Neurology – St. Joseph

St. Joseph Neurology is now a Provider-Based Clinic. Learn more here.

St. Joseph Neurology has locations in College Station and Bryan. We offer a neurology practice specializing in diagnosis and treatment of neurological conditions while providing quality, comprehensive and compassionate care. Our neurologist staff includes:

Our team specializes in areas including, but not limited to:

If you're experiencing severe pain from a surgery, illness or injury, you could be referred to a Pain Management physician.

Pain Management services treat patients with:

Neurologists also manage long-term care for patients with:

A referral is usually required from a family or attending physician for long-term care.

At St. Joseph Neurology we believe in an individualized approach to patient care, and will do our best to make your visit with us as comfortable as possible. We encourage you to ask questions and are committed to keep you informed about your options for treatment. We realize that our patients are the reason we exist and we strive to treat every patient professionally with reverence, service and stewardship.

St. Joseph Neurology accepts Medicare and most major health insurance plans.

4421 State Hwy. 6 South College Station, TX 77845 979.690.4470 Office Hours: Monday - Friday

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2700 E. 29th Street, Ste. 305 Bryan, TX 77802 979-690-4825 Office Hours: Monday - Friday

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Neurology - St. Joseph

Neurology at the University of Pittsburgh

Department News

McCandless woman 1st in region with implant aimed at halting seizures.

Blockbuster or Bust? Brain Waves May Predict Movie Success.

Dementia Expert Invited to Attend Young Leaders in Dementia Event at British Embassy

Eric McDade, DO, assistant professor in the University of Pittsburgh Department of Neurology, has been invited to attend the U.S. Young Leaders Discussion Series for Innovative Ideas to Address Dementia at the British Embassy in Washington, D.C.

Think Like a Doctor: Losing It.

3 health solutions come out on top in Pitt competition.

University of Pittsburgh Comprehensive Epilepsy Center (UPCEC) - that includes the Adult (PUH/LKB) and Pediatric (CHP) Epilepsy Divisions - reached an important milestone: 50 resective surgeries in 2013.

This places us in the group of most productive epilepsy centers in the Country. In fact, when compared with the most recent available data from the National Association of Epilepsy Centers (NAEC) from 2012, with our 50 resections in 2013, the UPCEC would be the 3rd most productive epilepsy center among 190 NAEC members.

We would like to thank both our hospitals for their support and resources, our leaderships for their encouragement, and primarily to our meticulous and eager neurosurgeons and compassionate and dedicated large epilepsy teams that include the EMU technologists, nurses, epileptologists and neuropsychologists in CHP and PUH - for sustained 24/7 efforts that ultimately made this success possible.

It is our hope that sustain level of support and encouragement will kindle even more creative synergy among and within our teams that will lead not only to an even higher clinical productivity but also to more and diverse epilepsy research.

Pitt to be part of network to prevent, treat strokes

The University of Pittsburgh will participate in a network of 25 regional stroke centers assembled to advance and streamline research on stroke prevention, treatment and recovery, the National Institutes of Health announced on Friday.

"This network represents a new and innovative approach to finding more effective methods to prevent and treat strokes," said Dr. Lawrence Wechsler, professor and chair of the Department of Neurology at Pitt's School of Medicine and founder of the UPMC Stroke Institute.

Pitt, which is working in coordination with the UPMC Stroke Institute, is the only network site in Western Pennsylvania.

The National Institute of Neurological Disorders and Stroke will coordinate and finance the network.

The regional stroke centers will receive $200,000 for research costs and $50,000 for training stroke-clinical researchers per year over the first three years.

"NIH StrokeNet will allow the most promising therapies to quickly advance to the clinic, to improve prevention, acute treatment, or rehabilitation of the stroke patient," said Dr. Walter J. Koroshetz, deputy director of the institute.

"You walk into a room and forget why you entered in the first place..."

Dr. Robert Sweet was interviewed in the December 2nd Herald-Standard article "Senior moments or something more?"

A Life Hijacked: Alzheimer's 'insidious' slide

A November 30th Pittsburgh Post Gazette article that illustrates the challenges both patients and families face in the struggle with Alzheimer's. The Department of Neurology's Dr. Lopez is featured.

Michael Zigmond was named an honorary member of the Indian Academy of Neuroscience (IAN) at its annual meeting in Allahabad, India, in October, 2013. The IAN has awarded honorary membership to about two dozen individuals since its inception in 1982.

Dr. Zigmond, who gave a plenary lecture at the meeting on his research relating exercise and neurotrophic factors to neuroprotection in models of Parkinson's disease, has been lecturing widely in developing countries for more than 20 years. The lectures include reviews of his research, as well as material related to professional development and the responsible conduct of science. Zigmond has received two other awards for these activities, the Order of the Lion from Senegal and an International Distinguished Professorship from the government of China.

Pennsylvania Neurological Society had its successful 7th Annual Meeting in combination with Abington Memorial Hospital, and the International Conference of Interventional Neurology. The meeting was attended by more than 200 physicians from all over the world.

PNS had organized education programs by distinguished faculty who were recognized Nationally and regionally in Dementia, Stroke, Clinical Neurophysiology, and Legislative affairs, all of them were well received. The student, resident and fellows section had overwhelming participation in the research section by submitting abstracts at the meeting. Dr Balaji Krishnaiah (PGY-1), Neurology Resident , Department of Neurology, Penn State Medical Center received the best abstract award.

PNS elected its Board Members and officers for the 2013-2015 as per our Bylaws. Dr Parthasarathy Thirumala was elected President, Dr Micheal Mazowicki was elected Vice President, and Dr Matt Wicklund was elected Secretary.

PNS represents 750 Neurologists and more than 250 Residents, and Fellows in the state of Pennsylvania with a mission to "Improve the science and practice of neurology in Pennsylvania via: Education, Advocacy and Exchange of ideas amongst neurologists".

Comprehensive Stroke Center certification

On behalf of the UPMC Stroke Institute, we wanted to express our thanks to all who were involved in the preparations, day of survey activities, and post survey work.

Please share this exciting news with your staff who have worked so hard to achieve this. Without their dedication to providing the highest level of care, it would not have been possible.

We will be collecting data for the next 4 months on several areas that were identified during the survey.

New York Times Article Predicts Lucrative Future for Health Care Data Industry On February 19 an article by Julie Creswell "A Digital Shift on Health Data Swells Profits in an Industry" appeared in the New York Times describing a lucrative future for Digital Health Care Data companies in the wake of recent legislation. The Department of Nuerology's Dr. Vivek Reddy is featured.

Sasa Zivkovic Interviewed on KDKA Sasa Zivkovic was interviewed by Maria simbra on KDKA and broadcast on 12/31 re veterans with ALS. More...

SOCIETY FOR NEUROSCIENCE ANNOUNCES ACHIEVEMENT AWARDS - 10/13/2012 Awards recognize contributions to early promise, career achievement, and the advancement of women

NEW ORLEANS The Society for Neuroscience (SfN) announced the winners of major achievement awards during Neuroscience 2012, SfNs annual meeting and the worlds largest source of emerging news about brain science and health.

Achievement awards offer the neuroscience community the opportunity to recognize the promise of early career scientists, the accomplishments of senior researchers, and the important role of mentorship in promoting the professional advancement of women in neuroscience, said Moses V. Chao, PhD, president of SfN.

