Anatomy Flashcards

1
Q

Spinal cord arterial supply from aorta to small vessels

A

Aorta –> lumbar arteries/intercostal arteries/vertebral arteries –> segmental spinal artery –> dorsal/ventral root artery –> irregular vascular ring, dorsolateral spinal arteries, ventral spinal artery

Irregular vascular ring –> radial arteries

Venral spinal artery –> vertical artery

Inner zone - vertical artery (mostly gray, some white matter); middle zone - vertical and radial arteries; outer zone - radial arteries (white matter)

King

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2
Q

Connective tissue and epithelial cells of the dura, arachnoid and pia

A

Dura: Dense connective tissue, inner simple squamous epithelial cells

Arachnoid - delicate collagenous connective tissue, inner and outer simple squamous epithelial cells

Pia - outer simple squamous epithelium, inner connective tissue

Between spinal roots: pia + arachnoid are joined and connected to the dura via denticulate ligament

King

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3
Q

What sinuses make up the dorsal system of cranial venous sinuses?

What sinuses make up the ventral system of cranial venous sinuses?

What sinuses make up the connecting sinuses?

A

Dorsal: dorsal forebrain/deep forebrain –> dorsal cerebral vein and great cerebral vein –> dorsal saggital sinus and straight sinus –> transverse sinus –> SIGMOID SINUS

Ventral: Ventral forebrain –> ventral cerebral vein –> cavernous sinus, petrosal sinus –> SIGMOID SINUS

Connecting: Sigmoid sinus (also called connecting sinus) –> maxillary vein

King’s

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4
Q

Pathway for the superficial and deep cerebral veins

A

Superficial:

  • superficial cerebral veins –> dorsal cerebral veins and ventral cerebral veins
  • Dorsal cerebral veins –> dorsal system of cranial venous sinuses –> transverse sinus
  • Ventral cerebral veins –> ventral system of cranial venous sinuses –> petrosal sinus

Deep: Deep cerebral veins –> great cerebral vein –> straight sinus –> transverse sinus

King’s

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5
Q

Pathway of spinal cord veins –> systemic venous return

A

veins of the spinal cord –> ventral spinal vein (w/ ventral spinal artery) or veins on the surface of the spinal cord –> both drain into veins that accompany nerve roots –> vertebral venous sinus –> intervertebral veins (through foramnia, have valves) –> vertebral veins, azygous vein, caudal vena cava

venous blood from the vertebral bodies also drains into the vertebral venous sinus

King’s

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6
Q

When do the epiphysis of the vertebral body appear? When is fusion complete?

How many ossification centers does a vertebrae have?

A

Appear @ 2-8 weeks

Complete fusion @ 14 mos

Vertebrae has 3 ossification centers: 1 body, 2 laminae

Big Miller’s

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7
Q

What makes up the vertebral arch?

What processes are found on all vertebral arches?

A

Vertebral arch = 2 pedicles + 2 laminae

  • each pedicle has a cranial and caudal vertebral notch - when articulated they form the intervertebral foramen
  • each laminae unites dorsally at the spinous process (actually 2 spinous processes that are completely fused)
  • processes
    • transverse process (junction of pedicle and body)
    • cranial and caudal articular processes (junction of pedicle and laminae)
      • cranial articular process points craniodorsal/medial
      • caudal articular process points caudoventral/lateral

Big Miller’s

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8
Q

What is the transverse foramen of the vertebrae? Where is it absent?

A

Foramen at the root of the transverse process of the cervical vertebrae EXCEPT C7

  • The transverse foramen divides the transverse process into dorsal and ventral components
  • The dorsal part is homologous to the transverse process of the other vertebrae
  • the ventral part is homologous to the rib

Big Miller’s

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9
Q

The ____ of the atlas unite the dorsal and ventral arch

The _____ of the atlas articulates with the occipital condyles

The _____ of the atlas articulates with the axis

A

lateral mass

  • AKA body of the atlas
  • formed by intercentrum I
  • The transverse processes (wings) project from the lateral masses

cranial articular fovea (forms the yes joint)

caudal articular fovea

  • the dorsal surface of the ventral arch of the atlas contains the fovea of the dens

Big Miller’s

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10
Q

What are the 3 foramen of the atlas

Where is the alar notch located and what runs there?

A
  1. Vertebral foramen for the spinal cord
  2. Alar foramen - short canal passes through the transverse process for the vertebral artery and vein
  3. Lateral vertebral foramen - canal through the craniodorsal vertebral arch for C1 and vertebral artery

Alar notch - cranial border at the base of the transverse process, vertebral artery runs here

Big Miller’s

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11
Q

What forms centrum 1 of the axis?

Where are the cranial articular processes of the axis?

Where are the caudal articular processes of the axis?

A

Centrum 1 = dens + cranial articular surface

Cranial articular surfaces of the axis are located laterally on the expanded cranial end of the VERTEBRAL BODY

Caudal articular processes are ventrolateral extensions of the VERTEBRAL ARCH and spinous processes that face ventrally

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12
Q

The dens develops from which 2 ossification centers?

A

Centrum of the proatlas and centrum 1

  • Proatlas (centrum of the proatlas) = transient ossification at the apical tip of the dens, ossified around 42 days post partum and fuses with the dens around 100 days post partum (significant variation)
  • Centrum 1 - forms the cranial articular surface of the axis body and the dens
    • Ossification first seen at 1-3 weeks

Big Miller’s

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13
Q

What are the 3 ossification centers of the atlas

A
  1. Intercentrum 1 = ventral arch
  2. Pair of neural arches that become the dorsal arch and transverse processes

Big Miller’s

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14
Q

What are the ossification centers of the body of the axis called? (3)

A

Intercentrum 2

  • Fuses with centrum 1 (dens and cranial articular surface) at 7-9 mos
  • Narrow ossification center between the ossification centers of centrum 1 and centrum 2

Centrum 2

  • Forms the central region of the body of the axis

Caudal epiphyseal ossification center

DeLahunta

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15
Q

Embryology of the vestibular system?

A
  • Derived from ectoderm, contained within mesodermally derived structure
  • Otic placode: proliferation of ectodermal epithelial cells on the surface of the embryo, adjacent to the developing rhombencephalon
    • Subsequently invaginates –> otic pit and otic vesicle (otocyst) –> breaks away from its attachment to the surface ectoderm
  • Saccular structure undergoes extensive modification of its shape, always retains its fluid filled lumen and surrounding thin epithelial walls as it becomes the membranous labyrinth of the inner ear
    • Special modifications of its epithelial surface at predetermined sites form the receptor organs for the vestibular and auditory systems
  • Corresponding developmental modifications occur in the surrounding paraxial mesoderm –> provide supporting capsule for the membranous labyrinth
  • Fluid-filled ossified structure is the bony labyrinth contained within the developing petrous portion of the temporal bone

(DeLahunta)

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16
Q

What are the 3 components of the bony labyrinth and 4 components of the membranous labyrinth? What kind of fluid is each filled with?

A

Bony labyrinth of petrous temporal bone (mesodermal origin)

  • Vestibule - With vestibular window (stapes inserted here)
  • 3 semicircular canals - Each contains a dilation = ampulla
  • Cochlea - With cochlear window
  • All 3 contain PERILYMPH - Similar to CSF

Membranous labyrinth - ECTODERMAL origin

  • Filled with endolymph
  • 3 Semicircular ducts with ampullae
  • Utriculus + saccule - Within the bony vestibule
  • Cochlear duct
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17
Q

Within the membranous labyrinth:

  • Semicircular ducts connect with?
  • Utriculus connects to saccule by?
  • Saccule connects with the cochlear duct by?
A

Semicircular ducts connect with the utriculus

Utriculus and saccule connect to each other via the endolymphatic duct and sac

Saccule connects with the cochlea via small ductus reuniens

(deLahunta)

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18
Q

What kind of movement do the crista ampullaris semicircular ducts detect? What is the mechanism?

A

Semicircular ducts detect acceleration and deceleration (especially when the head is rotated)

Rotation of the head to the right: endolymph flows in the right lateral duct –> right cupula is deflected toward the right utriculus –> deviation of the stereocilia toward the kinocilium –> increased activity of the right vestibular neuron

Rotation of the head to the right: Left cupula deflected away from the left utriculus –> deviation of the stereocilia AWAY from the kinocilium –> decreased activity of the left vestibular neurons

Jerk nystagmus to the right

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19
Q

Stereocilia bends towards the kinocilium - does this cause hyperpolarization or depolarization of the vestibular nerve?

A

Stereocilia + kinocilium bend in the direction of the kinocilium –> opens K+ channels –> influx of K+ and depolarization

Depolarized hair cell –> influx of Ca –> release of glutamate and aspartate –> stimulates vestibular nerve

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20
Q

Where are the macula found? What do they detect and what is the receptor mechanism?

A

Utriculus

  • Oriented horizontally - detects gravity

Saccule

  • Oriented vertically - detects deceleration/acceleration

Stereocilia and kinocilium project into the otolithic membrane –> movement of the statoconia AWAY from the hair cells –> bends stereocilia –> impulse in the dendritic zones

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21
Q

What type of neurons make up the vestibular portion of CN 8? Where are the cell bodies located?

Where do the axons of CN 8 enter the CNS?

Once they enter the CNS, what are the 2 possible locations vestibular CN 8 axons will synapse?

A

Bipolar sensory neurons

Cell bodies are inserted along the course of the axons within the petrous temporal bone = vestibular ganglion

CN 8 enters @ internal acoustic meatus –> lateral surface of the rostral medulla @ the level of the trapezoid body attachment to the caudal cerebellar peduncle

Synapse on:

  1. Vestibular nuclei
  2. Caudal cerebellar peduncle –> cerebellum (fastigal nucleus or flocculonodular lobe)

(DeLahunta)

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22
Q

What is the orientation of the 4 vestibular nuclei?

Where does each nucleus project?

A

Rostral: small, medial

  • continues as the medial vestibulospinal tract

Medial: long, medial

  • contributes to medial vestibulospinal tract

Lateral: short, lateral

  • Continues as the lateral vestibulospinal tract

Caudal: Long, lateral

  • continues as the medial vestibulospinal tract

** all are dorsal to the CN VII and CN V GSE neurons/tracts

** Just caudal to the medial and caudal vestibular nuclei is the lateral cuneate nucleus

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23
Q

Lateral vestibulospinal tract

  • Where are cell bodies located?
  • Travels in which funiculus
  • Terminates at?
  • Function?
A

Lateral vestibulospinal tract

  • Cell bodies located in the lateral vestibular nucleus
  • Courses in the ipsilateral ventral funiculus throughout entire spinal cord
  • Axons terminate on INTERNEURONS of the ventral gray columns of all spinal cord segments
    • Interneurons are facilitatory to ipsilateral alpha/gamma motor neurons to extensor muscles
    • Interneurons are inhibitory to ipsilateral flexor muscles
    • Crosses to interneurons that are inhibitory to contralateral alpha/gamma motor neurons of extensors
  • Effect of stimulation of the lateral vestibulospinal tract is ipsilateral extensor tonus and inhibition of contralateral extensor tonus

The vestibular nuclei are facilitatory to the vestibulospinal tracts

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24
Q

Medial vestibulospinal tract

  • Cell bodies located?
  • Travels in which funiculus
  • Terminates at?
  • Function?
A

Medial vestibulospinal tract

  • Cell bodies in the rostral, medial, and caudal vestibular nuclei
  • Ipsilateral ventral funiculus (medial longitudinal fasiculus)
  • Terminates on interneurons in the cervical and cranial thoracic spinal cord segments –> alpha and gamma motor neurons
  • Controls muscles of the neck (head turn/tilt towards side of vestibular dysfunction)
  • The vestibular nuclei are facilitatory to the vestibulospinal tracts
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25
Q

Vesibular nuclei projections within the brainstem (3)

A

1.

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26
Q

How doo the vestibular nuclei connect with the cerebellum?

A

Vestibular nuclei and ganglia –> caudal cerebellar peduncle –> cerebellum

  • Cortex of the flocculus of the hemisphere
  • Nodulus of the vermis
  • Fastigal nucleus

** projections from the vestibular nuclei to and from the cerebellum are ipsilateral (this is unique among extrapyramidal centers) –> correlate this with the fact that the vestibulospinal tract does NOT decussate

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27
Q

Postrotary nystagmus: which direction is the fast phase?

Caloric nystagmus - normally induces a jerk nystagmus toward/opposite the ear being stimulated

A

Quick phase of the nystagmus is directed opposite the direction of rotation

Caloric nystagmus - normally induces a jerk nystagmus to the side opposite the ear being stimulated

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28
Q

How does experimental ablation of the fastigal nucleus affect the vestibular system?

Clinical signs of vestibular system dysfunction can occur if _________________ regions of C1-3 are interrupted

A

Ablation of the fastigal nucleus –> inhibition of the ipsilateral vestibular nuclei –> vestibular signs

Spinal nerve dorsal roots or dorsal gray matter of the first 3 cervical spinal cord segments interrupted –> ipsilateral vestibular dysfunction

Spinal cord lesions that interrupt the spinovestibular tracts may have the same effect

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29
Q

Between the brain and spinal cord, where does the dura mater start to adhere to the periosteum?

The terminal branches of the vertebral arteries pass through the _____________ to enter the vertebral canal at the atlas, then join the ventral spinal artery to form the basilar artery

Where do the internal carotid arteries enter the skull?

A

First 1-2 cervical vertebrae, and to the atlantooccipital membrane

The terminal branches of the vertebral arteries pass through the lateral vertebral foramina to enter the vertebral canal at the atlas, then join the ventral spinal artery to form the basilar artery

Internal carotid arteries: enter the carotid canal at the tympanic part of the temporal bone –> foramen lacerum –> tympanooccipital fissure –> through cavernous venous sinus
** between the hypophysis and optic chiasm, the internal carotid artery emerges through the dura –> rostral cerebral, middle cerebral, caudal communicating arteries

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30
Q

Which artery runs between the two frontal lobes?

A

Rostral cerebral arteries –> course dorsally between the 2 frontal lobes in the longitudinal cerebral fissure –> dorsally over the genu of the corpus callosum to supply the rostral gyri on the medial cerebral hemisphere
** terminal branches anastamose with branches of the middle cerebral artery on the dorsomedial cortex

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31
Q

Where does the middle cerebral artery branch from the arterial circle?

What are the major branches?

A

Rostral hypophysis: Courses laterally, rostral to the piriform lobe –> dorsolateral over the surface of the cerebral hemisphere –> branches supply the entire lateral hemisphere

  • Terminal branches anastamose with those of the rostral and caudal cerebral arteries along the dorsomedial gyri of the cerebral hemisphere
  • Rostral choroidal artery - arises at the origin of the middle cerebral artery –> medial surface of the piriform lobe –> ventro-rostral hippocampus –> choroid plexus of the lateral ventricle
  • Striate branches - supply the basal nuclei, rostral thalamus, white matter tracts within the cerebral hemisphere (internal capsule)
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32
Q

Where does the caudal cerebral artery leave the cerebral arterial circle?

Where can it be found?

What does it supply?

A

Leave the circle at the caudal hypophysis (rostral to the oculomotor nerve)

  • Courses caudo-dorso-medially following the optic tract to the longitudinal cerebral fissure
  • Continues rostrally on the caudal aspect of the corpus callosum
  • Branches anastamose with the rostral and middle cerebral arteries medially
  • Supplies the caudal cerebral hemisphere, diencephalon, rostral mesencephalon
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33
Q

Where does the rostral cerebellar artery leave the arterial circle?

Where does it run?

What does it supply?

What are its branches?

A

Rostral cerebellar artery

  • Leaves the caudal communicating artery of the arterial circle caudal to the oculomotor nerve
  • Course dorsocaudally along the pons and middle cerebellar peduncle to the cerebellar hemisphere
  • Supplies the caudal midbrain and rostral half of the cerebellum
  • Branches: medial, lateral, intermediate
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34
Q

Where does the basilar artery anastamose with the caudal communicating branches of the internal carotid artery?

Where does the caudal cerebellar artery leave the basilar artery?

What other branches come off the basilar artery?

A

At the level of the rostral border of the transverse fibers of the pons

Caudal cerebellar artery

  • Branch of the basilar artery near the middle of the medulla
  • Courses dorsally to supply the caudal portion of the cerebellum

Labyrinthe artery

  • Branches from the basilar artery and follows the vestibulocochlear nerve through the internal acoustic meatus adjacent to the inner ear

Basilar medullary and pontine branches penetrate the adjacent parenchyma

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35
Q

What are the 4 veins that receive blood from the intracranial sinuses?

At its caudal extend, the dorsal sagittal sinus enters the __________ in the occipital bone, then what?

What vessels drain into the dorsal sagittal sinus?

A
  1. Maxillary
  2. internal jugular
  3. vertebral veins
  4. Ventral internal vertebral venous plexus

Enteres the foramen for the dorsal sagittal sinus in the occipital bone, then:

  • Joins the left and right transverse sinuses at the confluens of the sinuses

The dorsal sagittal sinus receives branches from the dorsal surface of each hemisphere and many of the diploic veins
ROSTRALLY it is formed by the right and left veins of the nasal cavity

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36
Q

What forms the straight sinus, and where does it drain?

Where is the transverse sinus found? What does it divide into?

A

Great cerebral vein + vein of the corpus callosum forms the straight sinus
It drains into the dorsal sagittal sinus (either before or after the foramen)

Transverse sinus: runs through the transverse canal and sulcus
Divides into a temporal sinus and sigmoid sinus

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37
Q

Where does the temporal sinus leave the cranial vault?

Where does the sigmoid sinus leave the cranial vault?

What do these 2 sinuses have in common?

A

Temporal sinus - leaves @ the retroarticular foramen within the petrosal bone –> “emissary vein of the retroarticular foramen” –> maxillary vein

Sigmoid sinus - leaves @ jugular foramen, then TOF –> joins ventral petrosal sinus –> vertebral and internal jugular veins

Transverse sinus –> temporal sinus and sigmoid sinus

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38
Q

Where is the vertebral vein found?

Where does the basilar sinus branch from?

A

Vertebral vein descends the neck in the transverse foramen of the cervical vertebrae

Basilar sinus is a branch of the sigmoid sinus –> condyloid canal –> ventral internal vertebral venous plexus in the vertebral canal

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39
Q

What are the rostral and caudal extents of the cavernous sinus?

What veins drain into the cavernous sinus?

A

Rostral: orbital fissure. Caudal: petrooccipital canal

Connects with ophthalmic plexus rostrally and maxillary veins laterally

Drains causally to the ventral petrosal sinus –> sigmoid sinus –> basilar sinus

2-3 intercavernous sinuses run between the right and left cavernous sinuses

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40
Q

At each intervertebral foramen, the intervertebral veins connect the ventral internal vertebral venous plexus with the?

A

Vertebral veins of the neck

Intercostal veins of the thorax –> azygous and costocervical veins

Lumbar veins –> caudal vena cava

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41
Q

The frontal lobe is the portion of each hemisphere rostral to the ______________

Landmarks for the parietal lobe?

Part of the cortex functions as the auditory ad vestibular system cortex

A

Rostral to the cruciate sulcus

  • The precruciate gyrus is part of this lobe - functions in motor cortex

Parietal lobe - caudal to the cruciate sulcus, dorsal to the sylvian gyrus, (no defined caudal boundary, extends causally to the caudal 1/3 of the cerebral hemisphere)

  • Postcruciate and rostral suprasylvian gyri found in this lobe

Occipital lobe - caudal 1/3 of cerebral hemispheres

Temporal cortex - sylvian gyri function as the auditory ad vestibular system cortex

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42
Q

What sulcus separates the phylogenetically new cerebrum from the older olfactory cerebrum?

A

Rhinal sulcus

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43
Q

What embryonic structure becomes the choroid plexus?

A

Choroid plexus develops where the neural tube neuroepithelium did not proliferate to form neuroparenchyma but remained as a single layer of ependymal neuroepithelial cells = roof plate

The layer of ependymal neuroepithelial cells and the adjacent pia = tela choroidea

Associaed proliferation of capillaries = choroid plexus

Roof plate of the medulla = choroid plexus in the 4th ventricle

Roof plate of the diencephalon = choroid plexus of the 3rd ventricle

Roof plate of the telencephalon = choroid plexus of the lateral ventricles

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44
Q

What comprises the metathalamus?

How does the metathalamus connect to the midbrain?

A

2 geniculate bodies

  • located lateral and dorsocaudal to the thalamus

Lateral geniculate connects to the rostral colliculus via brachium

Medial geniculate connects to the caudal colliculus via brachium

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45
Q

What tract connects the hypothalamus to the habenular nucleus?

A

Stria habenularis - lies on either side of midline, courses dorsally and caudally from the rostroventral aspect of the hypothalamus over the thalamus to the dorsocaudal aspect of the diencephalon and enters the habenular nucleus

  • Considered part of the EPITHALAMUS

There is a thin remnant of the roof plate of the neural tube that extends from one stria habenularis to the other, covered by a thin layer of pia mater

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46
Q

Where is the pineal body found?

A

Subarachnoid space dorsal to the mesencephalon @ the level of the mesencephalic aqueduct

Single, unpaired

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47
Q

What is the anatomic relationship of the 3 cerebellar peduncles?

A

Middle cerebellar peduncle = most lateral

Caudal cerebellar peduncle = Medial and caudal

Rostral cerebellar peduncle = most medial and rostral

12: rostral
11: caudal

10 : middle

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48
Q

Where are the habenular nuclei located?

A

Dorsal aspect of the thalamus, adjacent to the third ventricle, at the level of the interthalamic adhesion and pituitary gland

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49
Q

Where in the nervous system is canabinoid receptor primarily found?

A

CB1 receptor found in the dorsal horn

  • CB1 receptors inhibit voltage-gated calcium channels, decrease excitatory acetylcholine neurotransmitters, increase GABA neurotransmission

CB2 receptors found primarily in immune cells

  • Activation of CB2R receptors do not cause the effects on mentation that activation of CB1R produces - has become a target for therapeutic use in human medicine by reducing inflammation, immune suppression, and as chemotherapeutic

(ACVIM 2017)

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50
Q
A
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51
Q

How does respiration and cardiac function influence ICP?

A

A pressure fluctuation of 1-2mmH20 is normally associated with arterial pulse in humans

Inspiration –> fall in CSF pressure (the amplitude is extremely variable)

In pathological ICP elevations - these fluctuations in CSF pressure become very marked
If there is a sudden increase in intracranial blood volume, CSF can be momentarily accommodated into the cervical subarachnoid space

(DeTerlizzi)

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52
Q

T/F; hormone releasing factors (TRH, CRH, GHRH, GNRH) are released into the CSF of the third ventricle and carried via CSF to the median eminence

A

True

The CSF is a vehicle for the intracerebral transport of biologically active substances

Intracerebral transport of opioids and other neuroactive substances from systemic circulation occurs as well

(DeTerlizzi)

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53
Q

What are the 2 regions of the lateral ventricle?

The lateral recesses open into the?

A
  1. Rostral horn
  2. Temporal horn

Subarachnoid space

Also median aperture (obex) opens into subarachnoid space, unclear if this is present in the dog?

(DeTerlizzi)

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54
Q

What are the 3 tissue interfaces of the brain that control the composition of CSF and interstitial fluid??

A
  1. Blood brain barrier
  2. Blood CSF barrier
  3. CSF brain barrier

(DeTerlizzi)

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55
Q

________________ is at the dorsal surface of the medulla at the caudal end of the 4th ventricle, implicated as a chemoreceptor trigger zone for emesis.

What three characteristics of fluid does it detect?

A

Area postrema

  • Anatomically positioned to detect toxins in the blood and CSF
  • Helps monitor and control changes in body fluid compositions such as:
    • Plasma osmolality
    • Glucose concentration
    • Electrolyte concentration

(DeTerlizzi)

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56
Q

Which structure of the inner ear connects with the subarachnoid space?

A

Cochlear aqueduct, lies between scala tympani and the subarachnoid space

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57
Q

2 components of tight junctions responsible for lack of permeability of the BBB

A
  1. Zona occludens associated proteins
  2. Cingulin

(DeTerlizzi)

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58
Q

BBB and blood CSF barrier are:

  • Highly permeable to? (4)
  • Slightly permeable to? (3)
  • Impermeable to?
A
  • Highly permeable
    • Water
    • CO2
    • Oxygen
    • Most lipid-soluble substances (alcohol, anesthetics)
  • Slightly permeable
    • Sodium
    • Chloride
    • Potassium
  • Impermeable
    • Plasma proteins
    • Non-lipid soluble large organic molecules
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59
Q

What are the components of the BBB? (4)

A
  1. Endothelial cells - nonfenestrated with interendothelial tight junctions
  2. Pericytes - located in basement membrane sheath
  3. Perivascular macrophages
  4. Astrocyte foot processes

(Boron)

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60
Q

How does the neural tube form?

