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FISIOLOGI SUSUNAN SYARAF PUSAT & KELAINAN YANG MUNGKIN TIMBUL Rahmatina B. Herman Bagian Fisiologi FK-UNAND

Rahmatina B. Herman Bagian Fisiologi FK-UNAND. Overview Central Nervous System (CNS) CNS consists of brain and spinal cord Estimated 100 billion neurons

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Rahmatina B. Herman Bagian Fisiologi FK-UNAND Slide 2 Overview Central Nervous System (CNS) CNS consists of brain and spinal cord Estimated 100 billion neurons in brain are assembled into complex networks that enable human to: 1. subconsciously regulate internal environment 2. experience emotions 3.voluntarily control movements 4. perceive (be consciously aware of) body and surroundings 5.engage in other higher cognitive processes such as thought and memory Slide 3 Overview .Central Nervous System (CNS) No part in brain acts in isolation from other brain regions Networks of neurons are anatomically linked by synapses Neurons throughout brain communicate extensively with each other by electrical and chemical means Even though the brain is a functional whole, it is organized into different regions Slide 4 Overview .Central Nervous System (CNS) Physiologically parts of brain can be grouped into: 1.Forebrain: a.Cerebrum:-cerebral cortex -basal nuclei b.Diencephalon:-thalamus -hypothalamus 2. Cerebellum 3.Brain stem Slide 5 Slide 6 Overview Functions of Brain FOREBRAIN: CEREBRUM Cerebral cortex 1.Sensory perception 2.Voluntary control of movement 3.Language 4.Personality traits 5.Sophisticated mental events, such as thinking, memory, decision making, creativity, self consciousness Basal nuclei 1.Inhibition of muscle tone 2.Coordination of slow, sustained movements 3.Suppression of useless patterns of movements Slide 7 Overview Functions of Brain FOREBRAIN: DIENCEPHALON Thalamus 1.Relay station for all synaptic input 2.Crude awareness of sensation 3.Some degree of consciousness 4.Role in motor control Hypo- thalamus 1.Regulations of many homeostatic functions, such as temperature control, thirst, urine output, food intake 2.Important link between nervous and endocrine systems 3.Extensive involvement with emotion and basic behavioral patterns Slide 8 Overview Functions of Brain CEREBELLUM 1.Maintenance of balance 2.Enhancement of muscle tone 3.Coordination and planning of skilled voluntary muscle activity BRAIN STEM ( MIDBRAIN, PONS, MEDULLA ) 1.Origin of majority peripheral cranial nerves 2.Cardiovascular, respiratory, digestive control centers 3.Regulations of muscle reflexes involved with equilibrium and posture 4.Reception and integration of all synaptic input from spinal cord: arousal and activation of cerebral cortex 5.Role in sleep-wake cycle Slide 9 Cerebral Cortex 4 pairs of lobes for different activities: 1. Occipital lobes: initial processing of visual input 2.Temporal lobes:initial receiving of sound sensation 3.Parietal lobes:receiving and processing sensory input 4.Frontal lobes:- voluntary motor activity - speaking ability - elaboration of thought Slide 10 Slide 11 Parietal lobes: Somatosensory Cortex Somesthetic sensation: sensation from surface of body: touch, pressure, heat, cold, pain, etc Proprioception: awareness of body position Sensory homunculus Slide 12 Parietal lobes: ..Somatosensory Cortex Localizes source Perceives level of intensity of stimulus Spatial discrimination: shapes of object, distinguish differences in similar subject Projects the sensory input to adjacent higher sensory areas for further elaboration, analysis, and integration Receive sensory input from the opposite side of body Damage: sensory deficit/losses of the opposite side Slide 13 Frontal lobes: Primary Motor Cortex Voluntary control over movement produced by skeletal muscle Motor homunculus Extent of representation in motor cortex is proportional to the precision and complexity of motor skills Controls muscle on the opposite side of body Damage: paralysis on the opposite side Slide 14 Other Region for Motor Control Supplementary motor area: -Programming complex sequences of movement Premotor cortex -Orienting body and arms toward target Posterior parietal cortex -integration of somatosensory and visual input, important for complex movement Lesions: interfere with performance of integrated movements (not paralysis) Slide 15 Slide 16 Slide 17 Slide 18 Aspects of Communication Two aspects of