The Strain Rates in the Brain, Brainstem, Dura, and Skull Under Dynamic Loadings
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Distance Learning Program Anatomy of the Human Brain/Sheep Brain Dissection
Distance Learning Program Anatomy of the Human Brain/Sheep Brain Dissection This guide is for middle and high school students participating in AIMS Anatomy of the Human Brain and Sheep Brain Dissections. Programs will be presented by an AIMS Anatomy Specialist. In this activity students will become more familiar with the anatomical structures of the human brain by observing, studying, and examining human specimens. The primary focus is on the anatomy, function, and pathology. Those students participating in Sheep Brain Dissections will have the opportunity to dissect and compare anatomical structures. At the end of this document, you will find anatomical diagrams, vocabulary review, and pre/post tests for your students. The following topics will be covered: 1. The neurons and supporting cells of the nervous system 2. Organization of the nervous system (the central and peripheral nervous systems) 4. Protective coverings of the brain 5. Brain Anatomy, including cerebral hemispheres, cerebellum and brain stem 6. Spinal Cord Anatomy 7. Cranial and spinal nerves Objectives: The student will be able to: 1. Define the selected terms associated with the human brain and spinal cord; 2. Identify the protective structures of the brain; 3. Identify the four lobes of the brain; 4. Explain the correlation between brain surface area, structure and brain function. 5. Discuss common neurological disorders and treatments. 6. Describe the effects of drug and alcohol on the brain. 7. Correctly label a diagram of the human brain National Science Education -
Structure and Junctional Complexes of Endothelial, Epithelial and Glial Brain Barriers
International Journal of Molecular Sciences Review Structure and Junctional Complexes of Endothelial, Epithelial and Glial Brain Barriers Mariana Castro Dias *, Josephine A. Mapunda, Mykhailo Vladymyrov and Britta Engelhardt * Theodor Kocher Institute, University of Bern, 3012 Bern, Switzerland; [email protected] (J.A.M.); [email protected] (M.V.) * Correspondence: [email protected] (M.C.D.); [email protected] (B.E.) Received: 14 October 2019; Accepted: 26 October 2019; Published: 29 October 2019 Abstract: The homeostasis of the central nervous system (CNS) is ensured by the endothelial, epithelial, mesothelial and glial brain barriers, which strictly control the passage of molecules, solutes and immune cells. While the endothelial blood-brain barrier (BBB) and the epithelial blood-cerebrospinal fluid barrier (BCSFB) have been extensively investigated, less is known about the epithelial and mesothelial arachnoid barrier and the glia limitans. Here, we summarize current knowledge of the cellular composition of the brain barriers with a specific focus on describing the molecular constituents of their junctional complexes. We propose that the brain barriers maintain CNS immune privilege by dividing the CNS into compartments that differ with regard to their role in immune surveillance of the CNS. We close by providing a brief overview on experimental tools allowing for reliable in vivo visualization of the brain barriers and their junctional complexes and thus the respective CNS compartments. Keywords: brain barriers; blood-brain barrier; neurovascular unit; blood-cerebrospinal fluid barrier; arachnoid barrier; glia limitans; tight junctions; adherens junctions 1. Introduction The brain barriers established by the endothelial blood-brain barrier (BBB), the epithelial blood-cerebrospinal fluid barrier (BCSFB), the meningeal brain barriers and the blood spinal cord barrier are essential for maintaining central nervous system (CNS) homeostasis [1]. -
Lecture 4: the Meninges And