A

Proliferation of ectodermal epithelial cells called the neuroectoderm

The neural plate is formed from thickened ecroderm

  • Invaginates along its axis forming a groove, until the lateral extremities of the plate (also called neural fold) fuse –> neural tube and canal
  • As the neural tube forms, it separates from the nonneural ectoderm

Nonneural ectoderm grows over the dorsum of the tube and fuses along midline

(DeLahunta)

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61
Q

Where do the neural crest cells originate?

A

Arise from the junction of the nonneural and neural ectoderm

As the neural tube forms, it separates from the non-neural ectoderm dorsally

As this separation occurs, a longitudinal column of neural crest cells is left behind in 2 longitudinal columns

The neural crest cells are situated in 2 bilateral columns dorsolateral to the neural tube

(DeLahunta)

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62
Q

How is closure of the neural tube organized?

A

Progresses rostrally and caudally from the site of development of the rhombencephalon

Closure of the brain portion occurs initially at multiple sites - locations of these sites vary among species of animals

Before complete closure, the most rostral opening = rostral neuropore

(DeLahunta)

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63
Q

The rostral end of the neural tube initially develops into which 3 vesicles?

A
  1. Prosencephalon
  2. Mesencephalon
  3. Rhombencephalon
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64
Q

Which 2 vesicles grow from the prosencephalon?

A
  1. Optic vesicles - grow laterally to contact the overlying skin ectoderm
  2. Telencephalic vesicles - emerge from rostral prosencephalon, grow out of the neural tube laterally and dorsally
    • These vesicles overgrown the original vesicular system, form the cerebral hemispheres

Diencephalon = portion of the prosencephalon that remains at the rostral end of the neural tube

  • The optic vesicles remain associated with the diencephalon

(DeLahunta)

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65
Q

The neurohypophysis is a ventral outgrowth of which structure?

A

Diencephalon

(de Lahunta)

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66
Q

What develops from the dorsal metencephalon? Ventral metencephalon?

What does the caudal rhombencephalon form in to?

What becomes the 4th ventricle?

A

Dorsal metencephalon = cerebellum

Ventral metencephalon = pons

Caudal rhombencephalon = myelencephalon = medulla oblongata

Lumen of the neural canal in the rhombencephalon –> 4th ventricle

(de Lahunta)

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67
Q

During differentiation of the neural tube, how does the location of the nucleus change as the cell divides?

A

During interphase, nuclei are located on the external surface of the neural tube

As the nucleus enters mitosis, it migrates through the cytoplasm to the luminal surface of the neural canal

The peripheral portion of the cytoplasm and cell membrane retract to the new luminal position, where cell division is completed

The 2 new daughter cells extend their cytoplasm and cell membranes back to the external surface of the neural tube, and the nuclei migrate back to the periphery again

  • Once in this position, the cells may undergo another mitosis or may differentiate
  • Because the nucleus is at the EXTERNAL surface during interphase, differentiation occurs at the EXTERNAL surface

(de Lahunta)

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68
Q

What are the 2 basic cell types that form from initial differentiation of neuroepithelial cells in the neural tube?

What are the 3 layers formed by initial differentiation?

A
  1. Neuroblasts
    • Immature neurons
    • They will not divide again
    • Grows extensively, forms long processes to become a mature functioning cell
  2. Spongioblasts
    • Form astrocytes and oligodendroglia

As immature neurons and spongioblasts are differentiated and grow, and the neurons produce processes, the neural tube becomes arranged in 3 concentric layers

  1. Germinal layer
  2. Mantle layer
  3. Marginal layer

(de Lahunta)

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69
Q

What occurs in each of the 3 layers of the developing neural tube, and what final structures are formed?

A
  1. Germinal layer
    • Layer adjacent to the neural tube
    • Proliferating neuroepithelial cells - mitotic activity is eventually exhausted, reducing the germinal layer to single layer of ependymal cells
  2. Mantle layer
    • Initially consists of immature neurons and spongioblasts
    • Ultimately becomes the gray matter of the spinal cord, brainstem nuclei, cerebellum (nuclei and cortex), and cerebral cortex/basal nuclei
  3. Marginal layer
    • Initially growing axonal processes of the neuronal cell bodies in the mantle layer
    • Axons become myelinated by oligodendroglial cells - form the tracts in the white matter

(de Lahunta)

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70
Q

The longitudinal groove of the lateral wall neural canal is called the?

What does this groove divide the neural tube in to?

A

Sulcus limitans

  • Divides the neural tube into dorsal and ventral portions
  • Dorsal part = alar plate = sensory
  • Ventral part = basal plate = motor
  • Floor plate - connects the sides ventrally
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71
Q

_____ arise from neuroepithelial cells, function to guide the developing immature neurons to their sites of destination in the neural tube

After development is completed, where do these cells populate?

A

Radial glia

  • The undergo postnatal differentiation with immature neurons, astrocytes, oligodendrocytes, and ependymal cells
  • After development is completed, they populate the:
    • Subventricular zone - lateral ventricles of the frontal lobe
    • Subgranular zone of the hippocampal dentate gyrus

(de Lahunta)

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72
Q

What region of the brain functions as a source of neuronal stem cells for astrocytes and oligodendrocytes?

A

Subventricular zone - most evident in association with the lateral ventricle of the frontal lobe

(de Lahunta)

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73
Q

What is the significance of the subgranular zone of the hippocampal dentate gyrus?

A

Replaces the dentate gyrus granule neurons

(de Lahunta)

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74
Q

What are the 2 signaling centers that are responsible for the development of the spinal cord? What do they secrete?

A
  1. Surface ectoderm (adjacent to the ectoderm that formed the neural plate)
    • Secretes bone morphogenic protein 4 (BMP4) = cytokine that enters the neural tube and directs the development of the dorsal portion of the neural tube
    • Triggers the release of transforming growth factor beta - diffuses ventrally in the neural tube to induce formation of dorsal horn neurons
  2. Notocord (located ventral to the neural tube)
    • Secretes sonic hedgehog signaling molecule
    • Diffuses dorsally in the neural tube - induces formation of ventral horn neurons

(de Lahunta)

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75
Q

What causes the formation of the ventral median fissure in the spinal cord?

Where are the GVA/GVE, GSA/GP, and GSE neurons located?

A

Ventral growth of the 2 basal layers and associated marginal layers beyond the level of the floor plate

GVA/GVE - located adjacent to each other in their respective dorsal and ventral horns on either side of the dorsal plane through the sulcus limitans

GSA and GP neuronal columns - located dorsally in the mantle layer of the alar plate

GSE - located ventrally in the mantle layer of the basal plate

(de Lahunta)

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76
Q

_____________ provide the neurons that form the spinal ganglia at each segment

A

Neural crest cells

(de Lahunta)

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77
Q

Before becoming spinal ganglia, neural crest cells migrate to form which structures? (11)

A
  1. Melanoblasts to the somitic dermatome and adjacent epidermis
  2. Cell bodies of post-ganglionic axons in the 2 neuron GVE system
  3. Medullary cells of the adrenal glands
  4. Glial cells in the wall of the bowel (plus GVE neurons create enteric nervous system)
  5. Contributes to formation of the bone and cartilage of the skull
  6. Derivatives of the brachial arches
  7. Walls of the great vessels at the base of the heart
  8. Thyroid parafollicular cells
  9. Odnotoblasts
  10. Meninges
  11. Lemmocytes (Schwann cells) that form myelin of PNS

(de Lahunta)

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78
Q

_______ gene signals are expressed in the notochord, prechordal plate, and rostral neural plate and influence the specialization of the brain into its divisions

A

Hox genes

  • Similar to spinal cord, prechordal plate and rostral ventral notochord –> secrete SHH –> influences ventral patterning of the brain
  • BMP 4 and 7 secreted by surface ectoderm - control dorsal patterning of the brain

(de Lahunta)

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79
Q

How does the position of the alar and basal plates differ in the medulla vs. spinal cord?

A

The dorsal roof plate of the neural tube is stretched extensively dorsolaterally instead of being obliterated by the proliferating alar plate and marginal tissue

This displaces the alar and basal plates into a lateral and ventral position and enlarges the lumen of the neural tube to form the 4th ventricle

The 4th ventricle is covered dorsally by a single layer of neuroepithelial cells that become ependymal cells

Sulcus limitans present in the ventrolateral wall of the 4th ventricle provides the plane of division of the medulla into a ventromedial basal plate and dorsolateral alar plate

(de Lahunta)

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80
Q

The GSE cell bodies of which medullary nuclei migrate ventrolaterally in the medulla?

A

CN VII, IX, X, and XI

The GSE neurons of the facial nerve migrate from their initial formation in the mantle layer –> facial nucleus in a ventrolateral position

  • This migration is called neurobiotaxis
  • As s result of this migration, the axons leaving this facial nucleus initially course dorsomedially to the floor of the 4th ventricle, before turning to course ventrolaterally to leave the medulla and form the facial nerve

GSE cell bodies of 9, 10 and 11 undergo a migration ventrolaterally - form the nucleus ambiguus

(de Lahunta)

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81
Q

In the medulla, the preganglionic neurons of the parasympathetic portion of the GVE system are located in an interrupted column located where?

A

Just ventromedial to the sulcus limitans

Their axons leave in cranial nerves 7, 9, 10 and 11

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82
Q

Sensory neurons arise from primitive neurons that originate from what 2 populations of cells?

A
  1. Neural crest cells
    • Sensory ganglia of 7, 9, and 10 (GVE and SVA functions)
  2. Brachial arch ectoderm - ectodermal cells that proliferate to form cranial placodes
    • Sensory ganglia of 8 (Special proprioception for vestibular, special somatic afferent for auditory)

(de Lahunta)

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83
Q

The leptomeninges arise from what two types of cells?

A
  1. Neural crest cells
  2. Mesodermal cells

(de Lahunta)

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84
Q

What makes up the tela choroidea?

capillaries in the tela choroidea proliferate to form?

A

The roof plate of ependymal cells and the thin layer of vascularized pia associated with it

Capillaries here proliferate to form 2 longitudinal rows of a dense capillary bed

(de Lahunta)

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85
Q

The lateral apertures develop in the ______________ and allow communication between the lumen of the 4th ventricle and the subarachnoid space

(de Lahunta)

A

Medullary roof plate

Here, the choroid plexus protrudes from the lumen of the 4th ventricle out through the aperture @ each side of the cerebellomedullary angle

(de Lahunta)

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86
Q

How does the motor nucleus of CN V develop in the pons?

How do sensory neurons of CN V develop?

A

Motor neurons arise in the basal plate of the mantle layer –> migrate ventrolaterally into the parenchyma of the pons –> small, well-defined motor nucleus

The GSE of CN V innervate the muscles of mastication derived from the somitomeres of brachial arch 1

Dendritic zones of the head/mucosa –> sensory neurons derived from neural crest cells that form the trigeminal ganglion (GSA neurons) –> trigeminal ganglion

GP neurons for the muscles/joints of the head region –> pons

These sensory axons enter the alar plate region –> for the spinal tract of the trigeminal nerve in the pons/medulla/cranial cervical spinal cord –> terminate in telodendria at synapses in the alar plate (forms sensory pontine nucleus of the trigeminal nerve (in the pons) and the nucleus of the spinal tract of the trigeminal nerve (in the medulla and cranial spinal cord))
** caudally the spinal tract and nucleus meet the analogous functional neurons in the first cervical spinal nerves and spinal cord segment

(de Lahunta)

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87
Q

The cerebellum is formed from the proliferation of what embryonal cells?

How does it affect the roof plate in that region?

A

The germinal epithelial cells of the alar plate (forming the rhombic lip)

This growth dorsolaterally from each site replaces the roof plate of the 4th ventricle, so that the cerebellum forms part of the dorsal boundary of the 4th ventricle in the metencephalon

(de Lahunta)

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88
Q

How do the pontine nuclei and olivary nucleus form?

A

Ventral migration of alar plate mantle neurons forms both nuclei

Pontine - Axons of these neurons cross midline and course dorsally into the cerebellum = transverse fibers of the pons –> middle cerebellar peduncle

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89
Q

Neurons of CN III and IV are derived from what embryonic layers?

A

Basal plate mantle layer

GSE of III and IV - cell bodies do not migrate, remain adjacent to the median plate ventral to the mesencephalic aqueduct

The parasympathetic nucleus of CN III is rostral to the GSE nucleus - neurons also derived from basal plate mantle layer

(de Lahunta)

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90
Q

What forms the tectum of the midbrain?

What forms the crus cerebri of the midbrain?

A

Alar plate proliferates dorsally to form the tectum of the midbrain - divides into paired rostral and caudal colliculi - associated with afferent visual and auditory reflex functions

The crus cerebri results from telecephalic projection neurons growing causally

(de Lahunta)

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91
Q

At which point is the sulcus limitans no longer evident in the neural tube?

The diencephalon and telencephalon are considered developments of the alar or basal plate?

A

Rostral to the mesenceephalon

Diencephalon + telencephalon - alar plate

(de Lahunta)

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92
Q

How does the choroid plexus of the lateral and third ventricles develop?

A

Dorsal median plane of the diencephalon, proliferation of the neural tube epithelial cells does not occur, leaves a single cell thick roof plate

  • Small choroid plexus develops in 2 parallel lines
  • At the interventricular foramina, each of these is continuous with the choroid plexus that develops from the roof plate of each lateral ventricle

(de Lahunta)

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93
Q

How does the pituitary gland form?

A

Neurohypophysis - forms from the subthalamus

Adenohypophysis - Dorsal extension of adjacent oral ectoderm (hypophyseal-rathke pouch)

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94
Q

What is the definition of a nerve?

A

Collection of axons outside the CNS that are myelinated by Schwann cells and arise from the NEURAL CREST

CN 2 axons are myelinated by CNS oligodendroglial cells, covered by meninges, and bathed in CSF

(de Lahunta)

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95
Q

What is the rostral boundary of the brainstem/diencephalon?

A

Lamina terminalis of the diencephalon

This is the rostral boundary of the third ventricle
The optic chiasm is located at the ventral portion of this lamina
The rostral commissure develops (and remains in) this lamina

(de Lahunta)

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96
Q

At the level of the __________ the telencephalic vesicles grow out of the original prosencephalon to form the 2 cerebral hemispheres that comprise the cerebrum

Each telecephalon forms a cerebral hemisphere connected by the ________________

A

Rostral commissure

The lamina terminalis is located on the median plane between these 2 outgrowths

Each telencephalic vesicle grows out of the prosencephalon a short distance rostrally, and then in a large curve caudally and ventrally

Each telencephalon forms a cerebral hemisphere connected by the corpus callosum

(de Lahunta)

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97
Q

At one aspect of the _____ wall of the telencephalic vesicle, the neuroepithelial layer of the neural tube does not proliferate and remains a single layer of cells that become ependymal cells

What does this single layer of neuroepithelial cells ultimately form?

A

At one aspect of the medial wall wall of the telencephalic vesicle, the neuroepithelial layer of the neural tube does not proliferate and remains a single layer of cells that become ependymal cells

  • Comparable with the roof plate of the myelencephalon (dorsal to the 4th ventricle) and roof plate of the diencephalon (dorsal to the 3rd ventricle)

This telencephalic roof plate will be attached to the crus of the hippocampal fornix on each side of the stria terminalis

The choroid plexus of each lateral ventricle develops here

(de Lahunta)

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98
Q

What are the 3 divisions of the cerebral cortex?

A
  1. Paleopallium (olfactory system)
    • Olfactory bulbs
    • Olfactory peduncles
    • Piriform lobe cortex
  2. Archipallium
    • Hippocampus
  3. Neopallium
    • Cerebral surface

(de Lahunta)

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99
Q

What are association vs. projection vs. commissural axons?

A
  • Association: course between cortical areas within 1 cerebral hemisphere
  • Projection: leave the cerebral hemisphere where their cell bodies are located and enter the brainstem via the internal capsule
  • Commissural: cross from one cerebrum to the other

(de Lahunta)

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100
Q

What are the 3 commissural structures of the telencephalon and where do they originate?

A

All initially develop in the lamina terminalis

  1. Rostral commissure - located ventrally in the lamina terminalis
    • Course primarily between paleopallial structures (olfactory) and the basal nuclei on each side
  2. Hippocampal commissure
    • Migrated caudodorsally as the telencephalon developed to reach a position dorsal/caudal to each diencephalon
    • Courses between each archipallium (hippocampus)
  3. Corpus callosum
    • Expands dorsally as the cerebrum develops so that it is positioned between the other 2 commissures
    • Conects neopallial areas of each hemisphere
    • Begins in the lamina terminalis, as telencephalic vesicle expands, corpus callosum enlarges and extends causally and dorsal to the diencephalon
      • Cingulate gyrus is located dorsal
      • Hippocampus and body of the fornix are ventral
      • Forms the lateral roof of the lateral ventricle
    • Septum pellucidum develops dorsally in the lamina terminalis between the genu of the corpus callosum and rostral body of the fornix
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101
Q

How are the marginal and mantle layers arranged in the final cerebrum?

A

Mantle and marginal layers reverse their positions

  • Axons of the mantle layer migrate while axons grow centrally - results in gray matter on the surface and white matter centrally
  • Radial astrocytes participate in this migration - guide neurons to the surface of the neural tube

Except for the basal nuclei - they are formed by neurons that migrate only a short distance from the mantle layer into the developing white matter

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102
Q

The first neurons to migrate to the developing cerebral cortex form which layer?

A

Layer VI (deepest)

As more neurons arrive, they pass those already there to form the rest of the layers in a reverse sequence

The last neurons to arrive form layer I (mot superficial)

(de Lahunta)

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103
Q

Post natal neurogenesis is a well-recognized event in which 2 regions?

A

Olfactory system and hippocampus

(de Lahunta)

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104
Q

What is the embryonic origin of meningiomas?

A

Arachnoid cap cells which arise from neural crest cells

(de Lahunta)

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105
Q

What transporter is responsible for transporting glucose from the capillary into the brain interstitial space?

A

GLUT 1 - located on luminal side and basolateral side

(Boron)

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106
Q

What are the components of the blood-CSF barrier?

A
  1. Vascular endothelium
    • Leaky capillaries
    • These are OUTSIDE the BBB
  2. Choroidal epithelium
    • Specialized ependymal cells
    • Tall columnar epithelial cells with microvilli brush border and cilia
    • APICAL TIGHT JUNCTIONS - different than BBB where the endothelium has tight junctions
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107
Q

How does sympathetic input influence CSF production

How does plasma hypoosmolality influence CSF absorption?

How does blood flow reach the choroid plexus of the lateral ventricles?

How does the amount of blood supplied to the choroid plexus compare to the rest of the cerebrum?

A

Sympathetic input –> decreases CSF production (vasoconstriction?)

Plasma hypoosmolality –> increase CSF formation
Plasma hyperosmolality –> decrease CSF formation
Linear relationship

Blood flow to the choroid plexus is via the anterior/posterior choroidal artery

The blood flow to the choroid plexus is 10x greater than the average cerebral blood flow

(Boron)

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108
Q

How is the median eminence separated from the ventricular system

A

The extracellular space of the median eminence is exposed to substances in the blood (which can modulate the release of hypothalamic releasing factors)

The ependymal layer over the hypothalamic region of the 3rd ventricle has TIGHT JUNCTIONS that limit the movement of substances between the hypothalamic nuclei and the CSF

(Boron)

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109
Q

What are arachnoid villi vs. granulations?

What are the 2 main routes of CSF absorption?

A

Villi = microscopic (Very tiny); granulations = up to 1cm (giant)

2 routes of CSF absorption:

  1. Arachnoid villi
  2. Lymphatics associated with spinal nerves
  3. (also drains across the arachnoid at cranial nerves - considerably drainage at CN 1 and 2)
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110
Q

What is the mechanism of CSF absorption into arachnoid villi?

A

Arachnoid villi are projections of arachnoid membrane (deep) into dural venous sinuses (dorsal)
** also found in veins at intervertebral foraminae

  • At a villus, cerebrospinal fluid is separated from blood by flattened fibroblasts and endothelial cells
  • Each villus functions as a valve, regulating flow CSF into the venous sinus
    • CSF pressure exceeds venous pressure –> villi expands and spaces between cell processes increase - more fluid can flow from the subarachnoid space to the venous sinus
    • When pressure in the sinus exceeds CSF pressure, villi collapse
  • May also involve transcytosis

(de Lahunta)

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111
Q

T/F: The CSF communicates freely with the brain?

What 2 factors most influence rate of CSF production

A

True - Ependyma and pia are highly permeable

Choroid plexus weight and exchange of Na/HCO3-

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112
Q

What are sources of CSF other than the choroid plexi?

The active transport of what ion is responsible for formation of CSF? What other processes are involved?

A
  1. Ependymal lining of the ventricles
  2. Pia/arachnoid vessels in the subarachnoid space
  3. Pial-glial membrane

CSF: ultrafiltrate of plasma, then active secretion of SODIUM results in formation

  • Active transport of Na into the ventricle
  • Na/K ATPase
  • Water, Cl, and HCO3 follow by “facilitated transport”
  • Carbonic anhydrase involved
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113
Q

How do concentrations of:

  • Ca
  • Cl
  • Mg
  • Glucose
  • Na
  • K+
  • Protein

Compare in CSF vs. plasma?

A

Cl, magnesium, sodium - slightly higher in CSF vs. plasma

Ca, K+, and glucose - slightly lower in CSF vs. plasma

Protein - significantly lower in CSF than plasma

(De Terlizzi)

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114
Q

What are the 2 mechanisms by which glucose enters the CSF?

What 3 factors is it’s concentration dependent on

A

Enters via:

  • Facilitated transport
  • Diffusion

Dependent on

  • Blood glucose concentration
    • If BG is low, glucose is more avidly transported across the CNS capillary via carrier mechanism
  • Rate of glucose transport into the CSF
  • Metabolic rate of thee CNS
  • (NOT dependent on insulin)

(De Terlizzi)

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115
Q

How do carbonic anhydrase inhibitor and vasopressin influence CSF sodium concentration?

A

Acetazolamide = carbonic anhydrase inhibitor - slows entrance of sodium into the CSF

Vasopresin - enhances movement of sodium from blood to brain

(De Terlizzi)

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116
Q

How does plasma K+ concentration affect the CSF K+ concentration

A

Plasma concentration has little effect on K+ concentration

Even with very high K+ plasma concentrations, the CSF potassium concentration remains within the normal range

Choroid plexus epithelium has a lower permeability to K+ than to sodium (reverse is true at capillaries)

If K+ is increased in the CSF, it is exchanged for Na to reduce K and increase Na

(De Terlizzi)

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117
Q

How is a low concentration of CNS calcium maintained?

A

Active transport mechanism at the BBB

Active transport at the vascular endothelium

Active transport at the choroid plexus epithelium

(De Terlizzi)

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118
Q

How is CSF creatine kinase related to the blood CK?

Elevation in CSF AST and CK - what could this indicate?

A

They are independent

  • The CSF brain has its own isozyme of CK

Extensive myelin degradation

Also inflammation of the CSF often associated with increased LDH activity

(De Terlizzi)

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119
Q

How do CSF enzymes change after subarachnoid hemorrhage

Changes in CSF lactate and pyruvate may indicate what kind of CNS disease?

A

Study demonstrated decreased activity of CSF enzymes after subarachnoid hemorrhage in dogs

Changes in CSF lactate and pyruvate - may indicate mitochondrial disease

(De Terlizzi)

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120
Q

How are CNS GABA vs. glutamate affected in patients with epilepsy?

What is the normal CSF pressure of dogs and cats under anesthesia?

How does vitamin A affect CSF absorption?

A

GABA - low levels found in CSF of dogs with epilepsy

Glutamate - Elevated in epilepsy (and other diseases)

Dogs < 170 mmH2O; Cats < 100mmH2O

Vitamin A deficiency –> arachnoid vili atrophy –> poor absorption

(De Terlizzi)

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121
Q

What volume of CSF should be submitted for analysis?

Why are CSF cells so fragile?

A

0.75 - 2mL

CSF has low protein, lipid, and tonicity

(De Terlizzi)

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122
Q

If CSF analysis is delayed > 1 hour, what 3 cellular changes can occur?

