I. Brain Organization, Protection, and Nourishment. A. Major Parts of the Brain: brain stem, cerebellum, diencephalon, and cerebrum
B. Blood Flow Through the Brain.: substantial; 20% cardiac output at rest; Lack of blood flow > a couple of minutes = permanent damage. Glucose supply must be constant (Sx of hyper/hypoglycemia) 1. Arterial supply A. internal carotid arteries
B. Vertebral arteries. R. and L vertebral arteries join to become basilar artery inside the cranium 2. Venous drainage: venous sinuses into internal jugular veins 3. Blood Brain Barrier: protective A) Tight jctns. seal endothelial cells of brain capillaries B. Astrocytes processes press up against capillary walls
C. Lipid soluble substances pass easily; some other substances cross via AT, some slowly
C. Protective coverings of the brain 1. Cranial meninges like spinal meninges: dura, arachnoid, pia 2. Extensions of dura separate parts of the brain *falx cerebri = separates the 2 hemispheres of cerebrum *falx cerebelli = separates the 2 hemispheres of the CBLM *tentorium cerebelli = separates the cerebrum from CBLM
D. Cerebrospinal Fluid; 1. Mechanical protection: shock absorber
2. Chemical protection: optimal chemical environment for accurate neuronal signaling. 3. Circulation/ medium for exchange of O2, nutrients, wastes, etc.
4. Produced in choroid plexuses = capillary networks and ependymal cells in ventricular walls; A. 1. Continuous circulation of CSF thru ventricles, spinal canal, and subarachnoid space. Lateral ventricles (separated by septum pellucidum) ≡ through Interventricular foramina≡
3rd ventricle (in diencephalon) ≡ cerebral aqueduct of Sylvius in midbrain ≡ 4th ventricle in brain stem ≡Three openings in roof of 4th ventricle ≡Subarachnoid space, central