Mika Salpeter Lifetime Achievement Award: Michael Zigmond, PhD Established in 2000, the Mika Salpeter Award recognizes individuals with outstanding career achievements in neuroscience who have also actively promoted the professional advancement of women in neuroscience. The award includes a $5,000 prize.

Michael Zigmond, PhD, is a professor in the Department of Neurology at the University of Pittsburgh. Zigmonds research using cellular and animal models of Parkinsons disease has helped to reveal the intricacies of the relationship between stress, exercise, and trophic factors on the survival of dopamine neurons. He is particularly interested in the strategies dopamine neurons use to reduce their vulnerability to intracellular stress. Zigmond earned his PhD in 1968 from the University of Chicago.

Zigmond is also well known for his Survival Skills and Ethics workshops and publications, which offer professional skill development and ethical issue training for early career scientists. Through these workshops and extensive mentoring activities, he has encouraged many female scientists who have gone on to lead distinguished careers in neuroscience.

AAN Grassroots Alliance Spotlight: Pennsylvania member standing up against audiologists Pittsburgh neurologist Partha Thirumala, MD is learning (and showing) that a few phone calls can go a long way.

A bill in the Pennsylvania State Senate (SB 1352), titled the Speech-Language and Hearing Act, would expand the scope of audiology and allow them to perform Intraoperative Monitoring. When the bill started moving forward Dr. Thirumala took the initiative to contact and educate legislators and legislative staff on this broad skill set as well as the dangers that occur if they are performed insufficiently.

Thankfully the PA legislature came to an end without final passage of this legislation. However this bill will most certainly come up again in 2013. Thanks to Dr. Thirumalas educational and relationship building efforts neurology is in a good position to getour concerns addressed.

WPXI Story on Telemedicine Dr. Valerie Suski appeared on WPXI news on October 8, 2012. She told about the new technology that allows UPMC doctors in the Department of Neurology to deliver healthcare to patients anywhere. Dr. Lawrence Wechsler, Chairman, Department of Neurology, also spoke on the advantage of this new technology. You can track the story about telemedicine here.

ABEM Congratulates New Diplomat The American Board of Electrodiagnostic Medicine (ABEM)is pleased to announce that Ahmed M. El-Dokla, MD has successfully passed the 2012 Certification Examination and is now recognized a board-certified physician in electrodiagnostic medicine, which is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Dr. El-Dokla finished in the top 10%.

Multiple Sclerosis Research Institute The Department of Neurology is pleased to announce it is now home to the Pittsburgh Institute forMultiple Sclerosis Care and Research. The core of the center is located in the newly remodeled Department of Neurology on the 8th floor of the Kaufmann Medical Building. The center has been recognized by the National MS Society (NMSS) as a comprehensive care center and works closely with the NMSS and many departments at UPMC and Pitt to collaborate in both care and research of multiple sclerosis and related disorders. The Institute boasts a state-of-the-art infusion center and a staff dedicated to improving the health and function of people with multiple sclerosis.Over 2000 patients currently receive care through this expanding program. The center is involved in multicenter trials of novel agents to control multiple sclerosis and collaborates in research with the UPMC departments of Gastroenterology, Urology, Physical Medicine and Rehabilitation, Childrens Hospital white matter disorders clinic as well as the University of Pittsburgh department of Human Genetics.

PARKINSONS ACTION NETWORK AWARDS $12,500 TO UNIVERSITY OF PITTSBURGH POSTDOCTORAL SCHOLAR AND RESEARCHER-ADVOCATE, LAURIE SANDERS, PH.D. GREENAMYRE LAB, UNIVERSITY OF PITTSBURGH

WASHINGTON, D.C.; AUGUST 8, 2012 The Parkinsons Action Network (PAN) announced today that Laurie Sanders, Ph.D., is the recipient of aParkinsons Action Network Postdoctoral Advocacy Prize, supported byTeva Pharmaceuticals.The Parkinsons Action Network (PAN) established this prize as part of an effort to recognize members of the scientific community for their advocacy and community outreach work.

Sandersserves as a leader in PANs grassroots advocacy program and reaches out to her Senators and Representative about issues important to the Parkinsons community. She has spoken to local Pittsburgh-area support group meetings and regularly does community outreach to help educate the general public about Parkinsons disease and the need for federal research funding. Not only does she incorporate her advocacy experiences in the courses she teaches, she also works within the university to encourage other postdoctoral researchers to make advocacy and public outreach an integral component of their work.

PAN believes Sanders is helping pioneer a whole new level of advocacy and engagement on behalf of the Parkinsons community.

This prize is not about rewarding promising research, but rather, commending scientific researchers for the important role they play in the fight for federal funding and policy support for the 500,000 to 1.5 million Americans living with Parkinsons disease, said Parkinsons Action NetworkCEO Amy Comstock Rick. In our advocacy work here in Washington, D.C., weve learned that researchers working in the lab and with patients bring a unique perspective and powerful voice to discussions with policymakers. We hope this prize encourages more researchers like Laurie to participate in advocacy and community outreach efforts because, almost more than anyone else, they understand the critical role of NIH and other federal funding at their universities and institutions, Rick added.

"PAN brings the scientific community and patients together so that both sides have a better understanding of one another -- and for many researchers, doing advocacy and outreach work is the first time they actually meet people with the disease they're researching," said Kevin Wilson, Director of Public Policy for the American Society for Cell Biology. "This prize is the most significant single effort I've ever seen in breaking down the silos and encouraging the scientific community to work with patient groups to educate around why research funding is so important," Wilson added.

The Parkinsons Action Network Postdoctoral Advocacy Prizewill be presented at PANs annual Morris K. Udall Awards Dinner in Washington, D.C., on October 3, 2012.

About the Parkinsons Action Network The Parkinsons Action Network is the unified voice of the Parkinsons community advocating for better treatments and a cure. In partnership with other Parkinsons organizations and its powerful grassroots network, PAN educates the public and government leaders on better policies for research and an improved quality of life for people living with Parkinsons. For more information about PAN, go to parkinsonsaction.org. # # #

Media Contact: Carol Blymire, Director of Communications cblymire@parkinsonsaction.org 202.638.4101 x113 (office) 301.332.8090 (cell)

Zigmond Featured in Neurology Today Michael Zigmond, PhD, Professor of Neurology, has studied the protective effects that exercise might provide against Parkinsons disease as well as other means of neuroprotection. A new article in Neurology Today focuses on animal models of exercise and its possible neuroprotective benefit for patients with PD. The entire article can be accessed here. (6/2012)

Massaro wins Excellence Award Lori Massaro, CRNP, Clinical Supervisor of the UPMC Stroke Institute, has received the American Heart Associations Great Rivers Affiliate Award of Excellence, the highest award given within the Great Rivers Affiliate. It honors an individual for exceptional and outstanding contributions to the advancement of the AHAs mission of building healthier lives, free of cardiovascular diseases and stroke in Delaware, Kentucky, Ohio, Pennsylvania, and West Virginia. The award, officially called the Lynn Smaha Award of Excellence, was named in honor of a passionate and pioneering physician and AHA volunteer who died in 2006. Lori received her recognition on June 14th (6/2012).

