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Anatomy Lecture 4 Neuroanatomy Physician Assistant Program Miami Dade College
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Division of the Brain
Divisions of the Brain FOREBRAIN (PROSENCEPHALON) TELENCEPHALON DIENCEPHALON MIDBRAIN (MESENCEPHALON) MESENCEPHALON HINDBRAIN (RHOMBENCEPHALON) ) METENCEPHALON MYELENCEPHALON
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TELENCEPHALON Cerebral Hemispheres Function :   Determines Intelligence  Personality  Interpretation of Sensory Impulses  Motor Function  Planning and Organization  Touch Sensation  Location :   The cerebrum is located in the anterior portion of the forebrain.  It is divided into two hemispheres that are connected by the corpus callosum.
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DIENCEPHALON ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
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Thalamus
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MESENCEPHALON Midbrain ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
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METENCEPHALON Pons Function:   Arousal  Assists in Controlling Autonomic Functions  Relays Sensory Information Between the Cerebrum and Cerebellum  Sleep   Location:   The pons is the portion of the brainstem that is between the midbrain and the medulla oblongata.
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METENCEPHALON Cerebellum Function :   Controls Fine Movement Coordination  Balance and Equilibrium  Muscle Tone  Location :   The cerebellum is located just above the brainstem, beneath the occipital lobes at the base of the skull.
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MYELENCEPHALON Medulla Oblongata Function:   Controls Autonomic Functions  Relays Nerve Signals Between the Brain and Spinal Cord  Location:   The medulla oblongata is the lower portion of the brainstem. It is inferior to the pons and anterior to the cerebellum.
 
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Headaches and Facial Pain Benign vs. pathologic Tumor Neuralgia Otalgia odontalgia
 
 
 
 
 
 
 
 
 
 
 
 
Basal Ganglia and Cerebellum ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Hippocampus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pg 913
Pg 909
Dura mater (reflections) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Head Injury 10% of Deaths LOC
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 Acute cerebral contusions ,[object Object]
Pg 920
 
Epidural hematoma .  Usually s/p  head trauma . Brief  +LOC, followed by lucid period.  Then drowsy/coma/death . A well-defined  biconvex  collection of blood (arrows) compresses the left cerebral hemisphere. There is inward displacement of the grey-white junction (arrowheads) and slight rightward displacement of the left lateral ventricle.
 
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Large acute subdural hemorrhage  (arrows) revealed by CT scan at the level of the lateral ventricles.  The hemorrhage has resulted in midline shift, with marked compression and displacement of the right ventricle (arrowheads).  Because of the brain distortion and obstruction of CSF outflow, the left lateral ventricle is dilated (wavy arrows).
Right subdural hemorrhage revealed by MRI . The high intensity (white) hemorrhage has dissected under the temporal lobe, and the midline has been displaced to the left. Note the skull fracture overlying the hematoma.
Chronic bilateral subdural hematoma .  This skull X-ray shows areas of calcification adjacent to the inner table of both parietal bones (arrows).  The diagnosis was confirmed by CT.
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Subarachnoid  Hemorrhage
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Post Spinal Tap Headache Meningitis Epidural Nerve Block (OB)
Review ,[object Object],[object Object],[object Object]
Review Subdural   Epidural  Subarachnoid
 
 
 
 
pg1125
pg1128
 
 
 
 
 
[object Object],Sympathetic stimulation of α1-receptors Parasympathetic axons  circular  muscle  radial  muscle
 
 
 
 
 
 
 
 
Five basic tastes Bitterness Saltiness Sourness Sweetness Umami
 
 
 
pg1152
 
 
 
 
 
 
 
 
 
 
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Stroke Ischemic Vs. Hemorrhagic CVA vs TIA Aneurysm Berry @ Basilar/Posterior cerebral  artery SAH
 
 
 
 
 
 
 
 
'Excellence is an art won by training and habituation. We do not act rightly because   we have virtue or excellence, but rather we have those because we have acted rightly.  We are what we repeatedly do. Excellence, then, is not an act but a habit.'   Aristotle ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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