- د. شيرين حامد
- د. إيمان نبيل
- د. أحمد زهرة
- سبورة د. أحمد زهرة
- د. إبراهيم محروس 2026Cerebrum
- د. إبراهيم محروس 2026Cerebellum
- تفريغ 2026
🧠 Histology of the Cerebrum
🟣 1. General Organization of the CNS
🖇 Gray and White Matter arrangement:
- In the Spinal Cord: Gray matter is central, White matter is peripheral.
- In the Brain (Cerebrum): Gray matter is peripheral (outer), White matter is internal (inner).
🖇 Cerebrum Structure:
- Composed of right and left hemispheres.
- The two hemispheres are connected by the Corpus Callosum.
- The lower part continues as the Brainstem.
🟠 2. Cerebral Cortex Overview
📌 Definition:
The Cerebral Cortex is the outer gray matter layer of the cerebrum.
📌 Structure:
- The surface shows folds (gyri) and grooves (sulci) to increase surface area for information processing.
- Thickness: about 2–4 mm.
📌 Composition:
- Gray matter (outer): Contains neuron cell bodies, astrocytes, and capillaries.
- White matter (inner): Contains the axons of neurons from the gray matter.
📌 Functions:
Responsible for motor control, sensory perception, memory, attention, and awareness.
🟣 3. Six Layers of the Gray Matter
🖇 The cerebral cortex has six histological layers, arranged from superficial to deep.
Each layer differs in neuron type, size, and density.
📌 Layer 1 – Molecular (Plexiform) Layer:
- Contains mainly dendritic extensions from deeper pyramidal cells.
- Also contains Horizontal Cells of Cajal, which run parallel to the surface.
📌 Layer 2 – External Granular Layer:
- Contains many small stellate (granular) cells.
- Mainly sensory in function.
📌 Layer 3 – External Pyramidal Layer:
- Composed of medium-sized pyramidal neurons.
- Mainly motor in function.
- It is one of the largest layers of the cortex.
📌 Layer 4 – Internal Granular Layer:
- Contains small stellate cells, similar to layer 2.
- Another sensory layer, receiving input from the thalamus.
📌 Layer 5 – Internal Pyramidal (Ganglionic) Layer:
- Contains large pyramidal neurons, including the Betz cells (up to 120 µm).
- Strongly motor; the origin of the Corticospinal tract.
📌 Layer 6 – Multiform (Polymorphic) Layer:
- Contains fusiform and polymorphic neurons of various shapes.
- Deepest layer, connects to subcortical structures.
🟠 4. The Five Principal Neurons of the Cerebral Cortex
📌 1. Pyramidal Cells:
- The main (principal) neurons of the cortex.
- Found mainly in layers 3 and 5.
- Multipolar and responsible for motor function.
- Have long axons that leave the cortex and form tracts such as the Corticospinal tract.
📌 2. Stellate (Granular) Cells:
- Found mainly in layers 2 and 4.
- Involved in sensory functions.
- Small neurons with short axons that remain within the cortex (interneurons).
📌 3. Horizontal Cells of Cajal:
- Found in the outermost layer (Layer 1).
- Small, spindle-shaped neurons running horizontally parallel to the surface.
📌 4. Cells of Martinotti:
- Multipolar interneurons found throughout deeper layers.
- Their axons ascend toward Layer 1, forming synapses with pyramidal cells.
📌 5. Fusiform (Spindle-shaped) Cells:
- Found mainly in Layer 6.
- Vertically oriented neurons connecting cortex to subcortical regions.
🟣 5. Functional Classification of Cortical Layers
🖇 Motor Layers: Layers 3 and 5 (contain pyramidal and Betz cells).
🖇 Sensory Layers: Layers 2 and 4 (contain stellate cells).
🖇 Association Layers: Layers 1 and 6 (interneuronal communication).
🚨 6. Key Exam-Focused Questions
- ⚡ What is the difference in gray and white matter arrangement between brain and spinal cord?