1/1/2016 Introduction • Protection of the brain – Bone (skull) The Nervous System – Membranes (meninges) – Watery cushion (cerebrospinal fluid) – Blood-brain barrier (astrocytes) Meninges CSF The Meninges The Meninges • Series of membranes • Three layers • Cover and protect the CNS – Dura mater • Anchor and cushion the brain – Arachnoid mater – • Contain cerebrospinal fluid (CSF) Pia mater The Meninges • Dura mater – “Tough mother” Skin of scalp Periosteum – Strongest meninx Bone of skull Periosteal Dura – Fibrous connective tissue Meningeal mater Superior Arachnoid mater – sagittal sinus Pia mater Limit excessive movement of the brain Subdural Arachnoid villus – space Blood vessel Forms partitions in the skull Subarachnoid Falx cerebri space (in longitudinal fissure only) Figure 12.24 1 1/1/2016 Superior The Meninges sagittal sinus Falx cerebri • Arachnoid mater – “Spider mother” Straight sinus – Middle layer with weblike extensions Crista galli – Separated from the dura mater by the subdural space of the Tentorium ethmoid cerebelli – Subarachnoid space contains CSF and blood vessels bone Falx Pituitary cerebelli gland (a) Dural septa Figure 12.25a The Meninges • Pia mater – “Gentle mother” – Connected to the dura mater by projections from the arachnoid mater – Layer of delicate vascularized connective tissue – Clings tightly to the brain T Meningitis TT121212 Ligamentum flavumflavumflavum L • LL555 Lumbar puncture Inflammation of meninges needle entering subarachnoid • May be bacterial or viral spacespacespace LLL444 • Diagnosed by -
Review of Spinal Cord Basics of Neuroanatomy Brain Meninges
Review of Spinal Cord with Basics of Neuroanatomy Brain Meninges Prof. D.H. Pauža Parts of Nervous System Review of Spinal Cord with Basics of Neuroanatomy Brain Meninges Prof. D.H. Pauža Neurons and Neuroglia Neuron Human brain contains per 1011-12 (trillions) neurons Body (soma) Perikaryon Nissl substance or Tigroid Dendrites Axon Myelin Terminals Synapses Neuronal types Unipolar, pseudounipolar, bipolar, multipolar Afferent (sensory, centripetal) Efferent (motor, centrifugal, effector) Associate (interneurons) Synapse Presynaptic membrane Postsynaptic membrane, receptors Synaptic cleft Synaptic vesicles, neuromediator Mitochondria In human brain – neurons 1011 (100 trillions) Synapses – 1015 (quadrillions) Neuromediators •Acetylcholine •Noradrenaline •Serotonin •GABA •Endorphin •Encephalin •P substance •Neuronal nitric oxide Adrenergic nerve ending. There are many 50-nm-diameter vesicles (arrow) with dark, electron-dense cores containing norepinephrine. x40,000. Cell Types of Neuroglia Astrocytes - Oligodendrocytes – Ependimocytes - Microglia Astrocytes – a part of hemoencephalic barrier Oligodendrocytes Ependimocytes and microglial cells Microglia represent the endogenous brain defense and immune system, which is responsible for CNS protection against various types of pathogenic factors. After invading the CNS, microglial precursors disseminate relatively homogeneously throughout the neural tissue and acquire a specific phenotype, which clearly distinguish them from their precursors, the blood-derived monocytes. The ´resting´ microglia -
Brain Structure and Function Related to Headache
Review Cephalalgia 0(0) 1–26 ! International Headache Society 2018 Brain structure and function related Reprints and permissions: sagepub.co.uk/journalsPermissions.nav to headache: Brainstem structure and DOI: 10.1177/0333102418784698 function in headache journals.sagepub.com/home/cep Marta Vila-Pueyo1 , Jan Hoffmann2 , Marcela Romero-Reyes3 and Simon Akerman3 Abstract Objective: To review and discuss the literature relevant to the role of brainstem structure and function in headache. Background: Primary headache disorders, such as migraine and cluster headache, are considered disorders of the brain. As well as head-related pain, these headache disorders are also associated with other neurological symptoms, such as those related to sensory, homeostatic, autonomic, cognitive and affective processing that can all occur before, during or even after headache has ceased. Many imaging studies demonstrate activation in brainstem areas that appear specifically associated with headache disorders, especially migraine, which may be related to the mechanisms of many of these symptoms. This is further supported by preclinical studies, which demonstrate that modulation of specific brainstem nuclei alters sensory processing relevant to these symptoms, including headache, cranial autonomic responses and homeostatic mechanisms. Review focus: This review will specifically focus on the role of brainstem structures relevant to primary headaches, including medullary, pontine, and midbrain, and describe their functional role and how they relate to mechanisms -
Meningioma ACKNOWLEDGEMENTS