McAlister wins Mientus Award Jennifer McAlister, Patient Service Coordinator for the Department of Neurology, has been selected as a 2012 winner of the Robert Mientus Award for Staff Excellence in Service to the UPMC Physician Services Division, the highest award the PSD grants for service to the Physician Services Division. The award is named for a much respected senior human resources director who died unexpectedly and whose example is the inspiration for the award. Jennifer and two other award recipients will be honored at the Employee Recognition Luncheon on June 13 at the University Club. Her name will also be added to a permanent plaque in the Physician Services Division's corporate offices honoring previous recipients. (4/2012)

Zigmond Interviewed for Washington Post Article Michael Zigmond, PhD, Professor of Neurology was recently interviewed for an article in the Washington Post about the emerging evidence of the benefits of exercise for people with Parkinsons disease. Read the whole article here. (1/2012)

PIND Designated as United Way Agency The Pittsburgh Institute for Neurodegenerative Diseases (PIND) has been designated a United Way agency for donations. The mission of the PIND is to transform cutting-edge science into novel therapies and diagnostics that directly benefit individuals affected by neurodegenerative diseases, such as Parkinsons, Alzheimers, Huntingtons, ALS and other movement disorders. Please consider giving a gift to PIND through the United Way or making a donation in memory of or in honor of someone who has been touched by these terrible diseases. For your convenience, you can now make your gift online by visiting: http://www.unitedwaypittsburgh.org. Once registered, you can select Agency #10536316 for donations to go to PIND research. If you prefer, you can write a check to PIND by clicking here for information. Thank you for your support.

Zigmond to Co-Direct New Pitt Center Michael Zigmond, PhD, Professor of Neurology, Psychiatry and Behavioral and Community Health Sciences will co-direct the newly formed Center for Health Equity of the University of Pittsburgh Graduate School of Public Health with Dr. Angela Ford of the GSPH. The new undertaking aims to understand and reduce health disparities in underserved populations, particularly those in western Pennsylvania. Read the whole article here. (1/2012)

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Neurology at the University of Pittsburgh

National Institute of Neurological Disorders and Stroke …

New Award Creates Stable Funding for Outstanding Neuroscience Investigators

As NINDS Director, my goal is to optimize the progress of basic, translational, and clinical neuroscience research. One issue that slows the pace of discovery is that, rather than directly engaging in research, many principal investigators spend a great deal of their time writing and administering grant proposals. This is a consequence not only of the current constrained budget climate, but also of the fact that NIH grants fund individual projects that are relatively short in duration.

We feel that it is time to free up smart, talented people with innovative ideas to focus their time and effort on doing excellent science. To empower investigators to use their time more productively, NINDS is piloting a new funding mechanism the Research Program Award (RPA). Rather than funding a single project, an RPA will support an NINDS investigators overall research program for up to eight years. This initial pilot program aims to fund up to 30 investigators in FY 2016 who have demonstrated strong potential to do high impact science. The announcement describing this new award was released July 15 for an application deadline of Oct 6. For further information about the RPA, see the blog post from our Extramural Director Robert Finkelstein.

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National Institute of Neurological Disorders and Stroke ...

Gadolinium the new problem – Neurology – MedHelp

I have been having pain right after a series of MRI contrast. Every other test has been clear. I have been pushed about as if I am crazy. Is it that every authority on the subject of MRI's and gadolinium regurgitate what has been written. Has the medical community completely shut off their cognitive reasoning.

Yes it is true gadolinium is non-radioactive. But that does not mean it is safe. Gadolinium is a lanthanide. It is a heavy metal. It has a few properties when its temperature changes and when exposed to magnetic waves. It has to be chelated when injected into the body. Why? BECAUSE IT IS TOXIC in its free state. Mercury, lead... heavy metals as well.

Chelate is when the a bond is created between 2 things. Your body chelates iron in your blood. It removes things by chelating. There are chemicals that when added to things can make them somewhat safer. DTPH-gd3 or something like that is gadolinium with DTPH. The DTPH chelates to the gadolinium and makes it soluable in water and keeps it under wraps. It flows in your blood and creates outlines that are viable when exposed to magnetic waves.

Here is a FACT. Some people suffer from a rare condition that when given gadolinium their calcium levels drop. This is because the bond created with the DTPH prefers things like calcium and zinc. When it drops the gadolinium for these other metals you know have free gadolinium. Everyone no matter who will have a certain level of this problem. And consider that not every batch of the chemical is perfect. People with kidney problems are unable to remove the gadolinium quickly. DTPH-gd3 have a half-life of 2~3 hours, which means that in that time 1/2 of the gadolinium is removed from the body. The bond in Omniscan and the like is not really stable and breaks down quickly. This means that if you are unable to remove the toxin in a certain time, the greater your chances of having more free gadolinium in your system.

I was fine till after the MRI's contrast. I keep hearing the same thing. Just because the FDA says one thing and that it has been used since 1988 and on millions of people means absolutely little. The ADA still says mercury fillings are great, and they make 5 million in royalties every year dispite the younger generations of dentists who refuse to use it and all the evidence to the contrary. I could go on, but because it is prolific does not mean it is 100% safe.

People have different levels of tolerance. People with good kidneys remove the waste rapidly, however, some will de-chelate. You will get some in your system.

I know the literature I have read it. I have talked to "professionals" but no one can answer me intelligently. The companies that produce these drugs make money. It does not benefit them to start a discourse on its possible failures. I am an econometrician. I understand statistics. The tests done can be made to say anything. Depends on what you leave out.

Fact gadolinium is a heavy metal

Fact It must be chelated to be put into the body

Fact I can de-chelate and will do over time.

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Gadolinium the new problem - Neurology - MedHelp

body burning – Neurology – MedHelp

When you had your IVF, did you have a reaction to the drugs? I too have had a lot of the same symptoms, especially the on and off joint pain, weakness mostly on left side, eye blurriness and a freakish jitter of the eyes when reading. As some one else posted, I am an avid reader and this is probably the most annoying symptom for me as it doesn't go away. Until 6 am this morning when I woke up with the side I was lying on feeling like I was burning up. Changed sides, back front, whichever I am lying on burns the most and makes the bed super hot.

I have seen all kinds of doctors including neurologist and have had every test you can think of. I show an auto immune deficiency, but nothing they can pin down. You stop asking the doctors since they start thinking you are faking it. Even my psychologist wondered and I have been seeing her 8 years since great cancer (genetic) and a hysterectomy due to fibroids and overly large ovaries (the doctor's term) being military growing up and then active duty and dual military I have lived everywhere including Guam, Germany, England, Japan and most states. No one has been able to pin it down, but after trial and error my psychologist and I figured out the right combo of drugs for depression and bi polar. Still heat, extreme cold, stress or even a minor illness can trigger symptoms, as can excessive stress. I came off lorazapam and take a small dose of diazapam and it helps. Then this morning I wake up with this terrible burning.

back to my original question, I had IVF through the military 20 years ago after my second eptopic pregnancy. I already had a son born between the two, so staying pregnant wasn't the issue, I just had no tubes. The initial hormone shots sucked big time, but it was not until I got pregnant (I insisted no more than 3 eggs against the doctors persistent recommendations). My overies produced 40 eggs which is almost unheard of. However, from two weeks on (they are very keen to see how it goes and I can't even tell you how many ultrasounds you get for this unless you have had it done, them you know) my ovaries kept getting larger and larger. I looked nine months pregnant from the beginning and almost died. Apparently I was one of the "25%" this happens too. Although I have beautiful twin daughters now 19, I have always said that all of those hormones and my reaction to them was going to be a problem latter on. I thought the hysterectomy resolved that, but after seeing that you had IVF also,I wonder if the nerve damage and autoimmune deficiency might be related to that. I have never once connected them until now. I will mention it to my doctor today as he burning is unbearable and I have to see him even if he can't help.

has any other woman had IVF over the years and are now experiencing nerve and joint issues? I am on three forums for this pain and now the burning. Despite the wonderful outcome, maybe messing with Mother Nature isn't such a good idea.

