Nerve system

1 CNS(central nerve system)

  • Brain
  • Spinal cord

2. PNS(peripheral nerve system)

  • Spinal nerve
  • Cranial nerve
  • All other nerves except CNS
  1. Brain 
  2. Cerebrum 
  • Frontal(Motor)

 → Broca area(frontal) : motor speech area, if this area damaged : Broca’s aphasia(kow what they wish to say but unable to speak words)

  • Parietal(Sensory)
  • Temporal(Auditory)

 → Wernicke’s area(temporal and parietal) : speech comprehension, if damaged: Wernicke’s aphasia(speak fluently, but nonsense speech, don’t understand words)

  • Occipital(vision)
  • Limbic system : emotional brain

2) Diencephalon 

  • Thalamus
  • Hypothalamus : regulates homeostasis, secret hormones
  • Epithalamus
  • Subtalamus 

3)  Brain stem 

  • Midbrain(substantia nigra)
  • Pons : control intensity of breathing
  • Medulla oblongata: control breathing and heart rate

4)  Cerebellum ; Maintain balance and posture, coordinating muscle movement

2. Spinal cord

  • Dorsal horn : sensory neurons, Afferent neurons
  • Ventral horn : Motor neurons, Efferent neurons
  1. Spinal nerve (8 cervical, 12 thoracic, 5 lumbar, 5 sacral, 1 coccyx)
  2. Plexus

Cervical plexus(C1 to C4)

C4 :Phrenic nerve → control diaphrgam

Brachial  plexus

Radial nerve

Median nerve

Ulnar nerve

Musculocutaneous nerve

Axillary nerve

Cranial Nerve

  1. CN I (Olfactory nerve / sense) : smell
  2. CN II (Optic nerve / sense ) : vision
  3. CN III ( Oculomotor nerve / motor) 
  • Motor : Eye movement :controls all muscles of the eye except for the superior oblique muscle controlled by the trochlear nerve
  • Pupil light response- constrict pupil
  1. CN IV (Trochlear nerve / motor) : Eye movement superior oblique
  2. CN V ( Trigeminal nerve / sensory and motor )
  • Sensory : skin of the face
  • Motor : chewing
  • pupil dilatation

6. CN VI ( Abducens nerve / motor ) : Eye movement lateral rectus

7. CN VII ( Facial nerve / sensory and motor)

  • Sensory : sense of the taste for most tongue(⅔)
  • Motor : facial expression, eyelid closing
  • Lacrimation, salvation

8. CN VIII ( Vestibulocochlear nerve / sensory ) ; hearing and balance

9. CN IX ( Glosspharyngeal nerve / sensory and motor)

  • Sensory : oral sensation, taste of the back part of the tongue
  • Motor : swallowing
  • Salivation, gag reflex

10. CN X (Vagus nerve / sensory and motor)

  • Swallowing, gag reflex, coughing, heart rate,  peristalsis, sweating (Provide sensory and Parasympathetic supply to structure in the neck and most organs in the chest and abdomen)

11. CN XI ( Accessory nerve / motor) : controls the neck muscles

12. CN XII ( Hypoglossal nerve / motor ) :controls tongue movement

  • Pure motor : oculomotor, trochlear, abducent, accessory, hypoglossal
  • Pure sense : olfactory, optic, vestibulocochlear
  • Mixed : trigeminal, facial, glossopharyngeal, vagus
  • Parasympathetic : oculomotor, facial, grossopharyngeal, vagus

Peripheral nerve system

  1. Somatic nerve system
  2. Autonomic nerve system

Somatic nerve system

  • somatic nervous system allows you to move and control muscles throughout your body.
  • The somatic nervous system consists of nerves that go to the skin and muscles and is involved in conscious activities. 
  • voluntary movement
  1. Somatic sensory fibers = afferent
  2. Motor nerve fibers = efferent

Autonomic system

  • The autonomic nervous system consists of nerves that connect the CNS to the visceral organs such as the heart, stomach, and intestines. It mediates unconscious activities.
  • Involuntary movement
  1. Sympathetic : fight or flight
  2. Parasymphatetic : relax and digest

Sensory Receptors

Muscle spindles and Golgi tendon Organ

  1. Muscle spindles
  2. Golgi tendon organ

Nerve fibers – Classification : image

  1. A type
  2. Alpha 
  • Efferent(somatic motor) : skeleton muscle
  • Afferent(proprioceptor)  : Ia(muscle spindle), Ib(golgi tendon organ)
  1. Beta
  • Mechenoafferent of skin(fine touch, pressure, vibration)
  • Type II afferent fibers( muscle spindle)
  1. Gamma
  • Efferets : Muscle spindle
  1. Delta
  • Afferent : Type III, fast(sharp) pain and temperature(cold)

 2.   B type : preganglionic sympathetic(autonomic nervous system)

 3.   C type 

  • Dorsal root : t(afferent, type IV) : slow pain, temperature(hot)
  • Sympathetic : postganglionic
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