AMERICAN BRAIN TUMOR ASSOCIATION Meningioma ACKNOWLEDGEMENTS ABOUT THE AMERICAN BRAIN TUMOR ASSOCIATION Meningioma Founded in 1973, the American Brain Tumor Association (ABTA) was the first national nonprofit advocacy organization dedicated solely to brain tumor research. For nearly 45 years, the ABTA has been providing comprehensive resources that support the complex needs of brain tumor patients and caregivers, as well as the critical funding of research in the pursuit of breakthroughs in brain tumor diagnosis, treatment and care. To learn more about the ABTA, visit www.abta.org. We gratefully acknowledge Santosh Kesari, MD, PhD, FANA, FAAN chair of department of translational neuro- oncology and neurotherapeutics, and Marlon Saria, MSN, RN, AOCNS®, FAAN clinical nurse specialist, John Wayne Cancer Institute at Providence Saint John’s Health Center, Santa Monica, CA; and Albert Lai, MD, PhD, assistant clinical professor, Adult Brain Tumors, UCLA Neuro-Oncology Program, for their review of this edition of this publication. This publication is not intended as a substitute for professional medical advice and does not provide advice on treatments or conditions for individual patients. All health and treatment decisions must be made in consultation with your physician(s), utilizing your specific medical information. Inclusion in this publication is not a recommendation of any product, treatment, physician or hospital. COPYRIGHT © 2017 ABTA REPRODUCTION WITHOUT PRIOR WRITTEN PERMISSION IS PROHIBITED AMERICAN BRAIN TUMOR ASSOCIATION Meningioma INTRODUCTION Although meningiomas are considered a type of primary brain tumor, they do not grow from brain tissue itself, but instead arise from the meninges, three thin layers of tissue covering the brain and spinal cord. -
Subarachnoid Trabeculae: a Comprehensive Review of Their Embryology, Histology, Morphology, and Surgical Significance Martin M
Literature Review Subarachnoid Trabeculae: A Comprehensive Review of Their Embryology, Histology, Morphology, and Surgical Significance Martin M. Mortazavi1,2, Syed A. Quadri1,2, Muhammad A. Khan1,2, Aaron Gustin3, Sajid S. Suriya1,2, Tania Hassanzadeh4, Kian M. Fahimdanesh5, Farzad H. Adl1,2, Salman A. Fard1,2, M. Asif Taqi1,2, Ian Armstrong1,2, Bryn A. Martin1,6, R. Shane Tubbs1,7 Key words - INTRODUCTION: Brain is suspended in cerebrospinal fluid (CSF)-filled sub- - Arachnoid matter arachnoid space by subarachnoid trabeculae (SAT), which are collagen- - Liliequist membrane - Microsurgical procedures reinforced columns stretching between the arachnoid and pia maters. Much - Subarachnoid trabeculae neuroanatomic research has been focused on the subarachnoid cisterns and - Subarachnoid trabecular membrane arachnoid matter but reported data on the SAT are limited. This study provides a - Trabecular cisterns comprehensive review of subarachnoid trabeculae, including their embryology, Abbreviations and Acronyms histology, morphologic variations, and surgical significance. CSDH: Chronic subdural hematoma - CSF: Cerebrospinal fluid METHODS: A literature search was conducted with no date restrictions in DBC: Dural border cell PubMed, Medline, EMBASE, Wiley Online Library, Cochrane, and Research Gate. DL: Diencephalic leaf Terms for the search included but were not limited to subarachnoid trabeculae, GAG: Glycosaminoglycan subarachnoid trabecular membrane, arachnoid mater, subarachnoid trabeculae LM: Liliequist membrane ML: Mesencephalic leaf embryology, subarachnoid trabeculae histology, and morphology. Articles with a PAC: Pia-arachnoid complex high likelihood of bias, any study published in nonpopular journals (not indexed PPAS: Potential pia-arachnoid space in PubMed or MEDLINE), and studies with conflicting data were excluded. SAH: Subarachnoid hemorrhage SAS: Subarachnoid space - RESULTS: A total of 1113 articles were retrieved. -
Spinal Meninges Neuroscience Fundamentals > Regional Neuroscience > Regional Neuroscience
Spinal Meninges Neuroscience Fundamentals > Regional Neuroscience > Regional Neuroscience SPINAL MENINGES GENERAL ANATOMY Meningeal Layers From outside to inside • Dura mater • Arachnoid mater • Pia mater Meningeal spaces From outside to inside • Epidural (above the dura) - See: epidural hematoma and spinal cord compression from epidural abscess • Subdural (below the dura) - See: subdural hematoma • Subarachnoid (below the arachnoid mater) - See: subarachnoid hemorrhage Spinal canal Key Anatomy • Vertebral body (anteriorly) • Vertebral arch (posteriorly). • Vertebral foramen within the vertebral arch. MENINGEAL LAYERS 1 / 4 • Dura mater forms a thick ring within the spinal canal. • The dural root sheath (aka dural root