At room temp - what is the time frame for cell degeneration?

A
  1. Nuclear pyknosis
  2. Lysis
  3. Disintegration of the cytoplasmic and nuclear membranes

Neutrophils degenerate within 1 hour, lymphocytes and macrophages after 3 hours
Eosinophils seem most stable

(De Terlizzi)

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123
Q

What 3 items can be added to CSF to aid stability?

A

Addition of fetal calf serum with a protein concentration of 3.7g/dL to CSF at a concentration of 20% volume

Addition of hetastarch to CSF at a ratio of 1:1

Calf serum appears to stabilize mononuclear cells more effectively than hetastarch

Addition of 1 drop of 15% formalin to 1-2mL CSF may be used to preserve cell concentration and structure for up to 8h after collection

(De Terlizzi)

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124
Q
A
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125
Q

What bone does the pituitary live in? What is the rostral margin and caudal margin of the hypophyseal fossa?

A

Basisphenoid bone

Rostral margin = rostral clinoid process

Caudal margin = dorsum sella

(Big Miller)

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126
Q

How is the dura arranged around the pituitary?

A

Sella turcica is lined by external/endosteal layer of dura

The inner layer of dura forms the diaphragm sellae that attaches to the clinoid process and does not extend fully into the hypophyseal fossa, has a oval slip that the infundibulum passes through

The subarachnoid space does not invest the hypophysis

(Big Miller)

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127
Q

Where does the intercavernous sinus pass in relation to the pituitary?

A

The cavernous sinuses bind the hypophysis laterally, connected by intercavernous sinuses

Larger intercavernous sinus passes caudal to the hypophysis

Some individuals have a smaller intercavernous sinus that passes rostral to the hypophysis

(Big Miller)

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128
Q

Where is the interpeduncular cistern live?

What is found within it?

A

Caudal aspect of the hypophysis

Caudal part of the arterial circle is found here

(Big Miller)

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129
Q

What is the hypophyseal cavity?

A

Large compressed vesicle that is a remnant of the development of the stomodeal adenohypopseal sac

(Big Miller)

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130
Q

What portions of the anterior pituitary are found in the following positions:

  • Between the neural lobe and adenohypophysis
  • Separated from the pars intermedia by the hypopseal cavity
  • Extends as a cuff around the infundibulum to envelop part of the tuber cinereum
A

Pars intermedia: between the neural lobe and adenohypophysis

Pars distalis: separated from the pars intermedia by the hypophyseal cavity

Pars tuberalis: extends as a cuff around the infundibulum to envelop part of the tuber cinereum

(Big Miller)

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131
Q

What are the 3 cell types of the adenohypophysis pars distalis and what do they produce?

A

Acidophilic endocrine cells

  • Smaller than basophilic cells
  • Arranged around sinusoids
  • 2 types - cells that produce somatotropin and cells that produce lactotrophin

Basophilic endocrine cells

  • Cytoplasmic granules that have moderate affinity for basic component dye
  • Granules composed of glycoprotein
  • Larger than acidophilic cells
  • Produce thyrotropin and gonadotrophins

Chromophobic cells

  • Moderate numbers in the central region
  • Produce adrenocorticotropin

(Big Miller)

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132
Q

What products are secreted by the pars intermedia adenohypophysis?

A

Melanocyte-stimulating hormone

Adrenocorticotropin

(Big Miller)

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133
Q

What cells make up the neurohypophysis? What is released?

A

Neurons with cell bodies in the hypothalamus –> axons pass to the neural lobe via the infundibulum

Glial cells = pituicytes are the cells that support the axons

The axons release vasopressin and oxytocin at their synapse

(Big Miller)

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134
Q

What are the 2 main arterial sources of blood to the pituitary gland?

A

Main arterial sources: internal cartotid arteries + caudal communicating arteries

There are also branches from the rostral intercarotid artery, and branches from the rostral communicating arteries

These arteries form the “mantle plexus” that is within the meninges

(Big Miller)

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135
Q

What contributes to the primary blood capillary network and secondary blood capillary network of the pituitary gland?

A

Mantle plexus –> rostral hypophyseal arteries –> capillaries to the tuber cinereum and proximal infundibulum –> primary blood capillary network
** The primary blood capillary network receives neurohormonal secretions called releasing factors from the median eminence –> takes them to the hypophysis

The capillaries of the adenohypophysis form the secondary blood capillary network

Hypophyseal portal vessels = veins that connect the primary and secondary capillary network

(Big Miller)

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136
Q

Where does the caudal hypophyseal artery supply blood to?

Where does blood that runs through the adenohypophysis ultimately drain to?

A

Neurohypophysis

Cavernous and intercavernous sinuses

(Big Miller)

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137
Q

What 2 axons supply the majority of the axons that enter the neurohypophysis?

What supplies autonomic innervation to the pituitary gland?

A

Supraoptic nuclei –> supraopticohypophyseal tract

Paraventricular nuclei –> paraventriculohypophyseal tract

They are UNMYELINATED axons

Sympathetic axons from the cranial cervical ganglion pass via tunica externa of the internal carotid artery and its branches to the vessels of the hypophysis

Parasympathetic innervation has not been described
It is believed that the hormonal input from the adenohypophysis is not under direct autonomic control

(Big Miller)

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138
Q

GSE cell bodies located in the medial portion of the ventral gray horn innervate what muscles?

GSE cell bodies located in the lateral portion of the ventral gray horn innervate what muscles?

A

Medial gray horn –> axial muscles

Lateral gray horn –> appendicular muscles

  • The PROXIMAL limb muscles are located in the –> ventrolateral ventral gray horn
  • DISTAL limb muscles –> dorsal VGH

(de Lahunta)

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139
Q

Which spinal cord segments form the fibular vs. tibial nerve of the sciatic nerve?

A

Fibular nerve: L6 and L7

Tibial nerve: L7 and S1

(deLahunta)

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140
Q

Vertebral formula for:

  • Ox
  • Sheep
  • Swine
  • Horse

Including location for the end of the spinal cord

A

All species have 7 cervical vertebrae

Ox: T13, L6, S5 (ends @ L6/S1)

Horse: T18, L6, S5 (ends @ S2)

Sheep: T13, L6-7, S4 (ends @ L6-S1)

Swine: T14-15, L6-7, S4 (ends @ S1-2)

(de Lahunta)

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141
Q

What nerves, spinal cord segments, and level of the vertebral canal is tested for the following nerves reflexes:

  • Withdrawal reflex
  • Biceps reflex
  • Triceps reflex
  • Extensor carpi radialis reflex
A

Withdrawal:

  • All thoracic limb nerves
  • Spinal cord segments C6-T2 / C5-T1 within the vertebral canal

Biceps:

  • Musculocutaneous
  • Spinal cord segments C6-8 / C5-7 within the vertebral canal

Triceps:

  • Radial nerve
  • Spinal cord segments C7-T2 / C6-T1 within the vertebral canal

Extensor carpi radialis:

  • Radial nerve
  • Spinal cord segments C7-T2 / C6-T1 within the vertebral canal

(de Lahunta)

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142
Q

What nerve, spinal cord segments, and level of the vertebral canal is tested with the following reflexes:

  • Withdrawal
  • Patellar
  • Cranial crural (cranial tibial)
  • Gastrocnemius
A

Withdrawal:

  • Sciatic nerve
  • Spinal cord segments L6-S1 / located @ L4-5 within the vertebral canal

Patellar

  • Femoral nerve
  • Spinal cord segments L4-6 / located @ L3-4 within the vertebral canal

Cranial Crural

  • Fibular nerve
  • Spinal cord segments L6-7 / located @ L4 within the vertebral canal

Gastrocnemius

  • Tibial nerve
  • Spinal cord segments L7-S1 / located @ L4-5 within the vertebral canal

(de Lahunta)

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143
Q

What is the only component of the quadriceps that contribute to hip flexion?

What provides cutaneous sensation to digits I and V of the pelvic limb?

A

Rectus femoris

Digit 1 (Medial) - saphenous nerve branch of the femoral nerve

Digit V (Lateral) - sciatic

** as a rule, with a partially compressed nerve, there will be more loss of motor function with some preservation of sensory function

(de Lahunta)

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144
Q

Pathway of the perineal reflex:

A

Pinch the skin of the perineum/anus (supplied by the superficial perineal nerve, branch of the pudendal nerve) –> S1-3 (located @ L5/6) –>

  • Caudal nerves –> ventral caudal plexus –> sacrocaudalis ventralis lateralis (long depressor of the tail) - flexes the tail
  • –> caudal rectal nerve –> external anal sphincter

(Big Miller)

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145
Q

Femoral nerve:

  • Spinal cord segments
  • Muscles innervated
  • Action
A

Femoral nerve:

  • L4, 5, 6
  • Iliopsoas, quadriceps, sartorius
  • Iliopsoas: flex hip (lumbar hypaxial m)
  • Quadriceps: extend stifle joint, flex hip (cranial thigh)
  • Sartorius - cranial part - hip flexion, caudal part - stifle extension (medial thigh)

(Big Miller)

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146
Q

Obturator nerve:

  • Spinal cord segments
  • Muscles innervated
  • Action
  • Where is it at risk for injury?
A
  • L4, 5 (6)
  • External obturator, pectineus, gracilis, adductor
  • Overall: Adduction of the limb, extension/lateral rotation of the hip joint, flexion of the stifle, extension of the tarsus
  • Located caudal thigh region (obturator is considered pelvic muscle)
  • Courses on the medial surface of the ilium, is at risk for injury by iliac fractures
    • PL will slide out

(Big Miller)

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147
Q

Cranial gluteal nerve:

  • Spinal cord segments
  • Muscles innervated
  • Action
A
  • L6, 7, S1
  • Middle gluteal, deep gluteal, tensor fascia lata
  • Lateral pelvic muscles
    • TFL - flex hip, abduct limb
    • Middle/deep gluteal - extend hip, medial rotation of the hip

(Big Miller)

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148
Q

Caudal gluteal

  • Spinal cord segments
  • Muscles innervated
  • Action
A

Caudal gluteal:

  • L7, (S1, 2)
  • Superficial gluteal, (middle gluteal)
  • Lateral pelvic muscles - Extends the hip

(Big Miller)

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149
Q

Sciatic nerve

  • Spinal cord segments
  • Muscles innervated
  • Action
A

Sciatic nerve

  • L6-S1 (S2)
  • Biceps femoris, Semimembranosus, Semitendinosus (caudal muscles of the thigh)
  • Action: Hip extension, stifle flexion, tarsus extension

(Big Miller)

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150
Q

Common fibular nerve:

  • Spinal cord segments
  • Muscles innervated
  • Action
A

Common fibular nerve

  • L6, 7
  • Fibularis longus, lateral digital extensor, long digital extensor, cranial tibial
    • Craniolateral muscles of the crus
  • Tarsus flexion, digit extension, rotation of the hind paw medially

(Big Miller)

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151
Q

Tibial nerve

  • Spinal cord segments
  • Muscles innervated
  • Action
A

Tibial:

  • L7, S1
  • Muscles: Gastrocnemius, popliteus, superficial digital flexor, deep digital flexor
    • Caudal muscles of the crus
  • Action: Extends tarsal joint, flexion of stifle joint

Plantigrade –> TIBIAL NERVE

(Big Miller)

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152
Q

Cutaneous trunci reflex:

A

Sensory stimulus: mild compression of the skin alongside the spinous processes of the vertebrae using forceps

–> Doral roots –> dorsal gray column –> synapses on long interneurons –> fasiculus proprius on both sides –> project in the ipsilateral and contralateral fasiculus proprios on both sides

Interneurons project cranially to C8/T1 –> ventral gray column –> GSE LMN of the lateral thoracic nerve

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153
Q

RE spinal cord anatomy, what is the difference between a septae, sulci, and fissure

  • Where is the dorsal median fissure present?
  • Where can a dorsal intermediate sulcus be seen?
A

Septum = thin barrier, formed principally by astrocytes in white matter

Sulcus is a shallow grove on the spinal cord surface

Fissure = midline cleft typically lined by pia mater

From large to small: Fissure > sulcus > septum

Dorsal median fissure - absent in cervical and thoracic segments (there is a sulcus and septum instead), present in lumbar
Dorsal intermediate sulcus: cervical spinal cord

(Big Miller)

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154
Q

1cm caudal to the last segment of the spinal cord, the spinal cord is reduced to a uniform strand of glial and ependymal cells called the _______________. Encased in a layer of ___________.

A

1cm caudal to the last segment of the spinal cord, the spinal cord is reduced to a uniform strand of glial and ependymal cells called the filum terminale. Encased in a layer of pia mater.

  • A caudal extension of dura mater that envelops the filum terminale is called the spinal dura mater filament - extends causally in the vertebral canal and attaches to a sacral or caudal vertebrae
  • A dura-arachnoid sac enclosing subarachnoid space and CSF in a lumbar cistern, extends approximately 2cm caudal to the end of the spinal cord neuroparenchyma

(Big Miller)

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155
Q

What are the 3 types of GSE LMN neurons of the spinal cord:

A
  1. Alpha motor neurons
    1. Innervate typical muscle fibers responsible for producing muscle tension
  2. Gamma motor neurons
    • Aka fusimotor neurons
    • Innervate intrafusal muscle fibers within muscle spindles
  3. Beta motor neurons
    • “A few somatic efferent neurons called beta motor neurons innervate both intrafusal and extrafusal muscle fibers”

(Big Miller)

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156
Q

3 spinal cord tracts that carry nociceptive information

A
  1. Spinocervicothalamic tract (mainly skin)
  2. Spinothalamic tract (visceral and somatic)
  3. Dorsal column postsynaptic tract (skin)

(Big Miller)

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157
Q

1 spinal cord tract that carries information RE temperature

A

Spinothalamic tract (visceral and somatic)

(Big Miller)

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158
Q

3 spinal cord tracts that carry information RE tactile stimuli and pressure

A
  1. Dorsal column postsynaptic tract (skin)
  2. Spinocervicothalamic tract (skin)
  3. Spinothalamic tract (visceral and somatic)

(Big Miller)

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159
Q

2 spinal cord tracts that carry information RE discriminative touch

A
  1. Fasiculus cuneatus (mannus)
  2. Fasiculus gracilis (pes)
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160
Q

2 spinal cord tracts that carry information RE kinesthesia/proprioception

A
  1. Fasiculus cuneatus (thoracic limb)
  2. Spinomedullary tract to nucleus Z (pelvic limb)

(Big Miller)

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161
Q

Trace the pathway of myotactic reflex:

A
  • Receptors = annulospiral endings –> type Ia (largest/fastest/myelinated fibers) sensory fiber –>
  • DRG –> dorsal funiculus –> bifurcate into cranial and caudal branches
  • Collaterals of these branches go to the ventral horn and excite nearly all the alpha motor neurons that innervate the muscle being stretched
  • Collateral branches synapse motor neurons of synergist muscles
  • Collaterals synapse on interneurons –> inhibit motor neurons of antagonist muscles

(Big Miller)

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162
Q

Trace the pathway of the withdrawal reflex:

A

Free nerve endings associated with small myelinated fibers and nonmyelinated axons –> DRG –> enter dorsolateral fasiculus and bifurcate into cranial and caudal branches

Cranial and caudal branches extend over several segments –> collateral branches that enter gray matter to synapse on interneurons and projection neurons

Interneurons excite all flexors of the limb and inhibit reciprocal muscles

(Big Miller)

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163
Q

Where in the spinal cord are the following morphologies observed:

  • Ratio of white matter to gray mater is the greatest
  • spinal cord perimeter oval in transverse segments
  • Spinal cord perimeter appears circular
  • Dorsal intermediate sulcus ad septum evident
    • Dorsal median fissure
  • Apex of the dorsal gray horn pointed
  • Apex of the dorsal horn blunted
  • Apex of the dorsal horn rectangular
  • Lateral gray horn evident
A
  • Ratio of white matter to gray mater is the greatest - cervical segments
  • spinal cord perimeter oval in transverse segments - cranial cervical region
  • Spinal cord perimeter appears circular - thoracic segments (between intumescence)
  • Dorsal intermediate sulcus ad septum evident - cranial half of the spinal cord
    • Dorsal median fissure - lumbar and sacral segments
  • Apex of the dorsal gray horn pointed - cervical
  • Apex of the dorsal horn blunted - thoracic region
  • Apex of the dorsal horn rectangular - lumbosacral region
  • Lateral gray horn evident - thoracic and cranial lumbar segment

(Big Miller)

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164
Q

Where is the GSE oculomotor nuclei located?

Where is the GVE oculomotor nucleus located?

A

GSE:

  • Mesencephalon at the level of the rostral colliculi
  • Adjacent to the mesencephalic aqueduct
    • Within the ventral portion of the central gray substance that surrounds the aqueduct

GVE:

  • Rostral to the GSE nucleus
  • Caudal to the pretectal nucleus
  • Similar position in relation to mesencephalic aqueduct

(Big Miller)

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165
Q

What is the pathway of the CN III axons after leaving their nuclei?

A

GSE axons:

  • Pass ventrally through the reticular formation of the tegmentum, remain medial
  • Emerge on the lateral side of the interpeduncular fossa
  • Form the oculomotor nerve on the medial side of the crus cerebri
  • Course rostrally in the middle cranial fossa (lateral to the pituitary gland, adjacent to the cavernous sinus)
  • Leaves cranial cavity through the orbital fissure
  • Within the periorbita courses laterally with CN II shortly
    • Branches to supply:
    • Medial, dorsal, and ventral rectus muscle
    • Ventral oblique muscle
    • Levator palpebrae superioris muscle

GVE axons:

  • GVE axons are located superficially in CN III
  • At point of branching to muscular branches - CILIARY GANGLION
  • Telodendrons of GVE preganglionic neurons synapse on the dendritic zones of the cell bodies of the ganglionic neurons
  • Ganglionic axons pass via short ciliary nerves along the surface of the optic nerve –> eyeball –> smooth muscle of the ciliary muscle and sphincter of the pupil

(de Lahunta)

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166
Q

Where are the cell bodies of CN IV, what is the path of the nerve:

A

Nucleus:

  • Located in the caudal mesencephalon, level of the caudal colliculi
  • Adjacent to the mesencephalic aqueduct

Axons:

  • Courses lateral, dorsal, and caudal –> enter rostral medullary velum –> cross to opposite side and emerge caudal to the caudal colliculus
  • Continue rostrally and ventrally on the side of the mesencephalon –> floor of the middle cranial fossa
  • Continue rostrally, lateral to the pituitary gland, adjacent to cavernous sinus
  • Leave cranial cavity through orbital fissure
    • (horses - sometimes leaves through trochlear foramen)
  • Within periorbita:
    • Innervates contralateral dorsal oblique muscle (pulls dorsal part of the eye medially)
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167
Q

CN VI - where is the nucleus located? Where do the axons pass?

A

Nucleus:

  • Located in the motor nucleus of the abducent nerve in the rostral medulla at the level of the caudal cerebellar peduncle
  • Close to midline, adjacent to 4th ventricle
    • GSE axons of the genu of the facial nerve pass over this nucleus

Axons:

  • Ventrally through the reticular formation of the medulla
  • Pass through trapezoid body
  • Emerge just lateral to the pyramid
  • Course on the floor of the middle cranial fossa, beside the pituitary, adjacent to the cavernous sinus
  • Leaves the cranial cavity through the orbital fissure
    • Within the periorbita, branches to innervate the lateral rectus and retractor bulbi muscles

(Big Miller)

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168
Q

How can a vestibular ventrolateral strabismus be differentiated from an oculomotor ventrolateral strabismus?

A

Oculomotor nerve strabismus - present in all head positions

Vestibular nerve strabismus - only present with certain head positions

(de Lahunta)

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169
Q

GSE of CN V - where are the cell bodies located, where do the axons course?

A

Nucleus:

  • Motor nucleus of the trigeminal nerve
  • Located in the pons @ level of the middle and rostral cerebellar peduncles
  • Medial to the pontine sensory nucleus
  • Dorsolateral within the pons

Axons:

  • Leave pons ventrolaterally, go through middle cerebellar peduncle –> join sensory neurons entering the pons
  • As they emerge from the pons, may be seen as a separate motor nerve root on the medial aspect of the incoming sensory fibers –> leaves in the canal for the trigeminal nerve (petrosal temporal bone)
  • Within the canal for the trigeminal nerve, motor neurons pass through the large trigeminal ganglion without synapsing
  • Mandibular nerve leaves through the OVAL foramen –> muscles of mastication

(Uemura/de Lahunta)

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170
Q

CN VII GSE - where are the cell bodies located? Where do the axons course?

A

CN VII GSE nucleus:

  • Facial nucleus in the rostral medulla, located ventrolateral
    • Medial is the pyramid, lateral is the spinal nucleus of the trigeminal nerve, rostral is the trapezoid body
  • @ the level of attachment of the caudal cerebellar peduncle to the cerebellum

Axons:

  • Course dorsorostrally toward the 4th ventricle, pass rostrally over the motor nucleus of the abducent nerve forming the genu of the facial nerve
  • Emerge from the medulla through the trapezoid body, ventral to the incoming CN VIII
  • Leaves through internal acoustic meatus alongside CN 8 –> enters the facial canal within the temporal bone –> stylomastoid foramen
    • @ facial canal - separated from the tympanic cavity by a thin layer of connective tissue
  • Branches of the facial nerve:
    • Stapedius nerve (branches within the facial canal) –> stapedius muscle
    • Caudal auricular nerve –> retroauricular muscle
    • Digastric nerve –> caudal digastricus
    • Auriculopalpebral –> rostral auricular muscles, orbicularis oculi muscles
    • Dorsal buccal –> maxillonasolabialis muscle
    • Ventral buccal nerves –> ventral orbicularis oris muscle

(de Lahunta, Uemura)

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171
Q

CN 9 GSE LMN - where are the cell bodies located? Where do the axons course?

A

CN IX

  • Cell bodies located in the rostral portion of the nucleus ambiguus (motor nucleus of the glossopharyngeal nerve)
  • Nucleus ambiguus - ill defined column of neuronal cell bodies ventrolateral medulla

Axons

  • Axons go dorsally, then ventrolaterally –> emerge along lateral medulla w/ GVE preganglionic axons of CN IX
    • Just caudal to CN VIII
  • Enters jugular foramen, exits tympanooccipital fissure
  • Gives rise to (GSE branches)
    • Pharyngeal beach - forms pharyngeal plexus w/ pharyngeal branches of CN X and sympathetic fibers of cranial cervical ganglion –> innervates pharyngeal muscles

(GSE component of CN IX is whimpy in comparison to GVE and GSA)

(de Lahunta)

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172
Q

CN X GSE - Where are the cell bodies located? Where do the axons course?

A

CN X

  • Cell bodies in the middle portion of the nucleus ambiguus = motor portion of the vagus nerve

Axons:

  • Similar intramedullary course with CN IX GSE axons - course dorsally then ventrolaterally –> emerge on the lateral aspect of the medulla, just rostral to the internal branch of the accessory nerve
  • Joined by preganglionic GVE CN X axons = motor portion of vagus nerve
  • Leaves through jugular foramen –> GSE of internal branch of accessory nerve join –> leaves tympanooccipital fissure
  • Pharyngeal branch –> pharyngeal plexus with CN IX –> striated muscle of the palate, pharynx, and cervical esophagus
  • Cranial laryngeal branch –> cricothyroid muscle
  • Recurrent laryngeal (contains GSE of internal accessory branch) –> caudal laryngeal nerve –> all other intrinsic muscles of the larynx
    • Recurrent laryngeal nerve innervates the cervical and cranial thoracic esophagus
  • Small branches from vagus nerve –> directly to esophagus

(de Lahunta)

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173
Q

CN XI - Where do the GSE cell bodies live? Where do the axons course?

A

CN XI

  • Internal branch: cell bodies located in the caudal nucleus ambiguus
  • External branch: cel bodies located in the motor nucleus of CN XI - lateral gray horn of C 1-8

Axons pass:

  • Internal branch: course dorsally then ventrolaterally within the medulla –> emerge on the lateral aspect of the medulla as the cranial roots of CN XI –> jugular foramen –> join CN X GSE and GVE –> tympanooccipital fissure
    • Innervate:
      • Intrinsic muscles of the larynx
      • Cervical and cranial thoracic esophagus (via recurrent laryngeal)
  • External branch: axons emerge from the lateral cervical spinal cord as the spinal roots of the accessory nerve –> form external branch of the accessory nerve –> courses cranially just dorsal to the denticulate ligament between the dorsal and ventral rootlets –> foramen magnum –> joins the internal branch of CN XI for a few mm –> jugular foramen –> internal branch joins vagus nerve
  • Emerges from TOF (accessory nerve that emerges from TOF contains only GSE neurons from the external branch
  • Innervates:
    • Trapezius
    • Sternocephalicus
    • Cleidocephalicus

(de Lahunta)

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174
Q

CN XII - where are the GSE cell bodies located, where do the axons course?

