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Neurology · Topical Diagnosis in Neurology

Structure of the nervous system

*Systema nervosum*

The nervous system is the body's primary communication network, responsible for perceiving stimuli, analyzing them, and generating responses. Its structural foundation consists of neurons that exchange signals via synapses using chemical neurotransmitters.

The principal cellThe neuron is the fundamental cellular unit for processing and distributing information.
MessengersNeurotransmitters transmit signals across the synaptic cleft.
Signal flowImpulses travel strictly in one direction: from receptors to the CNS and further to muscles.
OntogenyThe study of the nervous system's structure always begins with the principles of its development.
6 min readFor medical studentsUpdated Sep 25, 2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Cellular foundation: neurons and synapses

The main structural elements are neurons. Their key task is to process incoming information and distribute it further. For the nervous system to work as a single coordinated mechanism, neurons must continuously interact with one another.

This interaction occurs in specialized zones called synapses. Signal transmission here is not direct, but occurs across the synaptic cleft via specific chemical messengers called neurotransmitters.

The basic functional classification divides all neurons into two large groups ensuring balance in the body:

  • Excitatory — stimulate impulse propagation further down the chain.
  • Inhibitory — suppress or stop signal propagation.

Important rule: to truly understand the complex structural organization of all these elements, study should begin with the basics — the principles of nervous system development in ontogeny.

Unidirectional flow: three stages of information processing

All central nervous system (CNS) activity is built upon a strict, unidirectional flow of data. This process is conventionally divided into three consecutive stages:

  1. Reception (first stage). External or internal stimuli affect sensory organs. Receptors capture these stimuli and generate nerve impulses. These signals, traveling from the periphery to the CNS, are called afferent impulses.
  2. Processing (second stage). The incoming afferent information undergoes complex processing and detailed analysis within the CNS structures. This is where the crucial switching of the signal from the sensory neuron to the effector neuron occurs.
  3. Response (third stage). After completing the analysis, the CNS forms a command and sends efferent impulses to the periphery. Reaching effectors (e.g., skeletal muscles), they trigger a specific action adequate to the initial stimulus.
Test your knowledge on this topicTasks from the Neurology course bank — immediate answers and explanations.

Complex response: how we react to a traffic light

To understand the scale and speed of CNS operation, let's examine the multi-level process of executing a complex response using a common visual stimulus — a green traffic light — as an example. This process requires the mandatory participation of higher brain centers.

  • Afferent pathway: Retinal receptors detect the green light and generate an impulse. The signal travels along the optic nerves, passes through subcortical structures of the visual system, and reaches the higher cortical areas of the sensory system. This is where impulse recognition and conscious awareness of the signal's meaning occur (the brain realizes it is safe to walk).
  • Efferent pathway: Having made a decision, the brain sends a command downward. The impulse travels via descending corticospinal pathways to the motor neurons of the spinal cord. From there, via corresponding somatic nerves, the signal reaches the limb muscles. The result is a motor response, and the person crosses the street.

Simple solutions: reflex arcs

Not every action requires deep cognitive processing and lengthy analysis at the cerebral cortex level. The body has shortened, simpler ways of transmitting information that form reflex arcs. In these, the signal travels directly from the afferent (receptor) link straight to the efferent (motor) link.

A striking example of this mechanism is deep muscle or tendon reflexes (specifically, the well-known knee-jerk reflex). The main feature of such reflexes is that they are integrated exclusively at the spinal level. The spinal cord itself ensures signal switching, saving time in forming a response.

Briefly: answers to topical questions

Which anatomical structures does the afferent impulse of the visual pathway sequentially pass through?

The afferent impulse of the visual pathway sequentially passes from the retinal photoreceptors to the visual cortex.

  • Photoreceptors — rods and cones (1st neuron).
  • Bipolar cells — 2nd neuron.
  • Ganglion cells — 3rd neuron.
  • Optic nerve (nervus opticus) — formed by axons of ganglion cells.
  • Optic chiasm (chiasma opticum) — site of partial fiber decussation.
  • Optic tract (tractus opticus) — contains crossed and uncrossed fibers.
  • Lateral geniculate body (corpus geniculatum laterale) — subcortical visual center.
  • Optic radiation (radiatio optica) — formed by axons of lateral geniculate body neurons.
  • Visual cortex — cortical end of the visual analyzer (Area 17).

