Ch 12 Nervous Tissue Controls and integrates all
- Slides: 101
Ch. 12 Nervous Tissue • Controls and integrates all body activities within limits that maintain life • Three basic functions – sensing changes with sensory receptors • fullness of stomach or sun on your face – interpreting and remembering those changes – reacting to those changes with effectors • muscular contractions • glandular secretions 12 -1
Major Structures of the Nervous System • Brain, cranial nerves, spinal cord, spinal nerves, ganglia, enteric plexuses and sensory receptors 12 -2
Organization of the Nervous System • CNS is brain and spinal cord • PNS is everything else 12 -3
Nervous System Divisions • Central nervous system (CNS) – consists of the brain and spinal cord • Peripheral nervous system (PNS) – consists of cranial and spinal nerves that contain both sensory and motor fibers – connects CNS to muscles, glands & all sensory receptors 12 -4
Subdivisions of the PNS • Somatic (voluntary) nervous system (SNS) – neurons from cutaneous and special sensory receptors to the CNS – motor neurons to skeletal muscle tissue • Autonomic (involuntary) nervous systems – sensory neurons from visceral organs to CNS – motor neurons to smooth & cardiac muscle and glands • sympathetic division (speeds up heart rate) • parasympathetic division (slow down heart rate) • Enteric nervous system (ENS) – involuntary sensory & motor neurons control GI tract – neurons function independently of ANS & CNS 12 -5
Histology of neural tissue Two types of neural cells in the nervous system: § Neurons - For processing, transfer, and storage of information § Neuroglia – For support, regulation & protection of neurons
Neurons • Functional unit of nervous system • Have capacity to produce action potentials – electrical excitability • Cell body – single nucleus with prominent nucleolus – Nissl bodies (chromatophilic substance) • rough ER & free ribosomes for protein synthesis – neurofilaments give cell shape and support – microtubules move material inside cell – lipofuscin pigment clumps (harmless aging) • Cell processes = dendrites & axons 12 -7
Parts of a Neuron Neuroglial cells Nucleus with Nucleolus Axons or Dendrites Cell body 12 -8
Neuron structure
Dendrites • Conducts impulses towards the cell body • Typically short, highly branched & unmyelinated • Surfaces specialized for contact with other neurons • Contains neurofibrils & Nissl bodies 12 -10
Axons • Conduct impulses away from cell body • Long, thin cylindrical process of cell • Arises at axon hillock • Impulses arise from initial segment (trigger zone) • Side branches (collaterals) end in fine processes called axon terminals • Swollen tips called synaptic end bulbs contain vesicles filled with neurotransmitters Synaptic boutons 12 -11
Axonal Transport • Cell body is location for most protein synthesis – neurotransmitters & repair proteins • Axonal transport system moves substances – slow axonal flow • movement in one direction only -- away from cell body • movement at 1 -5 mm per day – fast axonal flow • • moves organelles & materials along surface of microtubules at 200 -400 mm per day transports in either direction for use or for recycling in cell body 12 -12
• Axons Neuron Processes: Axons – Neurofilaments, actin microfilaments, and microtubules • Provide strength along length of axon • Aid in the transport of substances to and from the cell body – Axonal transport Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Axonal Transport & Disease • Fast axonal transport route by which toxins or pathogens reach neuron cell bodies – tetanus (Clostridium tetani bacteria) – disrupts motor neurons causing painful muscle spasms • Bacteria enter the body through a laceration or puncture injury – more serious if wound is in head or neck because of shorter transit time 12 -14
Functional Classification of Neurons • Sensory (afferent) neurons – transport sensory information from skin, muscles, joints, sense organs & viscera to CNS • Motor (efferent) neurons – send motor nerve impulses to muscles & glands • Interneurons (association) neurons – connect sensory to motor neurons – 90% of neurons in the body 12 -15
Classification of neurons Structural classification based on number of processes coming off of the cell body:
Anaxonic neurons • no anatomical clues to determine axons from dendrites • functions unknown
Multipolar neuron • multiple dendrites & single axon • most common type
Bipolar neuron • two processes coming off cell body – one dendrite & one axon • only found in eye, ear & nose