A

CN XII

  • GSE neuronal cell bodies located in the motor nucleus of the hypoglossal nerve in the medulla
    • Adjacent to the median plane and to the floor of the 4th ventricle
    • Long nucleus

Axons pass:

  • Directly ventral and lateral from the nucleus through the reticular formation –> emerge lateral to the pyramid as a longitudinal series of small roots
  • Row of hypoglossal roots merges at the small hypoglossal canal –> hypoglossal canal
  • Innervate:
    • Extrinsic tongue muscles
    • Intrinsic tongue muscles
    • geniohyoideus
  • The nerve is much smaller inside the cranial cavity than outside the skull - this is the result of increase in myelination and connective tissue that occurs after the nerve merges from the hypoglossal canal

(de Lahunta)

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175
Q

During the resting stage of neuronal action potential, what is the state of:

  • Voltage-gated Na channel
  • Voltage-gated K+ channel
  • Conductance for K+ compared to Na
A

Voltage-gated Na channel: Activation gait is closed, inactivation gate open

Voltage-gated K+ channel: gate closed

Conductance for K+ is 50 - 100x greater than conductance for Na+
This is due to leakage of K+ through leak channels

(Guyton)

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176
Q

During the depolarization stage of the neuron action potential, what is the state of:

  • Voltage-gated Na channel
  • Voltage-gated K channel
  • Conductance of K+ ions compared to Na ions?
A

Conformational change in the voltage-gated Na channel activation –> open conformation

Voltage gated K+ channel opens but much slower rate than VGNa channel

Na conductance becomes 10x greater than K conductance

(Guyton)

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177
Q

During the repolarization stage of neuronal action potential, what is the state of:

  • Voltage-gated Na channel
  • Voltage-gated K channel
  • Na conductance compared to K conductance
A

Voltage-gated Na channel - inactivation gate closed.

Voltage-gated K channel open - K+ diffuses out of the cell

Conductance of K is becoming greater than Na again

(Guyton)

(The inactivation gate will not reopen until the membrane potential returns to or near the original resting membrane potential)

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178
Q

How does extracellular concentration of Ca effect nerve excitability?

A

Deficit of Ca –> nerve is hyperexcitable

Na channels become activated by a small increase of the membrane potential

Ca appears to bind the exterior surface of the Na channel –> alters the voltage-level required to open the gate

(Guyton)

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179
Q

Myelination increases the velocity of nerve transmission by _________x

A

5-50x

(Guyton)

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180
Q

What makes up sarcolemma?

What are myofibrils composed of?

A

True cell membrane + an outer coat of polysaccharide material containing collagen fibrils

Myofibrils are composed of actin and myosin

(Guyton)

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181
Q

What are the subunits of myosin filament?

What are the subunits of actin filament?

A

Myosin filament - 200+ myosin molecule
Each myosin molecule is an ATPase

Actin

  • Polymerized g-actin makes up F actin strands which are interlaced with tropomyosin
  • Troponin - 3 subunits that are attached to tropomyosin
  • Troponin + tropomyosin - inhibit interaction of actin and myosin

(Guyton)

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182
Q

What is an A band vs. I band vs. Z disc of the myofibril?

What is a sarcomere?

A

I band = light band - actin only

Dark band = A band = actin and myosin

Z disk = structure that attaches actin filaments

Sarcomere is the unit between z disks

(Guyton)

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183
Q

What keeps actin and myosin together and attached to the Z-disk?

A

Titin

(Guyton)

184
Q

What is the mechanism of muscle contraction after depolarization of the sarcolemma?

A
  • Action potential depolarizes muscle membrane and causes the sarcoplasmic reticulum to release lg quantities of calcium ions
  • Ca inhibits troponin/tropomyosin complex –> allows interaction of myosin + actin
  • Uncovered actin filament –> binds actin –> conformational change in myosin head –> “power stroke” (involves release of ADP, binding and cleavage of new ATP molecule)
  • After a fraction of a second, the calcium ions are pumped back into the sarcoplasmic reticulum by Ca2+ membrane pump and remain stored in the reticulum until a new muscle action potential comes along
  • This removal of calcium ions from the myofibrils causes the muscle contraction to cease

(Guyton)

185
Q

What are the 3 sources of energy for myofiber?

A
  • Phosphocreatine - carries high energy phosphate bond similar to ATP
    • Slightly higher amount of free energy than each ATP bond
    • The total amount of phosphocreatine in the muscle fiber is small
  • Glycolysis of glycogen
    • Occurs in the absence of oxygen, can be sustained for up to a minute
    • Accumulation of the end products of glycolysis limits its ability to continue
  • Oxidative metabolism
    • Combining oxygen w/ end products of glycolysis (and other cellular food stuffs) to create ATP
    • More than 85% of all energy used by muscles for sustained long term contraction is derived from oxidative metabolism

(Guyton)

186
Q

Fast vs. slow muscle fibers

  • Type I or II?
  • Size?
  • Size of nerve fiber innervated?
  • Blood supply?
  • Type of metabolism
  • Amount of myoglobin
A

Slow:

  • Type I
  • Small muscle fibers
  • Small nerve fibers
  • Rich blood supply and capillaries
  • High # mitochondria for oxidative phosphorylation, few glycolytic enzymes
  • High qty of myoglobin (red color)

Fast:

  • Type II
  • Extensive sarcoplasmic reticulum for strongest possible contraction
  • Large muscle fibers
  • Large nerve fibers
  • Limited blood supply
  • Few mitochondria, extensive glycolytic enzymes
  • Small amount of myoglobin - more white in color

(Guyton)

187
Q

T/F: The motor end plate is covered by a Schwann cell?

What does the sarcoemma look like at the motor end plate?

A

True - but there is no myelin

Sarcolemma has an invaginated membrane = synaptic gutter/trough with smaller folds of muscle membrane = subneural clefts
Increases surface area for neurotransmitter

188
Q

Where is Acetylcholine synthesized?

What ion is required for vesicle release?

What is the role of Ca-calmodulin dependent protein kinase?

A

Acetylcholine is synthesized in the cytoplasm of the nerve –> stored in vesicles

Action potential spreads to the nerve terminal –> voltage-gated Ca channels open –> Ca ions diffuse from synaptic space to the interior of the nerve terminal

Ca ions activate Ca-calmodulin dependent protein kinase –> phosphorylates synapsin proteins –> which allows ACh vesicles to be freed from the cytoskeleton and move to the active zone of the presynaptic membrane (adjacent to the dense bars) –> vesicles dock at release sites and fuse with he neural membrane –> empty ACh into synaptic space via exocytosis

(Guyton)

189
Q

How many molecules of ACh are required to bind the nicotinic ACh receptor and activate it?

What occurs in the post-synaptic ACh receptor when ACh is bound

A

2

The nicotinic ACh receptor has 5 subunits

2 ACh molecules attach to the alpha subunits –> conformational change –> opens the channel

The channel is permeable to Na, K+, and Ca but more Na flows through than any other ion

Binding of ACh to ACh-gated channel –> excitatory potential of the myofiber

190
Q

Acetylcholinesterase splits ACh into what molecules?

How are the ACh vesicles recycled?

A

Acetate and choline

Choline is quickly reabsorbed - reused to form new acetylcholine

Within a few seconds after each AP is over, coated pits appear in the terminal nerve membrane. Proteins contract and cause the pits to break away to the interior of the membrane –> new vesicles
ACh is transported to the interior of the new vesicles –> ready for a new cycle of ACh release

(Guyton)

191
Q

What is the MOA of neostigmine/pyridostigmine?

Pharmacokinetics

A

Competitive, reversible inhibition of acetylcholinesterase

  • Similar chemical structure to acetylcholine, polar quaternary ammonium structure
  • Binds acetylcholinesterase and causes transfer of a carbamyl molecule to the catalytic site of the enzyme - blocks hydrolytic activity
  • Half-life: neostigmine - 8-21 min; pyridostigmine - 23 - 82 min
  • Adverse reaction w/ levamisole

(Madison pharmacology)

192
Q

How does the duration of the action potential in a muscle cell compare to neuron?

A

Duration of action potential about 1-5ms (5x longer than large myelinated nerve fiber)

(Guyton)

193
Q

When an action potential reaches the T tubule what allows release of calcium

What mechanism reduces intracellular calcium rapidly after muscle contraction

A

Voltage changes –> activation of dihydropyridine receptors –> opening of Ca-release channels on sarcoplasmic reticulum membrane (AKA ryanodine receptor)

Continually active Ca pump located in the walls of the sarcoplasmic reticulum pumps Ca ions out of the sarcoplasm and into the sarcoplasmic tubules
Calsequestrin - protein found within sarcoplasmic reticulum that can bind 40x more concentration Ca

194
Q

What is the mechanism of G-protein coupled receptor and what are the secondary effects?

A
  • Receptor is activated by neurotransmitter –> receptor undergoes conformational change exposing a binding site for G protein complex
  • G protein complex binds –> permits alpha subunit to release GDP and bind GTP while separating from the beta/gamma portions of the complex
  • Alpha-GTP complex is free within the cytosol to perform various functions
    • Opening specific ion channels through postsynaptic cell membrane
    • Activation of cAMP or cGMP –> initiate metabolic shift –> long term excitability can be altered
    • Activation of intracellular enzymes
    • Activation of gene transcription

(Guyton)

195
Q

Small molecule neurotransmitters - where are they synthesized, how are they packaged?

A

Small molecule transmitters are synthesized in the cytosol of the presynaptic terminal

Packaged into transmitter vesicles via active transport

The vesicles that store and release small molecule transmitters are continually recycled

(Guyton)

196
Q

What are the small molecule neurotransmitters? (8)

A

Excitatory:

  • Acetylcholine
  • Norepi - secreted @ locus coeruleus, sympathetic
  • Glutamate

Inhibitory

  • Dopamine - secreted @ substantia nigra
  • Glycline - secreted @ spinal cord
  • GABA

Other:

  • Serotonon - secreted @ median raphe nucleus
  • NO (not stored in vesicles, synthesized as needed and diffuses between membranes

(Guyton)

197
Q

Where are neuropeptide neurotransmitteres synthesized and how are they packaged?

A

Synthesized in soma by ribosomes as lg protein molecules, enter the endoplasmic reticulum and are packaged in the Golgi apparatus

Within the Golgi apparatus, the larger protein molecules are split into smaller fragments (either neuropeptide or other neuropeptide precursor)

Golgi packages neuropeptide into transmitter vesicles –> releases vesicles –> transported down axon (slow transport) –> released at neuron terminal in response to action potential

Vesicle is autolyzed and not reused

Smaller quantities are released (as compared to small molecule neurotransmitters), they are more potent

(Guyton)

198
Q

What is the typical resting membrane potential in a ventral horn motor neuron vs. peripheral nerve fiber vs. muscle fiber?

A

Ventral horn motor neuron - -65mV

Peripheral nerve fiber, muscle fiber -90mV

(Guyton)

199
Q

What is the resting membrane potential due to Na only?
What is the resting membrane potential due to K only?
What is the resting membrane potential due to Cl only?

A

Resting membrane potential due to Na only = +61 mV
If Na were allowed to flow freely, the membrane potential would be +61 on the inside compared to outside once it equilibrated

Resting membrane potential due to K+ only = -86mV
If K+ were allowed to flow freely, it would leave -86mV inside the cell once equilibrated

Resting membrane potential due to Cl only = -70mV
Chloride is high in the extracellular fluid and low intracellular
Membrane is permeable to Cl ions but since the Na/K pump leaves the interior of the cell negative, Cl does not diffuse inside

(Guyton)

200
Q

Why is it difficult for an action potential to be elicited in the dendrites, and easier in the axon hillock?

A

There are no/few voltage-gated Na channels at the dendrites, they are found at the axon hillock

Excitatory postsynaptic potential of +10-20mV in the axon hillock will initiate an AP, requires +30-40mV in the dendrites/soma

(Guyton)

201
Q

What neuron changes occur when an inhibitory signal is received?

A

Open chloride channels –> hyperpolarizes the nerve

Open K+ channels –> hyperpolarizes the nerve

Increase in negativity beyond the normal resting potential is called inhibitory postsynaptic potential

(Guyton)

202
Q

What is spatial summation vs. temporal summation?

A

Spatial summation: Multiple presynaptic terminals stimulate the same neuron at different sites but at the same time –> summation of EPSP –> action potential

Temporal summation: one presynaptic terminal stimulates a neuron at the same site repeatedly –> summation of EPSP –> action potential

(Guyton)

203
Q

How does the surface area of a dendrite or distance from the soma affect its ability to conduct a change in the membrane potential?

A

Before the excitatory potentials reach the soma, a share of the potential is lost by leakage through the membrane

This decrease in membrane potential as it spreads along dendrites towards the soma is called decremental conduction

The farther the excitatory synapse from the soma, the greater will be the decrement and the lesser will be excitatory signal reaching the soma
Therefore synapses that lie near the soma are more influential

(Guyton)

204
Q

What contributes to fatigue of synaptic transmission

A

Fatigue: Excitatory synapses fire at a rapid rate –> number of discharges by the postsynaptic neuron is at first very great, firing rate becomes progressively less in succeeding ms or seconds

Mechanism:

  • Exhaustion of supply or transmitter substance
  • Progressive inactivation of postsynaptic membrane receptors
  • Slow development of abnormal concentrations of ions inside postsynaptic cell

(Guyton)

205
Q

How do alkalosis or acidosis affect neuronal excitability?

A

Alkalosis increases neuronal excitability

Hyperventilation –> blows off CO2 –> elevated pH –> may precipitate epileptic attack

Acidosis depressed neuronal activity

(Guyton)

206
Q

What is the primary integrating center of the autonomic nervous system? How are the sympathetic and parasympathetic divisions separated?

A

Hypothalamus

  • Rostral nuclei - parasympathetic
  • Caudal nuclei - sympathetic
  • Input from: cerebrum, thalamic nuclei, ascending GVA pathways
  • Outut to: Reticular formation

(de Lahunta)

207
Q

Where are sympathetic cell bodies located within the spinal cord?

Where are parasympathetic cell bodies located within the CNS?

As a general rule, where are sympathetic ganglia vs. parasympathetic ganglia located in relation to their target organ?

A

Sympathetic: Lateral gray column of T1-L4/5
Sympathetic ganglia are located close to the CNS –> ganglionic (postganglionic) axons are fairly long

Parasympathetic: CN nuclei 3, 7, 9, 10; Lateral gray column of S1-3
Parasympathetic ganglia are located close to the target organ –> ganglionic axin are short

(de Lahunta)

208
Q

How does input from the retina reach CN 3 GSE and GVE nuclei?

A

Retina –> optic nerve –> optic chiasm –> optic tracts –> pass over LGN and synapse on pretectal nuclei (rostral midbrain)

  • -> axons cross at caudal commissure –> contralateral CN3 nucleus
  • -> smaller # axons do not cross –> ipsilateral CN 3 nucleus

(de Lahunta)

209
Q

How is the pupillary sphincter muscle arranged differently than the dilator muscle?

A

Pupillary sphincter is circularly arranged

Pupillary dilator muscle is radially arranged

210
Q

What is the pathway of sympathetic innervation to the eye?

What 3 structures do the sympathetic axons innervate within the periorbita/globe

A
  • Cell bodies are in the lateral gray horn of T1-3/4
  • Leave with the ventral root –> ramus communicans –> course cranially in the sympathetic trunk –>
  • pass through cervicothoracic and middle cervical ganglia –> join cervical vagosympathetic trunk (within carotid sheath) –> cranial cervical ganglion
    • This ganglion is located medial to the origin of the digastricus, ventromedial to the tympanic bulla
  • “Pathway from cranial cervical ganglion to eye is not well defined”
    • As a rule, ganglionic sympathetic axons follow blood vessels
    • In the cat, these axons pass through the tympanic cavity on the ventral surface of the petrous temporal bone
  • Tympanic cavity –> run ventral to the trigeminal ganglion –> enter the cranial cavity via TOF –> join the ophthalmic nerve branch of the trigeminal nerve –> orbit/periorbita
  • Innervate:
    • Pupillary dilator
    • Ciliary muscle –> increase lens curvature
    • Orbitalis muscle = smooth muscle of the periorbita/eyelids (third eyelid)

(de Lahunta)

211
Q

Where are sympathetic trunk ganglia found?

A

Sympathetic trunk ganglia are paired and line on the ventrolateral surface of the vertebral column EXCEPT in the cervical and cranial thoracic region

  • Preganglionic sympathetic fiber cell body in lateral horn –> leaves w. ventral root –> branches off spinal nerve –> communicating branch (ramus communicans) –> joins sympathetic trunk and synapses @ sympathetic trunk ganglia –>
  • The sympathetic trunk ganglia caudal to the cranial thoracic region are segmentally related to the adjacent vertebrae
  • These ganglia are numbered according to the spinal nerve to which the preganglionic sympathetic fibers join
  • The sympathetic trunks extend caudally into the sacral and coccygeal vertebrae
    • Paired trunks are sometimes partially fused here

(Uemura)

212
Q

Spinal nerves C1 and 2, where do their postganglionic sympathetic fibers come from?

A

Cranial cervical ganglion:

  • Lateral gray horn of T1-3 –> communicating branch –> pass through cervicothoracic/middle cervical ganglion –> vagosympathetic trunk –> cr. cervical ganglion

(Uemura)

213
Q

Where does the middle cervical ganglion receive preganglionic sympathetic axons from, and what structures does it supply sympathetic innervation to?

Anatomic landmark for the middle cervical ganglion?

A

T1-3 lateral gray horn –> ventral roots –> communicating branch –> sympathetic trunk –> pass through cervicothoracic ganglion w/o synapse –> ansa subclavia –> middle cervical ganglion –> cardiosympathetic fibers to the heart/airways

  • Middle cervical ganglion - located just cranial to the ansa subclavian, @ thoracic inlet

(Uemura)

214
Q

Where does the cervicothoracic ganglion receive preganglionic sympathetic axons from, and what structures does it supply sympathetic innervation to?

Anatomic landmark for the cervicothoracic ganglion?

A

T1-3/4 lateral gray horn –> ventral roots –> communicating branch –> sympathetic trunk –> cervicothoracic ganglion

  • Postganglionic axons –> heart and lungs
  • Vertebral nerve –> postganglionic axons distributed with C3-8

Cervicothoracic ganglion: located just medial to the first rib

215
Q

What system is considered the “UMN” input of the autonomic nervous system?

Can the sympathetic GVE LMN function without it?

A

Lateral tectotegmentospinal system

  • Hypothalamus –> brainstem –> lateral funiculus –> lateral gray horn from T1-L4/5 –> synapse on dendritic zones of the pregenglionic neurons of the sympathetic GVE LMN
  • The activity of this system is necessary for GVE LMN to function

(de Lahunta)

216
Q

Describe the parasympathetic innervation to the bladder

A

S1-3 spinal cord segments lateral gray horn –> ventral roots –> spinal nerve –> ventral branches –> parasympathetic fibers branch off

  • Parasympathetic fibers from S1-3 form a single pelvic nerve that runs ventrally on the lateral surface of the rectum
  • Ventral to the rectum, they meet hypogastric nerves and form pelvic plexus
  • Parasympathetic preganglionic axons can synapse @ the pelvic ganglion –> postganglionic axons travel to the detrusor muscle
    • Or parasympathetic preganglionic axons travel through the pelvic plexus w/o synapse –> detrusor muscle and synapse w/ postganglionic axon there

Postganglionic parasympathetic axons in the detrusor synapse on muscarinic cholinergic receptors (M2 and M3) of the smooth muscle of the bladder (aka detrusor)

(de Lahunta)

217
Q

Describe the sympathetic innervation to the urinary bladder

A

Preganglionic cell body is in the lateral gray horn of L1-4 or L5 –> axons leave w/ ventral root –> spinal nerve –> axons leave spinal nerve (communicating branch) –> sympathetic trunk –> leave w. lumbar splanchnic nerves –> caudal mesenteric ganglion

  • Postganglionic axons form hypogastric nerves –> intermix @ pelvic plexus with pelvic nerve
  • Postganglionic axons can synapse/terminate @ pelvic plexus on the dendrite/cell body of postganglionic parasympathetic neurons
    • Alpha 2 receptors on parasympathetic nerves –> when stimulated, the parasympathetic neuron is inhibited from generating an impulse –> prevents detrusor contraction
  • Postganglionic axons can continue to the neck of the bladder –> smooth muscle of internal urethral sphincter –> alpha 1 receptors
  • Postganglionic axons can continue to the detrusor muscle beta 3 receptors

(de Lahunta)

218
Q

What kind of receptors respond to stretch and distention of the bladder?

Where does the axon of the GVA from the bladder travel to reach the spinal cord

What is the pathway from the spinal cord to brain centers during urine storage

A

A-delta mechanoreceptors –> GVA fibers that run with the pelvic nerve and hypogastric nerve –> cell body in DRG –> synapses @ dorsal horn

  • The next neuron decussates –> travels in spinothalamic/spinoreticular tract to the pontine micturition center and to thalamus/cerebrum

(de Lahunta)

219
Q

What occurs during urine storage:

A

Distention of the bladder –> low-level visceral afferent firing –> stimulates sympathetic outflow:

Sympathetic

  • Sympathetic:
    • Releases norepi @ detrusor –> activated INHIBITORY B-adrenergic receptors in the detrusor muscle –> relaxes the bladder
    • @ IUS–> activates alpha-1 adrenergic receptors –> contraction of smooth muscle
    • @ Pelvic ganglion –> activates alpha 2 receptors on parasympathetic postganglionic axons –> inhibits detrusor contraction
  • Parasympathetic: inhibited
  • GSE: Pudendal nerve releases ACh on nicotinic cholinergic receptor –> voluntary contraction of external sphincter

“A region in the rostral pons (the pontine storage centre) might increase striated urethral sphincter activity”

220
Q

What occurs during micturition:

A

Bladder volume increases –> exceeds threshold of GVA mechanoreceptors that respond to stretch and distention –> impulses via pelvic nerve –> sacral dorsal gray column

  • Ascending signal travels via spinothalamic tract –> pontine micturition center
    • Also travels to thalamic nuclei –> cerebral cortex
    • Also travels to cerebellum (who knows why)
  • Pontine micturition center –> reticulospinal tract
    • Lumbar segments –> inhibits sympathetic input to detrusor and IES
    • Sacral segments –>
      • Facilitates parasympathetic input –> releases ACh on muscarinic receptors –> destrusor contraction
      • Inhibits pudendal GSE –> relax EUS

(deLahunta)

221
Q

Neural control of defecation:

A
  • Sacral segments –> parasympathetic preganglionic neurons –> pelvic nerves –> wall of GI tract –> postganglionic neuron
    • Facilatoryy
  • L1-L4 or 5 –> caudal mesenteric ganglion/plexus –> hypogastric nerves –> pelvic plexus –> GVE LMN to descending colon/rectum and internal anal sphincter
  • Sacral spinal cord segments GSE LMN –> sacral plexus –> caudal rectal branch of the pudendal nerve –> striated external anal sphincter
  • GVA –> cranially projecting sensory spinal cord tracts to a poorly localized brainstem center –> defecation analogous to micturition

Thalamic nuclei exist for relay to the sensory cerebral cortex

(de Lahunta)

222
Q

Where are GVE cell bodies for CN 7 live? Where to the axons course?

A

Parasympathetic nucleus of the facial nerve

  • Located dorsal in the medulla, adjacent to the 4th ventricle

Axons:

  • Join GSE motor neurons –> internal acoustic meatus –> facial canal
  • Within the facial canal the axons of the major petrosal nerve branch off –> joined by deep petrosal nerve (sympathetic ganglionic axons) –> pterygopalatine ganglion (on the pterygoid muscles)
    • Postganglionic parasympathetic axons join trigeminal nerve branches
      • Lacrimal gland
      • Gland of the 3rd eyelid
      • Palatine glands
      • Lateral and mucosal nasal glands
  • Within the facial canal (after major petrosal nerve) the axons of the chorda tympani branch off –> courses through tympanic cavity –> joins lingual nerve (branch of the mandibular nerve, contains sympathetic fibers) –> sublingual and mandibular salivary ganglion
    • Sublingual salivary gland
    • Mandibular salivary gland

(de Lahunta)

223
Q

CN 9 - where are GVE cell bodies located? Where do the axons run?