What anatomical links make up a simple somatic reflex arc?

A simple (monosynaptic) somatic reflex arc consists strictly of two neurons — afferent and efferent.

It includes the following anatomical links:

  • Receptor — sensory nerve endings (e.g., muscle spindles).
  • Afferent pathway — sensory fiber carrying the impulse to the spinal cord.
  • Nerve center — direct synaptic contact in the anterior horns of the spinal cord.
  • Efferent pathway — axons of motor neurons exiting as part of the ventral roots.
  • Effector — skeletal muscle executing the response.

What structures form a synapse?

A chemical synapse is formed by the contacting membranes of two cells and the space between them.

It includes the following structural elements:

  • Presynaptic membrane — the terminal expansion of the axon of the transmitting neuron.
  • Synaptic vesicles — vesicles inside the presynaptic part storing neurotransmitter molecules.
  • Synaptic cleft — the intercellular space separating the pre- and postsynaptic parts.
  • Postsynaptic membrane — the receiving part of the synapse containing specific receptors and ion channels.

Also present in the presynaptic terminal are exocytosis zones, endocytic vesicles, and axon filaments.

Along which descending pathways does the motor impulse travel from the cortex to the spinal motor neurons?

The motor impulse from the cortex to the spinal motor neurons is conducted via pyramidal and extrapyramidal descending tracts.

Pyramidal tracts (main pathways for voluntary movement):

  • Lateral corticospinal tract (tractus corticospinalis lateralis).
  • Anterior corticospinal tract (tractus corticospinalis anterior).

Extrapyramidal tracts (regulation of tone and coordination):

  • Rubrospinal tract (tractus rubrospinalis).
  • Vestibulospinal tract (tractus vestibulospinalis).
  • Reticulospinal tract (tractus reticulospinalis).
  • Tectospinal tract (tractus tectospinalis).
  • Olivospinal tract (tractus olivospinalis).

From which embryonic primordia does the nervous system develop during ontogenesis?

During ontogenesis, the nervous system develops from the primary ectoderm, which forms specialized embryonic primordia during neurulation.

  • Neural tube — gives rise to the central nervous system (brain and spinal cord) and the retina of the eye.
  • Neural crest — serves as the source of the peripheral nervous system (spinal and autonomic ganglia), as well as the adrenal medulla and melanocytes.
  • Neural placodes — participate in the formation of the cranial ganglia.

What types of neuroglia are distinguished in the central nervous system?

Two main types of neuroglia, differing in their embryonic origin, are distinguished in the central nervous system:

  • Microglia — cells of mesenchymal (monocytic) origin developing from promonocytes.
  • Macroglia — cells of neural origin developing from glioblasts.

Macroglia, in turn, is subdivided into three types:

  • Astroglia (astrocytes).
  • Ependymal glia.
  • Oligodendroglia.
How to memorize

It is easy to confuse the afferent and efferent pathways. Remember them alphabetically: the letter "A" (Afferent) comes first — the signal is only entering the brain. The letter "E" (Efferent) is at the end — this is the Effect, the response from the brain to the muscles.

Class and exam questions

What is a synapse and why are neurotransmitters needed in it?

A synapse is a specialized junction for neuronal contact. Neurotransmitters act as chemical messengers, ensuring the transmission of information across the synaptic cleft.

How do afferent and efferent impulses differ?

Afferent impulses carry information from receptors to the central nervous system. Efferent impulses, conversely, transmit commands from the CNS to the periphery, eliciting a response from the body.

Where are simple reflex arcs integrated?

Simple pathways of information transmission, such as deep muscle or tendon reflexes (e.g., the knee-jerk reflex), are integrated at the spinal level, i.e., directly within the spinal cord.

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What else to study on this topic

  • Development of the nervous system in ontogenesis
  • Mechanisms of action of excitatory and inhibitory neurons
  • Anatomy of the descending corticospinal tracts
  • Structure and functions of higher cortical regions of the sensory system
  • Organization of the spinal level of the reflex arc

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