Unipolar (pseudounipolar) neuron • single process coming off cell body, giving rise to dendrites (at one end) & axon (making up rest of process)
Structural Classification of Neurons • Based on number of processes found on cell body – multipolar = several dendrites & one axon • most common cell type – bipolar neurons = one main dendrite & one axon • found in retina, inner ear & olfactory – unipolar neurons = one process only(develops from a bipolar) • are always sensory neurons 12 -21
Association or Interneurons • Named for histologist that first described them or their appearance 12 -22
Neuroglial Cells • • Half of the volume of the CNS Smaller cells than neurons 50 X more numerous Cells can divide – rapid mitosis in tumor formation (gliomas) • 4 cell types in CNS – astrocytes, oligodendrocytes, microglia & ependymal • 2 cell types in PNS – schwann and satellite cells 12 -23
Neuroglia (glial cells) CNS neuroglia: • astrocytes • oligodendrocytes • microglia • ependymal cells PNS neuroglia: • Schwann cells (neurolemmocytes) • satellite cells
Astrocytes • Star-shaped cells • Form blood-brain barrier by covering blood capillaries • Metabolize neurotransmitters • Regulate K+ balance • Provide structural support 12 -25
Oligodendrocytes • Most common glial cell type • Each forms myelin sheath around more than one axons in CNS • Analogous to Schwann cells of PNS 12 -26
Microglia • Small cells found near blood vessels • Phagocytic role -- clear away dead cells • Derived from cells that also gave rise to macrophages & monocytes 12 -27
Ependymal cells • Form epithelial membrane lining cerebral cavities & central canal • Produce cerebrospinal fluid (CSF) 12 -28
Satellite Cells • Flat cells surrounding neuronal cell bodies in peripheral ganglia • Support neurons in the PNS ganglia 12 -29
Schwann Cell • Cells encircling PNS axons • Each cell produces part of the myelin sheath surrounding an axon in the PNS 12 -30
Schwann cells • surround all axons of neurons in the PNS creating a neurilemma around them. Neurilemma allows for potential regeneration of damaged axons • creates myelin sheath around most axons of PNS Satellite cells • support groups of cell bodies of neurons within ganglia of the PNS
Astrocytes • create supportive framework for neurons • create “blood-brain barrier” • monitor & regulate interstitial fluid surrounding neurons • secrete chemicals for embryological neuron formation • stimulate the formation of scar tissue secondary to CNS injury
Oligodendrocytes • create myelin sheath around axons of neurons in the CNS. Myelinated axons transmit impulses faster than unmyelinated axons Microglia • “brain macrophages” • phagocytize cellular wastes & pathogens
Ependymal cells • line ventricles of brain & central canal of spinal cord • produce, monitor & help circulate CSF (cerebrospinal fluid)
Axon Coverings in PNS • All axons in PNS surrounded by a lipid & protein covering (myelin sheath) produced by Schwann cells • Neurilemma is cytoplasm & nucleus of Schwann cell – gaps called nodes of Ranvier • Myelinated fibers appear white – jelly-roll like wrappings made of = myelin – acts as electrical insulator – speeds conduction of nerve impulses lipoprotein • Unmyelinated fibers – slow, small diameter fibers – only surrounded by neurilemma but no myelin sheath wrapping 12 -35
Myelination in PNS • Schwann cells myelinate (wrap around) axons in the PNS during fetal development • Schwann cell cytoplasm & nucleus forms outermost layer of neurolemma with inner portion being the myelin sheath • Tube guides growing axons that are repairing themselves 12 -36
Myelination in the CNS • Oligodendrocytes myelinate axons in the CNS • Broad, flat cell processes wrap about CNS axons, but the cell bodies do not surround the axons • No neurilemma is formed • Little regrowth after injury is possible due to the lack of a distinct tube or neurilemma 12 -37
Gray and White Matter • White matter = myelinated processes (white in color) • Gray matter = nerve cell bodies, dendrites, axon terminals, bundles of unmyelinated axons and neuroglia (gray color) – In the spinal cord = gray matter forms an H-shaped inner core surrounded by white matter – In the brain = a thin outer shell of gray matter covers the surface & is found in clusters called nuclei inside the CNS 12 -38
White Matter in the Spinal Cord • White matter in the spinal cord – Located externally to the gray matter – Contains no neuronal cell bodies, but millions of axons – Myelin sheath – white color • Consists of axons running between different parts of the CNS • Tracts – bundles of axons traveling to similar destinations Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Neural Tissue Organization