sleeve) is the dural investment that follows nerve roots into the intervertebral foramen. • The arachnoid mater runs underneath the dura (we lose sight of it under the dural root sheath). • The pia mater directly adheres to the spinal cord and nerve roots, and so it takes the shape of those structures. MENINGEAL SPACES • The epidural space forms external to the dura mater, internal to the vertebral foramen. • The subdural space lies between the dura and arachnoid mater layers. • The subarachnoid space lies between the arachnoid and pia mater layers. CRANIAL VS SPINAL MENINGES  Cranial Meninges • Epidural is a potential space, so it's not a typical disease site unless in the setting of high pressure middle meningeal artery rupture or from traumatic defect. • Subdural is a potential space but bridging veins (those that pass from the subarachnoid space into the dural venous sinuses) can tear, so it is a common site of hematoma. • Subarachnoid space is an actual space and is a site of hemorrhage and infection, for example. -
The Choroid Plexus: a Comprehensive Review of Its History, Anatomy, Function, Histology, Embryology, and Surgical Considerations
Childs Nerv Syst (2014) 30:205–214 DOI 10.1007/s00381-013-2326-y REVIEW PAPER The choroid plexus: a comprehensive review of its history, anatomy, function, histology, embryology, and surgical considerations Martin M. Mortazavi & Christoph J. Griessenauer & Nimer Adeeb & Aman Deep & Reza Bavarsad Shahripour & Marios Loukas & Richard Isaiah Tubbs & R. Shane Tubbs Received: 30 September 2013 /Accepted: 11 November 2013 /Published online: 28 November 2013 # Springer-Verlag Berlin Heidelberg 2013 Abstract Keywords Choroid plexus . Anatomy . Neurosurgery . Introduction The role of the choroid plexus in cerebrospinal Hydrocephalus fluid production has been identified for more than a century. Over the years, more intensive studies of this structure has lead to a better understanding of the functions, including brain Introduction immunity, protection, absorption, and many others. Here, we review the macro- and microanatomical structure of the Around the walls of the ventricles, folds of pia mater form choroid plexus in addition to its function and embryology. vascularized layers named choroid plexus. This vasculature Method The literature was searched for articles and textbooks along with the overlying ependymal lining of the ventricles for data related to the history, anatomy, physiology, histology, forms the tela choroidea. Sometimes, however, the term embryology, potential functions, and surgical implications of choroid plexus is used to describe the entire structure [1]. The the choroid plexus. All were gathered and summarized narrow cleft, to which the choroids plexus is attached in the comprehensively. ventricles, is defined as the choroidal fissure. [2] The discovery Conclusion We summarize the literature regarding the choroid of the choroid plexus is attributed to Herophilus, who named it plexus and its surgical implications. -
Techniques: Headache Honcho by Lisa Upledger, DC
Techniques: Headache Honcho by Lisa Upledger, DC Address migraine headaches with a light-touch modality—CranioSacral Therapy Our understanding of migraine headaches has come a long way since the days they were considered a psychological disorder reflecting poor coping skills, a low stress threshold, clinical depression, or borderline personality disorder. Now a recognized neurological condition, migraine disease affects approximately 30 million Americans, with up to 38 million having migraine genetic propensity. 1 In many situations, CranioSacral Therapy is one of the most valuable tools chiropractors can offer in the treatment of migraines. This light-touch modality helps normalize the craniosacral system and release meningeal and dural tube restrictions, allowing the structures of the central nervous system to resume optimal levels of functioning. Basic Anatomy of the Craniosacral System The craniosacral system, which houses the central nervous system (CNS), extends from the cranium, face, and mouth inferiorly to the sacrum and coccyx. It consists of a compartment formed by the dura mater membrane, cerebrospinal fluid within the membranes, systems regulating fluid flow, bones that attach to the membranes, and joints and sutures interconnecting these bones. Essentially, the craniosacral system operates like a semiclosed hydraulic system. There is a rhythmic rise and fall of cerebrospinal fluid volume and pressure within the boundaries formed by the dura mater. According to research performed at Michigan State University, 2-9 the cranial bones with their dural linings are in continual, minute motion to accommodate the constant fluid pressure changes within the membrane compartment. Through gentle palpation, CranioSacral Therapy practitioners use this rhythm as both an evaluative and therapeutic tool. -
