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SP 7A-RG: Cerebrospinal Fluid and the BBB
SP 7A-RG: Cerebrospinal Fluid and the Blood Brain Barrier Notecards
117
Physiology
Undergraduate 3
11/14/2012

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Term
The CNS is protected by enclosed, hard, bony structures.
-__________ encases the brain
-__________ __________ surrounds the spinal cord.
Definition
1) Cranium
2) Vertebral column
Term
In the CNS, what hard, bony structures protect the brain? The spinal cord?
Definition
1) Cranium
2) Vertebral column
Term
What are the three layers of the meninges?
Definition
1) Dura mater (tough mother)
2) Arachnoid mater (spider-like mother)
3) Pia mater (gentle mother)
Term
The __________ __________ is the outermost and thickest layer of the meninges.
Definition
1) Dura mater
Term
The __________ __________ is the delicate and richly vascularized layer of the meninges; it contains a subarachnoid space that is filled with cerebrospinal fluid.
Definition
1) Arachnoid mater
Term
The __________ __________ is the innermost layer of the meninges which is highly vascularized.
Definition
1) Pia mater
Term
The __________ __________ is the cushioning fluid of the brain.
Definition
1) Cerebrospinal fluid (CSF)
Term
The __________ __________ __________ limits the access of blood-borne materials into brain tissue.
Definition
1) Blood-brain-barrier (BBB)
Term
Which layer of the meninges is the outermost and thickest?
Definition
1) Dura mater
Term
Which layer of the meninges is the most delicate and richly vascularized layer?
Definition
1) Arachnoid mater
Term
Which layer of the meninges is the innermost layer and is highly vascularized?
Definition
1) Pia mater
Term
What fluid is responsible for cushioning the brain? From preventing blood-borne materials from entering brain tissue?
Definition
1) Cerebrospinal fluid2
2) Blood-brain-barrier
Term
What type of tissue is the meninges composed of?
Definition
1) Connective
Term
The __________ is the space within the canal (formed by the surrounding vertebrae) lying outside the dura mater (which encloses the arachnoid mater, subarachnoid space, the cerebrospinal fluid, and the spinal cord).
Definition
1) Epidural
Term
What is the epidural?
Definition
1) The space within the canal (formed by the surrounding vertebrae) lying outside the dura mater (which encloses the arachnoid mater, subarachnoid space, the cerebrospinal fluid, and the spinal cord).
Term
The subdural has __________ __________.
Definition
1) Serous fluid
Term
What is the space between the arachnoid mater and pia mater that is filled with cerebrospinal fluid?
Definition
1) Subarachnoid space
Term
What are three functions of the cerebrospinal fluid?
Definition
1) Serves as a shock-absorbing fluid to prevent the brain from hitting the skull
2) Exchanges materials between neural cells and interstitial fluid surround the brain
3) Constantly produces and flows out of CNS and into venous system
Term
What serves as the shock-absorbing fluid that prevents the brain from hitting the skull?
Definition
1) The cerebrospinal fluid
Term
What exchanges materials between neural cells and the interstitial fluid surrounding the brain?
Definition
1) The cerebrospinal fluid
Term
What constantly produces and flows out of the CNS into the venous system?
Definition
1) The cerebrospinal fluid
Term
Where is the cerebrospinal fluid produced?
Definition
1) In brain ventricles
Term
The cerebrospinal fluid is formed primarily by the __________ __________.
Definition
1) Choroid plexuses
Term
The __________ __________ is a richly vascularized mass of pia matter tissue that dip into pockets form by endymal cells.
Definition
1) Choroid plexuses
Term
What is the choroid plexuses? What cells form the pockets they dip into?
Definition
1) Vascularized masses of pia matter that dip into pockets formed by ependymal cells
Term
The __________ __________ forms as a result of selective transport mechanisms across the membrane of the choroid plexus.
Definition
1) Cerebrospinal fluid
Term
What is the pathway of the ventricular system from the lateral ventricles to the central canal?
Definition
1) Lateral ventricles -> 3rd ventricle -> cerebral aqueduct -> 4th ventricle -> central canal
Term
What are the ventricles of the brain?
Definition
1) Right lateral ventricle
2) Left lateral ventricle
3) Third ventricle
4) Fourth ventricle
Term
What is hydrocephalus? What is it commonly caused by?
