Central nervous system histology

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Central nervous system histology

Unit 7 Nervous

Unit 7 Nervous

Headaches: Clinical
Headaches: Pathology review
Migraine medications
Migraine
Central nervous system histology
Peripheral nervous system histology
Development of the nervous system
Ascending and descending spinal tracts
Brown-Sequard Syndrome
Syringomyelia
Anatomy of the trigeminal nerve (CN V)
Anatomy of the basal ganglia
Anatomy of the white matter tracts
Anatomy clinical correlates: Vertebral canal
Anatomy of the cerebral cortex
Anatomy of the cerebellum
Basal ganglia: Direct and indirect pathway of movement
Cerebrospinal fluid
Blood brain barrier
Dandy-Walker malformation
Intracerebral hemorrhage
Subdural hematoma
Epidural hematoma
Subarachnoid hemorrhage
Shaken baby syndrome
Normal pressure hydrocephalus
Huntington disease
Movement disorders: Pathology review
Anti-parkinson medications
Parkinson disease
Cluster headache
Tension headache
Chiari malformation
Spina bifida
Cerebral circulation
Cerebellum
Glaucoma
Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review
Anatomy and physiology of the eye
Anatomy of the eye
Anatomy of the oculomotor (CN III), trochlear (CN IV) and abducens (CN VI) nerves
Eye and ear histology
Anatomy and physiology of the ear
Auditory transduction and pathways
Vestibular transduction
Vertigo: Pathology review
Dizziness and vertigo: Clinical
Otitis media
Pediatric ear, nose, and throat conditions: Clinical
Optic pathways and visual fields
Photoreception
Eye conditions: Retinal disorders: Pathology review
Eye conditions: Inflammation, infections and trauma: Pathology review
Taste and the tongue
Olfactory transduction and pathways
Anatomy of the tongue
Meningitis
Meningitis, encephalitis and brain abscesses: Clinical
Neisseria meningitidis
Mumps virus
Herpes simplex virus
Poliovirus
West Nile virus
West Nile Virus Infection
Trypanosoma cruzi (Chagas disease)
Seizures and epilepsy
Early infantile epileptic encephalopathy (NORD)
Febrile seizure
Seizures: Clinical
Seizures: Pathology review
Nonbenzodiazepine anticonvulsants
Anticonvulsants and anxiolytics: Benzodiazepines
Anticonvulsants and anxiolytics: Barbiturates
Cranial nerves
Cranial nerves rap
Introduction to the cranial nerves
Cranial nerve pathways
Brain tumors: Clinical
Pediatric brain tumors: Pathology review
Adult brain tumors: Pathology review
Knowledge Shot: Glioblastoma
Adult brain tumors
Tuberous sclerosis
von Hippel-Lindau disease
Neurofibromatosis
Anatomy of the limbic system
Schizophrenia
Schizophrenia spectrum disorders: Clinical
Schizophrenia spectrum disorders: Pathology review
Anatomy of the vertebral canal
Anatomy clinical correlates: Spinal cord pathways
Anatomy of the olfactory (CN I) and optic (CN II) nerves
Anatomy of the facial nerve (CN VII)
Anatomy of the glossopharyngeal nerve (CN IX)
Anatomy of the spinal accessory (CN XI) and hypoglossal (CN XII) nerves
Anatomy of the vagus nerve (CN X)
Ischemic stroke
Restless legs syndrome
Acoustic neuroma (schwannoma)
Pediatric brain tumors
Pituitary adenoma
Cauda equina syndrome
Neonatal meningitis
Encephalitis
Bell palsy
Cerebral vascular disease: Pathology review
Spinal cord disorders: Pathology review
Dementia: Pathology review
Anatomy of the inner ear
Emotion
Stroke: Clinical
Broca aphasia
Wernicke aphasia
Delirium
Dementia and delirium: Clinical
Medications for neurodegenerative diseases
General anesthetics
Sleep
Dementia with Lewy bodies
Tricyclic antidepressants
Alzheimer disease
Frontotemporal dementia

Transcript

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The central nervous system or CNS consists of the cerebellum, cerebrum, brain stem, and spinal cord.

