The Central Nervous System
Coverings of the Brain
- The Cranium the bony vault of the skull.
- Meninges tough, moist membranes surrounding the brain and spinal cord. Infection
of meninges is called meningitis.
- Dura mater outermost membrane. Very tough, protective layer consisting of:
- The Periosteal layer thick, outer portion, continuous with the periosteum of the
- Meningeal layer- thin, inner portion. The spinal dura mater consists only of this layer.
- Subdural space only a potential space which may fill with fluid or blood
B. Arachnoid layer a fibrous, delicate middle
zone. Below this layer is the subarachnoid space filled with
- Pia mater innermost of the meningial layers. It is closely adherent to the
surface of the brain and spinal cord.
Cerebrospinal Fluid and the Ventricles of the Brain
Cerebrospinal fluid circulates through the subarachnoid space and the ventricles of the
brain, as well as, around the spinal cord. CSF is manufactured by specialized blood
vessels, the choroid plexi. These vessels are located within spaces of the brain called
the ventricles. The brain contains four ventricles:
- The Lateral ventricles Each cerebral hemisphere contains a lateral ventricle
(ventricles I and II). These ventricles are locate immediately below the corpus callosum.
They are separated from one another by a thin partition called the septum pellucidum.
- The Third Ventricle This ventricle is found below the lateral ventricles in the
diencephalon. Each lateral ventricle is connected to the III ventricle by a narrow opening
the Foramen of Monro.
- The Fourth Ventricle This ventricle is found between the brain stem and the
cerebellum. The III and IV ventricles are connected by a channel called the Aqueduct of
Sylvius. The floor of the IV ventricle has three small holes, called the Foramen of
Magendie (medial opening) and the Foramina of Luschka (lateral openings) which open into
the subarachnoid space.
Characteristics of CSF
- It is a clear, colorless liquid.
- Its total volume is only about 125 ml at any given time.
- CSF contains proteins, glucose, urea, salts and leukocytes. Erythrocytes are absent
unless there has been some trauma causing bleeding into the ventricles or subarachnoid
- It acts as a shock absorbing fluid and distributes nutrients to the brain and meningeal
- After being released from within the brain, CSF is absorbed by blood vessels on the
surface of the brain and spinal cord.
The cerebrum is the largest and most highly developed portion of the human brain. The
surface of the cerebrum shows raised ridges called gyri. The gyri are separated from each
other by sulci, indentations in the surface.
Cerebral Hemispheres The cerebrum is divided into two identical cerebral
hemispheres. A deep indentation the sagittal fissure separates the
Cerebral Lobes Each hemisphere is divided physically and functionally into four
lobes. The lobes are named after the overlying cranial bones. The cerebral lobes comprise
most of the cerebral cortex.
conscious motor control.
skilled motor activities. This area
the Primary Motor Area.
the elaboration of thought and
Site of the "prefrontal lobotomy".
movements of the mouth, tongue,
and respiratory muscles involved in
Somatic Sensory Area
with the interpretation of sensory
from various regions of the body,
the skin, i.e., General Sensation.
for the interpretation of visual
Sight. It is the destination of the optic
and interpretation of auditory input.
of sensory information from
lobes. Information about visual and
input are given meaning here. This
is only found in the left hemisphere.
Term Memory Area Stores short-term
memory (from a few minutes
and interpret information on odor. Is
destination of the olfactory tract and CN I.
Basal Cerebral Ganglia (actually nuclei)
- Nuclei buried deep in the cerebrum just superior to the thalamus.
- The basal ganglia control the background, gross, intentional body movements which are
always associated with the more precise movements of arms, hands, fingers and feet. For
example, when you are picking up a pencil, the conscious reach and grasp actions are
performed by the arm, hand and fingers. The cerebral nuclei position your shoulder and
stabilize the arm.
- The basal nuclei help maintain body posture and muscle tone.
- Component structures of the basal nuclei are the caudate nucleus, the lentiform nucleus,
the globus pallidus and the putamen.
Cerebral Tracts There are four principal tracts of white matter passing
through the cerebrum:
- Corpus callosum a flat, sheet-like nerve tract connecting the right and left
cerebral hemispheres. Contains more than 200 million axons.
- Optic radiation consists of bundles of axons connecting the lateral geniculate
body of the thalamus to the occipital lobe. It relays visual signals from the eyes to the
occipital lobe. As nerve fibers in the left optic nerve reach the optic chiasm, about one
half of them cross over to the right side of the brain. The remaining fibers continue to
the lateral geniculate nucleus on the left side. From here, all visual nerve fibers enter
the optic radiation and pass into the left occipital lobe. The same pattern is repeated on
the other side of the brain.
- Internal capsule contains axons passing between the thalamus, caudate nucleus and
putamen. The internal capsule serves as a relay between the cerebral cortex and the lower
brain and spinal cord.