Gray Matter in Brain • Cortex and nuclei Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
White Matter in Brain • Pathways, tracts and commissures Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Anatomical structure of Nerves Fig. 14. 6
Electrical Signals in Neurons • Neurons are electrically excitable due to the voltage difference across their membrane • Communicate with 2 types of electric signals – action potentials that can travel long distances – graded potentials that are local membrane changes only • In living cells, a flow of ions occurs through ion channels in the cell membrane 12 -44
Two Types of Ion Channels • Leakage (nongated) channels are always open – nerve cells have more K+ than Na+ leakage channels – as a result, membrane permeability to K+ is higher – explains resting membrane potential of -70 m. V in nerve tissue • Gated channels open and close in response to a stimulus results in neuron excitability – voltage-gated open in response to change in voltage – ligand-gated open & close in response to particular chemical stimuli (hormone, neurotransmitter, ion) – mechanically-gated open with mechanical stimulation 12 -45
Gated Ion Channels 12 -46
Resting Membrane Potential • Negative ions along inside of cell membrane & positive ions along outside – potential energy difference at rest is -70 m. V – cell is “polarized” • Resting potential exists because – concentration of ions different inside & outside • extracellular fluid rich in Na+ and Cl • cytosol full of K+, organic phosphate & amino acids – membrane permeability differs for Na+ and K+ • 50 -100 greater permeability for K+ • inward flow of Na+ can’t keep up with outward flow of K+ • Na+/K+ pump removes Na+ as fast as it leaks in 12 -47
Graded Potentials • Small deviations from resting potential of -70 m. V – hyperpolarization = membrane has become more negative – depolarization = membrane has become more positive 12 -48
How do Graded Potentials Arise? • Source of stimuli – mechanical stimulation of membranes with mechanical gated ion channels (pressure) – chemical stimulation of membranes with ligand gated ion channels (neurotransmitter) • Graded/postsynaptic/receptor or generator potential – ions flow through ion channels and change membrane potential locally – amount of change varies with strength of stimuli • Flow of current (ions) is local change only 12 -49
Action Potential • Series of rapidly occurring events that change and then restore the membrane potential of a cell to its resting state • Ion channels open, Na+ rushes in (depolarization), K+ rushes out (repolarization) • All-or-none principal = with stimulation, either happens one specific way or not at all (lasts 1/1000 of a second) • Travels (spreads) over surface of cell without dying out 12 -50
Depolarizing Phase of Action Potential • Chemical or mechanical stimulus caused a graded potential to reach at least (-55 m. V or threshold) • Voltage-gated Na+ channels open & Na+ rushes into cell – in resting membrane, inactivation gate of sodium channel is open & activation gate is closed (Na+ can not get in) – when threshold (-55 m. V) is reached, both open & Na+ enters – inactivation gate closes again in few ten-thousandths of second – only a total of 20, 000 Na+ actually enter the cell, but they change the membrane potential considerably(up to +30 m. V) • Positive feedback process 12 -51
Repolarizing Phase of Action Potential • When threshold potential of -55 m. V is reached, voltage-gated K+ channels open • K+ channel opening is much slower than Na+ channel opening which caused depolarization • When K+ channels finally do open, the Na+ channels have already closed (Na+ inflow stops) • K+ outflow returns membrane potential to -70 m. V • If enough K+ leaves the cell, it will reach a -90 m. V membrane potential and enter the after-hyperpolarizing phase • K+ channels close and the membrane potential returns to the resting potential of -70 m. V 12 -52
Refractory Period of Action Potential • Period of time during which neuron can not generate another action potential • Absolute refractory period – even very strong stimulus will not begin another AP – inactivated Na+ channels must return to the resting state before they can be reopened – large fibers have absolute refractory period of 0. 4 msec and up to 1000 impulses per second are possible • Relative refractory period – a suprathreshold stimulus will be able to start an AP – K+ channels are still open, but Na+ channels have closed 12 -53