- ⚡ Why does the cerebral cortex have folds? → To increase surface area.
- ⚡ Which layers are motor (3 & 5) and which are sensory (2 & 4)?
- ⚡ Describe Betz cells – location (Layer 5), size (~120 µm), and motor function.
- ⚡ Compare Pyramidal vs. Stellate cells:
- Pyramidal → long axon, leaves cortex (motor).
- Stellate → short axon, stays inside cortex (sensory).
- ⚡ List the five neuron types in the gray matter of the cerebral cortex.
🧠 Histology of the Cerebellum
🟣 1. General Anatomy and Function
🖇 Definition:
The Cerebellum (the "little brain") lies below the cerebrum and behind the brainstem.
📌 Main Function:
- Responsible for coordination of voluntary movement
- Ensures musculoskeletal and neurological alignment
📌 Other Roles:
- Helps in attention, speech, and emotional regulation (happiness, fear).
📌 Structure:
- Two hemispheres connected by the vermis (midline part).
- Surface folded into many folia
- each folium = white core + gray covering.
📌 Gray & White Matter Arrangement:
- Gray matter (outer) = cortex.
- White matter (inner) = medulla.
🟠 2. Components of White Matter
🖇 Location: Inner region beneath the cerebellar cortex.
📌 Main Structures:
- Four deep nuclei: Dentate, Emboliform, Globose, and Fastigial (mainly anatomical importance).
- Two main fiber types:
- Mossy fibers
- Climbing fibers
🟣 3. Layers of the Cerebellar Cortex
🖇 The Cerebellar Cortex has three layers (outer → inner):
📌 a. Molecular Layer
- Also called the Plexiform Layer.
- Contains:
- Dendrites of Purkinje cells.
- Stellate cells and Basket cells.
- Axons coming from Granule cells below.
- Function: Integrative layer — connects input and output neurons.
📌 b. Purkinje Cell Layer
- A single row of large Purkinje cells
- Their dendrites extend upward into the Molecular Layer.
- These are the only output neurons of the cerebellar cortex.
- Axons go to the deep cerebellar nuclei.
📌 c. Granular Layer
- Innermost and thickest layer.
- Contains:
- Granule cells → excitatory neurons.
- Golgi type II cells → inhibitory interneurons.
- Input:
- Mossy fibers → excitatory to Granule cells.
- Golgi cells → inhibitory feedback to Granule cells.
🟠 4. Fiber Pathways
🖇 The cerebellum receives two types of afferent (input) fibers:
📌 Mossy Fibers
- Enter the Granular Layer.
- Synapse with Granule cells.
- Function: Indirectly activate Purkinje cells through Granule cell axons.
📌 Climbing Fibers
- Pass through white and granular layers.
- “Climb” up to the Molecular Layer.
- Synapse directly on Purkinje cell dendrites.
- Function: Provide strong excitatory input to Purkinje cells.
🟣 5. Summary of Neuronal Types
📌 Neurons of the Cerebellar Cortex:
- Stellate cells → Molecular layer.
- Basket cells → Molecular layer.
- Purkinje cells → Purkinje layer.
- Granule cells → Granular layer.
- Golgi type II cells → Granular layer.
📌 Fibers in White Matter:
- Mossy fibers.
- Climbing fibers.
🚨 6. Key Exam-Focused Questions
- List the cell types in the cerebellar cortex and white matter.
→ Stellate, Basket, Purkinje, Granule, Golgi (cortex) + Mossy & Climbing (white matter). - What are the components of cerebellar white matter?
→ Deep nuclei + Mossy fibers + Climbing fibers. - Name and describe the three layers of the cerebellar cortex.
→ Molecular, Purkinje, Granular — with their characteristic cells. - Differentiate between Mossy and Climbing fibers.
→ Mossy → Granule cells (indirect path).
→ Climbing → Purkinje cells (direct path). - What is the main output neuron of the cerebellar cortex?
→ Purkinje cell.