- Corona radiata consists of a great mass of nerve fibers (axons) originating in
the internal capsule and fanning out into the cerebral cortex.
Limbic System The limbic system includes nuclei and nerve tracts along the
border between the cerebrum and the diencephalon.
Components of the Limbic System
- Hippocampus (sea horse) is a region for the storage and retrieval of long tern memory.
- Fornix is a tract of white matter that connects the hippocampus with the hypothalamus.
- Mamillary bodies is a nipple-like protrusion from the hypothalamus which receives fibers
from the fornix. They process sensory information and movements associated with eating,
e.g., chewing, licking and swallowing.
The diencephalon is located directly under the corpus callosum. The third ventricle is
found in the diencephalon. The diencephalon is composed of three major regions:
A. Thalamus is a motor relay station for
sensory information from the spinal cord to the
- All somesthetic sensory signals (touch, pressure and pain) are relayed through the
thalamus to the Somatic Sensory area of the cerebrum.
- Visual signals are relayed to the temporal lobe via the lateral geniculate nuclei.
- Auditory signals are relayed to the temporal lobe via the medial geniculate nucleus.
- Signals for the coordination of muscle activity pass through the thalamus from the
cerebellum and brain stem to the motor cerebral cortex and basal ganglia.
- The thalamus is the largest portion of the diencephalon. It is yo yo shaped,
i.e., has two large lateral portions connected in the center by the intermediate mass
(massa intermedia). The space around the intermediate mass is the third ventricle.
B. Epithalamus is located in the most
superior and anterior portion of the diencephalon.
- The choroid plexus of the third ventricle is found in the epithalamus.
- The posterior commissure is found here. This is another nerve tract uniting the two
sides of the brain.
- The epithalamus contains the pineal body. The pineals function remains unclear. It
produces melatonin, a substance that may affect the wake-sleep cycle, biorhythms, the
onset of puberty and emotional states (SAD).
C. Hypothalamus is located just below the thalamus.
It is a major center for the control of
internal body functions through the activities of several nuclei:
- Preoptic nucleus controls body temperature.
- Supraoptic nucleus lies just above the optic nerves. It regulates the secretion
of anti-diuretic hormone. This hormone helps to regulate the balance between fluids and
electrolytes in the body (osmoregulation), as well as, blood pressure.
- Paraventricular nucleus manufactures the hormone oxytocin which stimulates the
smooth muscle of the uterus, mammary glands and prostate gland to contract.
- Medial nuclei produce a sense of satiety or satisfaction from food intake when
blood sugar rises.
- Lateral regions of the hypothalamus Stimulation of this area produces the feeling
of hunger of thirst depending on the precise location stimulated.
- Sympathetic Autonomic Center is located in the posterior hypothalamus. This
nucleus excites the SNS to increase the overall activity of many organ systems.
- Parasympathetic Autonomic center is located in the anterior hypothalamus. This
nucleus turns up the activity of the PNS.
- The hypothalamus communicates directly with the pituitary gland and serves as the hub
directing the operations of the pituitary. For example, nuclei in the hypothalamus
manufacture releasing and inhibiting factors controlling the secretion of hormones form
the anterior pituitary. The hormones released form the posterior pituitary (oxytocin and
ADH) are actually manufactured in the hypothalamic nuclei. These hormones then move
through nerve tracts in the infundibulum, a stalk-like structure, into the posterior
pituitary for storage and release.
The cerebellum is located posterior to the pons and medulla oblongata. Through its
nerve connections to the cerebrum and spinal cord, it coordinates all motor activity of
- Superior cerebellar peduncle connects the cerebellum to the midbrain,
diencephalon and cerebrum.
- Middle cerebellar peduncle connects the cerebellum to sensory and motor nuclei in
- Inferior cerebellar peduncle connects the cerebellum to the medulla oblongata.
- Externally, the cerebellum is composed of a middle structure called the vermis and two
- Internally, the cerebellum exhibits a cortex and a subcortical white matter:
- Cerebellar cortex a 3 to 5 mm thick sheet of 30 billion nerve cells which covers
the highly convoluted cerebellar surface. Very large Purkinje cells are located here. Each
cell can synapse with several thousand incoming axons.
- White matter consists of bundles of axons forming tracts. This white matter shows
a distinct branching configuration when seen in sagittal section. Early anatomists
referred to this arrangement as the "arbor vitae" the tree of life.
- Deep nuclei are found in the center of each hemisphere. Axons arising from these cells
carry messages out of the cerebellum. Among these structures are the dentate nucleus, the
fastigial nucleus, the emboliform nucleus and the globose nuclei.
- The folds in the surface of the cerebellum are called Folia.
- Damage to the cerebellum (stroke) will produce ataxia , a disturbance in balance.