The Action Potential: Summarized • Resting membrane potential is -70 m. V • Depolarization is the change from -70 m. V to +30 m. V • Repolarization is the reversal from +30 m. V back to -70 m. V) 12 -54
Propagation of Action Potential • An action potential spreads (propagates) over the surface of the axon membrane – as Na+ flows into the cell during depolarization, the voltage of adjacent areas is effected and their voltage-gated Na+ channels open – self-propagating along the membrane • The traveling action potential is called a nerve impulse 12 -55
Local Anesthetics • Prevent opening of voltage-gated Na+ channels • Nerve impulses cannot pass the anesthetized region • Novocaine and lidocaine 12 -56
Continuous versus Saltatory Conduction • Continuous conduction (unmyelinated fibers) – step-by-step depolarization of each portion of the length of the axolemma • Saltatory conduction – depolarization only at nodes of Ranvier where there is a high density of voltage-gated ion channels – current carried by ions flows through extracellular fluid from node to node 12 -57
Saltatory Conduction • Nerve impulse conduction in which the impulse jumps from node to node 12 -58
Speed of Impulse Propagation • The propagation speed of a nerve impulse is not related to stimulus strength. – larger, myelinated fibers conduct impulses faster due to size & saltatory conduction • Fiber types – A fibers largest (5 -20 microns & 130 m/sec) • myelinated somatic sensory & motor to skeletal muscle – B fibers medium (2 -3 microns & 15 m/sec) • myelinated visceral sensory & autonomic preganglionic – C fibers smallest (. 5 -1. 5 microns & 2 m/sec) • unmyelinated sensory & autonomic motor 12 -59
Encoding of Stimulus Intensity • How do we differentiate a light touch from a firmer touch? – frequency of impulses • firm pressure generates impulses at a higher frequency – number of sensory neurons activated • firm pressure stimulates more neurons than does a light touch 12 -60
Action Potentials in Nerve and Muscle • Entire muscle cell membrane versus only the axon of the neuron is involved • Resting membrane potential – nerve is -70 m. V – skeletal & cardiac muscle is closer to -90 m. V • Duration – nerve impulse is 1/2 to 2 msec – muscle action potential lasts 1 -5 msec for skeletal & 10 -300 msec for cardiac & smooth • Fastest nerve conduction velocity is 18 times faster than velocity over skeletal muscle fiber 12 -61
Comparison of Graded & Action Potentials • Origin – GPs arise on dendrites and cell bodies – APs arise only at trigger zone on axon hillock • Types of Channels – AP is produced by voltage-gated ion channels – GP is produced by ligand or mechanicallygated channels • Conduction – GPs are localized (not propagated) – APs conduct over the surface of the axon 12 -62
Comparison of Graded & Action Potentials • Amplitude – amplitude of the AP is constant (all-or-none) – graded potentials vary depending upon stimulus • Duration – The duration of the GP is as long as the stimulus lasts • Refractory period – The AP has a refractory period due to the nature of the voltage-gated channels, and the GP has none. 12 -63
Signal Transmission at Synapses • 2 Types of synapses – electrical • ionic current spreads to next cell through gap junctions • faster, two-way transmission & capable of synchronizing groups of neurons – chemical • one-way information transfer from a presynaptic neuron to a postsynaptic neuron – axodendritic -- from axon to dendrite – axosomatic -- from axon to cell body – axoaxonic -- from axon to axon 12 -64
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Synapses • Site at which neurons communicate • Signals pass across synapse in one direction • Presynaptic neuron – Conducts signal toward a synapse • Postsynaptic neuron – Transmits electrical activity away from a synapse Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Two Neurons Communicating at a Synapse Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 12. 6
Types of Synapses • Axodendritic – Between axon terminals of one neuron and dendrites of another – Most common type of synapse • Axosomatic – Between axons and neuronal cell bodies • Axoaxonic, dendrodendritic, and dendrosomatic – Less common types of synapses – Function not as well understood Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Types of Synapses Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 12. 7
