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    Base 2.3 2.3.1 2.3.2 2.3.3 2.3.4 2.3.5 2.3.6 2.3.7 Wiki

    Welcome to SECTOR 2.3.4

    Scientific Principle 2.3.4: Structure and Function of the Brain: Effect

    of Injuries

    In Sectors 2.3.1and 2.3.2you learned about some functions and structures of the brain. You

    also learned about the pupil reflex and blood pressure and their connection to the brain. In

    Lab 2.3.3 you had the opportunity to check each others pupil reflex and blood pressure.

    Today in class you should be ready to share your analysis of your results from Lab 2.3.3.

    As you discuss your lab, consider the following points:

    As you read through Scientific Principle 2.3.4pay close attention to the bold terms. You may

    In Class Today: Lab 2.3.3. Analysis and DiscussionIn Sectors 2.2.1 and 2.2.2 you learned about velocity and acceleration. In Lab 2.2.3 you

    observed different types of motion on position-time and velocity-time graphs. Today in class

    you should be ready to share your analysis of your results from Lab 2.2.3. As you discuss

    your lab, consider the following points:

    1.How did your pupils respond to bright light? Was the response the same if light was shined

    into the right versus left eye?

    2.How did you pupils respond to less light? Was the response the same if light was shined

    into the right versus left eye?

    3.Did all students have same blood pressure? What might account for any similarities or

    differences?

    4.Would you consider the blood pressure and pulse pressure of the students normal? High?

    Low? Why?

    5.How do Nikkis pupil response and blood pressure compare with yours?

    6.Do you think Nikkis collision with the other player cause any damage to her brain? Explain

    why using her medical record and your data from Lab 2.3.3.

    TREPANNING - Early humans performed medical interventions know as trepanning, in which a hole was drilled or scrapped

    through the skull to remove foreign material and blood clots resulting from head injury. This specimen is a girls skull from the

    neolithic period (3,500 BC). Judging from the bone growth at the intervention site, the patient survived. Click on photo forlarger image. (Source: Natural History Museum, Lausanne)

    Sector 2.3.4

    Nikkis Brain

    Student Website

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    want to create a list of these terms in your science journal so that you can formulate

    definitions and application examples as you read.

    The Brains Importance

    You probably would agree that the brain is a very important organ. From what you learned in

    the Information Processing Sectorat the beginning of the year and from what youve read in

    Scientific Principle 2.3.2,you should realize that almost every function of our bodies involves

    some level of control by the brain. This includes functions like thinking, decision-making,

    eyesight, sensation, pupil constriction and dilation, and control of heart rate, respiration, andblood pressure.

    It shouldnt surprise you then, that damage to the brain may have many effects on the body.

    Just what those effects are and how long it takes the brain and body to heal depends on how

    much damage and in many cases, where the damage occurred in the brain.

    Assessing Damage to the Brain

    Imagine that you think you have broken a bone. You go to the emergency room or your

    doctors office. What do they do? Take an X-ray. From the X-ray, it is usually pretty easy to

    see if there is damage to the bone.

    Determining if there is damage to the brain is, unfortunately, not that easy. Currently, there is

    not one simple test that can determine if the brain has been damaged and where the damage

    has occurred. Instead, physicians use many different tests including ones that you have

    already seen (sideline assessment, pupil response, blood pressure) to determine whether

    damage has occurred. Some of these tests include things like the sideline assessment where

    different functions of the brain are tested by asking a person questions that test their memory

    and orientation. Often these tests are referred to as cognitive tests. In the emergency room

    or a physicians office, the physician will measure vital signs like blood pressure and heart

    rate to test essential functions of the brain. He or she will also likely test a patients reflexes,

    test whether they can move different parts of their bodies, feel sensations in different parts of

    their bodies, or perform additional cognitive tests. In each of these cases, the physician is

    testing a certain function that is controlled by certain structures of the brain. If there is a

    change in the function, then it may mean there is damage to those structures in the brain.

    Lets take a look at some examples of structures and functions of the brain that you should

    remember from the Information Processing Sector.

    Review of Structures/Functions of the Brain

    Do you remember that each cerebral hemisphere can be divided into four different sections

    called lobes?

    Temporal lobe

    Occipital lobe

    Frontal lobe

    Scientists continue to learn more about each of the

    lobes, including their functions. Some of the currently

    known functions of each of the lobes are described

    below.