A

Parasympathetic nucleus of the glossopharyngeal nerve

  • Just caudal to the parasympathetic nucleus of the facial nerve (ventolateral to the 4th ventricle)

Axons:

  • Join GSE axons of the nucleus ambiguus –> glossopharygeal nerve –> jugular foramen –> preganglionic axons leave as tympanic nerve (before TOF)
  • Preganglionic axons go to tympanic cavity and form tympanic plexus –> minor petrosal nerve –> otic ganglion
  • Otic ganglion is located just ventral to the oval foramen/mandibular nerve
    • Postganglionic axons join branches of mandibular nerve –>
      • Parotid and zygomatic salivary glands

(de Lahunta)

224
Q

CN 10 - where are GVE cell bodies located, where do the axons course?

A

Parasympathetic nucleus of the vagus

  • located in column with nuclei of 7, 9, 10 ventrolateral to the 4th ventricle in the medulla

Axons

  • GVE axons join GSE axons of the nucleus ambiguus –> CN 10 –> jugular foramen –> TOF
  • GVE Parasympathetic preganglionic axons course caudally with the vagosympathetic trunk –>
    • Mediastinum –> branches with the vagus nerve to the heart, smooth muscle and glands of the lungs/esophagus
      • Postganglionic neurons are located in the wall of these organs
    • Abdomen with the dorsal and ventral vagal trunks –> blood vessels to abdominal organs –> synapse on postganglionic axons within the wall of the viscera

(de Lahunta)

225
Q

At the base of the modiolus, the cochlea is continuous with what 2 structures?

A

Vestibule

Cochlear window

(de Lahunta)

226
Q

What is the shelf of bone that connects to the modiolus to the apex of the cochlear duct?

A

Spiral lamina

(de Lahunta)

227
Q

Regarding the cochlear duct:

  • What fluid does it contain?
  • What does the apex connect to?
  • What does the base connect to?
  • What structure is found dorsal? ventral?
  • What structures is it continuous with?
A

Cochlear duct

  • Contains endolymph
  • Apex of the triangle attaches medially to the spiral lamina of the modiolus
  • Base = stria vascularis, then cochlea
  • Ventral = scala tympanum, separated by basilar membrane
  • Dorsal = scala vestibuli, separated by vestibular membrane
  • Continuous with the saccule via the ductus reuinens

(de Lahunta)

228
Q

Scala vestibuli:

  • Where is it found in relation to the cochlear duct
  • What fluid does it contain
  • What does it communicate with
A
  • Contains perilymph
  • Dorsal to the cochlear duct, separated by the vestibular membrane
  • Communicates with the stala tympani @ helicotrema
  • Communicates with the vestibule of the bony labyrinth

(de Lahunta)

229
Q

Scala tympani:

  • What fluid does it contain
  • Where is it in relation to the cochlear duct
  • What is it continuous with?
A

Scala tympani

  • Contains perilymph
  • Located ventral to the cochlear window, separated by the basilar membrane
  • Continuous with the scala vestibuli @ the helicotrema
  • Continuous with the subarachnoid space by the perilymphatic duct
  • Ends @ cochlear window

(de Lahunta)

230
Q

Where is the spiral organ of Corti found?

What are the stereocilia of the hair cells of the organ of corti embedded in?

A

Spiral organ of Corti:

  • Located on the basilar membrane
  • Hair cells have stereocilia that are embedded in the tectorial membrane
  • The dendrites of CN 8 are in synaptic relationship with the base of the hair cells

(de Lahunta)

231
Q

What is the pathway of sound waves from the external ear to CN 8?

A

Sound waves are transmitted from the air medium of the external ear canal –> tympanum –> ossicles (malleus, incus, stapes) –> vestibular window –> perilymph –> scala vestibuli –> helicotrema –> scala tympani –> vibration of basilar membrane –> movement of the tectorial membrane –> movement of the stereocilia –> hair cells send signal to dendrites of CN 8

(de Lahunta)

232
Q

How does the length of the basilar membrane change from the base to the apex of the cochlea?

Where do high frequencies affect the basilar membrane?

Where do low frequencies affect the basilar membrane?

A

the basilar membrane is longest at the base of the cochlear coil, progressively shortens through the coils to the apex

High frequencies –> maximally affect the basal portion of the basilar membrane

Low frequencies –> maximal vibration of the basilar membrane at the apex

233
Q

Which middle ear ossicle contacts the vestibular window?

What middle ear ossicle contacts the tympanic membrane?

A

Stapes

Malleus (specifically the manubrium of the malleus)

234
Q

What muscle connects to the malleus? What nerve innervates it?

What muscle connects to the stapes? What nerve innervates it?

What ossicle does the chorda tympani contact?

A

The tensor tympani muscle connects to the malleus. It is innervated by the mandibular nerve
Chorda tympani crosses the medial surface of the malleus, then joins the lingual nerve

The stapedius muscle connects to the stapes. It is innervated by the facial nerve

(Uemura)

235
Q

Revisit hair cell depolarization !!

A
236
Q

Auditory pathway from CN 8 dendrites –> cochlear nuclei

A

Dendrites of CN 8 cochlear portion are in synaptic contact with hair cells of the spiral organ –> cell bodies within the modiolus –> CN 8 divisions join –> internal acoustic meatus –> cerebellomedullary angle –> dorsal and ventral cochlear nuclei on the lateral side of the medulla

237
Q

The axons of the cell bodies in the cochlea pass into the medulla via 2 ways:

A
  1. Ventrally through the trapezoid body
    • Cochlear nuclei –> Ipsilateral nucleus of the trapezoid body, or decussates to contralateral nucleus of the trapezoid body
  2. Dorsally over the caudal cerebellar peduncle by way of the acoustic stria
    • Cochlear nuclei –> axon courses dorsally, decussates, ascends in the lateral lemniscus

(de Lahunta)

238
Q

Pathway for the auditory reflex:

A

Afferent neurons of CN 8 –> cochlear nuclei –> motor nucleus of the trigeminal nerve–> mandibular br of trigeminal –> tensor tympani muscle

Cochlear nuclei –> facial nerve GSE –> stapedius muscle

(de Lahunta)

239
Q

Lateral lemniscus:

  • Contains fibers originating from what three nuclei?
  • Terminates where?
  • Where is the nucleus of the lateral lemniscus located?
A

Contains fibers from the cochlear nuclei, dorsal nucleus of the trapezoid body, ventral nucleus of the trapezoid body
Fibers from ipsilateral and contralateral nuclei

Terminates at the caudal colliculus

The nucleus of the lateral lemniscus is located along the ventromedial aspect of the lateral lemniscus

(de Lahunta)

240
Q

Auditory information from the cochlear nuclei and nuclei of the trapezoid body that has reached the caudal colliculi can be relayed to what three locations?

A
  1. Brainstem nuclei (tectonuclear pathway)
  2. Cervical spinal cord (tectospinal in the ventral funiculus)
  3. Thalamus (brachium of the caudal colliculus –> medial geniculate nucleus)

(de Lahunta)

241
Q

Once at the medial geniculate nucleus, where do axons travel for conscious auditory pathway?

A

Medial geniculate nucleus –> internal capsule –> neocortex of the temporal lobe

  • Primarily Sylvian and ectosylvian gyri
  • This rostrally projecting auditory pathway is characterized by diffuseness and a bilateral distribution
    • Despite this, at the cortical level, the contralateral cochlear duct is more strongly represented
    • Crossing occurs at the level of the trapezoid body, between the nuclei of the lateral lemniscus, at the commissure of the caudal colliculus

(de Lahunta)

242
Q

What portion of the cochlea is responsible for maintaining high K+ of the endolymph?

What is the difference between the inner vs. outer hair cells of the organ of corti?

A

Stria vascularis

Inner hair cells - primarily sensory

Outer hair cells - primarily function to decrease or increase auditory sensitivity by contraction to shorten (via myosin within the cells) or increase sensitivity by relaxing
Shortening –> pulls the tectorial membrane –> partially bends stereocilia of the inner hair cells –> greater sensitivity

(Brain Camp)

243
Q

How does the hearing frequency of cats compare to dogs?

A

Cats are able to hear higher frequencies

Dog: 67Hz - 45 KILOHz

Cat: 45Hz - 64 KILO Hz

(Brain Camp)

244
Q

Where are the endings of free nerve endings that serve as tactile receptors found?

A

In the epidermis

They are ensheathed in Schwann cells, just not myelinated

(Uemura)

245
Q

Tactile receptor:

________________ elongated encapsulated nerve ending that is present in the dermis of the pads, sensitive to movement of objects over the surface of the skin

A

Meissner’s Corpuscles

  • Encapsulated nerve ending of a large type Abeta myelinated sensory nerve fiber
  • Present in the dermis of the pads
  • Adapt quickly

(Guyton)

246
Q

Tactile receptor:

____________ are present in the basal layer of the epithelium and are sensitive to touch and pressure

A

Merkel’s discs are present in the basal layer of the epithelium and are sensitive to touch and pressure

Several cells innervated by the same myelinated nerve fiber (A beta)

Considered a free nerve ending type of receptor

Slowly adapting and remain active as long as the stimulus is present

(Guyton)

247
Q

Tactile receptor:

___________ are receptors involved with a hair follicle, detect movement of objects on the surface of the body

A

Hair end organ are receptors involved with a hair follicle, detect movement of objects on the surface of the body

  • Considered a free nerve ending, present in the dermis
  • Adapt quickly

(Guyton)

248
Q

Tactile receptor:

________________ are multibranched, encapulated nerve endings that are important for signaling continuous states of deformation of the tissues

A

Ruffini’s endings are multibranched, encapulated nerve endings that are important for signaling continuous states of deformation of the tissues

  • Adapt very slowly
  • Also found in joint capsules
  • Present in the dermis
  • Consist of myelinated axon terminals interspersed with collagen fibers and surrounded by several layers of perineural epithelioid cells

(Guyton)

249
Q

Tactile receptor:

_________ are stimulated by rapid local compression of the tissue and are the largest sensory receptors

A

Pacinian corpuscles are stimulated by rapid local compression of the tissue and are the largest sensory receptors

  • Located immediately under the skin and deep in the facial tissues of the body
  • Also found as proprioceptors in joints
  • Adapt quickly
  • Made of an axon terminal surrounded by numerous concentric layers of perineural epitheloid cells

(Guyton)

250
Q

What is the difference between phasic and tonic receptors? What are examples of each?

A

Phasic receptors - rapidly adapting receptors. They fire as they first receive a stimulus, stop firing if the stimulus magnitude stays unchanged
Ex/ Paciniain and Meissner’s corpuscles

Tonic receptors - slowly adapting receptors. They continue to fire action potentials during the duration of stimulation
Ex/ Merkel’s corpuscles, Ruffini endings, baroreceptors

(Uemura)

251
Q

How does the receptive field of a second order sensory neuron neuron compare to a peripheral/primary sensory neuron?

A

Sensory neurons innervating a given receptor field converge on smaller numbers of postsynaptic neurons

Receptive field covered by a central neuron reflects a combined area monitored by various numbers of sensory neurons

Large receptive fields allow the sensory neuron to detect stimulus applied to a wider area, but results in a less precise perception than small receptive fields

(Uemura)

252
Q

What determines the sensitivity of an area of the skin?

A

the second-order neuron (more specifically the number of primary sensory neurons converging onto a single second-order neuron)

If a second order neuron receives signals from only 1 or 2 primary neurons, the receptive field of the second order neuron is small

253
Q

What are the 3 possible outcomes of general proprioceptive information?

A
  1. Reflex activity (monosynaptic or polysynaptic w/ interneurons and fasiculus proprius)
  2. Cerebellum
  3. Cerebrum

(de Lahunta)

254
Q

What are the 2 pathways that carry general proprioceptive information from the trunk/PL to the cerebellum?

A

Dorsal spinocerebellar tract

  • Muscle spindle –> DRG T1-S –> nucleus thoracicus in the dorsal gray horn –> ipsilateral lateral funiculus as the dorsal spinocerebellar tract
  • Caudal cerebellar peduncle –> cerebellum

Ventral spinocerebellar tract

  • Golgi tendon –> DRG T1-S –> synapse @ base or dorsal gray horn –> contralateral lateral funiculus as the ventral spinocerebellar tract
    • Located VENTRAL to the dorsospinocerebellar tract
  • Rostral cerebellar peduncle –> cerebellum

(de Lahunta)

255
Q

What are the 4 tracts that carry general proprioceptive information from the thoracic limbs and neck to the cerebellum?

A
  1. Cuneocerebellar tract (C1-T8)
  2. Cranial (rostral) spinocerebellar tract (C1-T1)
  3. Cervicospinocerebellar pathway
  4. Cervicospinovestibular pathway

(de Lahunta)

256
Q

What is the pathway of the cuneocerebellar tract and cranial (rostral) spinocerebellar tract?

A

Cuneocerebellar tract:

  • Muscle spindle in DRG of C1-T8 –> dorsolateral funiculus (fasiculus cuneatus) as the cuneocerebellar tract (without synapse)
    • Synapse @ lateral cuneate nucleus of the medulla
    • Caudal cerebellar peduncle –> cerebellum

Cranial (rostral) spinocerebellar tract

  • Golgi tendon in DRG of C1-T1 –> centrobasilar nucleus of dorsal gray horn –> ipsilateral lateral funiculus as the cranial spinocerebellar tract
    • Enter the caudal and rostral cerebellar peduncles

(de Lahunta)

257
Q

What is the pathway of the cervicospinocerebellar pathway and the cervicospinovestibular pathway?

A

Cervicospinocerebellar

  • Proprioceptors of the neck that join DRG C1-5 –> central cervical nucleus (intermediate gray column) –> contralateral lateral funiculus as cervicospinocerebellar pathway
  • Caudal cerebellar peduncle

Cervicospinovestibular

  • Proprioceptors of cervical muscles –> dorsal gray horn –> ipsilateral ventral funiculus as cervicospinovestibular pathway
  • –> caudal vestibular nucleus

(de Lahunta)

258
Q

What is the pathway that GP information takes to reach the cerebrum?

A

Caudal to T6: Proprioceptors –> DRG –> dorsal funiculus w/o synapse
Join fasiculus gracilis –> nucleus gracilis in the medulla

Cranial to T6: Proprioceptors –> DRG –> dorsal funiculus w/o synapse
Join fasiculus cuneatus (lateral to gracilis) –> medial cuneate nucleus in the medulla

The axons from the nucleus gracilis/medial cuneate nucleus –> decussate in medulla as deep arcuate fibers –> medial lemniscus

Entire spinal cord: Proprioceptors –> DRG –> nucleus proprius (dorsal horn) –> ipsilateral lateral funiculus (as spinocervical tract) –> lateral cervical nucleus (dorsal horn C1-2) –> decussate in caudal medulla –> medial lemniscus

Collaterals of dorsal spinocerebellar tract –> nucleus Z –> internal arcuate fibers –> medial lemniscus

Medial lemniscus –> ventral caudal lateral nucleus of the thalamus –> thalamocortical fibers –> internal capsule, centrum semiovale –> somesthetic cortex of the cerebral hemisphere

(de Lahunta)

259
Q

What is the pathway for reflex activity associated with general proprioceptive information from the head?

A

GP receptor organs in the:

  • Muscles of mastication
  • Facial and extraocular muscles
  • Temporomandibular joints

–> GP axons join all 3 branches of the trigeminal nerve –> enter pons w/o synapse –> mesencephalic nucleus of the trigeminal nerve

Axons from mesencephalic nucleus of the trigeminal nerve –>

  • GSE alpha-LMN of cranial nerve nuclei
  • Pontine sensory nucleus of the trigeminal nerve –> Cranial nerve GSE neuron

(de Lahunta)

260
Q

What is the conscious pathway for general proprioception from the head?

A

GP (muscles of mastication, extraocular muscles, TMJ joint, temporal muscles) –> trigeminal nerves –> mesencephalic nucleus of the trigeminal nerve –> pontine sensory nucleus of the trigeminal nerve –> decussate –> join contralateral trigeminal lemniscus (aka quintothalamic tract) –> medial lemniscus –> ventral caudal medial nucleus of the thalamus –> internal capsule –> centrum semiovale –> somesthetic cortex

(de Lahunta)

261
Q

What sensory modalities are carried in the general somatic afferent system?

A

Pain (nociception), temperature, touch system

Proprioception is carried in General Proprioceptive system

(de Lahunta)

262
Q

Information from what sensory receptors are carried in the general somatic afferent system?

Information from what sensory receptors are carried in the general proprioceptive system?

A

Free nerve endings, Merkel’s corpuscle, Meissner’s corpuscle, Pacinian corpuscle –> general somatic afferent (pain, touch, temp system)

Muscle spindles, Golgi tendon organ (also Pacini and Ruffini)

(Uemura)

263
Q

What is the reflex pathway associated with GSA information?

A

Temp/nociception/touch –> DRG –> dorsolateral sulcus –> dorsolateral fasiculus
Within the spinal cord, the GSA axon forms relatively short branches that course cranially and caudally on the surface of the dorsal gray column for 2-3 segments (called dorsolateral fasiculus)

Collaterals of dorsolateral fasiculus –> dorsal gray column and synapse on substantia gelatinosa
** S. gelatinosa is located on the apex of the dorsal horn

S. gelatinosa neurons –> middle of the dorsal gray horn –> interneurons –>

  • GSE alpha motor neuron in the ventral gray horn
  • Axon of interneuron enters fasiculus proprius –> cranially/caudally –> GSE alpha LMN in adjacent spinal cord segments

(de Lahunta)

264
Q

What is the difference between a dermatome, cutaneous zone, and autonomous zone

A

Dermatome - area of cutaneous sensation for an individual dorsal root (spinal nerve)

Cutaneous area - area of cutaneous sensation for one named nerve. Considerable overlap

Autonomous zone - area of cutaneous sensation belonging to only one specific named nerve

265
Q

3 substances that stimulate nociceptors

A

Serotonin

Bradykinin

Prostaglandins

(de Lahunta)

266
Q

What laminae exist in the dorsal horn?

A

Laminae I-VI are in the dorsal gray horn

Neurons that participate in the nociceptive pathway are located in all 6 of these laminae

Lamina II = substantia gelatinosa

(de Lahunta)

267
Q

What are the 4 tracts that convey nociceptive information to the cerebrum?

A
  1. Spinothalamic
  2. Dorsal column postsynaptic pathway
  3. Spinocervicothalamic pathway
  4. Spinomesencephalic pathway

(de Lahunta)

268
Q

What is the pathway of the spinothalamic tract

A

Nociceptors –> DRG –> cell body in dorsal gray horn (Lamina I, II, V) –> crosses to contralateral lateral funiculus (as spinothalamic tract)

Spinothalamic tract ascends as a multisynaptic pathway (axons leave the tract, enter spinal cord gray matter, synapse on a neuronal cell body –> reenters ipsilateral or contralateral spinothalamic tract

@ brainstem –> collaterals synapse in various reticular formation nuclei - activate ARAS

Spinothalamic tract synapses on ventral caudal lateral nucleus of the thalamus –> thalamocortical projection fibers –> internal capsule –> centrum semi ovale –> somesthetic cortex (frontoparietal lobe)

** contralateral pathway predominates

(de Lahunta)

269
Q

What are the steps of the 3 pathways BESIDES SPINOTHALAMIC that convey nociceptive information to the cerebrum?

A

Dorsal column postsynaptic pathway

  • Nociceptor –> DRG –> dorsal gray column (lamina III and IV) –> fasiculus gracilus/fasiculus cuneatus –> nucleus gracilis/Z, medial cuneate nucleus –> decussate in medulla –> medial lemniscus –> thalamus

Spinocervicothalamic pathway

  • Nociceptor –> DRG –> dorsal gray column (lamina III and IV) –> ipsilateral lateral funiculus as spinocervicothalamic pathway –> lateral cervical nucleus of C1-2 –> decussate in medulla –> medial lemniscus –> thalamus

Spinomesencephalic pathway

  • Nociceptor –> DRG –> doral gray column (lamina I and V) –> decussate –> contralateral ventrolateral funiculus as spinomesencephalic pathway –> midbrain nuclei and thalamic nuclei
    • (rostral colliculus, red nucleus, cuneiform nucleus, interstitial nucleus, reticular formation, periaqueductal gray)

(de Lahunta)

270
Q

Why is it that a unilateral spinal cord lesion may cause may cause a decrease in nociception on the opposite side of the body caudal to the lesion?

A

Most of the axons in the spinothalamic system cross at their origin

A lesion that causes hemisection of the spinal cord –> spastic paralysis of the ipsilateral pelvic limb, hypalgesia of the contralateral pelvic limb

(exception is the spinocervicothalamic tract)

(de Lahunta)

271
Q

What are the mechanisms of modulation of the nociceptive system?

A

Dorsal gray horn:

  • Interneurons in the substantia gelatinosa are inhibitory to projection pathway neurons in other dorsal gray horn laminae
Periaqueductal gray (mesencephalon) + pontine locus coeruleus + medullary raphy nuclei --\> project caudally --\> dorsal gray column --\> inhibit nociceptive projection neurons
\*\* some of this inhibition involves the release of serotonin

Nocieptive GSA neuronal cell bodies in the spinal ganglia produce substance P –> released in dorsal gray horn
** Opiates and enkephalin inhibit the local action of substance P in the dorsal gray column

(de Lahunta)

272
Q

How is GSA information conveyed from the head to the cerebrum?

A

Nociceptor –> branches of trigeminal nerve –> trigeminal ganglion –> pons –> axons form spinal tract of the trigeminal nerve –>

  • synapse on the pontine sensory nucleus of the trigeminal nerve
  • synapse nucleus of the spinal tract of the trigeminal nerve

Axons from both of these nuclei –> trigeminal lemniscus/qunitothalamic tract –> medial lemniscus –> ventral caudal medial nucleus of the thalamus –> thalamocortical fibers –> internal capsule –> centrum semi ovale –> somesthetic cerebral cortex

(de Lahunta)

273
Q

What is the reflex pathway for GSA information of the head

A

Nociceptors –> branches of CN V –> trigeminal ganglion –> spinal tract of the trigeminal nerve –> pontine sensory nucleus/nucleus of spinal tract of V –>

  • Ipsilateral and contralateral facial nucleus GSE LMN (palpebral reflex)

(de Lahunta)

274
Q

The spinal tract of the trigeminal nerve is continuous with what structures in the spinal cord?

What is the nucleus of the spinal tract of V continuous with in the cervical spinal cord?

A

Spinal tract of the trigeminal nerve continues into the first few spinal cord segments –> dorsolateral fasiculus

Nucleus of spinal tract of V –> continuous with substantia gelatinosa

(de Lahunta)

275
Q

The pontine sensory nucleus is believed to be primarily concerned with what GSA modality?

The nucleus of the spinal tract of V is believed to be concerned with what GSA modality?

A

Pontine sensory nucleus - touch

Nucleus of spinal tract of V - nociception and temperature

Mesencephalic nucleus of V - proprioception

The distribution of GSA to the face has a somatotopic organization to the axons and the nucleus of the spinal tract of the trigeminal nerve

  • GSA axons from ophthalmic division of V - located ventrally in the spinal tract (mandibular located dorsally, same goes for nucleus of spinal tract of V)
  • Cell bodies for nose and rostral muzzle within nuclear tracts are located rostrally
    • Cell bodies for the more caudal aspects of the head are located in the first few spinal cord segments

(de Lahunta)

276
Q

What 3 sensory modalities are transmitted in the cuneate and gracile fasicles?

A

Touch, pressure, and joint proprioception (according to King’s)

de Lahunta says nociception as well

277
Q

What are the different pathways that carry superficial vs. deep pain?

A

Superficial pain: A-delta fibers = thinly myelinated fibers

  • These sensations are conducted relatively fast, are accurately localized, and do not outlast the provoking stimulus
  • Humans - carried in spinothalamic tract

Deep pain: C-fibers = thinner unmyelinated fibers

  • These fibers appears to be carried to the cerebral cortex by the ascending reticular formation and the spinothalamic tract

(King)

278
Q

Where is the nucleus of the dorso-spinocerebellar tract located in the cat?

A

C8-L4

(de Lahunta)

279
Q

Development of the cerebellum:

Alar plate region of metencephalon –> rhombic lip –> proliferating germinal cells of the rhombic lip follow 1 of 2 pathways –?