communication 1.The sensory aspect (language input) that involving: -ears, and -eyes 2.The motor aspect (language output) that involving: -vocalization, and -its control Slide 19 Wernickes area Brocas area Slide 20 Brocas and Wernickes Area: Complex Form of Communication Brocas area: speaking ability Wernickes area: -critical role in understanding both spoken and written massage -formulating coherent patterns of speech -controls articulation of speech 1. Formation in mind of thoughts to be expressed and choice of words to be used 2. Motor control of vocalization and actual act of vocalization itself Slide 21 Slide 22 Language Disorders Destruction of portions of auditory and visual association areas of cortex can result in inability to understand: -the spoken word, and/or -the written word These conditions are called respectively: -auditory receptive aphasia (word deafness) -visual receptive aphasia (word blindness = dyslexia) Slide 23 .Language Disorders Destruction of Brocas area: -capable of deciding what he wants to say and vocalizing but cannot make vocal system emit words instead of noises These conditions is called: -motor aphasia Slide 24 .Language Disorders Destruction of Wernickes area: -capable of understanding either the spoken word or the written word but are unable to interpret the thought to be expressed and choice of words to be used These conditions is called: -Wernickes aphasia Slide 25 Basal Nuclei (Ganglia Basalis) Play an important inhibitory role in motor control Lesions in globus pallidus frequently lead to spontaneous and often continuous writhing movements of a hand, an arm, the neck, or the face which is called athetosis Slide 26 .Basal Nuclei (Ganglia Basalis) Lesion in subthalamus often leads to flailing movements of entire which is called hemiballismus Lesions in putamen leads to flicking movements in hands, face and other parts of body, which is called chorea Lesions of substantia nigra leads to common and extremely severe disease of rigidity, akinesia, and tremors known as Parkinsons disease Slide 27 Limbic System Is not a separate structure A ring of forebrain structures that surround brain stem and interconnected by intricate neurons pathway Complex interacting networks which is associated with emotions, basic survival and sociosexual behavioral patterns, motivation and learning Slide 28 Slide 29 Memory Physiologically, memories caused by changes in capability of synaptic transmission from one neuron to the next as a result of previous neural activity The changes in turn cause new pathways or facilitated pathways to develop for transmission of signals through the neural circuits of the brain The new or facilitated pathways are called memory traces Slide 30 Consolidation of Memory Short-term memory to be converted into long-term memory, it must become consolidated That is, chemical, physical and anatomical changes in synapses which are responsible for long-term type of memory This process requires 5-10 minutes for minimal consolidation and 1 hour for strong consolidation Slide 31 ..Consolidation of Memory Specific parts of brain in memory process is hippocampus Hippocampus can promote storage of memories Hippocampus is not important in reflexive learning Slide 32 Hippocampus Is one of the most important output pathways from reward and punishment areas at limbic system These provide background mood and motivations Motivations is the drive in brain to remember experiences and thoughts that are either pleasant or unpleasant Slide 33 Amnesia Anterograde After removal of hippocampi: -memory for information stored in brain before hippocampal removal is not seriously affected -but after removal that person has no capability for storing verbal and symbolic types of memories in long-term memory, or even in intermediate long-term memory > So this person is unable to establish new long-term memory which is basis of intelligence or learning. >This is called anterograde amnesia Slide 34 Amnesia Retrograde Inability to recall memories from the past Degree of amnesia for recent events is likely to be much greater than for events the distant past, because memories for events distant past have been rehearsed so many times Caused by damage in some area of thalamus, because thalamus might play a role in helping search memory store house and thus read out the memories Slide 35 Slide 36 Slide 37 Slide 38 Slide 39 Slide 40 Slide 41