Synapses • Axodendritic synapses – representative type • Synaptic vesicles on presynaptic side – Membrane-bound sacs containing neurotransmitters – Mitochondria abundant in axon terminals • Synaptic cleft separates the plasma membrane of the two neurons Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Structure of a Synapses PLAY Synapse Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 12. 8 a, b
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Chemical Synapses • Action potential reaches end bulb and voltage-gated Ca+ 2 channels open • Ca+2 flows inward triggering release of neurotransmitter • Neurotransmitter crosses synaptic cleft & binding to ligand-gated receptors – the more neurotransmitter released the greater the change in potential of the postsynaptic cell • Synaptic delay is 0. 5 msec • One-way information transfer 12 -73
Excitatory & Inhibitory Potentials • The effect of a neurotransmitter can be either excitatory or inhibitory – a depolarizing postsynaptic potential is called an EPSP • it results from the opening of ligand-gated Na+ channels • the postsynaptic cell is more likely to reach threshold – an inhibitory postsynaptic potential is called an IPSP • it results from the opening of ligand-gated Cl- or K+ channels • it causes the postsynaptic cell to become more negative or hyperpolarized • the postsynaptic cell is less likely to reach threshold 12 -74
Removal of Neurotransmitter • Diffusion – move down concentration gradient • Enzymatic degradation – acetylcholinesterase • Uptake by neurons or glia cells – neurotransmitter transporters – Prozac = serotonin reuptake inhibitor 12 -75
Spatial Summation • Summation of effects of neurotransmitters released from several end bulbs onto one neuron 12 -76
Temporal Summation • Summation of effect of neurotransmitters released from 2 or more firings of the same end bulb in rapid succession onto a second neuron 12 -77
Three Possible Responses • Small EPSP occurs – potential reaches -56 m. V only • An impulse is generated – threshold was reached – membrane potential of at least -55 m. V • IPSP occurs – membrane hyperpolarized – potential drops below -70 m. V 12 -78
Strychnine Poisoning • In spinal cord, Renshaw cells normally release an inhibitory neurotransmitter (glycine) onto motor neurons preventing excessive muscle contraction • Strychnine binds to and blocks glycine receptors in the spinal cord • Massive tetanic contractions of all skeletal muscles are produced – when the diaphragm contracts & remains contracted, breathing can not occur 12 -79
Neurotransmitter Effects • Neurotransmitter effects can be modified – synthesis can be stimulated or inhibited – release can be blocked or enhanced – removal can be stimulated or blocked – receptor site can be blocked or activated • Agonist – anything that enhances a transmitters effects • Antagonist – anything that blocks the action of a neurotranmitter 12 -80
Small-Molecule Neurotransmitters • Acetylcholine (ACh) – released by many PNS neurons & some CNS – excitatory on NMJ but inhibitory at others – inactivated by acetylcholinesterase • Amino Acids – glutamate released by nearly all excitatory neurons in the brain ---- inactivated by glutamate specific transporters – GABA is inhibitory neurotransmitter for 1/3 of all brain synapses (Valium is a GABA agonist -enhancing its inhibitory effect) 12 -81
Small-Molecule Neurotransmitters (2) • Biogenic Amines – modified amino acids (tyrosine) • norepinephrine -- regulates mood, dreaming, awakening from deep sleep • dopamine -- regulating skeletal muscle tone • serotonin -- control of mood, temperature regulation, & induction of sleep – removed from synapse & recycled or destroyed by enzymes (monoamine oxidase or catechol-0 methyltransferase) 12 -82
Small-Molecule Neurotransmitters (3) • ATP and other purines (ADP, AMP & adenosine) – excitatory in both CNS & PNS – released with other neurotransmitters (ACh & NE) • Gases (nitric oxide or NO) – formed from amino acid arginine by an enzyme – formed on demand acts immediately • diffuses out of cell that produced it to affect neighboring cells • may play a role in memory & learning – first recognized as vasodilator that helps lower blood pressure 12 -83
Neuropeptides • 3 -40 amino acids linked by peptide bonds • Substance P -- enhances our perception of pain • Pain relief – enkephalins -- pain-relieving effect by blocking the release of substance P – acupuncture may produce loss of pain sensation because of release of opioids-like substances such as endorphins or dynorphins 12 -84