A
  1. Immature (primitive neurons) or glioblasts
    • Migrate to the surface of the rhombic lip
    • Give rise to purkinje neurons and neurons of cerebellar nuclei
  2. Actively dividing germinal layer cells
    • Continue to divide as they migrate to the surface of the rhombic lip = superficial layer called the external germinal layer
    • As the cerebellar folia develop, these germinal cells will remain on the external surface of these folia
    • Continue to divide until they have formed an external germinal layer that is 10-12 cells thick
      • The deeper layers stop dividing and differentiate into immature neurons –> migrate deeper past Purkinje cells –> granule cell neurons of the granular layer
      • Also creates the stellate (interneurons) of the molecular layer

(de Lahunta)

280
Q

What are the 3 layers of the cerebellar cortex from superficial to deep? What cells/structures live in each layer?

A
  1. Molecular
    • Axons and telodendria of granule cell neurons
    • Dendritic zones of the Purkinje neurons
    • Small population of interneurons and astroctytes
  2. Purkinje
    • Purkinje cell bodies
  3. Granular
    • Granule neuron cell bodies
    • Golgi cell (between Purkinje and granular layer)

(de Lahunta)

281
Q

After neuronal development to populate the cerebellum, the remaining germinal layer cells at this level differentiate into ________________

A

Single layer of ependymal cells that form the lining of the 4th ventricle

(de Lahunta)

282
Q

What is the timeline over which Purkinje cells differentiate?

What is the timeline over which the external germinal layer of the cerebellum differentiates?

A

Purkinje neurons are formed by differentiation of rhombic lip germinal cells early in embryonic development

  • The entire population is differentiated over just a few days
  • They grow and mature as they migrate into the developing cerebellar parenchyma
  • The total population of Purkinje neurons is well established before the fetus is born

The external germinal layer (becomes granule neurons, stellate neurons) - continues to divide into late gestation or after birth in some species

(de Lahunta)

283
Q

What growth factor is important in neuronal migration and organization of the cerebellar cortex?

What cell assists migration and maturation?

How important is the adjacent leptomeninges in the development of the cerebellum?

A

Brain-derived neurotrophic factor - mitogenic influence, chemotactic effect

Radial astrocytes assist migration/maturation

Leptomeninges adjacent to the folia play a role in organization of the cerebellar cortex - if leptomeninges are disrupted during development, the cortical layers will develop abnormally

(de Lahunta)

284
Q

What is the postnatal development of the cerebellum like in the dog and cat? Calf?

A

Dog and cat - External germinal layer reaches maximum thickness until 1 week old, decreases in size after 2nd postnatal week

  • Poorly populated granule cell neuron layer is present at birth
  • Grows rapidly over the first few weeks –> continues to grow for up to 10 weeks
  • External germinal layer cells persist for as long as 60-84 days in the kitten, 75 days in the puppy
    • When all the cells have migrated into the molecular layer and granular layers, only the leptomeninges remain on the surface of the folia

Calf - External germinal layer reaches maximum thickness at 183 days gestation –> slowly decreases in thickness –> 2 cells thick by 2 mos old gone by 6 mos postnatally

** avoid confusing the external germinal layer in young animal with meningitis!

(de Lahunta)

Picture: 2-day old puppy: 1 – choroid plexus, 2 – cerebellar nucleus; thick external germinal layer covering the developing folia at the top of the image

285
Q

Cerebellum ventral surface
op = caudal

1-15?

A
  1. Right cerebellar hemisphere
  2. Caudal vermis
  3. Uvula
  4. Paramedian lobule
  5. Uvulonodular fissure
  6. Ansiform lobule
  7. Nodulus
  8. Dorsal paraflocculus
  9. Ventral paraflocculus
  10. Flocculonudular peduncle
  11. Flocculus
  12. Cerebellar peduncles
  13. Lingula
  14. Rostral vermis
  15. Uvulonodular fissure

(de Lahunta)

286
Q

What are the components of the archicerebellum?

A

Aka vestibulocerebellum

Flocculus = small lobule on the ventral aspect of the cerebellar hemisphere

Nodulus = rostral part of the caudal vermis, adjacent to the 4th ventricle

Flocculus and nodulus are connected by the flocculonodular peduncle

287
Q

Dorsal view of the cerebellum (rostral is to the left)

1-9?

A
  1. Ventral paraflocculus
  2. Dorsal paraflocculus
  3. Dorsal surface of cerebellum
  4. Primary fissure
  5. Vermis of the rostral lobe
  6. Right cerebellar hemisphere
  7. Vermis of the caudal lobe
  8. Ansiform lobule

(de Lahunta)

288
Q

1-4?

A
  1. Stellate cell
  2. Basket cell
  3. Golgi cell
  4. Granule cell

Inhibitory neurons = broken line

Facilitatory neurons = solid line

289
Q

What are the 2 main types of afferent fibers to the cerebellum and what is their general mechanism of interaction with Purkinje cells?

A
  1. Mossy fibers
    • Exert their influence on Purkinje cells indirectly, by synapsing on granule cell neurons, Golgi cells, and basket cells
  2. Climbing fibers
    • Exert their influence directly on Purkinje dendrites

(both Mossy fibers and Climbing fibers are excitatory to their target cells)

(Uemura)

290
Q

What is the mechanism by which Mossy fibers influence Purkinje cells?

A

Widespread origin (Pontine nucleus, vestibular nuclei, lateral cuneate nucleus, nucleus cuneatus, nucleus thoracicus) –> cerebellum –> cell bodies/dendritic zones of cerebellar nuclei (release ACh)

Cerebellar nuclei –> cerebellar medulla –> white lamina of a folium –> granular layer

  • Granule cells
    • The parallel fibers of granule cells in the molecular layer synapse adjacent Purkinje dendrites –> excitatory to Purkinje cell –> overall inhibitory influence (on cerebellar nuclei)
    • Granule cell has excitatory input on basket cells in the molecular layer –> basket cells inhibit Purkinje cell BODY –> disinhibition
  • Golgi cells
    • Mossy fibers provide excitatory input to Golgi cells –> Golgi cell is inhibitory to granule cells –> inhibitory to Purkinje cells –> results in disinhibitory influence
    • “Golgi cells control the duration of firing of granule cells”

“Granule cell parallel fibers, therefore, excite Purkinje cells in a specific plane, but inhibit Purkinje cells in a different plane”

ACh is the neurotransmitter released

(de Lahunta, Uemura)

291
Q

What is the mechanism by which climbing fibers influence the Purkinje cells?

A

Cell body in olivary nucleus –> axons enter caudal cerebellar peduncle –> collaterals synapse on cerebellar nuclei –> main axons continue to the white lamina of a folium –> molecular layer

In the molecular layer: excitatory synapse on the dendritic zone of a Purkinje neuron

ASPARTATE is the neurotransmitter released

292
Q

What are the possible courses of the Purkinje efferent axon?

What neurotransmitter is released by Purkinje neurons?

A

Purkinje cell –> axon passes throgh granular layer –> folial white matter lamina –> cerebellar medulla –> majority terminate in cerebellar nuclei

Small population of Purkinje neuronal axons (w cell body in the flocculonodular lobe) –> caudal cerebellar peduncle –> vestibular nuclei

With the exception of these direct cerbellovestibular Purkinje neuronal projections, the efferent axons that project from the cerebellum to the brainstem are all from the cerebellar nuclei

Purkinje cells all release GABA neurotransmitter

(de Lahunta)

293
Q

What are the general proprioceptive (2) and special proprioception (1) tracts that terminate in the cerebellum

What is their target location?

A

General proprioception:

  1. Spinocerebellar tracts –> caudal cerebellar peduncle (small group via rostral)
  2. Cuneocerebellar tracts –> caudal cerebellar peduncle

Special proprioception

  1. Vestibulocerebellar axons
    • Directly from CN 8 –> cerebellum
    • Vestibular nucleus –> caudal cerebellar peduncle

Target location: cerebellar cortex of the vermal and paravermal lobules

294
Q

What are the special somatic afferent (visual and auditory) pathways that terminate in the cerebellum

What are their targets?

A
  1. Tectocerebellar axons –> rostral cerebellar peduncle –> head region of the vermis
  2. Visual/auditory areas of the cerebral cortex –> pons –> pontine neurons –> transverse fibers of the pons –> middle cerebellar peduncle –> cerebellum

(de Lahunta)

295
Q

What are the 4 UMN afferents to the cerebellum?

A
  1. Red nucleus –> rubrocerebellar axons –> rostral cerebellar peduncle
  2. Reticulocerebellar axons –> caudal cerebellar peduncle
  3. Olivary nuclei
    • Extrapyramidal nuclei –> olivary nuclei –> cerebellum
  4. Pontine nucleus
    • Cerebropontocerebellar pathway

(de Lahunta)

296
Q

Where is the olivary nucleus located? Where does it receive fibers from and where does it project to?

A

Located in the ventrolateral caudal medulla
Rostral margin: facial nucleus, Caudal margin: obex
Ventral margin: Pyramid and medial lemniscus

UMN system, spinal cord afferents –> olivary nucleus –> decussate –> join contralateral caudal cerebellar peduncle

Appearance of 3 fingers oriented obliquely

297
Q

What makes up the spinocerebellum?

A

Vermal and paravermal lobule

Receive sensory signals from the spinal cord –> controls posture, locomotion and gaze

  • Proprioception from dorsal/ventral spinocerebellar, cuneocerebellar tracts –> paraflocculus –> interposital nucleus –>
    • Rostral cerebellar peduncle –> contralateral motor cortex
    • Caudal cerebellar peduncle –> red nuleus, olivary nucleus
    • The paravermal zone and interposital nucleus influence the motor centers that give rise to the corticospinal and rubrospinal tracts
  • Proprioception from dorsal/ventral spinocerebellar, cuneocerebellar tracts –> vermis –> fastigal nucleus –>
    • Contralateral cerebral motor cortex
    • Reticular formation
    • The circuit involving the fastigal nucleus, vermis, cerebral motor cortex, and reticular formation is essential for maintenance of posture and muscle tone

(Uemura)

298
Q

What makes up the cerebrocerebellum?

A

Lateral zone = hemispheric zone = cerebrocerebellum = pontocerebellum

  • Major site mediating cerebral afferents
  • Plays a role in planning and control of fine movements of the extremities
  • Cerebropontocerebellar loop
    • Motor cortex –> internal capsule –> crus cerebri –> decussate transverse fibers of the pons –> middle cerebellar peduncle –> granular neurons –> purkinje neurons –> lateral cerebellar nucleus (dentate nucleus) –> rostral cerebellar peduncle –> ventral tegmental decussation –> ventral lateral nucleus of the thalamus - … -> motor cortex

(UMN, Uemura)

299
Q

What are the roles of hypocretin, locus coeruleus, and dorsal raphe nucleus in the clinical sign of cataplexy?

A

Activation of the medullary reticular formation –> inhibition of GSE LMN –> cataplexy

  • When activated, the pontine reticular formation releases ACh –> facilitory to medullary reticular formation –> results in cataplexy
  • The locus coeruleus (releases norepi) and dorsal raphe nucleus (releases serotonin) both inhibit the pontine reticular formation, thus preventing cataplexy
    • The ventrolateral nucleus of the hypothalamus releases hypocretin which is facilitory to the locus coeruleus and dorsal raphe nucleus
  • Light on the retina –> CN2 –> suprachiamic nucleus (hypothalamus) –> stimulates ventrolateral nucleus of the hypothalamus to secrete hypocretin

(de Lahunta)

300
Q

What medications will promote paradoxical sleep? (2)

What medications will inhibit paradoxical sleep? (4)

A

Facilitation: physostigmine, acreoline

Inhibitory: atropine, scopolamine, norepi, serotonin, imipramine

An increase in cholinergic mechanisms or decrease in monoaminergic mechanisms will result in cataplexy - thus cataplexy may be explained by brainstem cholinergic hypersensitivity, monoaminergic hypoactivity, or a combination of both

(de Launta)

301
Q

T/F: The pyramidal system in animals synapses on the spinal cord dorsal gray horn?

A

True - influences the activity of cranial projecting sensory systems

(de Lahunta)

302
Q

Where is the cell body of the pyramidal neurons in carnivores? Ungulates?

What are these cell bodies called? What lamina are they located in?

A

Carnivores: overlaps with sensory area - postcruciate gyrus and rostral syprasylvian gyri
Postcruciate gyrus - neurons –> appendicular musculature
Suprasylvian gyrus –> cervical muscles, muscles of specific areas of the head

Ungulates: medially along the frontal lobe in the region of the precruciate gyrus

These areas may be arranged somatotopically

Neuron cell bodies = giant pyramidal cells or Betz cells
Located in lamina V of the cerebral cortex of the gyri that comprise the motor area

(de Lahunta)

Picture: Topography of the cerebral motor cortex. 1, Postcruciate gyrus: A, pelvic limb; B, thoracic limb. 2, Rostral suprasylvian gyrus: C, ear; D, eyelid; E, masseter, temporal muscles; F, lateral cervical muscles.

303
Q

What axons form the lateral corticospinal tract and where do they terminate?

A

Neuron w/ cell body in the motor area of the cerebral cortex –> corona radiata, centrum semiovale, internal capsule, crus cerebri, longitudinal fibers of the pons, pyramid of the medulla

  • 75% of these fibers decussate in the pyramid of the medulla –> lateral funiculus as the lateral corticospinal tract
  • 50% of lateral corticospinal tract terminates in the cervical spinal cord gray matter
  • 20% in the thoracic spinal cord gray matter
  • 30% in the lumbosacral spinal cord gray matter

They either synapse on interneurons –> GSE LMN
OR (specifically cell bodies within somesthetic cortex) –> dorsal gray column neurons

(de Lahunta)

304
Q

What forms the ventral corticospinal tract and where do its axons terminate?

A

Pyramidal neurons:

  • 75% decussate –> lateral corticospinal tract
  • 25% do not decussate –> ventral corticospinal tract
    • Ventral funiculus, adjacent to the ventral median fissure
    • Decussate in the ventral commissure –> terminate in the midthoracic spinal cord segments
      • Except in cats - serves the entire spinal cord gray matter
    • Synapse on interneurons –> gamma motor neuron OR dorsal horn

** Ungulates - entire pyramidal system is confined primarily to the cervical spinal cord segments

(de Lahunta)

305
Q

What is the pathway of the corticonuclear axons?

A

Pyramidal neurons in the motor area –> …… –> crus cerebri –> axons decussate and synapse on contralateral brainstem nuclei GSE LMN (all CN nuclei with GSE component)
Also synapse on the reticular formation

(de lahunta)

306
Q

How are the axons of the pyramidal tracts located within the white matter (ex/ internal capsule, crus cerebri)

A

Most lateral: lumbar intumescence (lateral lumbar)

Middle: Cervical intumescence

Medial: Corticonuclear

(de Lahunta)

307
Q

What are the 2 types of neurons found in the neocortex?

A

Stellate neurons = granular neurons
Small round cell body and short processes that are usually confined to the cortex
They are concerned with INPUT

Pyramidal neuron - pyramid shaped cell body that varies in size and has long processes
Axon of the pyramidal neuron projects from the cortex –> association axon/commisural axon/projection axon
Involved with OUTPUT

(de Lahunta)

308
Q

What are the 6 layers of the cerebral cortex

A

(outer –> inner)

  1. Molecular layer
    • Dendrites of pyramidal cells
    • Fibers of stellate cells
    • Afferent endings of projection fibers and association fibers
  2. External granular layer
    • Stellate cells (axons confined to the cortex) - ramifying vertically (centripetally and centrifugally) and also horizontal
    • Small pyramidal cells - axons may terminate in the cortex
  3. External pyramidal layer
    • Medium-sized pyramidal cells - apices point towards the surface, each giving rise to a thick apical dendrite that extends into the molecular angle
    • The lateral range of the pyramidal cells form shorter horizontal dendrites
    • Axons of the pyramidal cells are thinner than the main dendrites
    • Some of the axons of these pyramidal cells end in the deeper layers of the cortex, others enter the white matter but return to the cortex (association or commissural fibers)
  4. Internal granular layer
    • Stellate cells (axons confined to the cortex) - ramifying vertically (centripetally and centrifugally) and also horizontal
  5. Internal pyramidal layer (also called Ganglion layer)
    • Large-sized pyramidal cells
    • Similar morphology to layer III
    • Form corticofugal fibers
    • These project to the basal nuclei, brainstem nuclei and spinal cord (form corticospinal pathways)
      • Others are association fibers which leave the cortex and go to distant cortical regions
  6. Multiform layer
    • Small nerve cells with axons that are distributed chiefly in the more superficial layers of the same or contralateral cortex
309
Q

What system is responsible for:

  • Support of the body against gravity
  • Recruitment of spinal reflex for the initiation of voluntary movement
A

Extrapyramidal system

(de Lahunta)

310
Q

Extrapyramidal neurons of the cerebral cortex - where are the cell bodies located and where do they project?

A

Extrapyramidal neurons are located in the cerebral cortex throughout the cerebrum - most are in the cortex of the motor area and adjacent gyri of the frontal/parieta lobes

Axons project to basal nuclei or other extrapyramidal nuclei in the brainstem

(de Lahunta)

311
Q

What are the 5 basal nuclei?

A
  1. Septal nuclei and amygdala (limbic system)
  2. Caudate nucleus
  3. Claustrum
  4. Nucleus accumbens
  5. Lentiform (putamen/pallidum)

“See a cat climb new ledges”

(de Lahunta)

312
Q

What basal nuclei is considered a ventral extension of the rostral end of the caudate nucleus?

A

Nucleus accumbens

313
Q

___________ is an extrapyramidal nucleus that is a medioventral extension of the pallidum

A

Endopeduncular nucleus

Most obvious where it is positioned between the internal capsule and optic tract

314
Q

What is the extrapyramidal feedback circuit of the neocortex and basal nuclei?

A

Neocortical extrapyramidal neurons –> caudate nucleus –> pallidum –> ventral rostral nucleus of the thalamus –> neocortex

At the time of cortical initiation of voluntary movement, this circuit provides a modifying control mechanism

The ventral rostral thalamic nucleus is a projection nucleus for the extrapyramidal system

315
Q

What basal nuclei is considered the “focal point.”

A

Globus pallidus

It receives converging fibers from all the other basal nuclei and is the only component of the basal nuclei that sends projection fibers outside the basal nuclei themselves

It exerts a mainly INHIBITORY influence on the reticular formation

(King’s)

316
Q

What are the three extrapyramidal nuclei of the diencephalon?

Where do they receive input from and where do their axons project?

A
  1. Endopeduncular nucleus
  2. Zona incerta
  3. Subthalamic nucleus

All 3 of these nuclei are connected to the extrapyramidal nuclei in the telencephalon and caudal brainstem by afferent and efferent axons. No axons project directly to the spinal cord

(de Lahunta)

317
Q

What are the 2 extrapyramidal nuclei of the mesencephalon?

A
  1. Substantia nigra
  2. Red nucleus
318
Q

Rubrospinal tract: where does it receive axons from, where does it run and where does it terminate?

Function?

A

Afferent axons from ipsilateral motor area of neocortex –> internal capsule/crus cerebri –> red nucleus in the mesencephalon

Axons of the red nucleus immediately decussate in the tegmentum –> descend caudally as the rubrospinal tract

Found in the lateral funiculus of the spinal cord (closely associated with lateral corticospinal tract), extends the entire length of the spinal cord

Axons terminate on interneurons of the ventral gray column of the spinal cord –> facilitatory to flexor muscles –> functions in the initiation of protraction of the limbs

Also: RUBRONUCLEAR AXONS: leave red nucleus –> decussate –> terminate in CN nuclei with GSE LMN

(de Lahunta)

319
Q

How is the red nucleus and rubrospinal tract arranged somatotopically?

A

The neurons in the thoracic limb –> dorsal part of the red nucleus –> contralateral thoracic limb muscles

The neurons in the pelvic limb –> ventral part of the red nucleus –> contralateral pelvic limbs

(de Lahunta)

320
Q

What is the feedback circuit involving the neocortex, red nucleus, and cerebellum?

A

Neurons of the neocortex –> ipsilateral pontine nucleus –> decussate transverse fibers of the pons –> middle cerebellar peduncle –> cerebellar cortex –> cerebellar nucleus –> rostral cerebellar peduncle –> decussate in the tegmentum –> red nucleus (ipsilateral to original cortical neurons) –> thalamus (ventral rostral nucleus) –> neocortex

321
Q

Many of the substantia nigra neurons project to the _____________

A

Caudate nucleus

Dopamine synthesized in the substantia nigra and secreted at the caudate nucleus = nigrostriatial system

(de Lahunta)

322
Q

What are the 4 broad functions of the reticular formation?

A
  1. Activates cerebral cortex
  2. Induces sleep
  3. Caudally projecting UMN control of GVE functions
  4. Caudally projecting UMN control of GSE function - voluntary and involuntary motor activity

(de Lahunta)

323
Q

What nuclei/tracts are responsible for the postural phase of gait?

What nuclei/tracts are responsible for the protraction phase of gait?

A

Postural phase

  • Pontine: + ipsilateral extensors
  • Vestibulospinal: + ipsilateral extensors

Protraction phase:

  • Red nucleus: + contralateral flexors
  • Medullary: - ipsilateral extensors

(de Lahunta)

324
Q

What is the pathway of input from the cerebral cortex to the reticular nuclei?

A

Motor cortex –> corticoreticular axons –> internal capsule/crus cerebri –> decussate @ reticular formation

–> medullary reticular nucleus –> descends in ipsilateral lateral funiculus as medullary reticulospinal tract –> inhibitory to extensors

–> pontine reticular nucleus –> descends in ipsilateral ventral funiculus as pontine reticulospinal tract –> facilitatory to extensors

(de Lahunta)

325
Q

Where can the olivary nucleus be found? What is its function?

A

Extrapyramidal nucleus in the medulla

Located just dorsal to the rostral part of the pyramids

The olivary nucleus is a main source of efferent information to the cerebellum via the caudal cerebellar peduncle
Axons leave the olivary nucleus –> decussate in the medulla while “intermingling” with the fibers of the medial lemniscus –> caudal cerebellar peduncle –> cerebellar cortex

Cerebellar cortex –> lateral cerebellar nucleus –> rostral cerebellar peduncle –> decussation of the rostral cerebellar peduncle –>

  • Red nucleus –> ventral rostral nucleus –> cerebrum
  • ventral lateral nucleus –> cerebrum

Afferent information from: red nucleus, pallidum, zona incerta

326
Q

What is the difference between the olivary nucleus and the pontine nucleus?

A

Olivary nucleus - mediates efferents of the red nucleus to the contralateral cerebellum

Pontine nucleus - mediates pyramidal efferents from the cerebral cortex –> contralateral cerebellum

(Uemura)

327
Q

Where does the tectospinal tract originate? Where does it run and what is its function?

A

Originates in rostral colliculus –> decussate in the midbrain –> descends in the ventral funiculus and terminates on interneurons of the cervical spinal cord

Function - turns head toward sudden auditory/visual stimuli

(Big Miller)

328
Q

What are the 3 main functions of the upper motor neuron:

A
  1. Initiate voluntary activity of the motor system
  2. Maintain muscle tone to support the body’s weight against gravity, establish posture on which voluntary activity can be performed
  3. Control the muscular activity associated with the visceral functions (respiratory, cardiac, excretory)

(de Lahunta)

329
Q

What are the 2 types of intrafusal muscle fibers?

A
  1. Nuclear bag - interrupted near its middle by nonstriated dilation containing most of the nuclei
  2. Nuclear chain - no central dilation, most of its nuclei are accumulated near the middle of the fiber

(de Lahunta)

330
Q

What are the 2 kinds of efferent innervation of muscle spindles

What are the 2 kinds of afferent innervation of muscle spindles?

A

Gamma efferent neurons:

  • Small myelinated neurons whose cell bodies are in the ventral gray horn of the spinal cord (alpha neurons are larger)
  • Gamma plate - terminate on the striated muscle fiber component of the nuclear bag intrafusal muscle fibers
  • Gamma trail - terminate on the polar areas of the nuclear chain striated intrafusal fibers

Afferent neurons:

  • Group Ia afferent - annulospiral ending around nuclear bag region
    • Large axon, cell body in spinal ganglion
    • –> synapse on alpha LMN -OR- are involved in cranial projection of GP pathways to the cerebellum/cerebrum
  • Group II afferent (flower spray endings) - innervate intrafusal muscle fibers on both ends

(de Lahunta)

331
Q

What is the tonic gamma loop mechanism?