Definition
1) Hydrocephalus is water on the brain; it is an extremely serious condition due to both the damage caused by the pressure and the agent which caused it
Term
The aqueduct between the __________ and __________ ventricles is very small, as are the __________, which means they are easily blocked causing high pressure in the __________ ventricles.
Definition
1) Third
2) Fourth
3) Formina
4) Lateral
Term
How much cerebrospinal fluid is usually produced? What is it's half life?
Definition
1) 135mL - 150mL
2) Three hours
Term
__________ is essentially a blockage of cerebrospinal fluid flow.
Definition
1) Hydrocephalus
Term
The ventricles are filled with cerebrospinal fluid which bathes and cushions the __________ and __________ __________ with their bony confines.
Cerebrospinal fluid is produced by modified __________ of the __________ __________.
Definition
1) Brain
2) Spinal cord
3) Ependymal cells
4) Choroid plexus
Term
Cerebrospinal fluid is found in all components of the __________ system except for the __________ __________ and the __________ and __________ horns of the lateral ventricles.
Definition
1) Ventricular
2) Cerebral aqueduct
3) Posterior
4) Anterior
Term
What are the three areas within the ventricular system where cerebrospinal fluid cannot be found?
Definition
1) The cerebral aqueduct
2) Posterior horns of the lateral ventricle
3) Anterior horns of the lateral ventricle
Term
Approximately __________-__________% of the cerebrospinal fluid is created by ependymal cells in the choroid plexus; the remainder is formed around blood vessels and along ventricular walls.
Definition
1) 50-70%
Term
The majority of cerebrospinal fluid is produced where? Where can the remainder be found?
Definition
1) Ependymal cells of the choroid plexus
2) Around blood vessels and ventricular walls
Term
Map the circulation of cerebrospinal fluid.
Definition
1) Lateral ventricles -> Foramen of Monro -> Third ventricle -> Aqueduct of Sylvius -> Fourth ventricle -> Foramen of Magendie -> Foramina of Luschka
Term
The cerebrospinal fluid is reabsorbed into __________ __________ blood via __________ __________.
Definition
1) Venous sinus
2) Arachnoid granulations
Term
About how many times a day is the cerebrospinal fluid replaced?
Definition
1) 3.7
Term
Normal cerebrospinal fluid is measured by __________ __________.
Definition
1) Lumbar pressure
Term
How is normal cerebrospinal fluid measured?
Definition
1) By lumbar pressure
Term
What is the normal pressure for CSF?
Normal appearance?
Normal total protein level? Gamma globulin?
Normal glucose amount?
Normal WBC count? RBC count?
Definition
1) 70-80mm H20
2) Clear / colorless
3) 15-60mg / 100mL
4) 3-12% of the total protein
5) 50-80mg / 100mL (greater than 2/3 of blood sugar level)
6) 0-5 WBCs; NO RBCs
Term
The __________ __________ lies within the spinal cavity, consisting of the vertebral column, the meninges, spinal nerves, spinal fluid, blood vessels, and a cushion of adipose tissue.
Definition
1) Spinal cord
Term
Where does the spinal cord lie? What does this area consist of?
Definition
1) Spinal cavity
2) Vertebral column
3) Meninges
4) Spinal nerves
5) Spinal fluid
6) Blood vessels
7) Cushion of adipose tissue
Term
__________ __________ is anesthesia caused by local anesthetic injection into epidural or sacral caudal space.
Definition
1) Epidural anesthesia
Term
What is epidural anesthesia?
Definition
1) Anesthesia caused by local anesthetic injection into epidural or sacral caudal space
Term
__________ __________ is anesthesia following local anesthetic injection into lumbar subarachnoid space.
Definition
1) Spinal anesthesia
Term
What is spinal anesthesia?
Definition
1) Anesthesia following local anesthetic injection into lumbar subarachnoid space
Term
What are the functions of the blood brain barrier?
Definition
1) Protects the brain from chemical fluctuations in the blood
2) Minimizes the possibility that harmful blood-borne substances might reach the central nervous tissue
3) Prevents certain circulating hormones that could also act as neurotransmitters from reaching the brain
4) Limits the use of drugs for the treatment of the brain and spinal cord disorders
Term
True or False: There are not many drugs which cannot penetrate the blood brain barrier
Definition
1) False: Many drugs CANNOT penetrate the blood brain barrier
Term
The __________ __________ __________ allows careful selection of what substances can cross to __________. It is also a __________ barrier that allows only water and small lipophilic molecules to freely access the brain in accordance with their concentration gradients.