I realize it has been 3 years since your post, but perhaps someone can have some answers. Doctors don't.

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body burning - Neurology - MedHelp

Wilmington Health Neurology in Wilmington, North Carolina …

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Neurology EMR Software Market Growth and key Industry Players 2020 Analysis and Forecasts to 2025 – Express Journal

The new Neurology EMR Software market report offers a thorough assessment of this industry vertical, thereby outlining various segments of the market. The report provides vital information concerning the total renumeration and key industry trends prevailing in the market. Also, crucial insights regarding the regional dominance and the competitive scenario have been mentioned in the research report.

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Key Players: Here, the report throws light on financial ratios, pricing structure, production cost, gross profit, sales volume, revenue, and gross margin of leading and prominent companies competing in the Neurology EMR Software market.

Market Segments: This part of the report discusses about product type and application segments of the Neurology EMR Software market based on market share, CAGR, market size, and various other factors.

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Neurology EMR Software Market Growth and key Industry Players 2020 Analysis and Forecasts to 2025 - Express Journal

Nervous system – Wikipedia, the free encyclopedia

The nervous system is the part of an animal's body that coordinates its voluntary and involuntary actions and transmits signals to and from different parts of its body. Nervous tissue first arose in wormlike organisms about 550 to 600 million years ago. In vertebrate species it consists of two main parts, the central nervous system (CNS) and the peripheral nervous system (PNS). The CNS contains the brain and spinal cord. The PNS consists mainly of nerves, which are enclosed bundles of the long fibers or axons, that connect the CNS to every other part of the body. Nerves that transmit signals from the brain are called motor or efferent nerves, while those nerves that transmit information from the body to the CNS are called sensory or afferent. Most nerves serve both functions and are called mixed nerves. The PNS is divided into a) somatic and b) autonomic nervous system, and c) the enteric nervous system. Somatic nerves mediate voluntary movement. The autonomic nervous system is further subdivided into the sympathetic and the parasympathetic nervous systems. The sympathetic nervous system is activated in cases of emergencies to mobilize energy, while the parasympathetic nervous system is activated when organisms are in a relaxed state. The enteric nervous system functions to control the gastrointestinal system. Both autonomic and enteric nervous systems function involuntarily. Nerves that exit from the cranium are called cranial nerves while those exiting from the spinal cord are called spinal nerves.

At the cellular level, the nervous system is defined by the presence of a special type of cell, called the neuron, also known as a "nerve cell". Neurons have special structures that allow them to send signals rapidly and precisely to other cells. They send these signals in the form of electrochemical waves traveling along thin fibers called axons, which cause chemicals called neurotransmitters to be released at junctions called synapses. A cell that receives a synaptic signal from a neuron may be excited, inhibited, or otherwise modulated. The connections between neurons can form neural circuits and also neural networks that generate an organism's perception of the world and determine its behavior. Along with neurons, the nervous system contains other specialized cells called glial cells (or simply glia), which provide structural and metabolic support.

Nervous systems are found in most multicellular animals, but vary greatly in complexity.[1] The only multicellular animals that have no nervous system at all are sponges, placozoans, and mesozoans, which have very simple body plans. The nervous systems of the radially symmetric organisms ctenophores (comb jellies) and cnidarians (which include anemones, hydras, corals and jellyfish) consist of a diffuse nerve net. All other animal species, with the exception of a few types of worm, have a nervous system containing a brain, a central cord (or two cords running in parallel), and nerves radiating from the brain and central cord. The size of the nervous system ranges from a few hundred cells in the simplest worms, to around 100 billion cells in humans.

The central nervous system functions to send signals from one cell to others, or from one part of the body to others and to receive feedback. Malfunction of the nervous system can occur as a result of genetic defects, physical damage due to trauma or toxicity, infection or simply of ageing. The medical specialty of neurology studies disorders of the nervous system and looks for interventions that can prevent or treat them. In the peripheral nervous system, the most common problem is the failure of nerve conduction, which can be due to different causes including diabetic neuropathy and demyelinating disorders such as multiple sclerosis and amyotrophic lateral sclerosis.

Neuroscience is the field of science that focuses on the study of the nervous system.

The nervous system derives its name from nerves, which are cylindrical bundles of fibers (the axons of neurons), that emanate from the brain and spinal cord, and branch repeatedly to innervate every part of the body.[2] Nerves are large enough to have been recognized by the ancient Egyptians, Greeks, and Romans,[3] but their internal structure was not understood until it became possible to examine them using a microscope.[4] "It is difficult to believe that until approximately year 1900 it was not known that neurons are the basic units of the brain (Santiago Ramn y Cajal|). Equally surprising is the fact that the concept of chemical transmission in the brain was not known until around 1930 (Henry Hallett Dale ) and (Otto Loewi ). We began to understand the basic electrical phenomenon that neurons use in order to communicate among themselves, the action potential, in the decade of 1950 (Alan Lloyd Hodgkin, Huxley Andrew Huxley and John Eccles). It was in the decade of 1960 that we became aware of how basic neuronal networks code stimuli and thus basic concepts are possible (David H. Hubel, and Torsten Wiesel). The molecular revolution swept across US universities in the decade of 1980. It was in the decade of 1990 that molecular mechanisms of behavioral phenomena became widely known (Eric Richard Kandel)."[5] A microscopic examination shows that nerves consist primarily of axons, along with different membranes that wrap around them and segregate them into fascicles. The neurons that give rise to nerves do not lie entirely within the nerves themselvestheir cell bodies reside within the brain, spinal cord, or peripheral ganglia.[2]

All animals more advanced than sponges have nervous systems. However, even sponges, unicellular animals, and non-animals such as slime molds have cell-to-cell signalling mechanisms that are precursors to those of neurons.[6] In radially symmetric animals such as the jellyfish and hydra, the nervous system consists of a nerve net, a diffuse network of isolated cells.[7] In bilaterian animals, which make up the great majority of existing species, the nervous system has a common structure that originated early in the Ediacaran period, over 550 million years ago.[8]

The nervous system contains two main categories or types of cells: neurons and glial cells.

The nervous system is defined by the presence of a special type of cellthe neuron (sometimes called "neurone" or "nerve cell").[2] Neurons can be distinguished from other cells in a number of ways, but their most fundamental property is that they communicate with other cells via synapses, which are membrane-to-membrane junctions containing molecular machinery that allows rapid transmission of signals, either electrical or chemical.[2] Many types of neuron possess an axon, a protoplasmic protrusion that can extend to distant parts of the body and make thousands of synaptic contacts.[9] Axons frequently travel through the body in bundles called nerves.