What is the phasic gamma loop mechanism? (aka flexor-reflex gamma loop)

A

Tonic gamma loop:

Gamma efferent input –> contraction of intrafusal fibers –> stretches nuclear bag region –> stimulates 1a afferent annulospiral ending –> DRG –> (+/- interneuron) –> ventral horn –> alpha motor neuron –> extensor muscle contraction
This is responsible for maintaining normal muscle tone

Phasic gamma loop/flexor reflex gamma loop:

Gamma efferent input –> contraction of intrafusal fibers –> stimulates group II sensory neuron –> DRG –> (+/- interneuron) –> ventral horn –> flexor muscles
Functions with UMN to initiate flexor reflexes in the generation of gait

(de Lahunta)

332
Q

The muscle spindle detects stretch by responding to an (increase/decrease) in the muscle length

A

Increase in muscle strength –> muscle spindle fires

It’s motor innervation maintains the length of the stretchable mid region close to the threshold of its annulospiral receptor
Further elongation of the mid region –> receptor fires (rate of firing related to the increase in length)

333
Q

Where are golgi tendon organs located and what to they detect?

A

Golgi tendon organs are receptors within tendons that house the dendritic zones of 1b sensory neurons

  • 1b sensory neurons have a HIGHER stretch threshold to firing when compared to 1a neurons
  • Tendon stretched –> contraction of extrafusal fibers in the muscle –> 1b sensory neurons stimulated
  • 1b sensory neurons synapse at the ventral gray horn –> inhibitory to the GSE alpha motor neurons innervating the contracting muscle
    • Synapse on interneurons that are facilitatory to the GSE alpha motor neurons innervating antagonistic muscles
  • Called the “inverse myotactic reflex” - prevents overstretching tendons
334
Q

What are the layers of the retina? (10)

A

Outer (scleral) to inner (vitreal)

  1. Pigment epithelium - single layer of cuboidal cells
    • Processes of the apical membrane interdigitate with processes of the external segments of the photoreceptors
    • Role - regeneration of rhodopsin, removal of degenerate rod membranous lamellae
    • Melanin granules fill apical cytoplasm
  2. Photosensitive layer
    • Dendritic zone and cell body of the SSA neuron (photoreceptor cell)
    • External segment - parallel lamellae of the rods and cones
    • Rods - rhodopsin, cones - idopsin
  3. External limiting membrane
    • Junctional complexes between photoreceptor neurons and supporting radial astrocytes (Muller cells)
  4. External nuclear layer
    • Composed of the nuclei of the cell bodies of the photoreceptors = SSA neurons
  5. External plexiform layer
    • Axons and telodendria of the photoreceptor neurons
    • Axons and dendritic zones of the bipolar neurons
    • Processes of horizontal neurons (interneurons between photoreceptors)
  6. Internal nuclear layer
    • Nuclei in the small cell bodies of the bipolar neurons
    • Bipolar neurons: connect photoreceptor neurons with ganglionic neurons in the visual pathway
    • Cell bodies of horizontal interneurons
    • Cell bodies of amacrine interneurons
    • Nuclei of radial astrocytes
  7. Internal plexiform layer
    • Axons and telodendria of the bipolar neurons
    • Axons/dendritic zones of ganglionic neurons
    • Processes of amacrins interneurons
  8. Ganglion layer
    • Cell bodies of ganglion neurons
  9. Nerve fiber layer
    • Axons of the ganglionic axons, unmyelinated until they penetrate the sclera at the optic disc (area cribrosa)
  10. Internal limiting membrane
    • Layer of radial astrocytes
    • Basmement membrane adjacent to vitreous
335
Q

What takes place within photoreceptor cell of the retina in the dark?

A

Dark:

  • Photoreceptors have cGMP-gated Na+ channels in the outer segment membrane
  • In the dark - cGMP is high within the photoreceptor cell –> binds to Na channels –> opens channel –> depolarization –> release of glutamate on bipolar and horizontal cells
  • Rods/cone cells only generate receptor potentials, not action potentials

(Uemura)

336
Q

What takes place within a photoreceptor cell in light?

A
  • Light stimulates rhodopsin/iopsin –> activation of transducin (GPCR)
  • Transducin stimulates cGMP phosphodiesterase –> hydrolyzes cGMP
  • Reduced intracellular cGMP –> closes cGMP Na channels –> hyperpolariztaion of photoreceptor cell –> reduced release of glutamate

(Uemura)

337
Q

How many opsins do dogs have in their cone cells?

How does the excitability of rods compare to cones?

A

Cone cells - 2 opsins
Pigment sensitive to light with a wavelength of either violet (429 - 435nm), or yellow-green (555nm)

Rods have rhodopsin as their photopigment - low threshold of excitability

Cones have idopsin as their photopigment - higher threshold of excitability

95% of photoreceptor cells are rods

(Uemura)

338
Q

Retinal detachment - which layers are separated?

(Many/one) rod(s) converge on one bipolar neuron
(Many/one) cone(s) converge on one bipolar neuron

Many bipolar neurons converge on one ________ neuron

A

Photoreceptors tear away from the pigment epithelium –> results in degeneration of the photoreceptors

Many rods converge on one bipolar neuron
One cone converges on one bipolar neuron

Many bipolar cells converge on one ganglion cell

(de Lahunta)

339
Q

RE ganglion cell layer of the retina:

Neurons with the smallest cell bodies –> axons that project to the ______

Neurons with the larger cell bodies –> axons project to the _______

A

Neurons with the smallest cell bodies –> axons that project to the rostral colliculus

Neurons with the larger cell bodies –> axons project to the lateral geniculate nucleus

Suggests a greater projection from the lateral retina (medial visual field in space) to the lateral geniculate nucleus of the thalamus for cerebral projection

(de Lahunta)

340
Q

What are the modifications of the retinal cells in the area centralis in the cat?

A
  • An increase in the number of cone cells relative to rod cells is found in the photosensitive layer
    • With an overall increase in thickness of the external nuclear layer
  • The length of the external segments of the photoreceptor cells is also increased
  • Bipolar and ganglionic neurons in this area are increased in number

(de Lahunta)

341
Q

How does the location of the optic disc vary based on the size of the dog? cat?

How does myelination of the optic disc vary in the dog vs. cat?

A

Toy breeds - optic disc usually completely in the nontapetum
Medium sized breed - optic disc usually halfway over the the interior border of the tapetum
Large breed - optic disc entirely over the tapetum

Dog - Myelination of the optic nerve fibers at the optic disc. Veins form a venous circline on the surface of the optic disc

Cat - the optic disc (on fundic exam) is rounder and darker, owing to lack of myelination. It is always located over the tapetum
The veins stop at the disc margin and do not cross its surface
The arteries of the feline retina are fewer and less tortuous compared with those in the canine retina

(de Lahunta/Slatter)

342
Q

Each optic tract contains axons mostly from what part of each retina?

A

Each optic tract contains axons mostly from the MEDIAL retina of the contralateral eyeball, and the LATERAL side of the ipsilateral eyeball

(deLahunta)

343
Q

The ______ radiation forms the lateral wall of the lateral ventricle

A

Optic radiation

(de Lahunta)

344
Q

What gyri comprise the cerebral visual cortex?

A
  1. Caudal marginal gyri
  2. Ectomarginal gyri
  3. Occipital gyri
  4. Splenial gyri

MNEMONIC: SOME

The visual pathway is somatotopic - specific anatomic portions of the retina are represented in specific anatomic portions of the optic tract, lateral geniculate nucleus, optic radiation, visual cortex

(de Lahunta)

345
Q

Where does the visual cortex project to?

A
  1. Opposite cerebrum (via corpus callosum)
  2. Motor cortex of both cerebral hemispheres
  3. Cerebellum (via pons)
  4. Rostral colliculus
  5. Mesencephalic tectum –> CN 3, 4, 6
  6. Directly to CN 3, 4, 6

(de Lahunta)

346
Q

Of the axons from the retina, what % synapse in the LGN and what % synapse in the pretectal nucleus/rostral colliculus

A

80% –> LGN –> vision

20% –> pretectal nucleus/rostral colliculus –> reflexes

(de Lahunta)

347
Q

What are the 4 projections from the rostral colliculus

A
  1. Tegmentum and medulla –> GSE LMN 3, 4, 6
  2. Tectospinal tract (decussates in the midbrain –> ventral funiculus –> Cspine)
  3. Thalamus (tectothalamic axons) –> feedback to the cerebral cortex
  4. Cerebellum (tectocerebellar axons) –> rostral cerebellar peduncle

All of these pathways function in the coordination of head, neck and eyeball movements

(de Lahunta)

348
Q

Where are the cell bodies of GVA neurons located?

A
  1. Geniculate ganglion of the facial nerve
  2. Distal ganglion of the glossopharyngeal nerve (located in the jugular foramen)
  3. Proximal and distal ganglion of the vagus nerve - located ventromedial to the tympanic bulla
  4. Dorsal root ganglion of spinal nerves

(de Lahunta)

349
Q

How does GVA input from the middle ear and blood vessels of the head reach the brain?

How does GVA input from the caudal tongue, pharynx, and carotid sinus reach the brain?

A

Middle ear, blood vessels of the head –> facial nerve –> geniculate ganglion of CN 7

Caudal tongue, pharynx, carotid body and carotid sinus –> glossopharyngeal nerve (distal ganglion of CN 9 & 10)

(de Lahunta)

350
Q

How does GVA information from the thoracic and abdominal cavity reach the CNS?

A

“In general, GVA fibers accompany GVE fibers that originate from the same cord segments to innervate their target visceral structures”

Nerve fibers of the cardiac and pulmonary plexus (GVE pathway involves middle cervical ganglion, cervicothroacic ganglion) - these plexuses also carry fibers from the vagus nerve innervating the heart, trachea, and lungs –> fibers of the cardiac and pulmonary plexus reach the spinal cord via the sympathetic trunk

Thoracic (greater) and lumbar splanchnic nerves:
Arise from the sympathetic trunk –> abdominal and plevic viscera
Also carry GVA fibers to the sympathetic trunk

(de Lahunta)

351
Q

What 4 modalities stimulate GVA receptors?

A
  1. Stretch
  2. Distention
  3. Pressure
  4. Chemical changes

(de Lahunta)

352
Q

What brainstem tract carries GVA information?

A

Solitary tract

  • Cell bodies in facial ganglion, distal ganglion of CN 9 and 10 –> axon enters the medulla –> courses rostrally in the solitary tract –> synapse in the solitary nucleus

(de Lahunta)

353
Q

Where does the nucleus of the solitary tract project axons to? (3)

A
  1. Projects to neuronal cell bodies in the GVE and GSE system (directly or indirectly via interneurons of the reticular formation)
    • Nucleus ambiguus –> swallowing
    • Parasympathetic nucleus of the vagus nerve –> visceral organs
    • Parasympathetic nucleus of glossopharyngeal nerve –> pharynx/palate
  2. Reticular formation –> visceral reflex centers (cardiac, swallowing, respiratory, coughing, vomiting)
  3. Projects to the area postrema
    • (located adjacent to the floor of the 4th ventricle, abundance of small capillaries and glial cells)
  4. Solitarothalamic pathway - travels on the contralateral brainstem, adjacent to the medial lemniscus and spinothalamic pathway
    • Ventral caudal medial nucleus of the brainstem –> sensory neocortex

(de Lahunta)

354
Q

What are the 4 metabolic functions of the reticular formation?

A
  1. Respiration
  2. Cardiovascular
  3. Swallowing
  4. Micturition

(de Lahunta)

355
Q

What are the circumventriuclar organs? (5)

A

Regions that lack BBB

  1. Area postrema
  2. Subfornical organ - caudal surface of the columns of the fornix
  3. Subcommissural organ - projects ventrally into the rostral mesencephalic aqueduct, ventral to the cadal commissure
  4. Pineal gland
  5. Hypothalamic vascular organ
356
Q

GVA information that is carried in spinal nerves/spinal ganglia - where does it project?

A

Receptor in thoracic/abdominal viscera –> branches of thoracic sympathetic trunk and abdominal splanchnic nerves –> sympathetic trunk –> ramus communicants –> segmental spinal nerve –> axon continues over the dorsal root –> spinal cord @ dorsolateral sulcus –> terminates in dorsal gray horn

Reflex pathway: dorsal gray horn –> dorsal gray column interneuron passes into adjacent intermediate gray horn in segments T1-L4–> preganglionic sympathetic GVE neuron located there

Conscious perception: dorsal gray horn –> axon joins ipsilateral or contralateral lateral funiculus –> spinothalamic tract –> multisynaptic pathway that follows the same course as the spinothalamic system –>

  • Ascending reticular activating system
  • Ventral caudal lateral thalamic nucleus –> projection to sensory neocortex

(Uemura)

357
Q

How is visceral nociception referred?

A

Visceral nociception is referred to the surface of the body innervated by GSA neurons whose axons terminate in the same spinal cord segment and on the same neuronal cell bodies as the GVA neurons from a viscus

Thus a dermatomal distribution of referred visceral pain exists - the surface of the body can be mapped to represent these areas of pain

ex/ diaphragm referred to region of C5, 6, 7 (shoulder/neck)

(de lahunta)

358
Q

What is the sensory receptor for taste and how does it function?

SVA from the rostral 2/3 of the tongue is carried to which ganglion? SVA from the caudal 1/3 of the tongue is carried to which ganglion?

A

Taste bud consisting of supporting cells and neuroepithelial cells, arranged so that shorter cells are centrally located

Centrally-located taste pore

In the taste pore, the hair-like process is sensitive to chemical substances dissolved in the saliva

There is rapid turnover of neuroepithelial receptor cells in the taste bud

Rostral 2/3 –> trigeminal branches –> close to medulla join branches of CN VII (major petrosal and chorda tympani) –> geniculate ganglion of the facial nerve
Caudal 1/3 –> glossopharyngeal nerve

(de Lahunta)

359
Q

What nerve provides sensation to the mucosa of the pharynx and larynx?

A

SVA receptors of the pharynx/larynx (and cranial trachea) –> cranial laryngeal of CN X –> distal vagal ganglion

Mediates the cough reflex

(Uemura)

360
Q

What anatomic components make up the “smell brain”

A

Archipallium + paleopallium = rhinencephalon = smell brain

The olfactory portion of the rhinencephalon = paleopallium
Nonolfactory rhinencephalon = archipallium

(de Lahunta)

361
Q

What is the receptor for the olfactory system? What type of neuron is involved

A

Bipolar neuron located in the olfactory epithelium of the nasal mucosa (caudal nasal cavity)

  • It is a specialized chemoreceptor
  • Olfactory epithelium = nasal mucosa that covers the ethmoid labyrinth
  • Its cell body and dendritic zone lie within the epithelium
  • 6-8 cilia project from the apex of the olfactory cell and lie in the secretions on the surface of the olfactory epithelium
    • They are stimulated by chemical substances dissolved in the secretions

(de Lahunta)

362
Q

What is the pathway that olfactory information takes from the olfactory epithelium to the medial and lateral olfactory tracts

A

Olfactory receptor –> unmyelinated axon courses caudally from the cell body –> connective tissue of the nasal mucosa –> joins with other axons to form olfactory nerves

Nerves pass through the foramina of the cribriform plate of the ethmoid bone –> olfactory bulbs –> synapse with brush cells and mitral cells
The synapse of olfactory nerve cells + brush cells or mitral cells - called gomeruli
At this point multiple olfactory neurons converge on a few neurons of the olfactory bulb

Axons of brush and mitral cells of the olfactory –> caudally on the surface of the olfactory peduncle - form medial and lateral olfactory tracts

(de Lahunta)

363
Q

What is the pathway of the lateral olfactory tract?

A

Cell body: brush and mitral cells of the olfactory bulb –> caudally on the surface of the olfactory peduncle –> continued as lateral olfactory tract –> ipsilateral olfactory cortex (surface of the piriform lobe) –> synapses here with neurons in the cortex of the olfactory peduncle or olfactory tubercle

Olfactory tubercle = nucleus between the medial and lateral olfactory tracts

(de Lahunta)

Figure 16.4

Anatomy of the special visceral afferent olfactory system. A, Amygdala; CLRS, caudal lateral rhinal sulcus; LOT, lateral olfactory tract; MB, mamillary bodies; MOT, medial olfactory tract; OB, olfactory bulb; OP, olfactory peduncle; OT, olfactory tubercle; PHG, parahippocampal gyrus; RLRS, rostral lateral rhinal sulcus; RMRS, rostral medial rhinal sulcus.

364
Q

Most of the central olfactory projections are ipsilateral or contralateral?

What are the components of the olfactory peduncle?

A

Ipsilateral
WITHOUT relay through a thalamic nucleus

Olfactory peduncle = olfactory axons (surface) + olfactory cortex (ventral to the medial and lateral rostral rhinal sulci)

(de Lahunta)

365
Q

How are the functions of the 2 olfactory bulbs coordinated?

A

Olfactory bulb –> medial olfactory tract –> rostral commissure –> contralateral medial olfactory tract –> contralateral olfactory bulb

Piriform lobe –> commissural axons pass in the rostral commissure –> contralateral piriform lobe
This is the “conscious perception” pathway

(de Lahunta)

Figure 16.4

Anatomy of the special visceral afferent olfactory system. A, Amygdala; CLRS, caudal lateral rhinal sulcus; LOT, lateral olfactory tract; MB, mamillary bodies; MOT, medial olfactory tract; OB, olfactory bulb; OP, olfactory peduncle; OT, olfactory tubercle; PHG, parahippocampal gyrus; RLRS, rostral lateral rhinal sulcus; RMRS, rostral medial rhinal sulcus.

366
Q

What are the “reflex” actions of the olfactory system?

A

Involve projections to the nuclear areas of the limbic system (without synapsing to the piriform cortex)

Medial olfactory tract –> septal area (septal nuclei and subcallosal area) –> medial forebrain bundle:

  • Hypothalamus
  • Reticular formation –> Parasympathetic nucleus of 7, 9, 10 –> salivation and gastric secretion

Lateral olfactory tract –> amygdaloid nucleus and hippocampus

(de Lahunta/King)

367
Q

What is the mechanism of receptor transduction of olfactory stimulus?

A

Olfactory binding protein - protein that is secreted by nasal mucosa. Thought to carry and/or concentrate odorant molecules

The olfactory binding protein carries odorant molecules to the cilia of the olfactory sensory neurons

A receptor odorant complex activates a G-protein –> leads to activation of second messenger systems, opening of Ca2+ channels, and depolarization of the cilia

This depolarization is conducted to the axon hillock of the olfactory sensory neuron, where action potentials are generated

@ the olfactory bulb, olfactory sensory neuron is believed to secrete a peptide neurotransmitter

(Uemura)

368
Q

What parts of the CNS are responsible for the autonomic response to olfaction?

A

Hypothalamus

Periaqueductal gray

(Uemura)

369
Q

Baroreceptors are located in the ____________, and respond to changes in ________.

Chemoreceptors are located in the ___________ and are sensitive to changes in ___________.

A

Baroreceptors are located in the carotid sinus and aortic arch, and respond to changes in blood pressure

Chemoreceptors are located in the carotid body and are sensitive to changes in PaO2 and PaCO2

GVA fibers from the carotid body baroreceptor and carotid sinus chemoreceptor travel with the glossopharyngeal nerve –> CNS

GVA fibers from the aortic body baroreceptor –> CN X

** Solitary nucleus –> CN X + hypothalamus - HR/BP adjusted

(Uemura)

370
Q

What is the difference between GSA signals carried in parasympathetic nerves vs. sympathetic nerves?

A

Parasympathetic nerves - carry signals primarily from physiologic receptors

Sympathetic nerves - carry signals mainly from nociceptors

(Uemura)

371
Q

How do GVA fibers from the pelvic viscera reach the spinal cord

A

Pelvic nerve

Located on the lateral wall of the distal rectum

GVA fibers –> pelvic ganglia, communicating branches, dorsal roots –> sacral spinal cord –> terminate on sacral parasympathetic nucleus (lateral gray horn), or join the spinothalamic tract to project visceral pain to the cerebrum via the thalamus

372
Q

3 components of the paleopallium?

2 components of the rhinencephalon?

A
  1. Olfactory bulb
  2. Olfactory peduncle (olfactory tracts + olfactory tubercle)
  3. Cortex of the piriform lobe

Rhinencephalon = paleopallium + neopallium (hippocampus)

(de Lahunta)

373
Q

What are the 4 main telencephalic components of the limbic system

How are all of the components arranged?

A

Main 4:

  1. Cingulate gyrus
  2. Hippocampus
  3. Septal area
  4. Amygdala

Arranged in 2 incomplete ring-like structures on the medial aspect of the cerebral hemisphere, at its border with the diencephalon

Inner ring:

  1. Amygdaloid body
  2. Hippocampus
  3. Fimbria-fornix: septal area, hypothalamus, mamillary bodies

Outer ring:

  1. Cingulate gyrus and cingulum
  2. Septal area
  3. Medial forebrain bundle + hypothalamus
  4. Brainstem GVE LMN (not sure why included with telencephalon)

(de Lahunta)

374
Q

Where is the amygdaloid body located? What is it’s function? What are the 2 main efferent projections from the amygdaloid body?

A

Amygdaloid body is one of the basal nuclei of the telencephalon. It is “buried deeply in the piriform lobe”

Function: wide range of autonomic, endocrine, and somatic motor responses associated with emotion

Efferent:

  • Stria terminalis –> courses between the thalamus and caudate nucleus –> rostral hypothalamus (major) and septal area (minor)
  • Diagonal band –> connects the amygdaloid body with the septal area - courses on the ventral surface of the cerebrum

Afferent: lateral olfactory tract, areas of the neocortex, thalamus, rostral hypothalamus, hippocampus, nucleus of the solitary tract

(de Lahunta)

375
Q

Where is the hippocampal commissure located?

A

Dorsal to the caudal thalamus

At the level of the rostral mesencephalic aqueduct

(de Lahunta)

376
Q

What are the 3 components of the hippocampal formation?

How are is efferent fibers organized?

A

Hippocampal formation:

  1. Hippocampus - long, curved nuclear mass
    • Connections to the cingulate gyrus and hypothalamus
  2. Dentate gyrus - medial to the hippocampus, projects efferents to the hippocampus
  3. Subiculum - between the lateral edge of the hippocampus and the medial edge of the parahippocampal girus
    • The entorhinal cortex of the parahippocampal gyrus is continuous with the subiculum –> continuous with the hippocampus

Efferent fibers:

  • Efferent fibers of the dentate gyrus project to the hippocampus
  • Efferent fibers of the hippocampus and subiculum form the fornix –> projects to the hypothalamus
    • Subicular fibers of the fornix terminate in the hypothalamus and thalamus
    • Hippocampal fibers of the fornix terminate primarily in the mammillary nuclei of the hypothalamus

(Uemura)

377
Q

What region of the limbic system is responsible for the following:

  • “primitive motor cortex”
  • Motor expression of emotion and rage
  • Learning and memory
  • Instinct
A

Hippocampus

(King’s)

378
Q

Regarding the forix:

  • The fornix is made of fibers that leave the hippocampus as the ___________
  • The 2 crura meet _______(rostral/caudal) to the hippocampal commissure and continue as the _____________
  • How is the fornix related to the interventricular foramen?
A
  • The fornix is made of fibers that leave the hippocampus as the fimbria
  • The 2 crura meet rostral to the hippocampal commissure and continue as the body of the fornix
  • Axons of the fornix body turn ventrally at the rostral commissure –> columns of the fornix
    • Small bundle –> rostral to the rostral commissure in the septum pellucidum –> septal area
      • (confused if this is actually considered column of fornix)
    • Larger bundle –> caudal to the rostral commissure –> thalamus and mamillary body
  • The columns of the fornix form the rostral border of the interventricular foramen on each side
    • Caudal border of the interventricular foramen = choroid plexus (leptomeninges associated with choroid plexus here)

(de Lahunta)

379
Q

_______________ connects the body of the fornix, and the proximal columns of the fornix, to the corpus callosum

A

Septum pellucidum

  • Connects the body of the fornix (and the proximal portion of each column) to the corpus callosum
  • Caudal portion of this septum is not visible unless the lateral ventricle is enlarged
  • Rostrally, the septum pellucidum contains neuronal cell bodies of the septal nucleus
380
Q

______ is a long association tract with axons that run from the parahippocampal gyrus –> septal area and frontal lobe gyri

A

Cingulum

  • The cingulum is the corona radiata of the cingulate gyrus

(de Lahunta)

381
Q

What portion of the limbic system serves the following function:

Plays a key role in aggressive behavior

Exerts a general suppressive effect on a variety of visceral functions regulated by the hypothalamus

A

Cingulate gyrus

  • Bound by the genual sulcus and the splenial sulcus

(Uemura)

382
Q

What are the components of the septal area?

