Powerpoint ini dipresentasikan pada tanggal 15 Oktober 2014 untuk mahasiswa PSPDG FK UNUD .
Tuesday, October 14, 2014
Powerpoint ini dipresentasikan pada tanggal 15 Oktober 2014 untuk mahasiswa PSPDG FK UNUD .
Wednesday, September 3, 2014
Sunday, July 14, 2013
Pengantar praktikum histology bisa dibaca pada alamat/ link ini :
Monday, April 29, 2013
Sunday, April 28, 2013
Saturday, April 27, 2013
Mammalian neurons usually do not divide, and their degeneration represents a permanent loss. Peripheral nerve fibers can regenerate if their perikaryons are not destroyed.
In contrast to nerve cells, neuroglia of the central nervous system—and Schwann cells and ganglionic satellite cells of the peripheral nervous system—are able to divide by mitosis. Spaces in the central nervous system left by nerve cells lost by disease or injury are invaded by neuroglia.
Because nerves are widely distributed throughout the body, they are often injured. When a nerve axon is transected, degenerative changes take place, followed by a reparative phase.
In a wounded nerve fiber, it is important to distinguish the changes occurring in the proximal segment from those in the distal segment. The proximal segment maintains its continuity with the trophic center (perikaryon) and frequently regenerates. The distal segment, separated from the nerve cell body, degenerates.
Axonal injury causes several changes in the perikaryon: chromatolysis, ie, dissolution of Nissl substances with a consequent decrease in cytoplasmic basophilia; an increase in the volume of the perikaryon; and migration of the nucleus to a peripheral position in the perikaryon.
In the nerve stub distal to the injury, both the axon and the myelin sheath degenerate completely, and their remnants, excluding their connective tissue and perineurial sheaths, are removed by macrophages. While these regressive changes take place, Schwann cells proliferate within the remaining connective tissue sleeve, giving rise to solid cellular columns. These rows of Schwann cells serve as guides to the sprouting axons formed during the reparative phase.
After the regressive changes, the proximal segment of the axon grows and branches, forming several filaments that progress in the direction of the columns of Schwann cells. Only fibers that penetrate these Schwann cell columns will continue to grow and reach an effector organ.
The choroid plexus consists of invaginated folds of pia mater, rich in dilated fenestrated capillaries, that penetrate the interior of the brain ventricles. It is found in the roofs of the third and fourth ventricles and in part in the walls of the lateral ventricles.
The choroid plexus is composed of loose connective tissue of the pia mater, covered by a simple cuboidal or low columnar epithelium made of ion-transporting cells .
The main function of the choroid plexus is to elaborate cerebrospinal fluid, which contains only a small amount of solids and completely fills the ventricles, central canal of the spinal cord, subarachnoid space, and perivascular space. Cerebrospinal fluid is important for the metabolism of the central nervous system and acts as a protective device against mechanical shocks.
Cerebrospinal fluid is clear, has a low density (1.004–1.008 g/ mL), and is very low in protein content. A few desquamated cells and two to five lymphocytes per milliliter are also present. Cerebrospinal fluid is continuously produced and circulates through the ventricles, from which it passes into the subarachnoid space. There, arachnoid villi provide the main pathway for absorption of cerebrospinal fluid into the venous circulation.
The blood–brain barrier is a functional barrier that prevents the passage of some substances, such as antibiotics and chemical and bacterial toxic matter, from the blood to nerve tissue.
The blood–brain barrier results from the reduced permeability that is characteristic of blood capillaries of nerve tissue. Occluding junctions, which provide continuity between the endothelial cells of these capillaries, represent the main structural component of the barrier. The cytoplasm of these endothelial cells does not have the fenestrations found in many other locations, and very few pinocytotic vesicles are observed. The expansions of neuroglial cell processes that envelop the capillaries (astrocytes) are partly responsible for their low permeability.
The skull and the vertebral column protect the central nervous system. It is also encased in membranes of connective tissue called the meninges . Starting with the outermost layer, the meninges are the dura mater, arachnoid, and pia mater. The arachnoid and the pia mater are linked together and are often considered a single membrane called the pia-arachnoid.
The dura mater is the external layer and is composed of dense connective tissue continuous with the periosteum of the skull. The dura mater that envelops the spinal cord is separated from the periosteum of the vertebrae by the epidural space, which contains thin-walled veins, loose connective tissue, and adipose tissue. The dura mater is always separated from the arachnoid by the thin subdural space.
The arachnoid has two components: a layer in contact with the dura mater and a system of trabeculae connecting the layer with the pia mater. The cavities between the trabeculae form the subarachnoid space, which is filled with cerebrospinal fluid and is completely separated from the subdural space. This space forms a hydraulic cushion that protects the central nervous system from trauma. The subarachnoid space communicates with the ventricles of the brain. The arachnoid is composed of connective tissue devoid of blood vessels. In some areas, the arachnoid perforates the dura mater, forming protrusions that terminate in venous sinuses in the dura mater. These protrusions, which are covered by endothelial cells of the veins, are called arachnoid villi. Their function is to reabsorb cerebrospinal fluid into the blood of the venous sinuses.
The pia mater is a loose connective tissue containing many blood vessels. Although it is located quite close to the nerve tissue, it is not in contact with nerve cells or fibers. Between the pia mater and the neural elements is a thin layer of neuroglial processes, adhering firmly to the pia mater and forming a physical barrier at the periphery of the central nervous system. This barrier separates the central nervous system from the cerebrospinal fluid. The pia mater follows all the irregularities of the surface of the central nervous system and penetrates it to some extent along with the blood vessels. Squamous cells of mesenchymal origin cover pia mater. Blood vessels penetrate the central nervous system through tunnels covered by pia mater—the perivascular spaces. The pia mater disappears before the blood vessels are transformed into capillaries. In the central nervous system, the blood capillaries are completely covered by expansions of the neuroglial cell processes.
Ganglia are ovoid structures containing neuronal cell bodies and glial cells supported by connective tissue. Because they serve as relay stations to transmit nerve impulses, one nerve enters and another exits from each ganglion. The direction of the nerve impulse determines whether the ganglion will be a sensory or an autonomic ganglion.
Sensory ganglia receive afferent impulses that go to the central nervous system. Two types of sensory ganglia exist. Some are associated with cranial nerves (cranial ganglia); others are associated with the dorsal root of the spinal nerves and are called spinal ganglia. A connective tissue framework and capsule support the ganglion cells. The neurons of these ganglia are pseudounipolar and relay information from the ganglion's nerve endings to the gray matter of the spinal cord via synapses with local neurons.
Autonomic ganglia appear as bulbous dilatations in autonomic nerves. Some are located within certain organs, especially in the walls of the digestive tract, where they constitute the intramural ganglia. These ganglia are devoid of connective tissue capsules, and their cells are supported by the stroma of the organ in which they are found. Autonomic ganglia usually have multipolar neurons. As with craniospinal ganglia, autonomic ganglia have neuronal perikaryons with fine Nissl bodies.A layer of satellite cells frequently envelops the neurons of autonomic ganglia. In intramural ganglia, only a few satellite cells are seen around each neuron.
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