Even in the nervous system of a single species such as humans, hundreds of different types of neurons exist, with a wide variety of morphologies and functions.[9] These include sensory neurons that transmute physical stimuli such as light and sound into neural signals, and motor neurons that transmute neural signals into activation of muscles or glands; however in many species the great majority of neurons participate in the formation of centralized structures (the brain and ganglia) and they receive all of their input from other neurons and send their output to other neurons.[2]

Glial cells (named from the Greek for "glue") are non-neuronal cells that provide support and nutrition, maintain homeostasis, form myelin, and participate in signal transmission in the nervous system.[10] In the human brain, it is estimated that the total number of glia roughly equals the number of neurons, although the proportions vary in different brain areas.[11] Among the most important functions of glial cells are to support neurons and hold them in place; to supply nutrients to neurons; to insulate neurons electrically; to destroy pathogens and remove dead neurons; and to provide guidance cues directing the axons of neurons to their targets.[10] A very important type of glial cell (oligodendrocytes in the central nervous system, and Schwann cells in the peripheral nervous system) generates layers of a fatty substance called myelin that wraps around axons and provides electrical insulation which allows them to transmit action potentials much more rapidly and efficiently.

The nervous system of vertebrates (including humans) is divided into the central nervous system (CNS) and the peripheral nervous system (PNS).[12]

The (CNS) is the major division, and consists of the brain and the spinal cord.[12] The spinal canal contains the spinal cord, while the cranial cavity contains the brain. The CNS is enclosed and protected by the meninges, a three-layered system of membranes, including a tough, leathery outer layer called the dura mater. The brain is also protected by the skull, and the spinal cord by the vertebrae.

The peripheral nervous system (PNS) is a collective term for the nervous system structures that do not lie within the CNS.[13] The large majority of the axon bundles called nerves are considered to belong to the PNS, even when the cell bodies of the neurons to which they belong reside within the brain or spinal cord. The PNS is divided into somatic and visceral parts. The somatic part consists of the nerves that innervate the skin, joints, and muscles. The cell bodies of somatic sensory neurons lie in dorsal root ganglia of the spinal cord. The visceral part, also known as the autonomic nervous system, contains neurons that innervate the internal organs, blood vessels, and glands. The autonomic nervous system itself consists of two parts: the sympathetic nervous system and the parasympathetic nervous system. Some authors also include sensory neurons whose cell bodies lie in the periphery (for senses such as hearing) as part of the PNS; others, however, omit them.[14]

The vertebrate nervous system can also be divided into areas called grey matter ("gray matter" in American spelling) and white matter.[15] Grey matter (which is only grey in preserved tissue, and is better described as pink or light brown in living tissue) contains a high proportion of cell bodies of neurons. White matter is composed mainly of myelinated axons, and takes its color from the myelin. White matter includes all of the nerves, and much of the interior of the brain and spinal cord. Grey matter is found in clusters of neurons in the brain and spinal cord, and in cortical layers that line their surfaces. There is an anatomical convention that a cluster of neurons in the brain or spinal cord is called a nucleus, whereas a cluster of neurons in the periphery is called a ganglion.[16] There are, however, a few exceptions to this rule, notably including the part of the forebrain called the basal ganglia.[17]

Sponges have no cells connected to each other by synaptic junctions, that is, no neurons, and therefore no nervous system. They do, however, have homologs of many genes that play key roles in synaptic function. Recent studies have shown that sponge cells express a group of proteins that cluster together to form a structure resembling a postsynaptic density (the signal-receiving part of a synapse).[6] However, the function of this structure is currently unclear. Although sponge cells do not show synaptic transmission, they do communicate with each other via calcium waves and other impulses, which mediate some simple actions such as whole-body contraction.[18]

Jellyfish, comb jellies, and related animals have diffuse nerve nets rather than a central nervous system. In most jellyfish the nerve net is spread more or less evenly across the body; in comb jellies it is concentrated near the mouth. The nerve nets consist of sensory neurons, which pick up chemical, tactile, and visual signals; motor neurons, which can activate contractions of the body wall; and intermediate neurons, which detect patterns of activity in the sensory neurons and, in response, send signals to groups of motor neurons. In some cases groups of intermediate neurons are clustered into discrete ganglia.[7]

The development of the nervous system in radiata is relatively unstructured. Unlike bilaterians, radiata only have two primordial cell layers, endoderm and ectoderm. Neurons are generated from a special set of ectodermal precursor cells, which also serve as precursors for every other ectodermal cell type.[19]

The vast majority of existing animals are bilaterians, meaning animals with left and right sides that are approximate mirror images of each other. All bilateria are thought to have descended from a common wormlike ancestor that appeared in the Ediacaran period, 550600 million years ago.[8] The fundamental bilaterian body form is a tube with a hollow gut cavity running from mouth to anus, and a nerve cord with an enlargement (a "ganglion") for each body segment, with an especially large ganglion at the front, called the "brain".

Even mammals, including humans, show the segmented bilaterian body plan at the level of the nervous system. The spinal cord contains a series of segmental ganglia, each giving rise to motor and sensory nerves that innervate a portion of the body surface and underlying musculature. On the limbs, the layout of the innervation pattern is complex, but on the trunk it gives rise to a series of narrow bands. The top three segments belong to the brain, giving rise to the forebrain, midbrain, and hindbrain.[20]

Bilaterians can be divided, based on events that occur very early in embryonic development, into two groups (superphyla) called protostomes and deuterostomes.[21] Deuterostomes include vertebrates as well as echinoderms, hemichordates (mainly acorn worms), and Xenoturbellidans.[22] Protostomes, the more diverse group, include arthropods, molluscs, and numerous types of worms. There is a basic difference between the two groups in the placement of the nervous system within the body: protostomes possess a nerve cord on the ventral (usually bottom) side of the body, whereas in deuterostomes the nerve cord is on the dorsal (usually top) side. In fact, numerous aspects of the body are inverted between the two groups, including the expression patterns of several genes that show dorsal-to-ventral gradients. Most anatomists now consider that the bodies of protostomes and deuterostomes are "flipped over" with respect to each other, a hypothesis that was first proposed by Geoffroy Saint-Hilaire for insects in comparison to vertebrates. Thus insects, for example, have nerve cords that run along the ventral midline of the body, while all vertebrates have spinal cords that run along the dorsal midline.[23]

Worms are the simplest bilaterian animals, and reveal the basic structure of the bilaterian nervous system in the most straightforward way. As an example, earthworms have dual nerve cords running along the length of the body and merging at the tail and the mouth. These nerve cords are connected by transverse nerves like the rungs of a ladder. These transverse nerves help coordinate the two sides of the animal. Two ganglia at the head end function similar to a simple brain. Photoreceptors on the animal's eyespots provide sensory information on light and dark.[24]

The nervous system of one very small roundworm, the nematode Caenorhabditis elegans, has been completely mapped out in a connectome including its synapses. Every neuron and its cellular lineage has been recorded and most, if not all, of the neural connections are known. In this species, the nervous system is sexually dimorphic; the nervous systems of the two sexes, males and female hermaphrodites, have different numbers of neurons and groups of neurons that perform sex-specific functions. In C. elegans, males have exactly 383 neurons, while hermaphrodites have exactly 302 neurons.[25]

Arthropods, such as insects and crustaceans, have a nervous system made up of a series of ganglia, connected by a ventral nerve cord made up of two parallel connectives running along the length of the belly.[26] Typically, each body segment has one ganglion on each side, though some ganglia are fused to form the brain and other large ganglia. The head segment contains the brain, also known as the supraesophageal ganglion. In the insect nervous system, the brain is anatomically divided into the protocerebrum, deutocerebrum, and tritocerebrum. Immediately behind the brain is the subesophageal ganglion, which is composed of three pairs of fused ganglia. It controls the mouthparts, the salivary glands and certain muscles. Many arthropods have well-developed sensory organs, including compound eyes for vision and antennae for olfaction and pheromone sensation. The sensory information from these organs is processed by the brain.

