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Back CENTRAL NERVOUS SYSTEM | Up Hospital Corpsman 3 & 2 - Intro Navy Nursing manual for hospital training purposes | Next PERIPHERAL NERVOUS SYSTEM |
myelin sheath), causing them to appear gray.
Beneath this layer is the medulla. This is often
called the white matter of the brain, because the
nerves are myelinated (covered with a myelin
sheath and an outer covering called the neuri-
lemma), which gives them their white appearance
(fig. 3-40).
The cortex of the cerebrum is irregular. It
bends on itself in folds called convolutions, which
are separated from each other by grooves and
fissures. The deep sagittal cleft, a longitudinal
fissure, divides the cerebrum into two
hemispheres. Other fissures further subdivide the
cerebrum into lobes, each of which serves a
localized, specific brain function (fig. 3-41). For
example, the frontal lobe is associated with the
higher mental processes such as memory, the
parietal lobe is concerned primarily with general
sensations, the occipital lobe is related to the sense
of sight, and the temporal lobe is concerned with
hearing.
The cerebellum is situated posteriorly to the
brain stem, which is made up of the pens, mid-
brain, and medulla oblongata, and inferior to the
occipital lobe. It is concerned chiefly with bring-
ing balance, harmony, and coordination to the
motions initiated by the cerebrum.
Two smaller divisions of the brain, vital to life,
are the pens and the medulla oblongata. The pens
consists chiefly of a mass of white fibers connec-
ting the other three parts of the brainthe
cerebrum, cerebellum, and medulla oblongata.
The medulla oblongata is the inferior portion
of the brain, the last division before the beginning
of the spinal cord. It connects to the spinal cord
at the upper level of the first cervical vertebra
(C-1). In it are the centers for the control of heart
action, breathing, circulation, and other vital
processes such as blood pressure.
The outer surface of the brain and spinal cord
is covered with three layers of membranes called
the meninges. The dura mater is the strong outer
layer; the arachnoid membrane is the delicate mid-
dle layer; and the pia mater is the vascular inner-
most layer that adheres to the surface of the brain
and spinal cord. Inflammation of the meninges
is called meningitis. The type depends upon
whether the brain, spinal cord, or both are
affected.
Cerebrospinal fluid is formed by a plexus (net-
work) of blood vessels in the central ventricles of
the brain. It is a clear, watery solution similar to
blood plasma. The total quantity bathing the
spinal cord is about 75 ml. It is constantly being
produced and reabsorbed. It circulates over the
3-31
surface of the brain and spinal cord and serves
as a protective cushion as well as a means of ex-
change for nutrients and waste materials.
Spinal Cord
The spinal cord is continuous with the medulla
oblongata and extends from the foramen
magnum, down inside the atlas, to the lower
border of the first lumbar vertebra, where it tapers
to a point. The cord is surrounded by the bony
walls of the vertebral canal (fig. 3-42). It is un-
sheathed in the three protective meninges and sur-
rounded by adipose tissue and blood vessels. The
cord does not completely fill the vertebral canal,
nor does it extend the full length of it. The nerve
roots serving the lumbar and sacral regions must
pass some distance down the canal before mak-
ing their exit.
Figure 3-42.Spinal cord.
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