    Parietal lobe: This area is in charge of integrating

    information from the each of the senses. It is also

    involved in our spatial orientation. In other words, it helps us understand, know or feel the

    Parietal lobe

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    parts of our bodies. Are our arms up or down? Are our legs raised?

    Temporal lobe: Functions of this lobe include hearing, memory and emotions.

    Occipital lobe: This area is responsible for vision.

    Frontal lobe: The frontal lobe is responsible for cognition (thinking), control of behavior, and

    emotion.

    If we further divide the lobes, we can see that certain

    areas of each of these lobes are responsible for

    different functions.

    There are areas of the brain in the parietaland frontal

    lobes that are responsible for sensory (senses) and

    motor (movement) functions.

    Somatosensory cortex: This area is responsible for the perception of touch from surface of

    body. It is found in the parietal lobe.

    Primary motor cortex: This area is responsible for sending information from brain to spinal

    cord for voluntary control of muscular movement. It is in the frontal lobe.

    Premotor cortex: This area is responsible for the planning of movement. It is in front of

    primary motor cortex in frontal lobe.

    There are areas of the brain in the occipital, parietal and temporal lobes that are responsible

    for vision, hearing, and language.

    Primary visual cortex: This area is

    responsible for the perception of vision. It

    receives input from eyes and is the back-

    most part of occipital lobe. The

    surrounding areas of occipital lobe are

    concerned with analysis of vision.

    Primary auditory cortex: This area

    receives input from ears. It is the upper surface of temporal lobe. Both ears go to both sides

    of brain.

    Motor speech: Broca's area is the lower region of frontal lobe on left side only. Damage to

    this area results in the inability to produce meaningful language. Speech is affected.

    Sensory speech: Wernicke's area is the region of temporal and parietal lobe on left side

    only. Damage to this area results in the inability to understand language.

    If we stop at take a look at what weve learned so far, we see that there is a left and rightparietal lobe, a left and right temporal lobe, a left and right frontal lob, and a left and right

    occipital lobe. These lobes are contained within the left and right hemispheres of the

    cerebrum.

    In general, the RIGHT side of the BODY is controlled by lobes on the LEFT side of the

    BRAIN.

    The LEFT side of the BODY is controlled by lobes on the RIGHT side of the BRAIN.

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    There are some areas such as Brocas and Wernickes areas that are located only on one

    side of the brain and control an overall function such as speech or language comprehension.

    Going Deeper into the brain

    But what makes up the brain? How is information within the brain stored? How does

    information from the brain get to other parts of the body? The answer, as you would guess,

    can be complicated.

    However, we can simplify the answer if we say that the brain is mainly made up of cells

    called neurons. Hopefully, you remember that cells are the smallest units in the body

    capable of supporting life, and that cells can perform certain functions. As it turns out, the

    body is made up of different types of cells. Neurons are a type of cell found in the brain, in the

    spinal cord, and as part of nerves.

    The basic function of a neuron is to receive, send, and in some cases, store information.

    Neurons do this through chemicals and electrical current. They have special structures that

    help them with this function. The diagram below shows what scientists call a typical neuron.

    The dendrites are the part of

    the neuron that generally

    receive electrical and chemical

    signals from other neurons.

    The information contained in the signals passes from the dendrites through the cell body to

    the axon.

    The axonis a long process that extends outward from the cell body. Electrical signals pass

    along the length of the axon to its ends called axon terminals.

    When the electrical signal reaches the axon terminals, chemicals (neurotransmitters) are

    released. These chemicals can travel across the small space between neurons called a

    synapseto another neuron.

    The diagram below shows how electrochemical signals (electrical + chemical) are passed

    between neurons.

    In simple terms, the cell body

    of a neuron is the part that

    contains the nucleus. Within the

    nucleus are RNA and DNA -

    genetic molecules that contain

    information and instructions for

    the operation and function of

    the neuron.

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    Much of what you see when you view the brain is the arrangement of neuron upon neuron

    upon neuron. Estimates of how many neurons are in the brain vary as scientists still struggle

    with ways to count these cells. One estimate suggests that the human brain contains 100

    billion neurons and 100 trillion synapses! In Lab 2.3.5you will have the opportunity to view a

    slide of neurons from the cerebellar cortex.