The Brain Stem
The brain stem is the last major portion of the brain. It contains the centers for
regulating physiological processes, e.g., respiration, blood pressure, heart rate and
A. Midbrain is the uppermost region of the
- It is located at the junction of the cerebellum and pons.
- It is a relay station for motor and sensory messages between parts of the brain and
between the brain and spinal cord.
- It contains the cerebral peduncles (little feet). These are ventrolateral bulges that
contain sensory fibers going to the thalamic nuclei and motor fibers headed for the
pyramidal tract of the medulla oblongata.
- The tectum is the posterior (dorsal) region of the midbrain. Two pairs of rounded
protrusions, the corpora quadrigemina are found here. The quadrigemina consist of two
superior colliculi which coordinate motor reflexes initiated by visual stimuli, e.g.,
turning the head towards a flash of light. The two inferior collicoli coordinate motor
reflexes due to auditory input, e.g., a loud noise.
- The center of the reticular formation is located in the midbrain. The reticular
formation consists of a network of interconnected nuclei throughout the brain stem.
- The reticular formation is responsible for control and coordination of stereotypic body
movements, e.g., righting reflexes, turning of the trunk, and postural motion of limbs.
- It constitutes a system producing activation and arousal of the entire brain.
6. The midbrain contains the red nucleus which
provides unconscious regulation of motor activities
such as muscle tone and posture. The red nucleus has a very
rich blood supply giving it a deep red color.
7. The substantia negra is located lateral to the
red nucleus. The substantia negra controls motor
tracts from the cerebrum by releasing an inhibitory
neurotransmitter, dopamine. Damage to this area leads to
"undampened" motor activity as seen in
8. The midbrain contains the nuclei for the oculomotor
(CN III) and trochlear (CN IV) nerves.
B. The Pons is located just superior to the
medulla oblongata and inferior to the midbrain.
1. It contains many of the longitudinal nerve tracts passing through the brain
- Corticospinal tracts are motor tracts extending from the cerebral cortex to
ventral horn motor cells in the gray matter of the spinal cord. The axons of these tracts
originate at pyramidal cells of the cerebral cortex and pass directly to the motor neurons
of the spinal cord.
- Spinothalamic tracts are sensory tracts carrying nerve messages of crude touch,
pain and temperature.
- Medial lemniscus is a sensory tract carrying messages of fine touch and proprioception.
2. The pons contains
nuclei for regulating respiratory movements:
- The apneustic center stimulates the respiratory rhythmicity center (RRC) in the medulla
oblongata to produce inspiration.
- The pneumotaxic center inhibits the RRC producing a passive expiration.
3. The pons contains the
nuclei for four cranial nerves:
- Trigeminal (V) controls muscle of iris regulating pupil size and carries sensory
messages from the face.
- Abducens (VI) controls eye movements.
- Facial (VII) controls muscles of facial expression, salivation and taste.
- Vestibulocochlear (VIII) hearing and balance.
4. The Pons contains
tracts that connect the cerebellum with the brain stem, cerebrum and
spinal cord through the
C. Medulla oblongata is the last region of
the brain stem before the spinal cord.
1. The Pyramids are two protruding, longitudinal columns on the
anterior surface of the
medulla. They contain the cortico-spinal tracts.
- Corticospinal tracts contain descending nerve fibers for the control of conscious motor
- In the lower medulla, these tracts decussate (cross over). As a result, the left
cerebral cortex initiates motor activity on the right side of the body and vice versa.
This is referred to as Decussation of the Pyramids. 85% of the corticospinal tracts
2. Medullary nuclei are clusters of cell bodies within the
interior of the medulla that carry
out a variety of regulatory functions:
- Autonomic centers:
i. Cardiovascular centers regulate heart rate, and vasomotion.
ii. Respiratory rhythmicity center sets the breathing pace with input from the
apneustic and pneumotaxic centers of the pons.
These centers are located in the posterior and lateral medulla
oblongata. This region is referred to as the Reticular Formation.
- Relay stations for somatic sensory information are found in the bilateral nucleus
gracilis and nucleus cuneatus. After synapsing with cell bodies in these nuclei, the
sensory messages of fine touch and proprioception decussate into the medial lemniscus
which carries these messages to the ventral posterolateral nucleus of the thalamus. These
sensory messages have moved up the spinal cord through the dorsal or posterior column.
- Afferent fibers from cranial nerves V, VII, IX and X feed into the medial lemniscus.
3. The Spinothalamic pathway (anterior and lateral
spinothalamic tracts) passes through the medulla along
with the medial lemniscus and converges on the ventral posterolateral nucleus in
the thalamus. It carries sensory information of crude
touch, pressure and pain, as well as,
thermal sensation. There is no decussation of these messages in
the medulla. This has
already occurred in the spinal cord at the level of entry to the
4. The medulla is the origin of motor fibers and the
destination of sensory fibers of cranial
nerves IX (glossopharyngeal), X (vagus), XI (accessory) and XII