Definition
1) Blood brain barrier
2) Neurons
3) Diffusion
Term
Brain capillaries have __________ __________ that prevent the passage of materials.
Definition
1) Tight junctions
Term
How are capillary walls different than brain capillaries?
Definition
1) Fewer pores
2) Tight junctions
3) Special carriers
Term
True or False: Water soluble substance do not cross the capillary walls easily.
Definition
1) True
Term
What substances are allowed to diffuse through the capillary membrane?
Definition
1) Small, lipid soluble substances
Term
Cells of the __________ __________ in the brain are joined by tight junctions.
Definition
1) Capillary endothelium
Term
The only possible exchange between the blood and cerebrospinal fluid is through what cells? What transportation methods are available?
Definition
1) Endothelial cells
2) Endo / exocytosis
3) Protein transporters
4) Simple diffusion
Term
__________ supposedly direct the endothelium to tighten up in the blood brain barrier.
Definition
1) Astrocytes
Term
What in the brain is not subject to the blood brain barrier? Why?
Definition
1) The hypothalamus
2) Monitors the presence of hormones in the blood
Term
What are regions of the brain known as that lack a blood brain barrier?
Definition
1) Circumventricular organs
Term
A __________ __________ secretes melatonin and neuroactive peptides; they are associated with circadian rhythms.
Definition
1) Pineal body
Term
What is a pineal body?
Definition
1) Secrets melatonin and neuroactive peptides; involved with circadian rhythms
Term
__________ (posterior pituitary) releases neurohormones (oxytocin and vaspopressin into the blood)
Definition
1) Neurohypophysis
Term
What neurohormones is the posterior pituitary responsible for releasing?
Definition
1) Oxytocin and vasopressin
Term
The __________ __________ is the vomiting center: when a toxic substance enters the bloodstream it will get to the area postrema and may cause the animal to throw up. In this way, the animal protects itself by eliminating the toxic substance from its stomach before more harm can be done.
Definition
1) Area postrema
Term
What is the area postrema?
Definition
1) Area where toxic substances go to be vomited out of the body
Term
The _________ __________ is important for the regulation of body fluids.
Definition
1) Subfornical organ
Term
What organ is important for the regulation of body fluids?
Definition
1) Subfornical
Term
What is the vascular organ of the lamina terminalis?
Definition
1) A chemosensory area that detects peptides and other molecules
Term
The __________ __________ regulates the anterior pituitary through the release of neurohormones.
Definition
1) Median eminence
Term
What is the median eminence?
Definition
1) Regulates the anterior pituitary through the release of neurohormones.
Term
Neural networks create __________ and __________ behaviors.
Definition
1) Affective
2) Cognitive
Term
The brain exhibits __________, the ability to change connections as a result of experience.
Definition
1) Plasticity
Term
The __________ is responsible for thought and emotion.
Definition
1) Cerebrum
Term
The CNS consists of layers of cells cells around a fluid-filled cavity and develops from the __________ __________ of the embryo.
Definition
1) Neural tube
Term
The __________ __________ of the CNS consists of unmyelinated nerve cell bodies, dendrites, and axon terminals.
The cell bodies either form layers in parts of the brain or else cluster into groups known as __________.
Definition
1) Gray matter
2) Nuclei
Term
Myelinated axons form the __________ __________ of the CNS and run in bundles called __________.
Definition
1) White matter
2) Tracts
Term
The brain and spinal cord are encased in the __________ and the bones of the __________ and vertebrae.
Definition
1) Meninges
2) Cranium
Term
What are the meninges composed of?
Definition
1) Pia mater
2) Arachnoid membrane
3) Dura mater
Term
The __________ __________ secretes CSF into the ventricles of the brain.
Definition
1) Choroid plexus
Term
__________ __________ cushions the tissue and creates a controlled chemical environment.
Definition
1) Cerebrospinal fluid
Term
Tight junctions in brain capillaries create a __________ __________ __________ that prevents possibly harmful substances in the blood from entering the interstitial fluid.
Definition
1) Blood-brain-barrier
Term
The normal fuel source for neurons is __________ which is why the body closely regulates blood glucose concentrations.
Definition
1) Glucose
Term
Each segment of the spinal cord is associated with a pair of __________ __________.