    Looking inside the head and brain

    In addition to cognitive tests, when physician think that the impact of a collision may have

    caused a more severe concussion or head trauma, he/she may order a test called a CT scan

    (X-ray Computed Tomography). You may often hear this type of test referred to as a cat

    scan.

    The picture to the

    right shows a

    patient inside a CT

    scanner and the

    images that appear

    on the imaging

    computer. CT scans

    can be used to

    image many

    different parts of the

    body, including the

    head.

    The image below shows a series of sections of a patients head and brain from a CT scan.

    This type of test allows the physician to see inside a patients head and brain without

    performing surgery. During a CT scan, many X-rays are taken of the patients head from

    different angles. A computer puts these X-rays together in order to give a more three-

    dimensional view of the head and brain.

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    The images that you see on a CT scan are based on the ability of X-rays to penetrate

    different structures of the head and brain. Differences in the ability of the X-rays to penetrate

    result in different colors on the CT scan. Structures that are MORE DENSE, like bone, do

    not allow X-rays to pass through as easily as structures that are LESS DENSE, like cerebral

    spinal fluid. MORE DENSE structures appear brighter (more white) on a CT scan. LESS

    DENSE structures appear darker.

    There are several things a physician may look for when viewing the CT scan of a patient that

    has had a concussion. Two items are listed below.

    1.Is there bleeding inside the skull? Is there bleeding inside the brain?

    Bleeding inside the skull or in the brain is obviously not a very good thing. The head is a

    closed compartment. This means that if there is bleeding in the skull or in the brain, the bloodgenerally has no way to get out of the skull or brain. Instead, it tends to collect and build up.

    This increases the pressure on the brain. The increased pressure on the brain can squeeze

    brain tissue, causing damage.

    The increased pressure can also squeeze the arteries on the outer surface of the brain that

    supply the brain with blood and oxygen. If this happens, then less and less blood and oxygen

    get to the brain. A decrease in blood and oxygen to the brain can cause the neurons in the

    brain to die.

    One type of injury that causes bleeding into the skull is called

    a subdural hematoma. A subdural hematoma is bleeding

    between the inside of the skull and brain. It will appear

    WHITE on a CT scan. The arrow on the CT scan shows asubdural hematoma that is pushing the brain to the right side

    of the skull (notice that left and right are reversed in CT

    scans).

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    Take a look at a section of Nikkis medical record below. What was the ER physicians

    diagnosis? Did she have a subdural hematoma as a result of the impact?

    2.How is the brain sitting in the skull? Is it in a normal position? Or has it shifted to one side

    or another because of increased pressure on the brain? What areas may be affected by the

    increased pressure?

    By looking at where a subdural hematoma or other injury has occurred, the physician can see

    which areas of the brain may not be functioning correctly. Many times, it is not only the area

    of the brain where the injury is, but also areas of the brain that have been squeezed by the

    increase in pressure that are not working properly. For example, if the occipital lobe is under

    pressure, then the patient may be experiencing problems with his or her vision even thoughthat is not the area of the head to which the impact occurred.

    Multiple Concussions

    One of the most fatal mistakes that can be made with concussions is not allowing the brain to

    heal before returning to normal activities. Some research shows that people who have

    suffered ONE concussion are four to six times more likelyto suffer another concussion during

    an impact. And if a second concussion occurs BEFORE the brain has completely healed, the

    damage from the second concussion is GREATER. This is called Second Impact Syndrome

    and although it is rare, it is more likely to occur in high school athletes. Second Impact

    Syndrome has a mortality rate of 50%, showing just how deadly this injury can be.

    How long does it take for the brain to heal from a concussion? There is no one answer. It

    depends on how much damage occurred to the brain. It may take several weeks, several

    months, or even a year. Working with a physician is important when recovering from a

    concussion because he or she can help determine when the brain has healed and when it is

    safe to return to play.

    Take a look at a section

    of Nikkis medical record

    to the right. Was this her

    first or second

    concussion? Do you

    think she had healed

    from her first

    concussion?

    Homework 2.2.4: Problems Involving the Brain and Its Functions

    In Lab 2.3.5 your group will view a slide of neurons in the cerebellar cortex with the

    microscope and digital camera. You will also view Nikkis CT scan to determine the location ofher subdural hematoma. Using a sheep brain and model of a human brain, you will predict

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    Copyright 2011 Cognitive Learning Systems

    what where the damage to Nikkis brain occurred.

    On the Student Wiki site, you will find your homework problems.