Organization of the Nervous System
The nervous system is divided into:
- Central Nervous System (CNS) — brain and spinal cord; integration and command
- Peripheral Nervous System (PNS) — all nerves outside the CNS; sensory input + motor output
PNS is further divided:
- Somatic — voluntary motor control of skeletal muscles; sensory from skin, joints, and muscle
- Autonomic — involuntary control of viscera
- Sympathetic (“fight or flight”) — thoracolumbar; releases NE; increases HR, dilates pupils, suppresses digestion
- Parasympathetic (“rest and digest”) — craniosacral; releases ACh; decreases HR, promotes digestion
The Neuron
Neurons are the functional units of the nervous system.
| Part | Function |
|---|---|
| Cell body (soma) | Contains nucleus and organelles; metabolic center |
| Dendrites | Receive synaptic input |
| Axon | Conducts action potentials away from soma |
| Axon terminals | Release neurotransmitters into the synapse |
| Myelin sheath | Insulating glial wrap; speeds conduction (saltatory conduction at nodes of Ranvier) |
Action Potential
At rest, neuronal membrane potential is ~−70 mV (more negative inside due to K⁺ gradient and Na⁺/K⁺-ATPase).
- Depolarization — stimulus opens voltage-gated Na⁺ channels; Na⁺ rushes in → membrane reaches ~+30 mV
- Repolarization — Na⁺ channels inactivate; K⁺ channels open; K⁺ exits → membrane returns toward −70 mV
- Hyperpolarization (refractory period) — briefly more negative than resting potential; ensures unidirectional propagation
Synaptic Transmission
- Action potential reaches axon terminal
- Ca²⁺ influx triggers fusion of synaptic vesicles with presynaptic membrane
- Neurotransmitter (e.g., acetylcholine, glutamate, GABA, dopamine) is released into synaptic cleft
- Neurotransmitter binds postsynaptic receptors → ionotropic (direct channel) or metabotropic (G-protein cascade)
- Termination: reuptake (e.g., SERT for serotonin), enzymatic degradation (e.g., AChE), diffusion
Brain Regions
| Region | Key functions |
|---|---|
| Cerebral cortex | Consciousness, sensory perception, motor control, language, memory |
| Cerebellum | Motor coordination, balance, fine tuning |
| Brainstem (midbrain, pons, medulla) | Vital functions: breathing, HR, BP; cranial nerve nuclei; arousal |
| Limbic system (amygdala, hippocampus) | Emotion, memory consolidation, fear |
| Thalamus | Sensory relay station (all senses except olfaction) |
| Hypothalamus | Homeostasis: temperature, hunger, thirst, circadian rhythm; controls pituitary |
The hypothalamus is a key bridge to the endocrine system: it controls the pituitary gland and links nervous signals to hormone release. The autonomic nerves likewise steer the cardiovascular, respiratory, and digestive systems moment to moment.
Clinical Relevance
Stroke results from ischemic (80%; thrombotic or embolic) or hemorrhagic (20%) insult to a brain region. Symptom localization follows the affected vascular territory (e.g., MCA → contralateral face/arm weakness + aphasia if dominant hemisphere). Time-critical thrombolysis (IV tPA within 4.5 h of ischemic onset) significantly improves outcomes. The public FAST mnemonic (Face drooping, Arm weakness, Speech difficulty, Time to call emergency services) helps bystanders recognize stroke early.