Neuroanatomy and Physiology

1 Neuroanatomy and Physiology


Jacob V. DiBattista, Ankur S. Narain, Fady Y. Hijji, Philip K. Louie, Daniel D. Bohl, and Kern Singh


1.1 Neuron Anatomy


Basic components (Table 1.1, Fig. 1.1).


Synaptic junction and signal transmission:


Mechanism of basic chemical synapses (Fig. 1.3).


Action potential (depolarization) reaches terminal branch of the presynaptic neuron.


N-type Ca2+ channels open, Ca2+ influx.


Associated pathologies: Lambert–Eaton myasthenic syndrome.


Ca2+ facilitates vesicle docking, neurotransmitter released into synaptic cleft.


Associated pathologies: botulism, tetanus (lockjaw).


Neurotransmitter binds neurotransmitter receptor (postsynaptic neuron).


Associated pathologies: myasthenia gravis.


Depending on its function, the neurotransmitter receptor creates either an excitatory postsynaptic potential (EPSP) or an inhibitory postsynaptic potential (IPSP).


Table 1.1 Basic anatomy of the neuron
































Component


Function


Dendrites


Receive signals from other neurons for transfer toward the cell body


Cell body (soma)


Contains cell nucleus. Site of protein and ATP production


Axon hillock


Portion of cell body that connects to axon. Final site of action potential summation (trigger zone)


Axon


Carries action potential from cell body to terminal branches


Myelin sheath


Fatty insulating layer around axon that facilitates action potential through saltatory conduction.


Oligodendrocytes myelinate neurons of the central nervous system (CNS). A single oligodendrocyte myelinates multiple neurons (Fig. 1.2a).


Schwann’s cells myelinate neurons of the peripheral nervous system (PNS). Multiple Schwann’s cells myelinate a single neuron (Fig. 1.2b).


Nodes of Ranvier


Occasional interruptions in the myelin sheath that expose the axonal membrane. Contain a high density of voltage-gated Na+ and K+ channels and Na+/K+ ATPases, which act to regenerate the action potential.


Terminal branches (boutons) of axon


Branched terminal portion of an axon. Site of neurotransmitter release into the synaptic cleft. Often referred to as the presynaptic terminal.



EPSPs depolarize the postsynaptic neuron and increase the probability of action potential formation.


IPSPs either hyperpolarize or resist depolarization of the postsynaptic neuron and decrease the probability of action potential formation.


The potentials across all dendrites are integrated in the cell body and axon hillock, determining whether or not an action potential will fire in the postsynaptic neuron.


A variety of mechanisms, including enzymatic degradation (i.e., acetylcholine) and presynaptic reuptake (i.e., serotonin), remove neurotransmitters from the synaptic cleft to end the postsynaptic stimulus.


Neuromuscular junction:


Specialized chemical synapse between motor neuron and muscle fiber.


Cholinergic synapse containing mainly nicotinic acetylcholine receptors.


Nerve impulse results in contraction of muscle fiber(s).



Motor unit:


A single motor neuron and all muscle fibers that it innervates.


A small motor unit contains three to six muscle fibers and controls muscles of fine control.


A large motor unit contains 100 to 1,000 muscle fibers and controls muscles of crude control and strength (i.e., biceps, quadriceps).


All muscle fibers of a single motor unit are of the same fiber type (types 1, 2a, and 2b).


Neuron types (Table 1.2).


Nerve fiber organization (Table 1.3, Fig. 1.4).


Nervous system organization (Fig. 1.5).


Afferent and efferent nerves (Table 1.4, Fig. 1.6):


Afferent nerve fibers carry sensory information and arrive at the spinal cord through dorsal roots.


Efferent nerve fibers carry motor information and exit the spinal cord through ventral roots.


Efferent motor neurons (Table 1.5, Fig. 1.7):


Upper motor neurons (UMNs)


Cell bodies originate within the primary motor cortex or brainstem nuclei.


Convey motor information by synapsing with lower motor neurons (LMNs, or interneurons) in the brainstem or spinal cord.


Mar 29, 2020 | Posted by in ORTHOPEDIC | Comments Off on Neuroanatomy and Physiology

Full access? Get Clinical Tree

Get Clinical Tree app for offline access