Neuronal Circuits • Neurons in the CNS are organized into neuronal networks • A neuronal network may contain thousands or even millions of neurons. • Neuronal circuits are involved in many important activities – breathing – short-term memory – waking up 12 -85
Neuronal Circuits • Diverging -- single cell stimulates many others • Converging -- one cell stimulated by many others • Reverberating -- impulses from later cells repeatedly stimulate early cells in the circuit (short-term memory) • Parallel-after-discharge -- single cell stimulates a group of cells that all stimulate a common postsynaptic cell (math problems) 12 -86
Regeneration & Repair • Plasticity maintained throughout life – sprouting of new dendrites – synthesis of new proteins – changes in synaptic contacts with other neurons • Limited ability for regeneration (repair) – PNS can repair damaged dendrites or axons – CNS no repairs are possible 12 -87
Neurogenesis in the CNS • Formation of new neurons from stem cells was not thought to occur in humans – 1992 a growth factor was found that stimulates adult mice brain cells to multiply – 1998 new neurons found to form within adult human hippocampus (area important for learning) • Factors preventing neurogenesis in CNS – inhibition by neuroglial cells, absence of growth stimulating factors, lack of neurolemmas, and rapid formation of scar tissue 12 -88
Repair within the PNS • Axons & dendrites may be repaired if – neuron cell body remains intact – schwann cells remain active and form a tube – scar tissue does not form too rapidly • Chromatolysis – 24 -48 hours after injury, Nissl bodies break up into fine granular masses 12 -89
Repair within the PNS • By 3 -5 days, – wallerian degeneration occurs (breakdown of axon & myelin sheath distal to injury) – retrograde degeneration occurs back one node • Within several months, regeneration occurs – neurolemma on each side of injury repairs tube (schwann cell mitosis) – axonal buds grow down the tube to reconnect (1. 5 mm per day) 12 -90
Five Essential Components to the Reflex Arc • Receptor – detects the stimulus • Afferent (sensory neuron) – transmits impulses to the CNS • Integration center – consists of one or more synapses in the CNS • Efferent (motor neuron) – conducts impulses from integration center to an effector • Effector – muscle or gland cell – Responds to efferent impulses • Contraction or secretion Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Example of the Five Components to the Reflex Arc Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 12. 17
Reflex Classification • • Monosynaptic or polysynaptic Spinal or cranial Somatic or autonomic Innate or learned Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Monosynaptic Reflex Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 12. 18 a, b
Polysynaptic Reflex Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings Figure 12. 18 a, b
Spinal vs Cranial Reflexes • Spinal = spinal cord integration center – Ex. Knee-jerk reflex • Cranial = brain as integration center – Ex. Pupillary light reflex Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Somatic vs Autonomic Reflexes • Somatic = motor neurons to skeletal muscles – Ex. Knee-jerk reflex • Autonomic = autonomic neurons to smooth muscle and glands – Ex. Pupillary light reflex Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Innate vs Learned Reflexes • Innate = born-with – Knee-jerk reflex, pupillary reflex • Learned = develops based on experiences – Pavlov’s dogs salivation in response to bell Copyright © 2005 Pearson Education, Inc. , publishing as Benjamin Cummings
Multiple Sclerosis (MS) • Autoimmune disorder causing destruction of myelin sheaths in CNS – sheaths becomes scars or plaques – 1/2 million people in the United States – appears between ages 20 and 40 – females twice as often as males • Symptoms include muscular weakness, abnormal sensations or double vision • Remissions & relapses result in progressive, cumulative loss of function 12 -99
Epilepsy • The second most common neurological disorder – affects 1% of population • Characterized by short, recurrent attacks initiated by electrical discharges in the brain – lights, noise, or smells may be sensed – skeletal muscles may contract involuntarily – loss of consciousness • Epilepsy has many causes, including; – brain damage at birth, metabolic disturbances, infections, toxins, vascular disturbances, head injuries, and tumors 12 -100
Neuronal Structure & Function 12 -101
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