The Role of the Pia Mater in Controlling Brain and Spinal Cord Intraparenchymal Pressure Daniel Harwell MD; Justin Louis Gibson; Richard D
The Role of the Pia Mater in Controlling Brain and Spinal Cord Intraparenchymal Pressure Daniel Harwell MD; Justin Louis Gibson; Richard D. Fessler MD; Jeffrey R. Holtz P.A.-C.; David B. Pettigrew MS PhD; Charles Kuntz, IV MD Department of Neurosurgery, University of Cincinnati and The Mayfield Clinic Introduction Conclusions Figure 2 Several multicenter randomized control trials have shown that decompression with The simulated edema model has durotomy/duroplasty significantly differential effects on brain and decreases intracranial pressure (ICP), spinal cord IPP. Brain IPP increased improving mortality. Currently, only slightly, consistent with the decompressive craniectomy combined with Figure 1 augmentative duraplasty is widely model that increased intracranial performed and is recommended by most pressure is primarily due to authors. However, there is a paucity of evidence regarding the effectiveness of constraints imposed by the cranium decompression of the spinal cord by and dura mater. In contrast, spinal Peak IPP, Final IPP after 5 days, Post- meningoplasty. cord IPP increased substantially. piotomy IPP. Key: left frontal (FL), right Piotomy immediately and frontal (FR), left parietal (PL), right parietal Methods (PR) lobes. Cervical (C) and thoracic (T) dramatically reduced spinal cord The supratentorial brain and spinal cord spinal cord. Bars: mean + standard were carefully removed from four fresh IPP. These data are consistent with deviation. * indicates statistical significance cadavers. The dura and arachnoid mater the hypothesis that intramedullary compared with FL, FR, PL, and PR peak investments were removed. ICP monitors IPP. were placed bilaterally in the frontal and pressure is primarily due to An example of one representative parietal lobes, as well as the cervical and constraints imposed by the pia preparation at baseline (A) and after (B) 5 Figure 3 thoracic spinal cord. -
Recurrent Activity-Induced Headache Associated with Posttraumatic Dural
Recurrent activity-induced headache associated with posttraumatic dural adhesion of the middle meningeal artery Lee Elisevich MS1, Justin Singer MD, Meggen Walsh DO Department of Clinical Neurosciences, Spectrum Health BACKGROUND IMAGING DISCUSSION v The dura mater and its vasculature are pain-producing An unusual headache presentation attributable to adhesion intracranial structures implicated in the pathogenesis of and traction of the middle meningeal artery against the inner headache1,2 calvarium provides some insight into the nature of headache v The middle meningeal artery (MMA) is a major vascular localized to this area. Surgical removal of the artery and constituent of the dura mater and is densely innervated by subsequent elimination of symptoms affirmed the cause was afferent fibers of the trigeminal nerve3 attributable to the adherence of the vascular structure and neighboring dura to the calvarium. Dural adhesion against the v Vasodilation and mechanical stimulation of the MMA in calvarium was ostensibly a consequence of the resolution of a awake patients have been associated with the production of posttraumatic epidural hemorrhage. The onset of the 1,4 pain consistent with symptoms of headache headache syndrome from the time of this patient’s v Mechanical perturbation of the MMA is a rarely considered Fig.1: Carotid angiograph of left middle meningeal artery, showing rollercoaster incident is thought to have resulted from the source of posttraumatic headache multifocal narrowing along posterior distribution (arrows) centrifugal force applied to a tethered MMA such as to induce sufficient traction upon local nociceptors to have perpetuated CASE REPORT the problem. The relationship between innervation of dural A 48-year-old Caucasian woman presented with a two-year arteries and headache disorders, especially migraine, has been studied extensively.