In insects, many neurons have cell bodies that are positioned at the edge of the brain and are electrically passivethe cell bodies serve only to provide metabolic support and do not participate in signalling. A protoplasmic fiber runs from the cell body and branches profusely, with some parts transmitting signals and other parts receiving signals. Thus, most parts of the insect brain have passive cell bodies arranged around the periphery, while the neural signal processing takes place in a tangle of protoplasmic fibers called neuropil, in the interior.[27]

A neuron is called identified if it has properties that distinguish it from every other neuron in the same animalproperties such as location, neurotransmitter, gene expression pattern, and connectivityand if every individual organism belonging to the same species has one and only one neuron with the same set of properties.[28] In vertebrate nervous systems very few neurons are "identified" in this sensein humans, there are believed to be nonebut in simpler nervous systems, some or all neurons may be thus unique. In the roundworm C. elegans, whose nervous system is the most thoroughly described of any animal's, every neuron in the body is uniquely identifiable, with the same location and the same connections in every individual worm. One notable consequence of this fact is that the form of the C. elegans nervous system is completely specified by the genome, with no experience-dependent plasticity.[25]

The brains of many molluscs and insects also contain substantial numbers of identified neurons.[28] In vertebrates, the best known identified neurons are the gigantic Mauthner cells of fish.[29] Every fish has two Mauthner cells, located in the bottom part of the brainstem, one on the left side and one on the right. Each Mauthner cell has an axon that crosses over, innervating neurons at the same brain level and then travelling down through the spinal cord, making numerous connections as it goes. The synapses generated by a Mauthner cell are so powerful that a single action potential gives rise to a major behavioral response: within milliseconds the fish curves its body into a C-shape, then straightens, thereby propelling itself rapidly forward. Functionally this is a fast escape response, triggered most easily by a strong sound wave or pressure wave impinging on the lateral line organ of the fish. Mauthner cells are not the only identified neurons in fishthere are about 20 more types, including pairs of "Mauthner cell analogs" in each spinal segmental nucleus. Although a Mauthner cell is capable of bringing about an escape response individually, in the context of ordinary behavior other types of cells usually contribute to shaping the amplitude and direction of the response.

Mauthner cells have been described as command neurons. A command neuron is a special type of identified neuron, defined as a neuron that is capable of driving a specific behavior individually.[30] Such neurons appear most commonly in the fast escape systems of various speciesthe squid giant axon and squid giant synapse, used for pioneering experiments in neurophysiology because of their enormous size, both participate in the fast escape circuit of the squid. The concept of a command neuron has, however, become controversial, because of studies showing that some neurons that initially appeared to fit the description were really only capable of evoking a response in a limited set of circumstances.[31]

At the most basic level, the function of the nervous system is to send signals from one cell to others, or from one part of the body to others. There are multiple ways that a cell can send signals to other cells. One is by releasing chemicals called hormones into the internal circulation, so that they can diffuse to distant sites. In contrast to this "broadcast" mode of signaling, the nervous system provides "point-to-point" signalsneurons project their axons to specific target areas and make synaptic connections with specific target cells.[32] Thus, neural signaling is capable of a much higher level of specificity than hormonal signaling. It is also much faster: the fastest nerve signals travel at speeds that exceed 100 meters per second.

At a more integrative level, the primary function of the nervous system is to control the body.[2] It does this by extracting information from the environment using sensory receptors, sending signals that encode this information into the central nervous system, processing the information to determine an appropriate response, and sending output signals to muscles or glands to activate the response. The evolution of a complex nervous system has made it possible for various animal species to have advanced perception abilities such as vision, complex social interactions, rapid coordination of organ systems, and integrated processing of concurrent signals. In humans, the sophistication of the nervous system makes it possible to have language, abstract representation of concepts, transmission of culture, and many other features of human society that would not exist without the human brain.

Most neurons send signals via their axons, although some types are capable of dendrite-to-dendrite communication. (In fact, the types of neurons called amacrine cells have no axons, and communicate only via their dendrites.) Neural signals propagate along an axon in the form of electrochemical waves called action potentials, which produce cell-to-cell signals at points where axon terminals make synaptic contact with other cells.[33]

Synapses may be electrical or chemical. Electrical synapses make direct electrical connections between neurons,[34] but chemical synapses are much more common, and much more diverse in function.[35] At a chemical synapse, the cell that sends signals is called presynaptic, and the cell that receives signals is called postsynaptic. Both the presynaptic and postsynaptic areas are full of molecular machinery that carries out the signalling process. The presynaptic area contains large numbers of tiny spherical vessels called synaptic vesicles, packed with neurotransmitter chemicals.[33] When the presynaptic terminal is electrically stimulated, an array of molecules embedded in the membrane are activated, and cause the contents of the vesicles to be released into the narrow space between the presynaptic and postsynaptic membranes, called the synaptic cleft. The neurotransmitter then binds to receptors embedded in the postsynaptic membrane, causing them to enter an activated state.[35] Depending on the type of receptor, the resulting effect on the postsynaptic cell may be excitatory, inhibitory, or modulatory in more complex ways. For example, release of the neurotransmitter acetylcholine at a synaptic contact between a motor neuron and a muscle cell induces rapid contraction of the muscle cell.[36] The entire synaptic transmission process takes only a fraction of a millisecond, although the effects on the postsynaptic cell may last much longer (even indefinitely, in cases where the synaptic signal leads to the formation of a memory trace).[9]

There are literally hundreds of different types of synapses. In fact, there are over a hundred known neurotransmitters, and many of them have multiple types of receptors.[37] Many synapses use more than one neurotransmittera common arrangement is for a synapse to use one fast-acting small-molecule neurotransmitter such as glutamate or GABA, along with one or more peptide neurotransmitters that play slower-acting modulatory roles. Molecular neuroscientists generally divide receptors into two broad groups: chemically gated ion channels and second messenger systems. When a chemically gated ion channel is activated, it forms a passage that allow specific types of ion to flow across the membrane. Depending on the type of ion, the effect on the target cell may be excitatory or inhibitory. When a second messenger system is activated, it starts a cascade of molecular interactions inside the target cell, which may ultimately produce a wide variety of complex effects, such as increasing or decreasing the sensitivity of the cell to stimuli, or even altering gene transcription.

According to a rule called Dale's principle, which has only a few known exceptions, a neuron releases the same neurotransmitters at all of its synapses.[38] This does not mean, though, that a neuron exerts the same effect on all of its targets, because the effect of a synapse depends not on the neurotransmitter, but on the receptors that it activates.[35] Because different targets can (and frequently do) use different types of receptors, it is possible for a neuron to have excitatory effects on one set of target cells, inhibitory effects on others, and complex modulatory effects on others still. Nevertheless, it happens that the two most widely used neurotransmitters, glutamate and GABA, each have largely consistent effects. Glutamate has several widely occurring types of receptors, but all of them are excitatory or modulatory. Similarly, GABA has several widely occurring receptor types, but all of them are inhibitory.[39] Because of this consistency, glutamatergic cells are frequently referred to as "excitatory neurons", and GABAergic cells as "inhibitory neurons". Strictly speaking this is an abuse of terminologyit is the receptors that are excitatory and inhibitory, not the neuronsbut it is commonly seen even in scholarly publications.