Definition
1) Spinal nerves
Term
The __________ __________ of each spinal nerve carries incoming sensory information.
Definition
1) Dorsal root
Term
The __________ __________ __________ contain the nerve cell bodies of sensory neurons.
Definition
1) Dorsal root ganglia
Term
The __________ __________ carry information from the central nervous system to muscles and glands.
Definition
1) Ventral roots
Term
__________ __________ of white matter carry sensory information to the brain, and __________ __________ carry efferent signals from the brain.
Definition
1) Ascending tracts
2) Descending tracts
Term
__________ __________ remain within the spinal cord.
Definition
1) Propriospinal tracts
Term
__________ __________ are integrated in the spinal cord.
Definition
1) Spinal reflexes
Term
What are the six major division of the brain?
Definition
1) Cerebrum
2) Diencephalon
3) Midbrain
4) Cerebellum
5) Pons
6) Medulla oblongata
Term
The __________ __________ is divided into the medulla oblongata, pons, and midbrain (mesencephalon).
Definition
1) Brain stem
Term
Cranial nerves II to XII originate within the __________ __________.
Definition
1) Brain stem
Term
The __________ __________ is a diffuse collection of neurons that play a role in many basic processes.
Definition
1) Reticular formation
Term
The medulla oblongata contains __________ and __________ __________ that convey information between the cerebrum and spinal cord.
Most tracts cross the midline in the __________ region.
The __________ contains control cents for many involuntary functions.
Definition
1) Somatosensory
2) Corticospinal tracts
3) Pyramid
4) Medulla
Term
The __________ acts as a relay station for information between the cerebrum and cerebellum
Definition
1) Pons
Term
The __________ controls eye movement and relays signals for auditory and visual reflexes.
Definition
1) Midbrain
Term
The __________ processes sensory information and coordinates the execution of movement.
Definition
1) Cerebellum
Term
The __________ is composed of the thalamus and hypothalamus.
Definition
1) Diencephalon
Term
The __________ relays and modifies sensory and motor information going to and from the cerebral cortex.
Definition
1) Thalamus
Term
The __________ contains center for behavioral drives and plays a key role in homeostasis by its control over endocrine and autonomic function.
Definition
1) Hypothalamus
Term
The __________ __________ and __________ __________ are endocrine glands located in the diencephalon.
Definition
1) Pituitary gland
2) Pineal gland
Term
The cerebrum is composed of two hemispheres connected at the __________ __________.
Each cerebral hemisphere is divided into __________, __________, __________, and __________ lobes.
Definition
1) Corpus callosum
2) Frontal
3) Parietal
4) Temporal
5) Occipital
Term
Cerebral gray matter includes the __________ __________, basal ganglia, and limbic system.
Definition
1) Cerebral cortex
Term
The __________ __________ help control movement.
Definition
1) Basal ganglia
Term
The __________ __________ acts as the link between cognitive functions and emotional responses.
It includes the __________ and __________ __________ linked to emotion and memory, and the __________, associated with learning and memory.
Definition
1) Limbic system
2) Amygdala
3) Cingulate gyrus
4) Hippocampus
Term
What three brain systems influence motor output?
Definition
1) Sensory system
2) Cognitive system
3) Behavioral state system
Term
Higher brain functions such as reasoning arise in the __________ __________.
Definition
1) Cerebral cortex
Term
What are the three functional specializations of the cerebral cortex?
Definition
1) Sensory area
2) Motor areas
3) Association areas
Term
Each hemisphere of the cerebrum has developed functions not shared by the other hemisphere, a specialization known as __________ __________.
Definition
1) Cerebral lateralization
Term
The __________ __________ __________ __________ processes information about touch, temperature, and other somatic senses.
Definition
1) Primary somatic sensory cortex
Term
__________ __________ integrate sensory information into perception.
Definition
1) Association areas
Term
__________ is the brain's interpretation of sensory stimuli
Definition
1) Perception
Term
The __________ __________ __________ controls states of arousal and modulates the sensory and cognitive systems.
Definition
1) Behavioral state systems
Term
The __________ __________ __________ of the reticular formation influence attention, motivation, wakefulness, memory, motor control, mood, and metabolic homeostasis.
Definition
1) Diffuse modulatory systems
Term
The __________ __________ __________ keeps the brain conscious, or aware of self and environment.
Definition
1) Reticular activating system
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