What are the afferent (3) and efferent (1) connections of the septal area?

A
  1. Subcallosal area
    • Cerebral cortex ventral to the genu of the corpus callosum
  2. Septal nuclei
    • Collection of neuronal cell bodies in the rostral septum pellucidum that bulges into the medial side of the lateral ventricle
    • Dosal and just rostral to the bend in the body of the fornix

Afferent:

  1. Hippocampus (via columns of the fornix)
  2. Amygdaloid body (via diagonal band and stria terminalis)
  3. Olfactory bulb –> medial olfactory tract

Efferent

  1. Median forebrain bundle –> hypothalamus
  2. Stria habenularis –> habenular nuclei
  3. Columns of fornix –> hippocampus

(de Lahunta)

383
Q

What are the diencephalic components of the limbic system?

A
  1. Epithalamic habenular nucleus
    • Septal area –> stria habenularis –> habenular nucleus
    • Connects to the mesencephalon (habenulointercrural tract)
  2. Rostral thalamic nuclei
    • Mamillary body of the hypothalamus –> mammilothalamic tract –> rostral thalamic nucleus
    • Rostral thalamic nuclei –> cingulate gyrus and adjacent neopallium
  3. Hypothalamus (Mamillary body)
    • Connects to mesencephalic tectum, visceral motor nuclei in the medulla, mesencephalic intercrural nucleus

(de Lahunta)

384
Q

What portion of the limbic system is found in the mesencephalon?

A

Intercrural nucleus

  • Located ventrally, adjacent to the intercrural fossa between the crus cerebri
  • Connects to the habenular nucleus, mammillary body, reticular formation of the brainstem

(de Lahunta)

385
Q

What part of the limbic system receives olfactory impulses via the septal nuclei, and projects to the intercrural nucleus of the mesencephalon and parasympathetic motor nuclei of cranial nerves?

A

Habenular nuclei:

Participates in autonomic responses to olfactory and emotional stimuli

(Kings)

386
Q

What is the Papez circuit?

A

Made of the

  1. Cingulate gyrus
  2. Hippocampal formation
  3. Mammillary nuclei of the hypothalamus
  4. Thalamus

Efferents of the neocortex –> cingulate gyrus –> hippocampal formation –> fornix –> mammillary nuclei –> mammilothalamic tract –> thalamus –> cingulate gyrus

Red = Papez Circuit

(Uemura)

387
Q

What regions of the limbic system are considered “pleasure centers”

“Pain centers?”

A
  1. Intercrural nucleus
  2. Septal area
  3. Rostral hypothalamus

Self stimulation of these regions by cats and rats was sought so actively that the animals continually pressed the bar and did not eat

Pain centers: Similar stimulation of the lateral hypothalamus and selected mesencephalic areas resulted in complete avoidance of the source of the stimulus

(de Lahunta)

388
Q

Direct stimulation of what regions of the feline limbic system result in a focal seizure?

What is the result of amygdalectomy in cats?

A
  1. Cingulate gyrus
  2. Amygdaloid body
  3. Hippocampus

Amygdalectomy = unfriendliness, fear, rage

389
Q

What are the cell layers of the hippocampus? What neurons give rise to the axons of the fornix?

A
  • Dentate gyrus
    • 3 layered archicortex - molecular cells, granular cells, polymorph cells
    • Embedded into the concavity of the hippocampus proper
  • Hippocampus proper
    • Gyrus folded concave medially
    • Archicortex is composed of 3 major layers
      • Molecular
      • Double pyramidal cells
        • These axons run in the fornix
        • Join alveus –> continue as fimbria –> crus of fornix, body of fornix, column of fornix (see below)
      • Polymorph cell layer
    • Divisible into 4 zones: CA1 (at the subiculum) –> CA4 (at the dentate gyrus)
  • Subiculum
    • Composed of variable layers
    • Major source of hippocampal output to the adjacent entorhinal cortex of the piriform lobe and parahippocampal gyrus
390
Q

What are the 6 groups of thalamic nuclei?

Where are the internal and external medullary lamina of the thalamus?

A
  1. Rostral thalamic group (limbic system)
  2. Medial thalamic (medial dorsal nucleus)
  3. Lateral thalamic group
    • Dorsal
      • Dorsolateral nucleus
      • Caudolateral nucleus
      • Pulvinar nucleus
    • Ventral
      • Ventral rostral nucleus (extrapyramidal)
      • Ventral lateral nucleus (cerebellum)
      • Ventral caudal group
        • Ventral caudal medial nucleus (cranial nerves)
        • Ventral caudal lateral nucleus (spinal nerves)
  4. Caudal thalamic group (metatlalamus)
    • Medial geniculate nucleus (auditory, vestibular)
    • Lateral geniculate nucleus (vision)
  5. Intralaminar thalamic group
    • Central medial nucleus
    • Paraventricular nucleus
  6. Thalamic reticular nucleus (ARAS)

Internal medullary lamina - Divides each side of the thalamus into medial and lateral halves

External medullary lamina - defines the external boundary of the lateral half of the thalamus. It is separated from the internal capsule by the narrow thalamic reticular nucleus

391
Q

What are the 3 functional groups of thalamic nuclei?

A
  1. Direct cortical projection system - relay of sensory information and motor systems
  2. Diffuse cortical projection system - thalamic association system that receives only axons from other diencephalic nuclei and telencephalic sources
  3. Thalamic reticular system - most rostral component of the ARAS

(de Lahunta)

392
Q

What are the sensory nuclei of the direct cortical projection system of the thalamus

(relay GSA/GVA/SSA information for conscious perception)

A

Thalamic nuclei concerned with this function are located in the lateral half/ventral tier of the thalamus and in the caudal thalamic group

  1. Ventral caudal lateral nucleus
    • GSA/GVA –> spinothalamic tract –> ventral caudal lat nucleus
    • GP –> medial lemniscus –> VCL nucleus
    • Neck, trunk, limbs –> somesthetic cortex
  2. Ventral caudal medial nucleus
    • GSA/GP from CN V –> quintothalamic tract –> ventral caudal medial nucleus
    • GVA, SVA –> solitarothalamic tract –> VCM nucleus
    • Head region –> somesthetic cortex
  3. Lateral geniculate nucleus
    • Optic tract –> LGN –> visual cortex of the occipital lobe
  4. Medial geniculate nucleus
    • SSA (auditory) and SP (vestibular) –> brachium of the caudal colliculus –> medial geniculate nucleus –> temporal lobe

These nuclei also project to other thalamic nuclei

(de Lahunta)

393
Q

What are the 2 motor nuclei of the direct cortical projection system of the thalamus?

(Pyramidal/extrapyramidal relay)

A
  1. Ventral rostral nucles
    • Pallidum and red nucleus –> ventral rostral nucleus –> motor cortex of the parietal lobe
  2. Ventral lateral nucleus
    • Cerebellar nuclei –> rostral cerebellar peduncle –> ventral lateral nucleus –> motor cortex of the frontoparietal lobe
    • Red nucleus –> ventral lateral nucleus –> motor cortex of the frontoparietal lobe

These nuclei also project to other thalamic nuclei

394
Q

The ___________ is the thalamic association system that receives axons only from other diencephalic nuclei and telencephalic nuclei

A

Diffuse cortical projection system

No primary afferent sensory input to this system:

Afferent:

  • Primary relay thalamic nuclei (involved in GSA/GVA/SSA/pyramidal/extrapyramidal relay)
  • Thalamic reticular system nuclei
  • Hypothalamus
  • Cingulate gyrus
  • Frontal cortex
  • Striatum

Efferent –> diffusely to the telencephalon

Nuclei:

  1. Rostral thalamic group
  2. Medial group
  3. Lateral group - dorsal tier

(de Lahunta)

395
Q

What are the 2 nuclei that comprise the thalamic reticular system?

A
  1. Intralaminar nuclei
  2. Thalamic reticular nucleus

Afferents: Reticular formation in the caudal brainstem, GSA/GVA conscious pathways

Efferents: Thalamic nuclei of the diffuse cortical projection system

This is the most rostral part of the thalamus

it does NOT project directly to the cerebrum! influences the cerebrum indirectly via the diffuse cortical projection system

(de Lahunta)

396
Q

What are the 3 regions of hypothalamic nuclei?

A
  1. Rostral region (chiasmic group)
    1. Supraoptic nucleus
    2. Suprachiasmic nucleus
    3. Paraventricular nucleus
    4. Rostral hypothalamic nucleus
    5. Preoptic nuclei
    6. Rostral periventricular nucleus
  2. Intermediate region (tuberal group)
    • Dorsomedial, ventromedial nuclei
    • Infundibular nucleus
    • Lateral hypothalamic area
  3. Caudal region, mamillary group
    • Premammillary nucleus
    • Dorsal and dorsocaudal hypothalamic areas
    • Lateral perifornical hypothalamic nuclei
    • Periventricular nucleus
    • Mamillary nuclei

(de Lahunta)

397
Q

What are the 3 broad sources of afferent information to the hypothalamus?

A
  1. Telencephalon (rhinencephalon)
    • Hippocampus –> columns of the fornix –> mammillary bodies
      • Precommissural fibers: hypothalamus –> septal nuclei, preoptic nuclei, anterior hypothalamus
      • Postcommissural fibers: subiculum –> mammillary nuclei
    • Septal area –> medial forebrain bundle
    • Amygdaloid body –> stria terminalis
    • Pallidum –> pallidohypothalamic axons –> hypothalamus
  2. Diencephalon
    • “Numerous axons enter the hypothalamus from various thalamic nuclei”
    • Uemura - frontal cortex and cingulate gyrus –> medidorsal nucleus of the thalamus –> hypothalamus (thalamohypothalamic fibers)
  3. Mesencephalon
    • Brainstem GVA and SVA –> mammillary peduncle
    • Periaqueductal gray

(de Lahunta)

398
Q

What are the 3 main efferents from the hypothalamus?

A
  1. Mamillary nuclei –>
    • Mammilothalamic tract –> rostral thalamic nucleus
    • Mamillotegmental tract –> mesencephalic reticular formation (UMN) –> brainstem and spinal cord GVE LMN
  2. Paraventricular nucleus –> dorsal longitudinal fasiculus axons –> periaqueductal gray
    1. Paraventricular nucleus –> hypothalamomedullary tract and hypothalamospinal tract
  3. Hypothalamo-hypophyseal tracts

(de Lahunta)

399
Q

The hypothalamo-neurohypophyseal system terminates on blood vessels in the ______________

The hypothalamo-adenohypophyseal system terminates on blood vessels in the __________

A

Hypothalamo-neurohypophyseal system terminates on blood vessels in the neurohypophysis

Hypothalamo-adenohypophyseal system terminates on blood vessels in the tuber cinereum and infundibulum

Both systems consist of axons that provide a pathway for neurosecretory substances produced by neuronal cell bodies in the hypothalamus to access vessels

(de Lahunta)

400
Q

What substances do the supraoptic and paraventricular nuclei produce?

A

Oxytocin

Vasopressin = ADH

They are carried down the axons of the supraoptico-hypophyseal and paraventriculo-hypophyseal tracts to the neurohypophysis –> released in the capillary bed and circulate to the effector organ

Supraoptic nucleus: axons with ADH are more numerous than those carrying oxytocin (opposite is true for paraventricular nucleus)

(de Lahunta)

401
Q

Neurosecretory products involved with adenohypophyseal regulation pass through axons of the _______ tract and are released where?

A

Neurosecretory products involved with adenohypophyseal regulation pass through axons of the tuberohypophyseal tract –> capillary plexus in the tuber cinereum and infundibulum –> circulate via hypophyseal portal system to the sinusoids of the adenohypophysis to influence the endocrine activity of the cells in the pars distalis

According to de Lahunta, these neurosecretory products are produced in “a variety of hypothalamic nuclei”

Uemura - Suprachiasmic nucleus, medial preoptic nucleus, paraventricular nucleus, and arcuate nucleus release hormones into capillary network –> adenohypophysis

(de Lahunta)

402
Q

What type of emotional reaction does the hypothalamus produce?

A

Rage, aggression

(Kings)

403
Q

What part of the limbic system is concerned with sexual and aggressive behavior

A

Septal nuclei

(de Lahunta)

404
Q

What is the arrangement of neurons with depressor vs. pressor effects in the medullary cardiovascular center?

A

Neurons with a depressor effect on arterial pressure and heart rate are found in the central (medial) group of neurons in the reticular formation of the medulla

Neurons with a pressor effect on arterial BP/HR found in the lateral group of neurons

(Kings)

405
Q

What are the components/functions of the respiratory centers in the medulla vs. pons?

How to these regions influence the diaphragm and intercostal muscles?

A

Medulla:
Inspiratory center in the central region of the reticular formation
Expiratory center in the lateral region of the reticular formation

Pons:
Pneumotaxic center - inhibits the inspiratory center of the medulla by negative feedback
Apneustic center - steady excitatory drive to the inspiratory center

Medullary respiratory center –> reticulospinal tracts –>
C5, 6, 7 –> interneurons –> ventral horn neurons –> phrenic nerve –> diaphragm
T1-T13 –> interneurons –> ventrla horn neurons –> spinal nerves to the intercostal muscles

(Kings)

406
Q

What is the caudal extent of the sympathetic outflow in the dog vs. cat?

A

Dog: T1-L5

Cat: T1-L2

407
Q

Which nuclei comprise the feeding center vs. satiety center?

A

Feeding center: Lateral hypothalamic nucleus

Satiety center: ventromedial hypothalamic nucleus

(Uemura)

408
Q

What are the three functional regions of the cerebral cortex?

A
  1. Projection areas
    1. Primary somatic sensory area
    2. Visual area
    3. Auditory area
    4. Primary motor area
  2. Rhinencephalon (olfactory and limbic)
  3. Association areas
    1. Become more important in mammals that are phylogenetically advanced

(Kings)

409
Q

What functional region of the cerebral cortex makes possible complex problem solving and abstract/creative thinking?

A

Association areas

The most common neurons in the association areas are cells with short axons, very widespread dendrites - these are virtually interneurons connected into a vast meshwork of nerve cells
They are not confined to one layer or region of the brain

Rabbit and rat - projection areas are 100% of the brain, association areas are 0% of the cortex

Cat and dog - projection areas are 80% of the total area of the cortex, association areas are 20%

Man - Projection areas are 15% of the total area of the cortex, association areas are 85%

(Kings)

410
Q

______ is a pattern of behavior that is inflexible and automatic (rather than flexible and reasoned)

A

Instinct

  • Activated by a particular stimulus
  • Genetically determined
  • Anatomical site is difficult to identify, possibly hippocampus

(Kings)

411
Q

What is the difference in cell layers between the neocortex (neopallium) and paleocortex (paleopallium)?

What are the further divisions of each (neopallium 5, paleopallium 3)

A

Neocortex - 6 layers

  • Primary cortex
    • Somesthetic I and II
    • Motor
    • Visual
    • Auditory
  • Association cortex

Paleocortex - 3-5 layers

  • Entorhinal cortex of the parahippocampus
  • Endorhinal cortex of the piriform lobe
  • Cortex of the lateral olfactory gyrus

(Uemura)

412
Q

What 3 gyri comprise the primary somesthetic area?

A
  1. Postcruciate gyri
  2. Rostral suprasylvian gyri
  3. Rostral ectosylvian gyri

(Uemura)

413
Q

what are the 2 pathways for the degradation of glycogen?

A

Phosphorylytic pathway (responsible for formation of glucose-6-phosphate

Lysosomal hydrolytic pathway

(VCNASAP Platt)

414
Q

Where is pyruvate used within the muscle cell?

A

Pyruvate –> inner mitochondrial membrane –> TCA cycle

If pyruvate cannot enter the TCA cycle because of a metabolic block, it may be shuttled either to lactate or alanine –> hyperlactatemia or hyperalanemia

(VCNASAP Platt)

415
Q

What are the 4 steps of lipid oxidation

A
  1. Activation of fatty acids
  2. Beta-oxidation of fatty acids –> forms acetyl CoA –> krebs cycle
  3. Synthesis of triglycerides, phospholipids, and other fatty acid esters
  4. Hydrolysis of lipid esters

(VCNASAP Platt)

416
Q

Carnitine is derived from what 2 amino acids?

What is its function?

A

Derived from lysine and methionine

Important in the transport of long-chain fatty acids into the mitochondria for beta oxidation

Also forms esters with abnormal organic acids –> excreted in the urine

(VCNASAP Platt)

417
Q

When should plasma lactate:pyruvate be measured?

A

Should be measured as a screening test in all animals with suspected myopathic causes of weakness/collapse (especially if related to activity)

Less ideal - pre and post-prandial lactate and pyruvate analysis can be performed when rest and subsequent exercise of the patient are not possible

Lactate and pyruvate readily diffuse from working muscle - levels of these metabolites in venous blood can be used to monitor the integrity and level of activation of the energy pathways from which they arise

Special tubes/collection methods. Delays > 1h before deproteinization of samples –> can induce major elevations in lactate/pyruvate ratios

(VCNASAP Platt)

418
Q

High serum lactate + pyruvate with normal LP ratio?

Lactic acidosis + high LP ratio?

A

High serum lactate + pyruvate with normal LP ratio - defect in pyruvate dehydrogenase (or one of the gluconeogenic enzymes)

Lactic acidosis + high LP ratio - defect in mitochondrial ETC OR pyruvate decarboxylase deficiency

(VCNASAP Platt)

419
Q

What categories of disease can urinary organic acid and plasma amino acid analysis be used to detect?

A

Organic acidurias - genetic inborn errors of metabolism

Mitochondrial defects of beta-oxidation

Alanine + hypoxanthine - readily diffuse from working muscle into venous blood
They are markers of the integrity and level of activation of the energy pathways from which they arise

(VCNASAP Platt)

420
Q

How should carnitine be analyzed/quantified

A

Must look at urine, plasma, and muscle concentrations of total, free and esterified carnitine (via radioisotopic enzyme assay)

Complex metabolic equilibrium exists for various carnitine and acylcarnitine fractions in various body compartments etc…

(VCNASAP Platt)

421
Q
A
422
Q

____________ of the skull is the central surface point on the external occipital protuberance

A

Inion

423
Q

_______ of the skull is the junction on the median plane of the right and left frontoparietal sutures, or the point of crossing of the coronal and sagittal sutures

A

Bregma

(Miller’s)

424
Q

__________ of the skull is the junction on the median lane of the right and left nasofrontal sutures

A

Nasion

(Miller’s)

425
Q

__________ of the skull is the middle of the ventral margin of the foramen magnum

A

Basion

(Miller’s)

426
Q
A
427
Q

Which 5 structures pass through the orbital fissure?

What bones is the orbital fissure located in?
What bone is the optic canal located in?

A
  1. CN 3
  2. CN 4
  3. Ophthalmic br of V
  4. CN 6
  5. External ophthalmic artery
  6. Orbital venous plexus

Orbital fissure is formed in the articulation between the basisphenoid and presphenoid bones

Optic canal - passes through the orbital wing of the presphenoid bone

428
Q

What 3 structures pass through the rostral alar foramen? 2 caudal alar foramen?

What bone are they in?

A

Caudal alar foramen: maxillary artery and vein

Rostral alar foramen: maxillary artery and vein + maxillary br of V

basisphenoid bone

429
Q

What are the boundaries of the temporal fossa?

A

Medially: saggital crest or temporal line

Caudally: nuchal crest

Ventrally: zygomatic process of the temporal bone

Rostral: continuous with the orbit

The temporal muscle arises from the temporal fossa on the frontal, parietal, and squamous temporal bones

(Little Miller’s)

430
Q

What are the 3 components of the temporal bone?

A
  1. Squamous - forms the caudal portion of zygomatic arch
    • Articulates dorsally with the parietal bone, rostrally with basisphenoid and presphenoid
  2. Tympanic
  3. Petrous

(Little Miller’s)

431
Q

What forms the margins of the orbit? (5)

A

Frontal, lacrimal, sphenoid, presphenoid, and zygomatic bones

Lateral margin = orbital ligament (frontal process of zygomatic bone to zygomatic process of frontal bone)

(Little Miller’s)

432
Q

What forms the pterygopalatine fossa? (4)

A

Located ventral to the orbit

  1. Maxilla
  2. Zygomatic bone
  3. Zygomatic process of the temporal bone
  4. Palatine bone
  5. Pterygoid bone
  6. Wings of the sphenoid bones

Pterygoid muscles arise from this fossa

(Little Miller’s)

433
Q

What structures run through the caudal palatine foramen and sphenopalatine foramen?

A

Caudal palatine foramen: major palatine artery, vein and nerve

Sphenopalatine foramen: Sphenopalatine artery and vein, caudal nasal nerve

(Little Miller’s)

434
Q

What bone forms the caudal 1/3 of the cranial base?

A

Basi-occipital bone

  • Articulates laterally with the tympanic and petrous parts of the temporal bone
  • Rostrally with the body of the basisphenoid
  • Caudally the occipital condyle articulates with the atlas

(Little Miller’s)

435
Q

What muscle arises from the paracondylar process?

A

Digastricus

(Little Miller’s)

436
Q

The _________ is a eminence on the ventral surface of the petrosal temporal bone that contains the _______ window

A

The promontory is a eminence on the ventral surface of the petrosal temporal bone that contains the cochlear window

437
Q

The basisphenoid articulates caudally with? Rostrally with?

Which 3 foramen are within this bone?

A

Caudally with the basioccipital bone

Rostrally with the presphenoid and pterygoid bones

The oval foramen, round foramen, and alar canal are in the basisphenoid bone

(Little Miller’s)

438
Q

The maxillary nerve leaves the calvarium through the _______ foramen and leaves the skull through the _________ foramen

A

The maxillary nerve leaves the calvarium through the round foramen and leaves the skull through the rostral alar foramen

439
Q

The ___________ (foramen) lies at the rostromedial edge of the tympanic bulla, a loop of the internal carotid artery protrudes through this opening

A

Foramen lacerum

“This loop is between the part of the internal carotid that is coursing rostrally in the carotid canal, and the part that returns through the foramen lacerum and enters the cavernous sinus on the floor of the cranial cavity”

(Little Miller’s)

440
Q

The __________ is the bony enclosure of the auditory tube

A

Musculotubal canal

Lies lateral to the foramen lacerum and caudal to the oval foramen

(Little Miller’s)

441
Q

The _________ is an opening between the basilar part of the occipital bone and the tympanic part of the temporal bone

A

Tympano-occipital fissure

  • The petro-occipital canal and the carotid canal leave the depths of the fissure at about the same place
  • Carotid canal transmits the internal carotid artery
  • Petro-occipital canal transmits the ventral petrosal sinus
  • The glossopharyngeal, vagus, and accessory nerves course peripherally from the jugular foramen through the tympano-occipital fissure
  • Vessels: internal carotid artery, “venous radicles” of the vertebral and internal jugular veins
    • Also sympathetic postganglionic axons from the cranial cervical ganglion

(Little Miller’s)

442
Q

The _______ foramen lies caudomedial to the tympano-occipital fissure in the occipital bone

A

Hypoglossal canal

(Little Miller’s)

443
Q

Between the tympanic bulla and the mastoid process of the temporal bone is the ___________ foramen

A

Stylomastoid foramen

Opening in the facial canal that conducts the facial nerve through the petrosal part of the temporal bone

(Little Miller’s)

444
Q

Which 3 bones form the basicranial axis of the skull?

A

Basoiccipital bone + basisphenoid bone + presphenoid

The brain rests on the basicranial axis

(Little Miller’s)

445
Q
A
446
Q
A
447
Q
A
448
Q
A
449
Q
A
450
Q
A
451
Q
A
452
Q
A
453
Q
A
454
Q
A
  1. Basilar membrane
  2. Cochlear duct
  3. Cochlear nerve
  4. Inner tunnel
  5. Modiolus
  6. Organ of Corti
  7. Osseous spiral lamina
  8. Scala tympani
  9. Scala vestibuli
  10. Spiral ganglion
  11. Spiral ligament
  12. Spiral limbus
  13. Spiral tunnel
  14. Stria vascularis
  15. Tectorial membrane
  16. Temporal bone, petrous part
  17. Vestibular membrane

(Bacha Histology)

455
Q
A
456
Q
A
457
Q
A