The neuron is the basic working unit of the nervous system.

And the neuroglia or glial cells are the non-neuronal cells that support and protect the nervous system.

The central neuroglia includes astrocytes, oligodendrocytes, ependymal cells, and microglia.

The peripheral neuroglia includes Schwann cells, satellite cells, and a number of cells associated with specific organs.

Macroscopically the CNS is made of white matter and grey matter.

The difference in appearance is from the lipid-rich myelin sheaths that cover the axons present in white matter.

Whereas the grey matter consists mostly of neuron cell bodies, dendrites, astrocytes, and microglial cells.

In this high power image of white matter from the spinal cord, the axons are surrounded by clear white space, which is where the myelin was present before the tissue was processed to create this slide.

The outermost portion of the cerebrum and cerebellum consist of grey matter, with their white matter present mainly in the deeper regions of the brain.

One the other hand, the spinal cord has the opposite arrangement, with white matter mainly in the periphery and grey matter mostly located closer to the center, forming an “H” or butterfly-shaped appearance when looking at a cross-section of the spinal cord.

In this low power image, we can see the spinal cord’s two posterior or dorsal horns closer to the top of the image and two anterior or ventral horns at the bottom.

The dorsal horns contain mostly sensory neurons and the anterior horns contain mostly upper motor neurons.

A simple way of remembering the location of the motor neurons is to remember that most cars also have their motors in the front or anterior part of the car.

The entire CNS is also covered by layers of connective tissue called the meninges.

The portion of the meninges that can be seen in this low power image is the dura mater, which is the thickest and outermost layer of the meninges.

The ventricles of the brain and the central canal of the spinal cord are filled with cerebrospinal fluid or CSF and have a lining of cuboidal or columnar cells called ependymal cells.

These cells are responsible for producing CSF.

If we take a closer look at the cells, we can also faintly see that the ependymal cells can have cilia, which helps circulate the CSF within the central canal.

The ependymal cells also have microvilli, but they’re typically too small to be seen with light microscopy.

Now, let’s take a closer look at the border between the spinal cord’s white matter and grey matter.

On the left is the white matter, where we can identify many of the purple-stained axons by the myelin sheaths that leave a white space that surrounds each axon.

On the right of this image is the grey matter.

Although neuron cell bodies can vary a lot in overall appearance, they’re still usually recognizable by their prominent nuclei with distinct nucleoli.

They are also usually much larger than glial cells.

The different glial cells can be difficult to identify and differentiate from each other when using an H&E stain, except for oligodendrocytes.

Oligodendrocytes can be identified by their small, round, and condensed nuclei.

Their cell bodies are not easily seen because their cytoplasm is unstained because it contains a lot of Golgi complexes, which don’t absorb the stain.

Key Takeaways

The central nervous system (CNS) is composed of the brain and spinal cord. The brain is enveloped by three layers of meninges, consisting of connective tissue and blood vessels. Beneath the meninges is the pia mater, a thin layer of connective tissue that supports and protects the brain's delicate nerve cells. The arachnoid mater, a web-like sheath, surrounds the pia mater.

The CNS consists of two major types of cells: neurons and glial cells. Neurons are responsible for transmitting electrical signals throughout the body. Glial cells of the CNS include astrocytes, oligodendrocytes, ependymal cells, and microglia. Glial cells support and protect neurons, provide nutrients, and remove waste products from their vicinity.

Sources

  1. "Histology. A Text and Atlas" Wolters Kluwer (2018)
  2. "Wheater's Functional Histology" Churchill Livingstone (2013)
  3. "Junqueira's Basic Histology: Text and Atlas, Fourteenth Edition" McGraw-Hill Education / Medical (2015)
  4. "Robbins Basic Pathology" Elsevier (2017)
  5. "Diagnostic Immunohistochemistry" Elsevier (2021)
  6. "Cytology" Saunders (2013)
  7. "Neuron-Glia Interactions in Homeostasis and Degeneration" Comprehensive Human Physiology (1996)
  8. "Nervous System" Pathologic Basis of Veterinary Disease (2017)