seamlessly with the spinal cord andcreates the base of the brainstem.

    The medulla is primarily a controlcenter for vital involuntary reflexes

    such as swallowing, vomiting,sneezng, coug ng, an reguaton ocardiovascular and respiratory activity.

    The medulla is also the origin of manycranial nerves.

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    The Cranial NervesThe Cranial Nerves

    I . Olfactory nerve

    II. Optic nerve

    III. Oculomotor nerveIV. Trochlear nerveV. Trigeminal nerveVI. Abducens nerve

    .VIII. Vestibulocochlear nerveIX. Glossopharyngeal nerveX. Vagus nerveXI. Accessory nerveXII. Hypoglossal nerve

    Injury MechanismsInjury Mechanisms

    The brain is a complex and delicate organ, and onethat is vulnerable to injury from a variety of differenttraumas. These include:

    Frontal Lobe Injury

    Occipital Lobe Injury

    empora o e n ury

    Side Impact Injury

    Coup/Contre-coup Injury

    Diffuse Axonal Injury

    Epidural Hematoma

    Subdural Hematoma

    Frontal Lobe InjuryFrontal Lobe Injury

    The frontal lobe of the brain can beinjured from direct impact on thefront of the head.

    During impact, the brain tissue isaccelerated forward into the bonyskull. This can cause bruising of

    Click image to play or pause video

    blood vessels.

    Frontal lobe injuries can causechanges in personality, as well asmany different kinds ofdisturbances in cognition andmemory.

    Occipital Lobe InjuryOccipital Lobe Injury

    Occipital lobe injuriesoccur from blows to theback of the head.

    This can cause bruisingof the brain tissue andtearing of blood vessels.

    Click image to play or pause video

    These injuries can resultin vision problems oreven blindness.

    Temporal Lobe InjuryTemporal Lobe Injury

    The temporal lobe of the brain isvulnerable to injury from impactsof the front of the head.

    The temporal lobe lies upon thebony ridges of the inside of the

    skull, and rapid acceleration can

    Click image to play or pause video

    into the bone, causing tissuedamage or bleeding.

    Side Impact InjurySide Impact Injury

    Injuries to the right or left sideof the brain can occur frominjuries to the side of the head.

    Injuries to this part of the braincan result in language or

    speech difficulties, and

    Click image to play or pause video

    .

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    Coup/ContreCoup/Contre--coup Injurycoup Injury

    A French phrase that describesbruises that occur at two sitesin the brain.

    When the head is struck, theimpact causes the brain tobump the opposite side of the

    Click image to play or pause video

    .area of impact and on theopposite side of the brain.

    Diffuse Axonal InjuryDiffuse Axonal Injury

    Brain injury does not require adirect head impact. Duringrapid acceleration of the head,

    some parts of the brain canmove separately from otherparts. This type of motioncreates shear forces that can

    destroy axons necessary forbrain functioning.

    These shear forces can stretchthe nerve bundles of the brain.

    More on diffuse axonal injury.

    Click image to play or pause video

    Diffuse Axonal InjuryDiffuse Axonal InjuryThe brain is a complexnetwork of interconnections.Critical nerve tracts can besheared and stressed duringan acceleration-type of injury.

    Diffuse axonal injury is a very seriousinjury, as it directly impacts the majorpathways of the brain.

    Epidural HematomaEpidural Hematoma

    An epidural hematoma is ablood clot that forms betweenthe skull and the top lining ofthe brain (dura).

    This blood clot can cause fastchanges in the pressure inside

    Click image to play or pause video

    .

    When the brain tissue iscompressed, it can quicklyresult in compromised bloodflow and neuron damage.

    Subdural HematomaSubdural Hematoma

    A subdural hematoma is ablood clot that forms betweenthe dura and the brain tissue.

    The clot may cause increasedpressure and may need to be

    removed surgically.

    Click image to play or pause video

    When the brain tissue iscompressed, it can quicklyresult in compromised blood

    flow and tissue damage.

    Brain FunctionsBrain Functions

    Vision

    Taste Cognition Emotion Speech Language Hearin Motor Cortex Sensory Cortex Autonomic Functions

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    VisionVision

    The visual cortex resides in theoccipital lobe of the brain.

    Sensory impulses travel fromthe eyes via the optic nerve tothe visual cortex.

    Dama e tothevisual cortexcan result in blindness.

    TasteTaste

    The gustatory complex(green circle) is the partof the sensory cortex(purple area) that isresponsible for taste.

    CognitionCognition

    The prefrontal cortex isinvolved with intellect,complex learning, andpersonality.

    Injuries to the front lobe

    can cause mental andpersona ty c anges.

    EmotionEmotion

    Emotions are an extremelycomplex brain function. Theemotional core of the brain is thelimbic system. This is wheresenses and awareness are firstprocessed in the brain.

    Prefrontal cortex

    oo an persona ty aremediated through the prefrontalcortex. This part of the brain isthe center of higher cognitive andemotional functions. Limbic system

    SpeechSpeech

    Brocas area is where we

    formulate speech and thearea of the brain that sendsmotor instructions to themotor cortex.

    Injury to Brocas area can

    Brocas Area

    cause cuty n spea ng.The individual may knowwhat words he or she wishesto speak, but will be unable

    to do so.

    LanguageLanguage

    Wernickes area is a

    specialized portion of theparietal lobe that recognizesand understands written andspoken language.

    Wernickes area surrounds the

    Auditory Association Area

    au tory assocat on area.

    Damage to this part of thebrain can result in someonehearing speech, but notunderstanding it.

    Wernickes Area

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    HearingHearingThere are two auditoryareas of the brain:

    The primary auditory

    area (brown circle) is whatdetects sounds that aretransmitted from the ear. Itis located in the sensorycortex.

    The auditory associationarea (purple circle) is thepart of the brain that is

    used to recognize thesounds as speech, music,or noise.

    Motor CortexMotor CortexThe motor portion of the

    cerebrum is illustrated here. Thelight red area is the premotorcortex, which is responsible for

    repetitive motions of learnedmotor skills. The dark red area isthe primary motor area, and isresponsible for control ofskeletal muscles.

    Different areas of the brain are

    associated with different parts ofthe body.

    Injury to the motor cortex can

    result in motor disturbance in theassociated body part.

    Sensory CortexSensory CortexThe sensory portion of thecerebrum is illustrated here.

    Different areas of the brain areassociated with different parts ofthe body, as can be seen below.

    Injury to the sensory cortex canresult in sensory disturbance inthe associated body part.

    Autonomic FunctionsAutonomic FunctionsThe brainstem controls the basicfunctions of life. Damage to theseareas of the brain are usuallyfatal:

    The pons plays a critical role inrespiration.

    responsible for respiration andcardiovascular functions.

    Pons

    Medulla Oblongata

    BibliographyBibliography

    The following are excellent resources and were the basis of the anatomical andfunctional components of this presentation:

    The Human Brain: An Introduction to Its Functional Anatomy, Fifth Edition. JohnNolte, Mosby, 2002. ISBN: 0-323-01320-1 Purchase Here

    Coping with Mild Traumatic Brain Injury. Dr. Diane Stoler, Avery Penguin Putnam,1998. ISBN: 0895297914 Purchase Here

    uman naomy an ysoogy, on. ane . are ,

    Benjamin/Cummings, 2000. ISBN: 0805349898. Purchase Here