One very important subset of synapses are capable of forming memory traces by means of long-lasting activity-dependent changes in synaptic strength.[40] The best-known form of neural memory is a process called long-term potentiation (abbreviated LTP), which operates at synapses that use the neurotransmitter glutamate acting on a special type of receptor known as the NMDA receptor.[41] The NMDA receptor has an "associative" property: if the two cells involved in the synapse are both activated at approximately the same time, a channel opens that permits calcium to flow into the target cell.[42] The calcium entry initiates a second messenger cascade that ultimately leads to an increase in the number of glutamate receptors in the target cell, thereby increasing the effective strength of the synapse. This change in strength can last for weeks or longer. Since the discovery of LTP in 1973, many other types of synaptic memory traces have been found, involving increases or decreases in synaptic strength that are induced by varying conditions, and last for variable periods of time.[41] The reward system, that reinforces desired behaviour for example, depends on a variant form of LTP that is conditioned on an extra input coming from a reward-signalling pathway that uses dopamine as neurotransmitter.[43] All these forms of synaptic modifiability, taken collectively, give rise to neural plasticity, that is, to a capability for the nervous system to adapt itself to variations in the environment.

The basic neuronal function of sending signals to other cells includes a capability for neurons to exchange signals with each other. Networks formed by interconnected groups of neurons are capable of a wide variety of functions, including feature detection, pattern generation and timing,[44] and there are seen to be countless types of information processing possible. Warren McCulloch and Walter Pitts showed in 1943 that even artificial neural networks formed from a greatly simplified mathematical abstraction of a neuron are capable of universal computation.[45]

Historically, for many years the predominant view of the function of the nervous system was as a stimulus-response associator.[46] In this conception, neural processing begins with stimuli that activate sensory neurons, producing signals that propagate through chains of connections in the spinal cord and brain, giving rise eventually to activation of motor neurons and thereby to muscle contraction, i.e., to overt responses. Descartes believed that all of the behaviors of animals, and most of the behaviors of humans, could be explained in terms of stimulus-response circuits, although he also believed that higher cognitive functions such as language were not capable of being explained mechanistically.[47]Charles Sherrington, in his influential 1906 book The Integrative Action of the Nervous System,[46] developed the concept of stimulus-response mechanisms in much more detail, and Behaviorism, the school of thought that dominated Psychology through the middle of the 20th century, attempted to explain every aspect of human behavior in stimulus-response terms.[48]

However, experimental studies of electrophysiology, beginning in the early 20th century and reaching high productivity by the 1940s, showed that the nervous system contains many mechanisms for generating patterns of activity intrinsically, without requiring an external stimulus.[49] Neurons were found to be capable of producing regular sequences of action potentials, or sequences of bursts, even in complete isolation.[50] When intrinsically active neurons are connected to each other in complex circuits, the possibilities for generating intricate temporal patterns become far more extensive.[44] A modern conception views the function of the nervous system partly in terms of stimulus-response chains, and partly in terms of intrinsically generated activity patternsboth types of activity interact with each other to generate the full repertoire of behavior.[51]

The simplest type of neural circuit is a reflex arc, which begins with a sensory input and ends with a motor output, passing through a sequence of neurons connected in series.[52] This can be shown in the "withdrawal reflex" causing a hand to jerk back after a hot stove is touched. The circuit begins with sensory receptors in the skin that are activated by harmful levels of heat: a special type of molecular structure embedded in the membrane causes heat to change the electrical field across the membrane. If the change in electrical potential is large enough to pass the given threshold, it evokes an action potential, which is transmitted along the axon of the receptor cell, into the spinal cord. There the axon makes excitatory synaptic contacts with other cells, some of which project (send axonal output) to the same region of the spinal cord, others projecting into the brain. One target is a set of spinal interneurons that project to motor neurons controlling the arm muscles. The interneurons excite the motor neurons, and if the excitation is strong enough, some of the motor neurons generate action potentials, which travel down their axons to the point where they make excitatory synaptic contacts with muscle cells. The excitatory signals induce contraction of the muscle cells, which causes the joint angles in the arm to change, pulling the arm away.

In reality, this straightforward schema is subject to numerous complications.[52] Although for the simplest reflexes there are short neural paths from sensory neuron to motor neuron, there are also other nearby neurons that participate in the circuit and modulate the response. Furthermore, there are projections from the brain to the spinal cord that are capable of enhancing or inhibiting the reflex.

Although the simplest reflexes may be mediated by circuits lying entirely within the spinal cord, more complex responses rely on signal processing in the brain.[53] For example, when an object in the periphery of the visual field moves, and a person looks toward it many stages of signal processing are initiated. The initial sensory response, in the retina of the eye, and the final motor response, in the oculomotor nuclei of the brain stem, are not all that different from those in a simple reflex, but the intermediate stages are completely different. Instead of a one or two step chain of processing, the visual signals pass through perhaps a dozen stages of integration, involving the thalamus, cerebral cortex, basal ganglia, superior colliculus, cerebellum, and several brainstem nuclei. These areas perform signal-processing functions that include feature detection, perceptual analysis, memory recall, decision-making, and motor planning.[54]

Feature detection is the ability to extract biologically relevant information from combinations of sensory signals.[55] In the visual system, for example, sensory receptors in the retina of the eye are only individually capable of detecting "points of light" in the outside world.[56] Second-level visual neurons receive input from groups of primary receptors, higher-level neurons receive input from groups of second-level neurons, and so on, forming a hierarchy of processing stages. At each stage, important information is extracted from the signal ensemble and unimportant information is discarded. By the end of the process, input signals representing "points of light" have been transformed into a neural representation of objects in the surrounding world and their properties. The most sophisticated sensory processing occurs inside the brain, but complex feature extraction also takes place in the spinal cord and in peripheral sensory organs such as the retina.

Although stimulus-response mechanisms are the easiest to understand, the nervous system is also capable of controlling the body in ways that do not require an external stimulus, by means of internally generated rhythms of activity. Because of the variety of voltage-sensitive ion channels that can be embedded in the membrane of a neuron, many types of neurons are capable, even in isolation, of generating rhythmic sequences of action potentials, or rhythmic alternations between high-rate bursting and quiescence. When neurons that are intrinsically rhythmic are connected to each other by excitatory or inhibitory synapses, the resulting networks are capable of a wide variety of dynamical behaviors, including attractor dynamics, periodicity, and even chaos. A network of neurons that uses its internal structure to generate temporally structured output, without requiring a corresponding temporally structured stimulus, is called a central pattern generator.

Internal pattern generation operates on a wide range of time scales, from milliseconds to hours or longer. One of the most important types of temporal pattern is circadian rhythmicitythat is, rhythmicity with a period of approximately 24 hours. All animals that have been studied show circadian fluctuations in neural activity, which control circadian alternations in behavior such as the sleep-wake cycle. Experimental studies dating from the 1990s have shown that circadian rhythms are generated by a "genetic clock" consisting of a special set of genes whose expression level rises and falls over the course of the day. Animals as diverse as insects and vertebrates share a similar genetic clock system. The circadian clock is influenced by light but continues to operate even when light levels are held constant and no other external time-of-day cues are available. The clock genes are expressed in many parts of the nervous system as well as many peripheral organs, but in mammals all of these "tissue clocks" are kept in synchrony by signals that emanate from a master timekeeper in a tiny part of the brain called the suprachiasmatic nucleus.

A mirror neuron is a neuron that fires both when an animal acts and when the animal observes the same action performed by another.[57][58][59] Thus, the neuron "mirrors" the behavior of the other, as though the observer were itself acting. Such neurons have been directly observed in primate species.[60] Birds have been shown to have imitative resonance behaviors and neurological evidence suggests the presence of some form of mirroring system.[60][61] In humans, brain activity consistent with that of mirror neurons has been found in the premotor cortex, the supplementary motor area, the primary somatosensory cortex and the inferior parietal cortex.[62] The function of the mirror system is a subject of much speculation. Many researchers in cognitive neuroscience and cognitive psychology consider that this system provides the physiological mechanism for the perception/action coupling (see the common coding theory).[59] They argue that mirror neurons may be important for understanding the actions of other people, and for learning new skills by imitation. Some researchers also speculate that mirror systems may simulate observed actions, and thus contribute to theory of mind skills,[63][64] while others relate mirror neurons to language abilities.[65] However, to date, no widely accepted neural or computational models have been put forward to describe how mirror neuron activity supports cognitive functions such as imitation.[66] There are neuroscientists who caution that the claims being made for the role of mirror neurons are not supported by adequate research.[67][68]

In vertebrates, landmarks of embryonic neural development include the birth and differentiation of neurons from stem cell precursors, the migration of immature neurons from their birthplaces in the embryo to their final positions, outgrowth of axons from neurons and guidance of the motile growth cone through the embryo towards postsynaptic partners, the generation of synapses between these axons and their postsynaptic partners, and finally the lifelong changes in synapses which are thought to underlie learning and memory.[69]

All bilaterian animals at an early stage of development form a gastrula, which is polarized, with one end called the animal pole and the other the vegetal pole. The gastrula has the shape of a disk with three layers of cells, an inner layer called the endoderm, which gives rise to the lining of most internal organs, a middle layer called the mesoderm, which gives rise to the bones and muscles, and an outer layer called the ectoderm, which gives rise to the skin and nervous system.[70]

In vertebrates, the first sign of the nervous system is the appearance of a thin strip of cells along the center of the back, called the neural plate. The inner portion of the neural plate (along the midline) is destined to become the central nervous system (CNS), the outer portion the peripheral nervous system (PNS). As development proceeds, a fold called the neural groove appears along the midline. This fold deepens, and then closes up at the top. At this point the future CNS appears as a cylindrical structure called the neural tube, whereas the future PNS appears as two strips of tissue called the neural crest, running lengthwise above the neural tube. The sequence of stages from neural plate to neural tube and neural crest is known as neurulation.

In the early 20th century, a set of famous experiments by Hans Spemann and Hilde Mangold showed that the formation of nervous tissue is "induced" by signals from a group of mesodermal cells called the organizer region.[69] For decades, though, the nature of the induction process defeated every attempt to figure it out, until finally it was resolved by genetic approaches in the 1990s. Induction of neural tissue requires inhibition of the gene for a so-called bone morphogenetic protein, or BMP. Specifically the protein BMP4 appears to be involved. Two proteins called Noggin and Chordin, both secreted by the mesoderm, are capable of inhibiting BMP4 and thereby inducing ectoderm to turn into neural tissue. It appears that a similar molecular mechanism is involved for widely disparate types of animals, including arthropods as well as vertebrates. In some animals, however, another type of molecule called Fibroblast Growth Factor or FGF may also play an important role in induction.

Induction of neural tissues causes formation of neural precursor cells, called neuroblasts.[71] In drosophila, neuroblasts divide asymmetrically, so that one product is a "ganglion mother cell" (GMC), and the other is a neuroblast. A GMC divides once, to give rise to either a pair of neurons or a pair of glial cells. In all, a neuroblast is capable of generating an indefinite number of neurons or glia.

As shown in a 2008 study, one factor common to all bilateral organisms (including humans) is a family of secreted signaling molecules called neurotrophins which regulate the growth and survival of neurons.[72] Zhu et al. identified DNT1, the first neurotrophin found in flies. DNT1 shares structural similarity with all known neurotrophins and is a key factor in the fate of neurons in Drosophila. Because neurotrophins have now been identified in both vertebrate and invertebrates, this evidence suggests that neurotrophins were present in an ancestor common to bilateral organisms and may represent a common mechanism for nervous system formation.

The central nervous system is protected by major physical and chemical barriers. Physically, the brain and spinal cord are surrounded by tough meningeal membranes, and enclosed in the bones of the skull and spinal vertebrae, which combine to form a strong physical shield. Chemically, the brain and spinal cord are isolated by the so-called bloodbrain barrier, which prevents most types of chemicals from moving from the bloodstream into the interior of the CNS. These protections make the CNS less susceptible in many ways than the PNS; the flip side, however, is that damage to the CNS tends to have more serious consequences.

Although nerves tend to lie deep under the skin except in a few places such as the ulnar nerve near the elbow joint, they are still relatively exposed to physical damage, which can cause pain, loss of sensation, or loss of muscle control. Damage to nerves can also be caused by swelling or bruises at places where a nerve passes through a tight bony channel, as happens in carpal tunnel syndrome. If a nerve is completely transected, it will often regenerate, but for long nerves this process may take months to complete. In addition to physical damage, peripheral neuropathy may be caused by many other medical problems, including genetic conditions, metabolic conditions such as diabetes, inflammatory conditions such as GuillainBarr syndrome, vitamin deficiency, infectious diseases such as leprosy or shingles, or poisoning by toxins such as heavy metals. Many cases have no cause that can be identified, and are referred to as idiopathic. It is also possible for nerves to lose function temporarily, resulting in numbness as stiffnesscommon causes include mechanical pressure, a drop in temperature, or chemical interactions with local anesthetic drugs such as lidocaine.

Physical damage to the spinal cord may result in loss of sensation or movement. If an injury to the spine produces nothing worse than swelling, the symptoms may be transient, but if nerve fibers in the spine are actually destroyed, the loss of function is usually permanent. Experimental studies have shown that spinal nerve fibers attempt to regrow in the same way as nerve fibers, but in the spinal cord, tissue destruction usually produces scar tissue that cannot be penetrated by the regrowing nerves.

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Nervous system - Wikipedia, the free encyclopedia

chiropractic neurology and sports rehab in lincoln nebraska

Welcome to Chiropractic Neurology & Sports Rehab, LLC!

Dr. Chad Miller is a Board Certified Chiropractic Neurologistin Lincoln, Nebraska that specializes in treating chronic and complex conditions as well as helping the everyday aches and pains.CNS Rehabis committed to providing higher quality care using theadvanced principles of chiropractic neurology as well asincorporating physical therapy modalities, nutrition, lab testing, and science-based supplementation.

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Our new address is: 4630 Antelope Creek Drive, Suite 100 Lincoln, NE 68506

We are in a red brick building, one block south and one block west of 48th & Normal. We're behind Ramo's pizza and north of the bowling alley Parkway Lanes.

With many years of physical therapy, functional nutritionand chiropractic neurologytraining and experience under his belt, Dr. Chad Miller has successfully cared for many patients with conditions ranging fromstrokes to fibromyalgia to sciaticato thyroid disorders to rotator cuff injuries. We have had stunning success with these conditions and many others. Patients seeking treatment at CNS Rehab are assured of receiving only the finest quality care, because we have a genuine concern for your well-being.

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chiropractic neurology and sports rehab in lincoln nebraska